PATENTLY A PROBLEM ? RECENT DEVELOPMENTS IN HUMAN GENE PATENTING AND THEIR WIDER ETHICAL AND PRACTICAL IMPLICATIONS

The issue of gene patenting has become re-enlivened with the recent decisions of both the Supreme Court of the United States and the Federal Court of Australia in regards to the patentability of isolated genetic material. The latter case, Cancer Voices Australia v Myriad Genetics Inc, upheld the validity of a patent over the isolated BRCA1 gene and has highlighted the wider implications of gene patenting in Australia. This article examines the legal issues arising from that judgment in respect of the ‘manner of manufacture’ requirement for patentability. It also analyses the ethical consequences of gene patenting and the impact of the monopolistic market control that is facilitated by patents upon the delivery of biogenetic healthcare, industry investment and the dissemination of research results. It will further consider community concerns regarding possible limitations in access to genetic testing and treatment and suggest means of redressing such concerns.


I INTRODUCTION
The emergence of genetic medicine as well as advancements in biotechnology have been accompanied by a significant proliferation in the number of patents granted over biological materials.Recent debates in Australia regarding the patenting of such substances, in particular human genomic materials, have raised concerns about the ethical and practical implications of patenting in the biotechnology sector.This debate surrounding the patentability of genetic materials has been recently re-enlivened by the judgment of Nicholas J in Cancer Voices Australia v Myriad Genetics Inc (Myriad Genetics), 2 which upheld the validity of a patent over isolated human genetic material.This article will firstly provide an overview of the particular issues that Myriad Genetics raised in regards to the 'manner of manufacture' requirement for patentability and will also discuss the views that have been expressed about the case so far.The article will further provide a balanced view not only of the practical, but also ethical implications of gene patenting.In this respect, it will be examined whether the monopolistic market control provided by patents has an * BA, LLB (Hons I) (The University of Sydney), PhD candidate at The University of Sydney.inhibitory effect on the provision of genetically derived healthcare services and the capacity to conduct unfettered biotechnological research.The wider bioethical implications of patenting human biological materials under the Patents Act 1990 (Cth) ('Patents Act') will also be explored to ultimately determine whether the rationale behind patenting human genetic material is supported by compelling justifications.

II RECENT DEVELOPMENTS: THE MYRIAD CASE IN THE UNITED STATES
On 13 June 2013, the Supreme Court of the United States handed down its longawaited decision in Association for Molecular Pathology v Myriad Genetics. 3he biotechnology firm Myriad Genetics discovered the precise location and sequence of the BRCA1 and BRCA2 genes, mutations of which are associated with a greater risk of breast and ovarian cancer.The company obtained several patents based upon these findings, which provided it with the exclusive right to isolate an individual's BRCA1 and BRCA2 genes and perform medical tests for detecting these mutations.However, the Supreme Court found Myriad's patents over isolated human DNA sequences to be invalid.
The case has had a long procedural history; it was originally heard in the Southern District Court of New York, 4 where Judge Sweet noted that Myriad's mere isolation of the BRCA genetic sequences did not render them sufficiently distinct from this material as it exists within the human body.Accordingly, his Honour found that Myriad's patents essentially covered products of nature and were therefore invalid.Myriad's appeal to this decision was granted, and the case was subsequently heard in the United States Court of Appeals for the Federal Circuit, which partly overturned Judge Sweet's decision.Importantly, it reversed the finding that Myriad's isolated BRCA gene sequences were not eligible for patent protection. 5Judge Lourie, writing for the majority, emphasised the importance of the cleaving of isolated DNA from its chromosomal environment as evidence that the isolated material is fundamentally distinct from DNA as it exists within the body.His Honour concluded that the material's resulting distinctive chemical identity satisfied the requirement that patented material be markedly different from naturally occurring substances.
Subsequent to this decision, however, the Association for Molecular Pathology sought a petition to the Supreme Court for a writ of certiorari, which was granted.The Supreme Court vacated the decision, 6 and remanded the case back to the Federal Circuit to be reconsidered in light of the important recent decision in Mayo Collaborative Services v Prometheus. 7On remand, the Federal Circuit once again found in favour of Myriad Genetics, holding the relevant isolated DNA to be patent eligible and essentially reiterating its previous judgment. 8In 3 569 US 12-398 (2013).regards to the relevance of Mayo, Judge Lourie found that Mayo was directed to questions regarding the boundaries between patent-eligible methods and laws of nature and was therefore not an applicable precedent to the relevant principle claims in Myriad, which mainly related to isolated DNA molecules and product patents.
Following this ruling, the Supreme Court granted the plaintiffs' application for certiorari and heard an appeal from the Federal Circuit's decision in April 2013.The Supreme Court restricted the appeal to the central issues of whether isolated genes are products of nature that cannot be patented, or whether they constitute human-made inventions that are eligible for patent protection.In invalidating the BRCA patents held by Myriad, the court held that isolated naturally-occurring DNA sequences are indeed products of nature and are not patent eligible merely by virtue of having been separated from their environment.In reaching this conclusion, the court examined the essence of Myriad's scientific accomplishments and found that 'Myriad's principal contribution was uncovering the precise location and genetic sequence of the BRCA1 and BRCA2 genes,' 9 but that Myriad did not create an invention.
As a consequence of this decision, broad biotechnology product claims to isolated DNA will likely no longer be considered patentable in the United States.However, the decision interestingly leaves open some opportunities for gene patenting by making a distinction between natural DNA and synthetic DNA, otherwise known as cDNA. 10In concluding that isolated natural DNA is not patentable, but cDNA is eligible for such protection, the Supreme Court appears to have been concerned to preserve the 'delicate balance between creating incentives that lead to creation, invention and discovery' and otherwise 'impeding the flow of information that might permit [or] spur invention.' 11In other words, the Supreme Court sought to maintain investment and research incentives through the preservation of the patent eligible status of cDNA, but precluded the possibility of extensive monopolies over isolated naturally occurring genetic material.Ultimately, the Supreme Court's ruling addressed a significant point of legal contention in a series of contradictory court rulings spanning several years.It constitutes a shift in patent law jurisprudence and overturns three decades of the award of patents on human genes by the United States Patent and Trademark Office.
Most notably for an Australian context, the decision is at odds with the recent ruling of the Federal Court of Australia in February 2013 in Myriad Genetics. 12n this case, Nicholas J held that isolated DNA falls under the ambit of patentability.The Supreme Court's decision does not have a direct legal impact on Australian gene patent jurisprudence, however, the findings of the United States court may be considered by the Full Court of the Federal Court when it hears an appeal to Nicholas J's decision later this year.However, until the Full Court provides judgment, Nicholas J's decision remains current authority on the patentability of isolated gene sequences in Australia.

