Although the medical service Doctors Without Borders brought world attention to drug-patent issues during the Seattle meeting of the World Trade Organization in November, little has changed.

The Paris-based group got U.S. Patent Commissioner Q. Todd Dickinson to attend its press conference decrying intellectual property policies that make drugs for AIDS and other infectious diseases all but unattainable in developing nations. Known by its French acronym MSF, the organization won the 1999 Nobel Peace Prize.