Morning Briefing
Summaries of health policy coverage from major news organizations
Perspectives: Notion That Drug Costs In The United States Are Determined By Open Competition Is Fiction
A Big Mac costs $4.40 in Britain, a ticket to see the latest superhero movie is $10 in Spain, and an iPad Pro sells for about $800 in Switzerland 鈥 prices that do not differ that much from those in New York City. But if you鈥檙e suffering from ovarian cancer or rheumatoid arthritis, the prices in the United States for leading medicines are at least twice what those same drugs cost in those other nations. The fact that Americans pay more for their drugs has long spurred anger and questions about why we spend so much. Seniors crossing the border in buses to fill their drug prescriptions in Canada or Mexico is a perennial news story. (Thomas J. Bollyky, Aaron S. Kesselheim and Joshua M. Sharfstein, 5/14)
Donald Trump promised to rein in drug prices. It was his only sensible campaign promise. But the plan he announced Friday does little but add another battering ram to his ongoing economic war against America鈥檚 allies. (Robert Reich, 5/15)
There鈥檚 no good reason to pay a lot for prescription drugs that don鈥檛 work well. But that鈥檚 what lots of Americans are doing.Some drug prices far outweigh any reasonable measure of the drug鈥檚 benefit. This is frequently the case for new cancer therapies. For example, the cancer drug Erbitux聽costs about $10,000 per month and extends life by an average of about three months when used to treat patients with recurrent or metastatic squamous-cell carcinoma of the head and neck. And the launch price of new cancer drugs is going up 12 percent a year even though the drugs aren鈥檛 getting commensurately better. In one recent estimate, the cost of extending a cancer patient鈥檚 life by one year is increasing by $8,500 every year. (Austin Frakt, 5/11)
Frances Richmond, chairwoman of the Department of Regulatory and Quality Sciences at USC's School of Pharmacy, told me that because all facets of the supply chain must meet strict FDA safety standards, it shouldn't matter to consumers where drugs or their ingredients originate. But she acknowledged that some drug companies probably don't want people knowing that 80% of active ingredients 鈥 yes, 80% 鈥 come from China and India. (David Lazarus, 5/15)
President Trump last Friday unveiled a plan to, 鈥淏ring soaring drug prices back down to earth.鈥澛燗cknowledging that the current system is broken, with drug prices beyond the reach of many patients, the President鈥檚 plan targets drug patents, pharmacy benefits managers, and drug pricing negotiated by foreign countries. Yet he misses one of the big elephants in the room, the fact that here in the US, Medicare is forbidden to negotiate what they pay for prescription drugs. Back in 2016, he was on the same page with Hillary Clinton and Bernie Sanders, wanting a change in the 2003 law banning Medicare from negotiating drug prices. (Brian Joondeph, 5/16)
The price of brand name drugs have increased nearly 300 percent since 2010. The price of one drug used to treat multiple sclerosis increased by more than 3,000 percent, a recent study found. Because of the high cost of prescription drugs, many Americans don鈥檛 take their medication as prescribed, which can worsen their symptoms and delay recovery. So, it is no surprise that drug prices are a top concern for many Americans. (5/15)
Last Sunday, CBS鈥 鈥60 Minutes鈥 covered a budget crisis in the small town of Rockford, Ill., sparked by an unexpected increase in health coverage for town employees. The problem: a surprise new bill for $500,000, the price for a year鈥檚 supply of one drug for two children. The town is scrambling to cut police and firefighting budgets to cover the cost. The company that makes this drug had the presence of mind to dodge an interview with correspondent Leslie Stahl. This deprived TV viewers of the image of suits stammering why they raised prices on children from $40 a vial to $40,000, or perhaps Stahl leading the sweating CEO on a tour of the town鈥檚 abandoned firehouse. Still, the villain of this story was clear: a greedy drug maker. (Leah Binder, 5/11)