III RECENT AUSTRALIAN DEVELOPMENTS: MYRIAD GENETICS AND THE MANNER OF MANUFACTURE REQUIREMENT
On 15 February 2013, Nicholas J handed down his judgment in Myriad Genetics, a case that has highlighted several legal and ethical issues surrounding human gene patenting.The suit was initiated by breast cancer survivor Yvonne D'Arcy and the patient advocacy group Cancer Voices Australia against Myriad Genetics & Laboratories and its exclusive Australian licensee, Genetic Technologies Ltd.The catalyst for the case was an attempt by Genetic Technologies to actively enforce its patent rights against other laboratories over the BRCA1 and BRCA2 genes, 13 biological traits that are strongly associated with an increased susceptibility to breast and ovarian cancer. 14It was the first Australian court case to challenge the practice of granting patents over human genetic material and a patentee's exclusive right to exploit such material to the exclusion of others. 15he specific issue before the Federal Court was whether, under the Patents Act, a valid patent may be granted for a claim covering naturally occurring DNA or RNA that has been isolated. 16In holding that Myriad's patent could validly cover such biological materials, the case has wide-ranging implications, particularly for biotechnological research and the treatment of many conditions with genetic markers.
Under the Patents Act, the patentability of biological materials is dependent upon the satisfaction of several preconditions.Section 18 provides a statutory basis for patenting biological materials that are novel and involve an 'inventive step', in that their subject matter is new and has not previously been made available. 17A further requirement is that an invention possesses a degree of utility, which essentially requires that it have an actual, rather than a speculative future use. 18owever, in Myriad Genetics, Nicholas J's judgment turned on the specific requirement that the subject of Myriad's patent, an isolated composition comprising of naturally occurring DNA and RNA, is 'a manner of manufacture' within the meaning of s 6 of the Statute of Monopolies 1623 (UK), as required under s 18(1)(a) of the Patents Act. 19It is this statutory requirement that has perhaps been in most need of judicial clarification.However, in attempting to Provided also and be it declared and enacted that any declaration before mentioned shall not extend to any letters patent and grants of privilege, for the term of 14 years or under hereafter to be made of the sole working or making of any manner of new manufacture within this realm to the true and first inventor and inventors of such manufactures which others, at the time of making such letters or grant, shall not use, so as also they be not contrary to the law, nor mischievous to the state, by raising prices of commodities at home or hurt of trade or generally inconvenient.
provide this sense of clarity, Nicholas J's application of the manner of manufacture test has rendered this requirement a contentious issue. 20This section provides an overview of the main issues that Myriad Genetics highlighted in regards to the manner of manufacture requirement and provides a review of what has been said so far of the case.
The term 'manner of manufacture' is not defined by the Patents Act, however, the basis of the current legal conception of this term was established by the High Court of Australia in National Research Development Corporation v Commissioner of Patents ('NRDC'). 21In that case, the court endorsed an expansive definition of this term, holding that an invention can be so characterised 'if it is an artificially created state of affairs' that 'belongs to a useful art, as distinct from a fine art' and possesses value in a field of economic endeavour. 22n this respect, mere discoveries, natural phenomena, ideas, scientific theories and laws of nature fail to satisfy the criteria for patentability. 23 declining to restrict the manner of manufacture concept to an exact verbal formula or definition, the High Court embraced the view that this requirement should be a flexible and dynamic concept, 24 the meaning of which continues to evolve over time with newly emerging technological advancements.Accordingly, no set definition of the term 'manner of manufacture' has emerged, and this requirement has become subject to a conceptual and open-textured inquiry. 25In Myriad Genetics, this was the approach that was followed by Nicholas J, who opined that 'the concept of manner of manufacture has a 'broad sweep' intended to encourage developments that are by their nature often unpredictable.' 26 This inclusive nature of the manner of manufacture requirement has been furthered by the general judicial reluctance to invoke the restrictive proviso within s 6 of the Statute of Monopolies.Section 6 provides that patents should not be granted where they are 'contrary to the law or mischievous to the state by raising prices of commodities at home or hurt trade or [are] generally inconvenient.' 27Arguably, this section enables the grant of a patent to be invalidated on public policy grounds where such a grant would be injurious to society.Although this passage is often cited, and indeed is referred to in the recent judgment of Nicholas J, its potential to restrict patents that transgress public policy boundaries has been largely under-utilised.'General inconvenience' has in fact been rejected by the Federal Court as a stand-alone ground of invalidity, 28 and so this potentially farreaching constraint on the grant of patents found in the Statute of Monopolies manner of manufacture clause has essentially become blunted.
Apart from highlighting the generality of the manner of manufacture test, Myriad Genetics has more specifically brought attention to the failure of case law to provide sufficient guidance as to the threshold of inventiveness, namely the appropriate enquiry to be undertaken when determining if the requisite 'artificially created state of affairs' has been established under the manner of manufacture test. 29Even though Nicholas J concluded that 'it is the element of human intervention that allows one to … characterise the relevant state of affairs as being artificial,' his Honour nevertheless recognised that 'the real problem lies in knowing, or rather not knowing, what degree of human intervention is necessary before it can be concluded that the requisite artificial state of affairs exists.' 30 The uncertain boundaries of this threshold have rendered the examination of patents within complex scientific fields, particularly human genetics, a challenging endeavour for the judiciary.The amorphous nature of this aspect of the manufacture requirement and the judicial reluctance to stipulate a requisite minimum degree of human intervention has led to a wide variety of subject matter with varying degrees of intervention being considered 'artificially created.' 31 For instance, in the Myriad Genetics judgment, it was mere human intervention involved in extracting and purifying nucleic acid found in human cells from other cellular components that provided the requisite intellectual effort necessary to render the resulting isolated nucleic acid a 'manner of manufacture.' 32This was a particularly contentious aspect of Nicholas J's judgment, because even though the physical properties of the relevant biological material did not change, the mere removal of this substance from its natural environment gave rise to the requisite artificially created state of affairs.In fact, Professor Dianne Nicol has concluded regarding the Myriad Genetics decision that 'it [means] that this manner of manufacture requirement has very few teeth.It is difficult to think of the circumstances where an artificially created state of affairs would not exist whenever there is some form of human intervention.' 33The judgment could therefore open the door for permitting the patenting of a wide range of other human genetic materials, even in circumstances where there has been minimal human intervention.

