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Now You See Me, Now You Don’t—A Magician’s Guide to Drug Pricing
Townhall.com ^ | September 26, 2020 | George Landrith

Posted on 09/26/2020 6:01:36 AM PDT by Kaslin

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1 posted on 09/26/2020 6:01:36 AM PDT by Kaslin
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To: Kaslin

So it seems like Europe has been able to build its socialist utopia by having the USA pay its defense costs AND its drug development costs, right?


2 posted on 09/26/2020 6:07:37 AM PDT by hemogoblin
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To: Kaslin

Obama and supreme court showed us that executive orders overrule mere laws.


3 posted on 09/26/2020 6:18:10 AM PDT by Raycpa
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To: Kaslin

“A “most favored nation” pricing model is an extreme form of international price indexing (IPI), where price caps on certain drugs are put in place based on an average price obtained from a select group of other countries. These arbitrary price controls would have devasting effects on our access to groundbreaking drugs. “

Nonsense. Is Europe denied “access to groundbreaking drugs”? No. Japan? No. Other major OECD nations? No.

If the major drug manufacturers can settle on government fixed prices in Europe and other OECD countries, how then can they complain about the U.S. demanding prices commensurate with the averages of such prices in the OECD nations? To whom will they turn?

No. A major drug market like the U.S. is not going to be abandoned by big pharma due to the policy Trump’s executive order lays out.

They will see they have a choice. That choice will be either to (a) see their U.S. profits come in line with the lower profits it makes in Europe and other OECD nations, or (b) find a way (negotiate) bigger profit margins from those nations with whom it is now accepting government dictated prices.

What the authors do not see is Trump has laid done a card in virtual negotiations with big pharma. The next move is up to them. Either way Trump is telling big pharma the American consumer is going to quit subsidizing the lower prices it gives to other major economies.


4 posted on 09/26/2020 6:18:48 AM PDT by Wuli
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To: Kaslin

Americans should not be discriminated against by drug companies.


5 posted on 09/26/2020 6:21:02 AM PDT by Brian Griffin
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To: Kaslin

I fully support Trump in his effort to end pharmaceutical price discrimination against Americans.


6 posted on 09/26/2020 6:23:44 AM PDT by Brian Griffin
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To: Wuli

I think you have the right of it.


7 posted on 09/26/2020 6:26:35 AM PDT by GenXteacher (You have chosen dishonor to avoid war; you shall have war also. Wall)
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To: Brian Griffin

Townhall = The country club, Sans-A-Belt faction of the RINO party.

Trump will have to do something to reset the medical system over the next four years. If he can’r get it done (and he can’t do it himself), the Dems will in 2025. And you can bet that will be a disaster.


8 posted on 09/26/2020 6:32:57 AM PDT by The Antiyuppie (Wht then small men cast long shadows, then it is very late in the day.)
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To: Kaslin

Globalist BS. They sell drugs dirt cheap overseas, following every socialist rule in those countries, but when someone makes them stop charging Americans two to ten times as much, they become Adam Smith.


9 posted on 09/26/2020 6:35:37 AM PDT by DesertRhino (Dog is man's best friend, and moslems hate dogs. Add that up. ....)
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To: Kaslin

The answer is for drug companies to tell the EU they cannot have access if they insist on a below market price. They make Americans subsidize the EU by paying extra. Thank you Trump! Brave considering how much money and women pharma dumps on Congress.


10 posted on 09/26/2020 6:39:39 AM PDT by DesertRhino (Dog is man's best friend, and moslems hate dogs. Add that up. ....)
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To: Kaslin

Honestly a much better way to deal with the pricing is to alter the exclusionary time frame and rules. That’s the big source of the trouble. When you make a new drug you get a certain window when nobody else gets to make it. So you can charge whatever you want. One of the problems we’re running into now is they keep tweaking drugs so they’re making “new” drugs constantly, before the window on the previous version expires. So they keep being able to charge whatever they want. Move that window from years to months. Then competition enters the market, and drives prices down.


