Core Viewpoint - The article discusses a significant retreat of multinational corporations (MNCs) from the UK pharmaceutical sector, driven by increasing tax burdens and unfavorable policy changes, leading to a perception of the UK as an "investment black hole" for the industry [6][30]. Group 1: Corporate Actions - Merck announced the closure of its drug research center in London, transferring all R&D operations to the US [2]. - Eli Lilly halted its planned biotechnology incubator project in the UK, citing a need to wait for a clearer life sciences environment [3]. - AstraZeneca froze a £200 million investment in its Cambridge research center, signaling a broader trend of MNCs withdrawing from the UK [4]. - Sanofi also publicly stated it would adopt a similar stance towards the UK, joining the retreat [5]. Group 2: Tax and Policy Challenges - MNCs are facing multiple tax burdens in the UK, including corporate tax, R&D tax, and drug sales rebates, which are pressuring their operations [8]. - The NHS's pricing scheme requires pharmaceutical companies to rebate a percentage of their sales to the NHS, directly impacting their investment returns [9]. - The rebate rate for drugs under the statutory pricing scheme was increased to 22.9%, with proposals suggesting it could rise to 23.8%, meaning companies may have to return up to 32.2% of their sales to the NHS [12]. Group 3: Impact of Brexit - The UK's exit from the EU has led to a significant decline in approval efficiency for new drugs, with the UK dropping from 6th to 18th in global rankings for drug approvals [19]. - The cancellation of the EU's free movement policy has hindered the formation of cross-border research teams and slowed clinical trial processes [21]. - The UK government's pursuit of higher rebates and budget cuts for drugs has further marginalized the country in the global pharmaceutical landscape [29]. Group 4: Industry Sentiment and Future Outlook - The lack of consensus between the government, pharmaceutical companies, and patients has led to a situation where all parties are losing out, with companies withdrawing, patients facing limited access to drugs, and the government experiencing a trust crisis [30][34]. - The article warns that if the rebate rates remain above 20%, the UK could lose approximately £11 billion (about 106.6 billion RMB) in R&D investments by 2033 [16]. - Despite some companies like BioNTech and GSK remaining in the UK, their commitment is questioned as they also plan significant investments elsewhere, such as GSK's $30 billion investment in the US [16].
高额“回扣”下,药企纷纷撤离英国