IV RECENT RESPONSES TO MYRIAD GENETICS
Those opposed to gene patenting have expressed concern with these possible implications of Nicholas J's reasoning.Following the decision, lawyers for the plaintiff as well as patent law experts expressed disagreement with the judgment, arguing that the content of Myriad's patent does not represent an invention, as the isolation of BRCA1 is no more than the scientific discovery of a naturally occurring phenomenon. 34In other words, despite the energy and ingenuity expended in creating isolated genetic sequences that are homologous to those that occur naturally, the mere separation of these substances from the larger human genome should not necessarily be termed an 'invention' if the results are identical to the sequence of its native homologue.These sentiments effectively take issue with the current judicial view that only minimal human intervention is required to bring about an artificially created state of affairs under the manner of manufacture test.
Critical responses to the decision have also speculated as to its future legal implications, arguing that although Nicholas J's reasoning related to a specific isolated gene mutation, it could be applied to patents over any human gene, leading to a proliferation in the grant of gene patents. 35While this may be true, such comments must be tempered against the fact that the decision only considered the manner of manufacture requirement, and not the remaining preconditions for patentability.For instance, there was no judicial consideration in Myriad Genetics of whether isolated human gene sequences would satisfy the requirement of an inventive step or whether these materials possess the requisite degree of utility.These requirements may in fact present further hurdles to the patentability of other types of genetic material, 36 and Nicholas J's judgment may therefore not necessarily have the wide implications that have been suggested.
On the other hand, the decision was welcomed by the biotechnology industry, a sector that relies largely on patents for the protection of investment and research in genetic technologies.Nicholas J's judgment arguably reflects elements of the industry's belief that skill and intellectual effort in the isolation of DNA sequences should be rewarded through patent protection.As will be discussed in Part VII of this article, the judgment in favour of Myriad Genetics removed concerns that innovation within the life sciences industry would be stifled and foreign and domestic investment in genetic research would decline if isolated genetic material were removed from patent eligibility.The decision essentially reassures the industry of its ability to protect and commercialise innovations through the intellectual property rights system.
In response to these commercial considerations, opponents of gene patenting have criticised the decision's failure to acknowledge the importance of human dignity and equity and have lamented its effective endorsement of the commodification of the human body. 37However, these concerns, which have featured heavily in the 34  popular media, are not necessarily of significant legal relevance.Responses to the decision that are arguably of greater legal cogency have centered upon the perceived unsatisfactory nature in which Nicholas J interpreted the degree of human intervention necessary to bring about the requisite artificially created state of affairs under the manner of manufacture test.This is a potentially significant criticism and is likely to constitute the key issue in the appeal against the Federal Court's decision.In this forthcoming case, the appellants are likely to argue that Nicholas J erred in finding that the isolation of DNA was considered a form of new manufacture.The argument's greatest merit may rest on the fact that Nicholas J stated in his judgment that the BRCA gene was not relevantly different inside or outside of the human body.This statement may assist the appellants in contenting that the mere isolation of DNA therefore cannot create a state of affairs that can be considered 'artificial.'Interestingly, as discussed in Part II, the Supreme Court of the United States recently upheld the essence of this proposition, holding that isolated human genes are not sufficiently distinct from genes that exist within the body and are hence not eligible for patent protection.
By highlighting the relatively low threshold of the manner of manufacture test, Myriad Genetics has also led to strong calls for the law in this area to be reformed.The primary criticism of the manner of manufacture test as applied in Myriad Genetics centred on its inability to effectively distinguish between 'discoveries' and 'inventions'.Following the judgment, commentators invoked this rhetoric, expressing the view that isolated human genes do not constitute 'inventions,' but rather the 'discovery' of a natural phenomenon; they are products of nature that have not been transformed into products of human effort and labour. 38According to this view, any outcomes of such scientific procedures ultimately remain a product of human evolutionary and natural processes and should therefore be deemed unpatentable.Yet under current patent law, such products may constitute the subject of a valid patent.
One previous attempt to address these concerns was reflected in the Patent Amendment (Human Genes and Biological Materials) Bill 2010 (Cth) ('Patent Amendment Bill'), which was introduced into the Senate in late 2010 as a Private Member's Bill, and aimed to reinforce the distinction between discoveries and inventions.The merit of this approach to amending gene patent law will be examined below to determine whether the calls for similar reforms could effectively ameliorate the above concerns that have been raised following Myriad Genetics.
Nicholas J's ruling in Myriad Genetics indicates that under s 18 and the NRDC jurisprudence, there is no legal basis to demand that the subject of a patent be markedly different to matter that already exists in nature.However, the Patent Amendment Bill attempted to preclude such results by expressly excluding from patentability 'biological materials, whether isolated or purified … which are identical or substantially identical to such materials as they exist in nature.' 39 The reform Bill defined 'biological materials' to include DNA, RNA, proteins, cells 38 39 Patent Amendment (Human Genes and Biological Materials) Bill 2010 (Cth), item 3(2)(b).and fluids.Amending the Patents Act to include a similar qualification may assist in demonstrating a legislative intent to remove such biological materials from the ambit of patentability, an intent that was found by Nicholas J in Myriad Genetics to be noticeably absent from s 18 of the Patents Act.This requirement for patentable material to be distinct from naturally occurring substances may exclude genes from patentability that have merely been isolated, such as BRCA1, and thereby ameliorate concerns that the current law gives licence to biotechnology companies to effectively claim ownership of naturally occurring substances that they have merely discovered. 40 has been argued that prohibiting the patenting of materials that are 'substantially identical' to such materials as they exist in nature would not present significant difficulties, as the term 'substantially identical' is a measure of differentiation that is not a foreign concept to intellectual property jurisprudence, being widely used in the law of trademarks. 41However, such arguments ignore the complexity of the environment in which patent law, as opposed to trademark law, can operate.Introducing into s 18 this legislative requirement to identify a sufficient distinction between patented biological materials and their naturally occurring states may ultimately be unsatisfactory.This is because it would be difficult to define the requisite degree of differentiation between purely biotechnological products and naturally occurring substances.In this regard, the National Health and Medical Research Council observed that the exclusion from patentability of materials that are 'substantially identical' to materials existing in nature would create uncertainty as to the patentability of a large number of biotechnologically-derived substances.For example, products of synthetic biology, while not themselves biological materials, replicate naturally occurring substances and would prima facie appear to be excluded from patentability under the above legislative reforms. 42The breadth of resulting exclusions would have significant implications for current and particularly future genetic research, as the delineation between synthetic and naturally occurring substances becomes increasingly blurred.For instance, under the Minimal Genome Project, researchers recently created a partially synthetic species by synthesising the genome of the Mycoplasma mycoides bacterium and transplanting the synthesised genome into the existing cell of a Mycoplasma capricolum bacterium that had its DNA removed. 43The resulting synthetic bacterium is considered a viable organism capable of replicating itself.Synthetic forms of life such as this invention further obfuscate the delineation between natural and artificial entities, a distinction that is becoming increasingly difficult to define. 40 Accordingly, drawing a distinction between naturally occurring biological materials and materials that have been sufficiently modified would involve protracted examination of a complex niche area of science, a task that the courts would not necessarily be able to readily undertake in navigating the patent landscape.Such an inquiry would necessitate judicial consideration of a rather nebulous and highly scientific concept, and as such, a greater element of uncertainty may be introduced into the law surrounding the patentability of biotechnological materials, which, as Nicholas J described in Myriad Genetics, already possesses 'an almost metaphysical dimension.' 44

