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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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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