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Healthy Skepticism Library item: 16984

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Media Release

No Evidence that Additional Price Protection for New Drugs Increased Innovation, Study Finds
2009 Dec 30


Full text:

As Congress considers new measures that would provide 12-14 years of price
protection beyond patents for drug companies, a new study documents that the
European Union provided similar protections without any evidence that they
would benefit patients or increase innovation. Their main effect was to
raise prices and profits.

Called “data exclusivity,” the legislation prohibits any generic competitor
from using the data gathered during tests of a drug’s safety and efficacy
for regulatory approval and public use. Such test data on cars and planes is
public information but is protected by Congress for the drug industry.

Data exclusivity protects the prices companies charge from free market
competition in order to foster greater investments in innovation. It applies
even if the patent has expired. While studies by industry-supported
economists using confidential data indicate that data exclusivity increases
innovation, no verifiable evidence exists, the authors found. Its impact is
broader than patents and has become a favored means for the pharmaceutical
industry to use government power to block price competition from generic
companies. The U.S. Federal Trade Commission, which fosters competition, has
stated that data exclusivity price protections are not necessary.

Based on extensive documentation and interviews with key stakeholders, the
new study found that advocates for the pharmaceutical industry inside the
European Commission (EC) initiated a 10-year data exclusivity price
protection on behalf of the industry and managed revisions of the
legislation. The research was done by a Dutch team led by Sandra Adamini at
Maastricht University, and co-authored by Donald Light, the Lokey visiting
professor at Stanford University and professor at the University of Medicine
and Dentistry of New Jersey. It appears in the current issue of the Journal
of Health Politics, Policy and Law.
http://jhppl.dukejournals.org/cgi/content/abstract/34/6/979

The industry’s central claim that the protections would increase innovation
was not supported by evidence, and the European Parliament rushed it through
before less affluent countries from Eastern Europe joined the EU and could
participate in discussing its higher costs. Yet they were most likely to be
affected by the price protections. The resulting 10-years of price
protection became the longest in the world. Now lobbyists in Washington are
trying to establish a longer,12-14 year protection for drugs from normal
free-market competition. A New York Times article reported that the
government price protections would add billions in additional costs to
health care, slowly at first but at an accelerating rate (NYT
7/22/09:B1,B4).

Most affected are developing countries, where data exclusivity makes drugs
for cancer, HIV/AIDS, and other serious conditions prohibitively expensive.
Physicians in poor countries working for international humanitarian
organizations such as Doctors Without Borders have reported how the lack of
generic competition makes drugs they need for their patients unaffordable.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909