V IMPLICATIONS FOR THE MANNER OF MANUFACTURE REQUIREMENT
The recent calls for reform and criticisms of the manner of manufacture test that have been made in response to Myriad Genetics may need to be somewhat tempered.As discussed above, the boundaries of the manner of manufacture test have not necessarily been defined very strictly and they have admittedly been interpreted wider than some would prefer. 45However, the flexibility that is inherent in the current test should not be undervalued.It is this element of malleability that facilitates the potential for the judiciary to respond to new technological developments in times of rapid scientific and technological innovation.Professors Ann Monotti and Sam Ricketson have observed that, as science and technology advance, what is considered to be patentable is becoming increasingly contentious at the margins, yet courts have been able to address this issue by a process of progressive interpretation within the current test. 46Despite the early origins of the manner of manufacture test, the current requirements are framed with sufficient generality to enable the concept of patentability to keep pace with, and adapt to advances in technology.Despite the perceived lack of rigidity in the test, several reviews into Australian patent law have recommended that it be maintained in its current form as a threshold test for patentability. 47The common reason for these recommendations centres upon the open-textured nature of the test. 48The reviews concluded that the breadth of the current test imbues it with the capacity to respond to emerging inventive concepts and new developments in human ingenuity and technologies. 49 this context, attempting to reformulate the current manner of manufacture test may introduce an element of rigidity that would detract from the test's adaptability and versatility.Any attempts to re-write or codify aspects of the test would not necessarily bring greater clarity to the manner of manufacture requirement.This can be partly attributed to 'a general understanding, by both courts and legislatures, that it is impossible to find a form of language that will adequately cover, at any one time, the multifarious and diverse forms in which human inventiveness may manifest itself.' 50More precise verbal formulae may instead place unnecessary fetters on the test's ability to respond to relevant technological changes, or in fact have the unintended consequence of introducing interpretive difficulties and a degree of uncertainty to the test until it is brought to the consideration of a higher court. 51e particular criticism of the manner of manufacture test that should also be addressed relates to the apparently archaic statutory language within which it is encapsulated.It has been argued that the wording of s 6 of the Statute of Monopolies appears obscure in a modern context. 52However, this has not necessarily hindered the application of the test, as the courts have developed a body of principles surrounding this test that have been formulated in modern language.It must be noted that the Patent Act's reference to s 6 of the Statute of Monopolies merely invokes its principles and does not require strict and literal adherence to its terms.The obscurity of the statute's archaic language in regards to manner of manufacture therefore does not present overwhelmingly cogent grounds for criticising the test.Even in civil law systems, it is not considered feasible to be able to discern the true meaning of the law solely from the legislative text, 53 and it is recognised that 'there is an overlying patina of judicial decisions that must be known if the law is to be comprehended.' 54This 'patina' of case law in regards to the manner of manufacture requirement has been provided by the High Court in the NRDC case as well as the long line of subsequent decisions that have applied its reasoning.In fact, a further opportunity for the judiciary to solidify this body of knowledge will arise in the appeal that has been recently launched against Myriad Genetics in the Federal Court.This case will provide the opportunity for the court to provide further guidance on the test, and specifically the degree of human intervention necessary to render the subject of a patent an artificially created state of affairs, this being an aspect of the test that has arguably received the most criticism.
Considering the merits of the current formulation of the test that have been discussed above, criticisms of the law may need to be tempered, particularly in light of the forthcoming appeal in the Federal Court.In addition, to further answer the question raised by Myriad Genetics as to whether the law should be amended, apart from examining specific issues relating to statutory language, legal threshold requirements and judicial interpretation, what is also required is a fundamental re-exploration of the ethical considerations underlying gene patenting.As moral concerns have provided a significant basis for the recent criticisms of the current law, the ethical and moral implications of gene patenting therefore deserve greater emphasis in the current debate.

VI ETHICAL CONSIDERATIONS
As the first Australian case to uphold the practice of granting patents over human genetic material, Myriad Genetics has raised not only legal, but also significant ethical issues regarding the suitability of human genetic material for patentability.Dr Luigi Palombi expressed the concern that as a result of the Federal Court's decision, 'effectively everything in the human body can be considered patentable, the human body is now a commodity.Its components are a commodity,' 55 sentiments that tend to portray human gene patenting as an unethical practice.
At the centre of the intersection between biotechnology and patent law inevitably lies the contentious role of ethics and morality.The debate over the patenting of human genes, more than any other biological material, is a focal point for several divergent moral concerns.The concept of what is considered ethical in the area of gene technology remains amorphous and continues to evolve over time -as technology and science progress, new moral issues inevitably arise.This multifaceted nature of genetics, coupled with the lack of consensus regarding the delineation of the ethical from the unethical, inherently gives rise to complex conceptual and ethical considerations. 56

A The commodification of human life undermines human dignity
Several moral questions arise from the now judicially sanctioned practice of patenting certain human genetic materials.From one ethics perspective, patenting human biological materials may be seen to undermine human dignity by commodifying human life.Patents traditionally serve an economic function, which 'presupposes an ability to determine the economic value of the patentable entity.' 57 In this respect, patenting human materials facilitates the assignment of economic value to individuals.Modern bioethical and neo-Kantian thought endorses the principle that humans possess worth that cannot be quantified in economic terms. 58The application of market rhetoric to patented human material under current patent law may therefore represent a commodification of individuals in violation of their intrinsic human dignity.In effect, this conception of humans as constituting vendible parts of commercial value may violate the essence of what it means to be human.
The Kantian notion that human beings possess dignity, moral worth and a rational sense of autonomy, opposes such commodification of human life.This view finds reflection in Kant's 'Formula of Humanity', a moral principle which posits that human beings possess intrinsic, rather than extrinsic value. 59In other words, a moral duty exists to treat all human beings as ends in themselves, and not solely as a means to other ends. 60It can be argued that this fundamental principle should be considered in guiding the legally mandated uses of new biotechnological inventions, to eschew practices that undermine humans' inherent worth.
However, these ethical arguments may be criticised on the basis that assigning an economic value to individual human biological components does not necessarily equate to the commodification of an individual. 61In this respect, it is important to differentiate between complete and incomplete commodification.David Resnik observes that for several years, scientists have patented complex molecules that occur within the human body, such as proteins, hormones and lipids, without particularly strong moral opposition being voiced. 62This process merely represents an 'incomplete commodification' of human substances.The patenting of human genetic material, Resnik argues, similarly constitutes an 'incomplete commodification' that will not inexorably lead to the 'complete commodification' of humans as a whole. 63In any event, human beings are already commonly defined by market rhetoric without significant objection.Putting a price on human life through insurance policies, negligence suits or even wages and salaries as compensation for human labour are examples of current practices that apply market rhetoric to human beings. 64common related argument that also criticises the relegation of humans to a quasi chattel-like status under the Patents Act asserts that because patents over human biological materials confer proprietary rights on patentees, gene patenting promotes a system of ownership over human beings.65 However, this argument confuses intangible intellectual property rights with physical property rights.The intellectual property rights that patents grant over isolated genetic material under the Patents Act do not necessarily grant positive physical property rights over parts of each person's human body.Rather, they confer a right upon the patentee to exclude others from the manipulation and manufacture of certain genetic sequences for a specified period of time.In this respect, ethical arguments based on the notion that patents reduce human life to the property of patentees, which have been recently put forward by supporters of the applicants in Myriad Genetics, do not necessarily offer an entirely convincing argument against patenting.
As a consequence, the argument that patents reduce human life to a commodity may possess moral resonance in the context of patenting entire living organisms, however, this argument loses some force in respect of patenting only genes.On this view, it may be argued that s 18 of the Patents Act, which prohibits the patenting of 'human beings and the biological processes for their generation' 66 [emphasis added] may be justified, however, excluding a wider range of biological substances, such as human genetic material, may not be as compelling.

