It won't just kill people on the Pharma side.
It will also kill people on the Corporate externality side with its Corporate Sovereignty provisions [0]
Suppose TPP-Protected Corporation XYZ moves its manufacturing to Town F in impoverished country ABC. This is allowed because, look at all the jobs XYZ creates! XYZ finds it much cheaper to dump excess waste products into the local river. Many citizens of Town F die from the numerous poisons it dumps in the river. Local Government of Town F would like to stop XYZ's pollution, but XYZ is now allowed to override local laws and take Country ABC to a private tribunal to "deal" with the pesky citizens complaining about dying.
[0] https://www.techdirt.com/articles/20150325/17151130431/corpo...