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China Medical Testing Gone Bad

Posted by Dan on September 25, 2006 at 09:41 PM

Newsweek just ran a story on problems one might encounter while engaging in medical testing in China.  Entitled, "Meds and Miracles," this article is necessary reading for anyone doing business in China, not just those doing medical testing. 

I strongly suggest you read it.  Twice

China has become a worldwide center for medical testing.  My firm's medical testing clients tell us they are in China because China has a large number of people capable of administering the tests, recording the results, and collating and analyzing the data, all at low cost.  They also tell us that China makes for good testing because their test subjects are, for the most part, literate, responsible, and stable.  Our clients tell us they are not in China to circumvent any medical testing standards.  I believe them because none of them have ever made any effort to avoid any legal requirements. 

Newsweek's article is about an AIDS medication test put on by Viral Genetics, a California company.  The article appears to me to portray this company as either unethical or incompetent.  It may be neither, but I urge you to read the article to decide for yourself.

According to the article, Viral Genetics conducted a drug trail in China without first securing the necessary approval from China's State Food and Drug Administration (SFDA):

Viral Genetics also bears some of the blame for ethical lapses. All drug firms working in China should hire outside experts to monitor procedures, says Xiaomei Li Reckford, the local CEO for Quintiles, a clinical-research organization that specializes in conducting human trials. Without an unbiased third party, she says, "how could you trust the data?" Viral Genetics CEO Haig Keledjian disputes any suggestion that VG was underhanded in obtaining data from its trial. The company wasn't aware that the SFDA should have approved the trial, he says, and he relied on Ditan Hospital, one of China's best medical institutions, "to cross the t's and dot the i's." "We thought we were in China being a hero," he says.

The article does not reveal if Viral Genetics ever employed its own lawyers in China to determine what approvals, if any, were necessary.  In any event, it appears to me that Viral Genetics fell for one of the oldest tricks in the book of international business: it went along with its local partner without verifying the facts/laws on its own. 

Bottom Line:  Do not rely on your local partners when it is your own reputation, your own freedom, your own business, or your own actions on the line.  Do not ever do this. 

Ever.

Your local partner (partner is loosely defined here to include anyone with whom you are doing business) does not care about your business as much as you do.  On top of this, there is no reason for you to believe your local partner knows all of the laws that apply to you as a foreigner.  Nor should you ever rely on promises by your local partner that "everyone does this" or that it has enough power or clout to cover for you should you get caught.  A local Chinese company is no more your Chinese lawyer than the company with whom you do business in Peoria is your United States lawyer.  Being local does not mean it knows all the legal requirements for you to conduct business in its home country. 

Why should it?

In a previous post, entitled, "Free China Legal Advice: Do Not Sign A Contract You Do Not Understand," I listed the following two rules for doing business in China:

Rule Number One for doing business in China:  do not sign a contract in Chinese unless you know exactly what they say as you will be bound by that contract.

Rule Number Two for doing business in China:  the last person you want to be your translator on a contract is the person with whom you are contracting.  If you do not know Chinese, bring on someone you trust completely to translate for you.  Better yet, hire a lawyer fluent in Chinese.

I am adding a third one:

Rule Number Three for doing business in China:  Do not use anyone as your lawyer except your own lawyer. 

Read the article.  Then read it again.

Oh, and don't try to be a hero. 

Comments

I am sure the issues raised in the Newsweek article will be coming to Viet Nam soon also. That is why I keep up with your blog -- whatever is happening in China is probably also happening in Viet Nam, or will happen shortlly. And the insightful points you offer to help us learn and deal with these issues undoubtedly also apply in other Asian countries as well.

Layered --

Thanks for checking back in. I definitely see massive similarities between developing countries, not just in Asia. Lawyers in my firm have been doing business with Russia for more than 15 years and I am always seeing events in China similar to previous events in Russia. The same is true of China and Korea, and even Japan. I think the commonality is development.

Are foreign companies going into Vietnam for medical testing?

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