B Genes maketh the (wo)man?
A further concern that arises is that permitting the patenting of human genetic material under current case law and legislation fails to recognise the uniqueness and sui generis nature of the human genome and its centrality in forming the essence of a human being. 67ny divergent opinions exist regarding the meaning of personhood and its precise relationship with an individual's genetic composition.What constitutes 'humanness' is essentially a metaphysical question.In the Cartesian tradition, a dichotomy between the material body and the immaterial human essence was traditionally assumed to exist.However, 21 st century phenomenology presents a different image that places greater emphasis on the unity of body and mind 'in which all structures and functions of the body are modes of the person and there is no sharp duality between the person and the body.' 68 This theory of genetic essentialism seeks to challenge the metaphysical separation of the human body and the human person by suggesting that genes intrinsically constitute the very essence of human existence. 69Genetic material is accordingly not only closely linked to an individual's physicality, emotional and intellectual composition, but also to his or her personhood and sense of self. 70In this respect, Rogeer Hoedemaekers and Wim Dekkers suggest that the human genome has assumed the position of a cultural symbol, commenting that 'the gene is not just another part of the body … but rather is an entity with an unprecedented social power to completely change humans.' 71 This view suggests that the human genome sequence codes the human essence and that no individual or corporation should retain control over human genetic material. 72wever, this genocentric approach essentially equates genetic identity with personal identity.Yet it may be contended that a human is more than the sum of his or her genealogical composition, an argument that renders the metaphysical conflation of the human genetic makeup and human essence somewhat tenuous.Under this view, genes are not inherently tied to the essence of an individual; it should be noted, for example, that fruit flies share 60 per cent of their DNA with humans, 73 bonobos 98.7 per cent, 74 and chimpanzees more than 99 per cent. 75rom a purely chemical perspective, human genes may therefore be considered merely another arrangement of complex molecular structures that is shared by several other living organisms, and as such they are not necessarily solely responsible for creating the unique nature of humans. 76In fact, suggesting that humans may be reduced to a piece of code may itself constitute a very affront to human dignity to which opponents of gene patenting claim to strongly object.

C Common heritage of humankind
Opponents of human gene patenting have also argued that the current patentable status of human genes is ethically unacceptable because the human genome constitutes the common heritage of humankind. 77The United Nations has traditionally applied the common heritage doctrine to areas such as the deep seabed and the Antarctic, declaring under Article 37(2) of the United Nations Convention on the Law of the Sea that such areas cannot be subject to alienation by any one state. 78In characterising the status of the human genome, an analogy may similarly be drawn to the concept of res communis humanitatis, which may provide the basis for an ethical argument against permitting solely private control over the manipulation of human genomic material.According to this reasoning, it may be argued that the 'privatisation' of genetic sequence information, which it can be contended is a product of human evolutionary processes, should not belong to a single patentee, but rather to all of humankind. 79is argument finds support in Article 1 of the Universal Declaration on the Human Genome and Human Rights, which states that '[t]he human genome underlies the fundamental unity of all members of the human family … in a symbolic sense, it is the heritage of humanity.' 80In fact, one of the primary purposes of the Human Genome Project was to identify all human genes and render them freely available within the public domain to encourage research and development and to maximise their benefit to society. 81These sentiments find expression in the Bilbao Declaration, an international statement on the legal implications of the Human Genome Project, which proclaims that the human gene sequence does not belong to any specific individual, but rather to humankind of present and future generations. 82From this concept, it can be extrapolated that human genetic information constitutes a shared resource that exists for a common benefit and should not be monopolised for the advantage of one single entity.This is arguably a practice that may be permitted under current gene patent law.

VII PROHIBITING HUMAN GENE PATENTING: COMPATIBILITY WITH AUSTRALIA'S INTERNATIONAL OBLIGATIONS
Apart from purely ethical concerns regarding the suitability of human genetic material as a patentable subject matter, a further consideration that should be noted is Australia's international obligations in relation to standards of intellectual property protection.Excluding human biological materials such as genes from patent protection may conflict with Australia's international obligations, most notably those under the Agreement on Trade Related Aspects of Intellectual Property Rights ('TRIPS'). 83This agreement establishes a minimum standard of patent protection that each member of the World Trade Organisation (WTO) must provide under domestic law.In particular, article 27(1) notes that patent protection should be available 'for any inventions, whether products or processes, in all fields of technology' 84 [emphasis added] and should not discriminate with respect to specific areas of technology.The Canada-Patent Protection case provides extensive commentary on the parameters for assessing the TRIPS nondiscrimination provision. 85In that case, the WTO Panel held that the meaning of the term 'discriminate' encompasses 'the unjustified imposition of differentially disadvantageous treatment.' 86xcluding human genetic material from patentability may appear to subject these biological materials to differential treatment by expressly excluding these substances from patent protection.
The precise degree of freedom that domestic policy makers are afforded in legislating with respect to the patentability of particular materials admittedly remains uncertain.However, such freedom appears to be quite limited, with several commentators observing that article 27(1) in practice currently allows very little scope for discriminatory treatment between various fields of technology. 87ternatively, it may be contended that the potential discrimination between human genetic and other materials under any reforms prohibiting gene patenting is justified under article 27(2) of TRIPS.This provision permits WTO member states to exclude inventions from patentability if they are 'immoral' or contrary to the public order, providing that: members may exclude from patentability inventions, the prevention within their territory of the commercial exploitation of which is necessary to protect ordre public or morality, including to protect human, animal or plant life or health or to avoid serious prejudice to the environment. 88wever, it may be contended that the exclusion of human genetic material from patentability may not be permitted under article 27(2), as this exclusion does not serve to protect ordre public or morality under the widely accepted definition of these terms.In Plant Genetic Systems/Glutamine Synthetase Inhibitors, the European Patent Office Technical Board of Appeal defined ordre public as encompassing the protection of the environment, public security and physical integrity of individuals. 89This definition was endorsed in Kingdom of the Netherlands v European Parliament and Council of the European Union, 90 where Judge Jacobs similarly concluded that inventions which were primarily likely to seriously prejudice human, animal or plant life or threaten the social structure that ties society together are contrary to ordre public and should be excluded from patentability.
Indeed, the ordre public exception has only been successfully raised in two cases within the European jurisdiction.Commentators observe that article 27(2) has a particularly narrow practical application, and any exclusions to patentability under this provision are likely to be invoked only in rare and extreme cases.
Without significant evidence that the current practice of patenting human genetic material seriously prejudices human life or undermines the structure of public order, arguments in favour of removing such material from the scope of patentability may not be able to rely on the article 27(2) exception to the TRIPS prohibition on discrimination.The exclusion of such biological materials from patentability may consequently attract the disapproval of other TRIPS member states by transgressing significant international legal obligations that Australia has assumed.

