Healthy Skepticism Library item: 8560

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

Gardner VR, Fulda TR.
Drug insurance and cost containment: an evaluation of where we're going.
Hosp Formul 1978 Jun; 13:(6):460-1,

Abstract:

Possible effects of national health insurance upon pharmacy and the pharmaceutical industry are predicted and pertinent questions are posed which need to be resolved in order to develop a cost effective health insurance drug benefit program. Results of a 2 year pilot study funded by the Social Security Administration to test the effects of various patient cost sharing alternatives on benefit cost and utilization rates are discussed. The use of drug utilization review on an outpatient basis to determine physician prescribing practices and its effects on cost containment in a national health program are also discussed. A thorough evaluation of the Maximum Allowable Cost program is suggested to measure its impact on prices in the pharmaceutical market and on expenditures by HEW for drugs provided under Medicare and Medicaid.

Keywords:
Insurance, Pharmaceutical Services/economics Insurance, Pharmaceutical Services/trends* National Health Insurance, United States/economics* National Health Insurance, United States/trends United States

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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