Not a Public Good, but a Public Responsibility: Rethinking AMR Governance

by Isaac Weldon

Governance failures often stem from a fundamental error: misdiagnosing what needs to be governed. As Nobel Prize laureate Elinor Ostrom argued, different types of goods—whether private, public, or common-pool—create distinct collective action problems, each demanding tailored solutions. When policymakers misidentify a resource or conflate its nature with how it should be governed, they risk applying the wrong tools and crafting ineffective policies. These misdiagnoses plague many of today’s biggest challenges, from climate change to biodiversity loss and global health.

Effective governance begins with defining what resources are being managed, how they are being depleted, and what institutional arrangements are necessary to sustain them. In a recent Policy Studies Journal article, my co-authors and I applied this logic to antimicrobial resistance (AMR), one of the world’s most pressing health challenges.

AMR—the third leading cause of global mortality—occurs when microbes evolve resistance to antimicrobial drugs like antibiotics, rendering treatments ineffective. Every use of antimicrobials increases this risk, and millions still lack access to these lifesaving medicines. AMR governance requires balancing conservation with equitable access and innovation, yet current policies struggle because they misdiagnose the problem itself.

Central to AMR are two distinct types of goods:

  • Antimicrobials (the physical pills) are private goods: They are excludable (they require prescriptions and money to access) and rivalrous (one person’s use prevents another from using the same dose). Historically, the default governance model for antimicrobials has been market-driven, relying on intellectual property protections and pricing mechanisms to incentivize production and ration use.
  • Antimicrobial effectiveness (the ability of these drugs to work over time) is a common-pool resource: It is non-excludable (difficult to prevent people from benefiting from it) and rivalrous (overuse diminishes effectiveness for all). Markets fail to govern this resource because firms and individuals benefit from selling and consuming more antimicrobials, not from ensuring long-term effectiveness.

But the nature of a resource does not dictate how it should be governed. Just because antimicrobials are private goods does not mean they should be left to market forces alone. Many excludable and rivalrous private goods—such as electricity and water—are publicly regulated because they are essential and generate widespread externalities. However, the fact that antimicrobial effectiveness is critical for public health does not mean it should be framed as a public good. Unlike true public goods, antimicrobial effectiveness is rivalrous—a distinction that shapes its governance. The pill (a private good) and its effectiveness (a common-pool resource) are distinct but interconnected, and their governance must reflect this.

In short: antimicrobials are private goods, antimicrobial effectiveness is a common-pool resource, and their governance must be a public responsibility.

AMR is not an isolated case. Climate change, biodiversity loss, and global health challenges all suffer when the wrong governance model is applied to the wrong kind of resource. Misidentifying the nature of a resource, or conflating its nature with its optimal governance regime, leads to mismatches that render solutions ineffective.

Better governance starts with better problem definitions. If we fail to define what is being governed, we will continue applying the wrong solutions—at great cost to human health and the planet.

You can read the original article in Policy Studies Journal at

Weldon, Isaac, Kathleen Liddell, Susan Rogers Van Katwyk, Steven J. Hoffman, Timo Minssen, Kevin Outterson, Stephanie Palmer, A. M. Viens and Jorge Viñuales. 2024. “ Analyzing Antimicrobial Resistance As a Series of Collective Action Problems.” Policy Studies Journal 52(4): 833–856. https://doi.org/10.1111/psj.12552.

About the Author

Isaac Weldon is an Assistant Professor of Law with the Centre for Advanced Studies in Bioscience Innovation Law (CeBIL) at the University of Copenhagen and an Investigator with the Global Strategy Lab at York University, Toronto. His research investigates antimicrobial resistance, emerging pandemic threats, and sustaining our planetary health. Recent works have also been featured in Perspectives on Politics and Globalization and Health.