VIII PRACTICAL CONSIDERATIONS ARISING FROM THE MYRIAD GENETICS CASE
The current status of isolated human genetic materials as patentable raises several considerations in areas of healthcare, research and development.In particular, several concerns relate to the overall effect of gene patenting upon access to genetically derived healthcare services, such as gene therapy and cancer testing, as well as the ability to conduct unfettered biotechnological research.

A Access to healthcare services
Because a patent holder possesses an exclusive right to prohibit other parties from utilising the subject matter of a patent, patentees may exercise monopolistic control over the utilisation and manipulation of certain biological materials.This problem arises most visibly in the field of diagnostic genetic testing, in which patentees may restrain any other laboratory from offering testing for specified patented genetic sequences. 91Several studies indicate that in such circumstances, patenting may lead to restricted availability and prohibitive costs of genetic and pharmacogenetic testing. 92This is one of the primary concerns of patient advocacy groups following the recent Myriad Genetics decision.
The impacts of such monopolistic market control are exemplified by the muchpublicised practices of Myriad Genetics, which holds 23 patents over mutations in the BRCA1 and BRCA2 genes, traits that are strongly associated with an increased susceptibility to breast and ovarian cancer. 93This company actively enforced its patents against several laboratories in the United States by refusing to grant licenses to testing laboratories or imposing highly restrictive terms on any licenses issued. 94As a consequence, Myriad was able to require all diagnostic testing to be performed by their own laboratory at a cost greater than $3,000 per patient. 95In neighbouring Canada, where Myriad has not been able to impose its patent rights, the same genetic test is available at a third of the cost. 96The figure that Myriad charges in the United States is also more than four times the $700 that French laboratories charge, 97 as a result of which many potentially at-risk individuals are unable to afford this test. 98Under Myriad's monopolistic business model, patients are also unable to obtain a second opinion or utilise a laboratory with alternative testing methods, impediments that greatly compromise access to reliable testing outcomes, which is particularly concerning given the possibility of false-negative test results in this field of diagnostics. 99Cases such as Myriad highlight the potential impacts that a patent-facilitated genetic testing monopoly may have on the delivery of equitable healthcare in Australia.In fact, in 2003 and 2008, Myriad's Australian licensee, Genetic Technologies Ltd, attempted to enforce its patents on testing for the BRCA1 and BRCA2 genes in Australia, an attempt that was only eventually thwarted by sustained public objection.
Following the recent decision in Myriad Genetics, commentators have expressed concerns that Myriad may attempt to monopolise the tests for BRCA1 and 91  BRCA2 genetic mutations,100 which may include demands that public hospitals do not provide these tests. 101If this occurs, the resulting inequity in access to such testing would concentrate the benefits of gene testing technology within a narrow stratum of society.However, the benefits and burdens of scientific undertakings should arguably be equally distributed in a manner that does not disproportionately disadvantage any groups in a society. 102The ability to charge exploitative prices for genetic testing that is inherent in a patent-facilitated market monopoly would render the financially disadvantaged segments of the community unable to access diagnostic services.Although the government offers diagnostic services through its genetic familial cancer testing scheme as well as the Medicare Benefits Schedule, 103 which offer financially accessible testing for particular medical conditions, the range of testing that these services provide is currently very limited.In this respect, the market monopoly facilitated by the patentability of genetic testing under the Patents Act 1990 (Cth) and current gene patent jurisprudence may have the potential to hinder access to genetic testing and treatment.
On the other hand, it may be argued that these concerns may not necessarily bear out in practice in the Australian jurisdiction.Although companies in foreign jurisdictions, particularly the United States, have actively attempted to enforce patents over genetic testing processes, studies conducted in Australia have provided little evidence that instances of attempted patent enforcement against laboratories are as prevalent in the Australian environment. 104A study by Professor Dianne Nicol and Dr Jane Nielsen found that, while fears may exist regarding the enforcement of gene patents, in practice, very few companies have actively attempted to enforce their patent rights. 105wever, this situation may change in the near future, following the precedent set by Myriad Genetics as well as the growth of the Australian biotechnology sector, which may lead to increased levels of domestic patent enforcement.In 2012, 82 per cent of Australian biotechnology firms experienced significant growth. 106In fact, the ten fastest-growing biotechnology companies in the Asia Pacific region in 2011 were all Australian companies, with the first-ranking firm Mesoblast Ltd experiencing 2802 per cent growth, Biotron 583 per cent and Prana Biotechnology 355 per cent. 107The increased commercialisation of this sector may lead to patent rights being more strictly enforced to protect valuable market investments, an occurrence that could considerably change the landscape of patent enforcement in the field of biotechnology.Additionally, with advances in genetic sequencing, researchers will be able to make further scientific findings that investors may seek to commercially exploit through the use of patents.For example, in September 2012, through parallel sequencing of the exome, scientists at Melbourne's Peter MacCallum Cancer Centre identified two new riskpredisposing mutations in the FANCC and BLM genes, which are each believed to be another gene indicative of increased breast cancer susceptibility. 108evelopments such as these may provide the basis for the invention of new types of gene-based diagnostic testing, possibly creating more situations in which entities will attempt to protect their commercial interests by enforcing patent rights.In practice, this may lead to the establishment of gene monopolies in the area of healthcare provision to the possible detriment of patients who may need to pay increased costs to access such services.