11 posted on 09/26/2020 6:43:48 AM PDT by discostu (Like a dog being shown a card trick)
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To: Kaslin

The writer is a globalist dumb$hit who has no understanding of tactics. Trump is using their own bad stuff against them. He is running at least two games on this right now. Maybe one of them will pay.


12 posted on 09/26/2020 6:46:34 AM PDT by old-ager (anti-new-ager)
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To: DesertRhino

> tell the EU they cannot have access if they insist on a below market price

Don’t you think that taking away the US as their cash cow will force that to change?


13 posted on 09/26/2020 6:47:17 AM PDT by old-ager (anti-new-ager)
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To: Kaslin

My original health care reform plan allowed insurers to buy such drugs as they wanted at such prices as they were willing to pay after negotiation with drug makers, with age-based minimum total tender requirements imposed on insurers.

There are no government price controls in such a method.


14 posted on 09/26/2020 6:57:35 AM PDT by Brian Griffin
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To: DesertRhino
Another fix is to allow Americans to get international perscriptions. Rather than buy at US prices allow them to buy from Canada or Germany. That would put a strain on those governments and the unequal contracts Big Pharma negotiates with them.

This all comes from the fact that manufacturing a drug is cheap compared to developing it. Remember years ago with all the crying about grandma having to cut pills in half? That came from pharma pricing pills largely per presciption rather than per gram because the incremental price per gram is tiny. Thus a 30 day supply of a drug cost about the same amount whether you got 30 of the 25 mg, 50 mg or 100 mg pills. The doctors would prescribe 15 of the bigger pills rather than 30 smaller pills, but only a half pill per day. That would cut the price per month by about half. For some reason this stopped. Most of the crying was from pharma. Maybe the off-label half month perscriptions were outlawed.

15 posted on 09/26/2020 7:03:44 AM PDT by KarlInOhio (In 2016 Obama ended America's 220 year tradition of peaceful transfer of power after an election.)
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To: DesertRhino
Another fix is to allow Americans to get international perscriptions. Rather than buy at US prices allow them to buy from Canada or Germany. That would put a strain on those governments and the unequal contracts Big Pharma negotiates with them.

This all comes from the fact that manufacturing a drug is cheap compared to developing it. Remember years ago with all the crying about grandma having to cut pills in half? That came from pharma pricing pills largely per presciption rather than per gram because the incremental price per gram is tiny. Thus a 30 day supply of a drug cost about the same amount whether you got 30 of the 25 mg, 50 mg or 100 mg pills. The doctors would prescribe 15 of the bigger pills rather than 30 smaller pills, but only a half pill per day. That would cut the price per month by about half. For some reason this stopped. Most of the crying was from pharma. Maybe the off-label half month perscriptions were outlawed.

16 posted on 09/26/2020 7:03:44 AM PDT by KarlInOhio (In 2016 Obama ended America's 220 year tradition of peaceful transfer of power after an election.)
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To: Kaslin

The English NHS uses a per patient capitated method under the control of the doctor.

If a doctor has 1000 medical home patients and $1000 per patient in capitation on average, he has a drug budget of $1000000 annually. The English doctor decides how he spends the $1000000.


17 posted on 09/26/2020 7:04:00 AM PDT by Brian Griffin
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To: Kaslin

In France, a government commission determines a recommended price. If accepted by the drug maker, insurers must pay the price. If the price is refused by the drug maker, the drug need not be covered by insurers.


18 posted on 09/26/2020 7:07:20 AM PDT by Brian Griffin
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To: Kaslin

The author, George Landis, is a big pharma shill. The special interest has spoken.


19 posted on 09/26/2020 8:03:37 AM PDT by Basket_of_Deplorables (This is all a Soros funded communist insurrection!)
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To: The Antiyuppie

In the article says Congress has to approve it, international price basing, and so far they have refused. Why? Lobbyists donations to help the Congress people no doubt is the thing holding them back from helping their constituents have more affordable drug prices.


20 posted on 09/26/2020 8:19:09 AM PDT by Engedi
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