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Healthy Skepticism Library item: 11675

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

Leibowitz AA, Sood N.
Market power and state costs of HIV/AIDS drugs.
Int J Health Care Finance Econ 2007 Mar; 7:(1):59-71
http://www.springerlink.com/content/8j873267p334v6v1/


Abstract:

We examine whether U.S. states can use their market power to reduce the costs of supplying prescription drugs to uninsured and underinsured persons with HIV through a public program, the AIDS Drug Assistance Program (ADAP). Among states that purchase drugs from manufacturers and distribute them directly to clients, those that purchase a greater volume pay lower average costs per prescription. Among states depending on retail pharmacies to distribute drugs and then claiming rebates from manufacturers, those that contract with smaller numbers of pharmacy networks have lower average costs. Average costs per prescription do not differ between the two purchase methods.

arleen@ucla.edu

Keywords:
Market power - State pharmaceutical costs - HIV/AIDS drugs - AIDS drug assistance program Publication Types: Research Support, Non-U.S. Gov't MeSH Terms: Anti-HIV Agents/economics Anti-HIV Agents/supply & distribution* Cost Control/methods Drug Costs* Drug Industry/economics* Drug Utilization/economics Government Programs HIV Infections/drug therapy* HIV Infections/economics Humans Marketing/economics* Medical Assistance/statistics & numerical data* Medically Uninsured* Models, Econometric Multivariate Analysis Prescription Fees/trends Rate Setting and Review/methods State Government United States Substances: Anti-HIV Agents

 

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Cases of wilful misrepresentation are a rarity in medical advertising. For every advertisement in which nonexistent doctors are called on to testify or deliberately irrelevant references are bunched up in [fine print], you will find a hundred or more whose greatest offenses are unquestioning enthusiasm and the skill to communicate it.

The best defence the physician can muster against this kind of advertising is a healthy skepticism and a willingness, not always apparent in the past, to do his homework. He must cultivate a flair for spotting the logical loophole, the invalid clinical trial, the unreliable or meaningless testimonial, the unneeded improvement and the unlikely claim. Above all, he must develop greater resistance to the lure of the fashionable and the new.
- Pierre R. Garai (advertising executive) 1963