B Commercialising innovation: the effects of patentability on research and investment 1 Patents as incentives to invest
On the other hand, within the biotechnology industry, gene patents act as the currency that is used to encourage investment in research and development.
Although the ultimate role of patents is to exclude competitors from exploiting a patentee's invention, the legalised monopolies that patents create also incentivise innovation by providing investors with greater security of investment returns. 109he research and development of biologic medicines is a complex, expensive and protracted undertaking, with a new drug often necessitating more than a decade to develop and approximately $1.2 billion to bring to market. 110Due to this high cost of conducting pre-commercialisation research and development, it is important for businesses, particularly small start-up research entities, to secure investment.Enterprise investors would have little incentive to incur the extremely high initial capital input necessary to develop biologic medical products, conduct trials and obtain marketing approval, without a relatively secured opportunity to recover their initial investment.Such an opportunity is presented through the legally defined period of market exclusivity that is provided for under the Patents Act for patented inventions.This is particularly important in the development of diagnostics, with commentators observing that 'diagnostics are notoriously low-profit margin products … if the right to develop a diagnostic were to be shared by more than one company, the economic incentive to develop it is likely to evaporate.' 111 In other words, the absence of an award of monopolistic control over biotechnological inventions may disincentivise investment in this area.Additionally, because biotechnological inventions are expensive to produce, yet comparatively inexpensive to re-produce, without patent protection, market competitors could relatively inexpensively reverse engineer non-patented inventions,112 hampering the ability of investors to recover funds.The right of market exclusion that patents grant assists in mitigating such risks. 113moving human genetic material from the ambit of patentability may therefore detract from the advantages provided by the current research investment paradigm.The effects of this would extend to many institutions, including universities, which file approximately 40 per cent of all applications on gene sequences and are increasingly reliant on external funding through partnerships with corporate and venture capital entities, 114 particularly in light of the significant cuts to government research funding that were announced in October 2012. 115The ability of these research institutions to attract commercial partnerships is currently strengthened by relatively greater tangible investment security that patents offer.In fact, The University of Sydney has estimated that restrictions to current patent law would undermine the patentability of many inventions generated by their science and medicine faculties, and that over 25 per cent of its 221 active patent families would be adversely affected. 116Therefore, although opponents of gene patenting purport to promote unfettered research and development, restricting current patent law may ultimately have the potential to hamper such research endeavours.
In addition, restricting the patentability of human genetic material has the potential to not only undermine domestic, but also foreign investment.A prohibition on the patenting of such biological materials would be productive of a disparity between the legal intellectual property framework of Australia and foreign jurisdictions.As a corollary of the comparative restrictiveness that would be generated within the Australian intellectual property law environment, foreign investment flow into the domestic biotechnology industry may be deterred or technology transfer from overseas entities may be significantly reduced. 117dditionally, restrictive patenting laws may also disincentivise the release of overseas-produced drugs into the Australian market due to manufacturers' concerns of exposing their products to intellectual property free-riders.This would greatly limit the commercialisation and availability of new products within the domestic market.Considering that globally, there are currently over 400 biological drugs in development aimed at treating illnesses such as cancer, diabetes and Alzheimer's, 118 the exclusion of human biological materials from the ambit of patentability may significantly limit Australian patients' access to such newly developed drugs.
Recent studies also indicate that if the patentability of human biological materials is prohibited, Australian biotechnology firms may face significant challenges, not only in attracting capital investment, but also in securing downstream partners, research collaborators and later-stage alliances with pharmaceutical companies. 119rofessor Dianne Nicol emphasises the instrumentality of patents in attracting such partnerships, observing: Patents are often used to get venture capital and to negotiate with downstream pharmaceutical companies and partners, and they are all looking for robust intellectual property protection.So if there is any uncertainty about the scope of protection, this could well deter investment [and] deter downstream partnering opportunities. 120moving patent protection for biological inventions may accordingly undermine many incentives for a wide range of entities to invest in biotechnological firms, which may ultimately stymie progress in research and development.
2 Monopoly over the market, not over scientific knowledge?
The unfettered dissemination of knowledge has traditionally been a central tenet of promoting scientific endeavour. 121Professor Robert Merton describes this flow of information as 'an integral element of the scientific ethos.'122He observes that: Substantive findings of science are a product of social collaboration and [should be] assigned to the community … The institutional conception of science as part of the public domain is linked with the imperative for the communication of findings.Secrecy is the antithesis of this norm. 123e rate of progress in realising medical advancements depends on the extent to which the results of investigations flow freely among researchers.Under this ethos of sharing, patents are theorised to incentivise disclosure and avoid the suppression of scientific information by providing protection for researchers' findings, which in turn enables them to disclose their knowledge. 124Removing the ability to patent biological inventions may diminish this level of protection for research output, which may result in greater reluctance to disseminate results.Some open-access resource regimes do attempt to facilitate the dissemination of information outside the patent system, such as the BioBricks commons model, which promotes the proactive disclosure of scientific knowledge despite the nonassertion of intellectual property rights. 125However, these programs remain in a nascent state and would not likely constitute a practical and widespread means of sharing information in the near future.
In this respect, removing the element of protection provided by patents may detract from researchers' willingness to publicise findings.If gene patenting is restricted, then logically one way for entities to protect their investments is to keep scientific advances confidential.This may create a risk that biotechnology and pharmaceutical companies may shift to a model of trade secrets, for which there are no time limits or statutory limitations after which an invention becomes open to exploitation by others. 126Such a situation would detract from the scientific community's ability to compile an extensive shared knowledge base to facilitate the development of follow-on inventions.Without the free exchange of published scientific findings, researchers may also unknowingly build on knowledge that constitutes less than the total accumulation of current scientific understanding, or even duplicate research efforts. 127Prohibiting the patenting of human genetic material could therefore undermine the current informationsharing paradigm that operates within the area of biotechnology under the Patents Act.

Patents stifle research: the concept of the scientific anticommons
On the other hand, it may be argued that patenting does not have a positive, but rather an inhibitory effect on biotechnological research and development. 128ursuant to this view, patenting biological materials has the potential to create a scientific 'anticommons'. 129Professors Michael Heller and Rebecca Eisenberg crystallised this concern in their theory of the 'tragedy of the anticommons', which posits that when multiple patent holders actively enforce their exclusivity rights over a scarce resource, potentially valuable resources will be rendered prone to underuse. 130plying this theory, a large number of patents on biotechnological inventions creates a 'patent thicket,' in which an overlapping set of broad foundational patent rights requires researchers intending to commercialise new biotechnological inventions to enter into multiple license negotiations with several patentees to obtain highly expensive licenses. 131It has been noted that 'these obligations significantly delay or even halt the pace of innovation.' 132 This situation problematises in several ways the acquisition of information necessary for scientific progress; obtaining multiple licenses is not only a complex and timeconsuming undertaking extraneous to research activities, but it also involves considerable financial resources.In this respect, patents particularly restrict the ability of downstream researchers to access upstream patented inventions in order to transform gene technology into commercial products.This is due to the cumulative nature of royalty stacking and reach-through royalty provisions, under which downstream firms carry a significant financial burden to pay royalty fees to licensors.Firms that operate in highly competitive fields, such as vaccine development and cancer therapy, must also navigate a complex patent landscape regarding genes, cell lines, vectors, antigens and other technologies, often requiring multiple in-line licenses to secure permission to develop their products. 133For example, the Malaria Vaccine Initiative has been confronted with several complex patent claims relating to the Merozoite surface protein-1, a pathogen instrumental in developing a vaccine for this parasitic disease.Several different patent families were attached to this biological material, as well as to add-on technologies concerned with other specialised antigens and nucleic acid sequences that are of significant utility in constructing a vaccine. 134The Malaria Vaccine Initiative is concerned that royalty stacking and excessive licence fees may severely hinder further research into the malaria vaccine.In such situations, commercial research organisations may often consider shifting to another area of research due to the complexity of patents on necessary research tools. 135nterferences such as these may ultimately hinder the development of biological technologies that can provide valuable benefits to public healthcare.

