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Healthy Skepticism Library item: 17424

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: news

White JA
Why Doing Someting About ‘Pay for Delay’ Will Have to Wait
The Wall Street Journal 2010 Mar 19
http://blogs.wsj.com/health/2010/03/19/why-doing-someting-about-pay-for-delay-will-have-to-wait/


Full text:

Amid all the ink going to what the proposed health-care overhaul would do, we wanted to note an easy-to-overlook provision that it won’t do: eliminate many so-called pay-for-delay deals.

Those are the oft-criticized pacts under which branded drug makers give something to generic makers stall cheaper copycat versions coming on the market. The deals, which usually involve settlements of patent disputes between the generic and branded drug makers, result in consumers paying the higher branded prices until the generic counterparts arrive.

President Obama’s health proposal unveiled last month included a provison to nix such deals that the Federal Trade Commission didn’t like and the House also such a ban in a separate bill. But it’s not going to happen, at least not as part of the overhaul package now nearing votes in Congress.

The reason is because Democratic leaders are trying to avoid provisions that will kick up even more of a ruckus than they already face in trying to get a reconciliation bill through the House and Senate. Backers think they can return to the delay issue later in the year.

“We’re pretty sanguine that we’re going to be able to get it done this year,” FTC Chairman Jon Leibowitz told Dow Jones Newswires yesterday. “We feel like we have a lot of support, that it is growing, and that it is bipartisan.” The FTC charges that the deals cost consumers $3.5 billion a year.

But the Generic Pharmaceutical Association said that banning all pay-for-delay pacts would hurt consumers by sweeping out good settlements with the bad. “Such an across-the-board ban would reduce the number of patent challenges brought by generics, creating an unnecessary hurdle to bringing lower cost generic drugs to the market,” Kathleen Jaeger, the group’s CEO, said in a statement.

 

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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