Killing U.S. Slowly: Curing the Epidemic Rise of Cancer Drug Prices.

IF 0.3 4区 医学 Q4 FOOD SCIENCE & TECHNOLOGY Food and drug law journal Pub Date : 2017-01-01
Emily K White
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Abstract

In August 2015, more than 110 U.S. oncologists published an article detailing the deleterious effects of rising cancer drugs prices and calling for numerous reforms to our prescription drug system. These prices are the result of decades of political maneuvering; they reflect the way our country has chosen to pay for healthcare, to foster and reward innovation, and to promote a national free market system. While these choices have resulted in immense profits for pharmaceutical companies—and subsidized the development of prescription drugs globally—they have also left many cancer patients unable to afford their medications. And, without providing significant improvements in life expectancy, the rising prices of cancer drugs seem like an unreasonable burden on U.S. healthcare spending. A multitude of reforms have been proposed. At the federal level, many of the reforms seek to amend existing regulatory regimes, such as allowing Medicare to negotiate drug prices, reforming the patent system, and allowing patients to import drugs from other countries. The pharmaceutical and biotechnology industries have pushed back against almost all of them. Some of these proposals are more ambitious than others; some more likely to succeed. With costs rising every day, policy makers, legislators, and industry professionals need to focus their attention on those reforms that are attainable and will result in sustainable, reduced prescription drug prices. This paper discusses various U.S. regulatory frameworks that impact prescription drug prices and evaluates proposed reforms to these frameworks in terms of which ones are most likely to succeed.

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慢慢杀死美国:治愈癌症药物价格上涨的流行病。
2015年8月,110多名美国肿瘤学家发表了一篇文章,详细阐述了癌症药物价格上涨的有害影响,并呼吁对我们的处方药体系进行大量改革。这些价格是几十年来政治操纵的结果;它们反映了我们国家选择支付医疗保健、培育和奖励创新以及促进国家自由市场体系的方式。虽然这些选择为制药公司带来了巨大的利润,并补贴了全球处方药的发展,但它们也使许多癌症患者无法负担他们的药物。而且,在预期寿命没有显著改善的情况下,抗癌药物价格的上涨似乎是美国医疗保健支出的一个不合理负担。提出了许多改革措施。在联邦一级,许多改革寻求修改现有的监管制度,例如允许联邦医疗保险协商药品价格,改革专利制度,允许患者从其他国家进口药品。制药和生物技术行业已经对几乎所有这些政策进行了反击。其中一些提议比其他提议更雄心勃勃;有些人更有可能成功。由于成本每天都在上升,政策制定者、立法者和行业专业人士需要将注意力集中在那些可以实现的改革上,这些改革将导致处方药价格的可持续下降。本文讨论了影响处方药价格的各种美国监管框架,并根据哪些框架最有可能成功评估对这些框架的拟议改革。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Food and drug law journal
Food and drug law journal 医学-食品科技
CiteScore
0.20
自引率
50.00%
发文量
0
审稿时长
>36 weeks
期刊介绍: The Food and Drug Law Journal is a peer-reviewed quarterly devoted to the analysis of legislation, regulations, court decisions, and public policies affecting industries regulated by the U.S. Food and Drug Administration (FDA) and related agencies and authorities, including the development, manufacture, marketing, and use of drugs, medical devices, biologics, food, dietary supplements, cosmetics, veterinary, tobacco, and cannabis-derived products. Building on more than 70 years of scholarly discourse, since 2015, the Journal is published in partnership with the Georgetown University Law Center and the O’Neill Institute for National & Global Health Law. All members can access the Journal online. Each member organization and most individual memberships (except for government, student, and Emeritus members) receive one subscription to the print Journal.
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