The first hint that civil society groups were making a huge difference came last April. US Trade Representative Katherine Tai spoke at a closed-door meeting hosted by the World Trade Organization to discuss increased production and equitable access for COVID-19 vaccines. Among those attending were representatives from dozens of other governments and many large drug makers, which were wrestling with a contentious proposal to temporarily waive intellectual property protection for patents industrial designs, copyrights and protection of trade secrets, among other things.
Until then, there was no indication that the Biden administration would support the effort. But what Tai said stunned the...