Victor G. Rodwin - Robert F. Wagner Graduate School of Public Service, New York University, New York City, NY, USA
Guilhem Fabre - Université Paul Valéry Montpellier ۳, IRIEC EA ۷۴۰, Montpellier, France
Rafael F. Ayoub - Wagner School of Public Service, NewYork University, New York City, NY, USA

BRIC nations – Brazil, Russia, India, and China – represent ۴۰% of the world’s population, including a growing aging population and middle class with an increasing prevalence of chronic disease. Their healthcare systems increasingly rely on prescription drugs, but they differ from most other healthcare systems because healthcare expenditures in BRIC nations have exhibited the highest revenue growth rates for pharmaceutical multinational corporations (MNCs), Big Pharma. The response of BRIC nations to Big Pharma presents contrasting cases of how governments manage the tensions posed by rising public expectations and limited resources to satisfy them. Understanding these tensions represents an emerging area of research and an important challenge for all those who work in the field of health policy and management (HPAM).

Pharma, BRIC, Health Systems, Pharmerging, Healthcare, Population Health, Brazil, Russia, India, China