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COVID-19: An Overview of Trade-Related

Measures to Address Access to Medical Goods



March 20, 2020
As the coronavirus (COVID- 19) pandemic continues, government officials around the world have raised
questions and concerns about how to ensure that their countries have adequate access to, and supplies of,
medical goods, including personal protective equipment (e.g., masks, gloves, garments), medical
equipment (e.g., ventilators), and pharmaceuticals. This Sidebar presents an overview of some of the
trade-related measures taken by the United States and its trading partners in their efforts to address these
concerns, including: (1) introducing export restrictions; (2) reducing or eliminating tariffs; (3) revising
import procedures; and (4) prioritizing domestic production. It then discusses possible legal challenges to
each of these measures, as well as avenues for congressional action or oversight.


Method One: Introducing Export Restrictions

Several of the United States' trading partners have imposed export restrictions on certain medical goods
to meet their domestic supply needs. For example, the European Union (EU) introduced export
authorization measures that prohibit the export of personal protective equipment (e.g., masks, protective
glasses, and garments) from the EU without prior regulatory approval. India restricted exports of twenty-
six pharmaceutical components, as well as medicines and vitamins made from them, accounting for
approximately ten percent of India's pharmaceutical exports. To date, the United States has not supported
its trading partners' use of export restrictions to address potential supply shortages.
The World Trade Organization's (WTO's) international trade regime generally prohibits quantitative
restrictions on the export of goods, whether in the form of export bans, licensing requirements, or other
measures having similar restrictive effects. In light of this general rule, the export restrictions described
above may arguably cause some to raise concerns. At the same time, however, three exceptions may
apply. First, the general prohibition does not cover export restrictions temporarily applied to prevent or
relieve critical shortages of ... products essential to the exporting contracting party. Second, the WTO
regime permits its Members to implement measures contrary to their general obligations if the measures
are necessary to protect human, animal or plant life or health or essential to the acquisition or
distribution of products in general or local short supply. Any potentially WTO-inconsistent measures
must also meet other conditions, including that their application not create arbitrary or unjustifiable
discrimination between countries where the same conditions prevail. Measures taken to address the
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