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Healthy Skepticism Library item: 10951

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: Journal Article

Newhouse JP, Seiguer E, Frank RG.
Was Part D a giveaway to the pharmaceutical industry?
Inquiry 2007 Spr; 44:(1):15-25
http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=ShowDetailView&TermToSearch=17583259&ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum


Abstract:

The Medicare Modernization Act (MMA) prohibited the government from negotiating drug prices, a feature that the act’s critics characterize as a giveaway to the drug industry. Instead of the government negotiating to keep prices down, the act relies on competition among drug companies to obtain business from private insurers; yet, competition cannot be effective when there are no close clinical substitutes. In the past few years, the rate of introduction of first-in-class drugs has been low; if this continues, the prohibition on negotiation may be only a minor problem. However, if the prior rate of introduction resumes, the government may find itself with unacceptable expenditure levels.

Keywords:
Publication Types: Research Support, Non-U.S. Gov't MeSH Terms: Aged Costs and Cost Analysis Drug Industry/economics Drug Industry/legislation & jurisprudence Drug Industry/organization & administration* Formularies Humans Insurance, Pharmaceutical Services/economics* Insurance, Pharmaceutical Services/legislation & jurisprudence Medicare/economics Medicare/legislation & jurisprudence Medicare/organization & administration* Pharmaceutical Preparations/classification Pharmaceutical Preparations/economics* Substances: Pharmaceutical Preparations

 

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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