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The anticommons theory in practice However, the detrimental effects predicated by the anticommons theory in the field of biotechnological research have not necessarily been supported by empirical studies. 136Research findings support the theory that the ability to patent biological materials does not generally have an inhibitory effect on scientific research. 137Most notably, a survey of 381 academic scientists indicated that only one per cent reported experiencing delays or having to make modifications due to the existence of third-party patents, 138 with no researchers reporting that investigations were halted by such patents. 139The survey found 'little empirical basis for claims that restricted access to intellectual property is currently impeding biomedical research.' 140Highly similar results are reflected in a survey conducted by Professor Dianne Nicol and Dr Jane Nielsen. 141Their study concluded that very few researchers are in fact concerned about any possible restrictive effects on access to research inputs or hindrances to scientific investigations due to the existence of patent claims over substances that they are utilising in research activities.The study found that in most cases, research is able to proceed in a very similar fashion, despite the existence of such patents. 142 examination of the effects of patenting human biological substances therefore suggests that the patentability of these materials may not necessarily be inhibitory to the effective provision of genetically derived healthcare services and the capacity to conduct unfettered biotechnological research.

IX WEIGHING UP THE COMPETING CONSIDERATIONS
As examined above, following the outcome in Myriad Genetics, one of the main concerns expressed by the community relates to the possibility of increased costs and a decline in the availability of genetic testing for conditions with genetic markers.While it is important to encourage innovation and research through the patent system, it is equally important to ensure that the public interest is met through the delivery of affordable genetic testing and treatment services.If gene patent law continues to allow the patenting of naturally occurring gene sequences, safeguards must be utilised to address concerns regarding the possibility of decreased access to healthcare services.
In such a situation, government agencies could be required to intervene to prevent companies with gene monopolies charging unaffordable fees for genetic tests and treatment.One option in this respect may involve the invocation of compulsory licenses, 143 which are authorisations provided by a national authority, without or against the consent of the patent holder, that permit the exploration of a patented product or process. 144Under s 133(1) of the Patents Act, a court may grant a compulsory license if the 'reasonable requirements of the public' with respect to a patented invention have not been satisfied. 145An application could be made, for example, in a situation where demand in Australia for a patented product is not being met and the patent holder refuses to supply the product on reasonable terms. 146Such a licence, if granted, may enable a public sector health authority or other organisation to provide a patented medical genetic test or healthcare service where patients' needs are not being adequately met.Although few compulsory licenses have so far been granted under Australian patent law, this option may provide an avenue for redressing community concerns about the affordability of genetic testing and biogenetic healthcare.
An alternative option may be for public healthcare providers to invoke the Crown use provisions under the Patents Act. 147Under these provisions, state or federal government bodies are entitled to exploit a invention, without first obtaining permission from the patent holder to meet the healthcare needs of the Australian community.This may allow authorised entities to provide access to medical genetic testing that involves patented processes or products. 148Although rarely invoked in the past, this option may provide another mechanism to address concerns that gene patents may adversely impact upon the provision of healthcare services to the public.However, whether these existing legal mechanisms will be able to effectively redress concerns regarding possible limitations in access to genetic testing and treatment is difficult to assess at this stage.

X CONCLUSION
Despite several recent calls for reforms to patent law following the case of Myriad Genetics, the issue of human gene patenting must be considered cautiously.This area inherently raises several complex legal, ethical and practical questions.Patenting in the field of biotechnology may provide an incentive mechanism for investment and the dissemination of research findings, which are central tenets of scientific endeavour.A closer examination of patenting from an ethics perspective also suggests that patenting biological materials will not necessarily precipitate the complete commodification of human beings, nor does it derogate from the intrinsic worth and uniqueness of individuals.However, in spite of this, concerns that the monopolistic market control that is facilitated by patents may derogate from achieving equitable access to genetic testing and biogenetic healthcare services are rightly justified and must therefore be addressed through government initiatives to ensure that the research and development benefits that patents provide will flow into the community.Indeed, given the growing importance and attention that gene patenting has recently gained, the gene patenting debate is likely to be re-ignited once more in the Australian Parliament and these issues will receive greater consideration, a welcome process in light of the rapid development of genetic technology and the increasing global significance that gene patenting has assumed both in Australia and overseas. 147Patents Act 1990 (Cth) s 163(1). 148Stack v Brisbane City Council (1994) 131 ALR 333.

7 132 S
Ct 1289 (2012).8 Association for Molecular Pathology v US Patent and Trademark Office US Patent and Trademark Office, 689 F 3d 1303 (Fed Cir, 2012).
The Role of Genetics in Breast and Reproductive Cancers (Springer, 2009) 108.15University of Tasmania Faculty of Law, above n 13.
55Creagh and Mumford, above n 33.56Elizabeth Ng, 'Interaction Between Ethics and Biotechnology Patent Law' (2010) 22 Singapore Academy of Law Journal 93, 93; Philip Grubb and Peter Thomsen, Patents For Chemicals, Pharmaceuticals and Biotechnology (Oxford University Press, 5 th ed, 2010) 315. 57Suzanne Ratcliffe, 'The Ethics of Genetic Patenting and the Subsequent Implications on the Future of Health Care' (2011) 27(2) Touro Law Review 435, 442.
Ratcliffe, above n 57, 446; Lori Andrews, 'The Gene Patent Dilemma: Balancing Commercial Incentives with Health Needs' (2002) 2 Houston Journal of Health Law & Policy 65, 86. 92Mildred Cho et al, 'Effects of Patents and Licenses on the Provision of Clinical Genetic Testing Services' (2003) 5 Journal of Molecular Diagnostics 3. 93 John Candlish, Genetics, Molecular Biology and The Law (Wildy Simmons & Hill, 2010) 178. 94Dianne Nicol and Jane Nielsen, 'Patents and Medical Biotechnology: An Empirical Analysis of Issues Facing the Australian Industry' (Occasional Paper No 6, Centre for Law and 96'Gene Monopoly; Australian Court Rules in Favor of Genetic Patenting', RT News (online) 16 February 2013 <http://rt.com/news/australia-genes-patent-law-368/>.97Candlish,aboven93,178.98Alexandra Ridley and Dianne Nicol, 'Is There Still a Place for Gene Patents in Australia?' (2011) 19 Journal of Law and Medicine 282, 288.99Ibid.