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Healthy Skepticism Library item: 17859

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

Hawkes N
Pharmaceutical industry braces itself for government changes to drug pricing
BMJ 2010 Jun 1; 340:
http://www.bmj.com/cgi/content/extract/340/jun01_2/c2933


Abstract:

Government plans to alter the way in which the prices of drugs are set could leave patients waiting longer, drug companies and analysts have warned.

In place of the existing system, in which companies can set their own prices at launch, subject only to a limit on the overall profits they can make, drugs will be subject to value based pricing, the new government has indicated. Health secretary Andrew Lansley says it would be “a much more rational system.”

But in countries that already negotiate drug prices there is often a delay as the terms of reimbursement are worked out. In the United Kingdom a drug can be marketed as soon as it has a licence, and at a price the company chooses. This has made the UK an attractive market in which to launch drugs, especially as the NHS price can then be used as a guide to pricing . . .

 

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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