Importation Isn’t the Response to Drug Prices

 

Drug Importation

Video taken from the channel: NeedyMeds


 

The Prescription Drug Pricing Pipeline

Video taken from the channel: Kaiser Health News


 

Reining in prescription drug prices: Removing barriers to competition in pharmaceutical markets

Video taken from the channel: Brookings Institution


 

HHS plan would let U.S. import certain drugs

Video taken from the channel: Newsy


 

Controlling Drug Costs

Video taken from the channel: Penn Medical Ethics & Health Policy Online


 

Why Is It So Hard to Lower Drug Prices?

Video taken from the channel: Healthcare Triage


 

Reining in prescription drug prices: Can importation address high generic drug prices?

Video taken from the channel: Brookings Institution


Importation Is Not the Answer to Drug Prices We need to ensure that women and minorities are included in testing of medications and devices. Phyllis E. Greenberger, MSW 09 Mar 2017 Your Care. Drug importation would not address the problems of health care inflation that plague the U.S. health care system, but it would harm patients and risk future innovations. Importantly, the drug. 8 hours ago · The order expands on a presidential promise by trying to reduce the prices Medicare pays for prescription drugs, but experts said it was unclear whether the.

Importation is Not the Solution to High Prices: It is entirely unclear whether importation will reduce healthcare spending as noted by the Congressional Budget Office. Importation is not a free trade measure because there is not a free market. 1 day ago · President Donald Trump signed an executive order on Sunday that aims to lower drug prices in the United States by instructing Medicare to not pay more for certain medicines than other nations. “Importation jeopardizes patient safety while failing to address the causes of high drug prices,” said Tom Kraus, ASHP Vice President of Government Relations, in a prepared statement. 2 “We will be watching the development of this plan closely to.

Importing Foreign Price Controls Is Not the Way to Lower U.S. Drug Costs. By Liam Sigaud.

June 28, 2019 at 5:00 am ET. Rising out-of-pocket costs for drugs are a major concern of Americans, and. The lawmakers believe the bill would reduce patients’ spending at the pharmacy counter. Lowering drug costs is a noble goal, but importation is not the answer. At best, the bill would yield little.

(a) facilitating grants to individuals of waivers of the prohibition of importation of prescription drugs, provided such importation poses no additional risk to. President Trump on Sunday signed a long-awaited executive order aimed at lowering drug prices by linking them to the cost of the same drugs in other nations.The president took to Twitter to.

List of related literature:

l Importation may not effectively lower the price of prescription drugs.

“Principles and Practice of Clinical Research” by John I. Gallin, Frederick P Ognibene
from Principles and Practice of Clinical Research
by John I. Gallin, Frederick P Ognibene
Elsevier Science, 2012

Would it not be better to legalize the importation?”

“Opium Wars: The Addiction of One Empire and the Corruption of Another” by W. Travis Hanes III, Frank Sanello
from Opium Wars: The Addiction of One Empire and the Corruption of Another
by W. Travis Hanes III, Frank Sanello
Sourcebooks, 2004

The persistence of parallel importation freedom helps to explain why companies are so reluctant to be open about the prices they charge for the same drugs in different countries.

“Global Intellectual Property Law” by Graham Dutfield, Uma Suthersanen
from Global Intellectual Property Law
by Graham Dutfield, Uma Suthersanen
Edward Elgar Publishing, Incorporated, 2008

especially the customs on the importation of the according to prescription.

“A Dictionary of the English Language: In which the Words are Deduced from Their Originals...” by Samuel Johnson
from A Dictionary of the English Language: In which the Words are Deduced from Their Originals…
by Samuel Johnson
Longman, rees, orme, 1827

Politicians in the US have responded to high branded prices by proposing bills to allow importation of cheaper branded drugs from Canada.

“Handbook of Health Economics” by Mark V. Pauly, Thomas G. McGuire, Pedro Pita Barros
from Handbook of Health Economics
by Mark V. Pauly, Thomas G. McGuire, Pedro Pita Barros
Elsevier Science, 2011

Interestingly, in the case of the drugs for dyeing, import duties were abolished in order to help the dyeing industries, while export duty was introduced in order that their exportation might not assist foreign manufacturers (Brisco 1907, p. 139).

“Kicking Away the Ladder: Development Strategy in Historical Perspective” by Ha-Joon Chang
from Kicking Away the Ladder: Development Strategy in Historical Perspective
by Ha-Joon Chang
Anthem Press, 2002

These trends have put enormous pressure on the U.S. government to allow the importation of drugs from countries in which aggressive price negotiating by government purchasers has reduced prices substantially below those in the United States.

“Pharmaceutical Economics and Policy” by Stuart O. Schweitzer
from Pharmaceutical Economics and Policy
by Stuart O. Schweitzer
Oxford University Press, USA, 2007

I explained to him that such importation would be illegal, no matter how small the quantity.

“Big Sur and the Oranges of Hieronymus Bosch” by Henry Miller, Conrad Moricand, J. Kortenhorst
from Big Sur and the Oranges of Hieronymus Bosch
by Henry Miller, Conrad Moricand, J. Kortenhorst
New Directions, 1957

Increasing Customs Service enforcement of restrictions on importation of banned substances could be another solution.

“Encyclopedia of Business Ethics and Society” by Robert W. Kolb
from Encyclopedia of Business Ethics and Society
by Robert W. Kolb
SAGE Publications, 2008

Importing cheap drugs from overseas can also give rise to patient safety issues.

“Medical Ethics Today: The BMA's Handbook of Ethics and Law” by British Medical Association
from Medical Ethics Today: The BMA’s Handbook of Ethics and Law
by British Medical Association
Wiley, 2012

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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32 comments

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  • Drugs are expensive for 2 reasonsgovernment is already involved and the 3rd party payment system. When the ACA went into effect drug prices skyrocketed… just the opposite of what an “affordable care act” was meant for.

  • I think that if a drug company sets an abusive price they should have their patent and marketing rights seized for the public good and auctioned off to any other capable company willing to produce the drug for a reasonable price.

  • Heakth is an inelastic good, which means demand doesn’t follow prices, it stays mostly the same. And thoses drugs without generics are a captive market: You often cannot afford not to have the drug (think Insulin).

    TL;DR: They charge high prices because they can, and you still have to pay.

    When could be done in the US? Maybe look at every other country, pick what works and what doesn’t.

    But for now, the status quo mean that insulin is 10x times the price in the US compared to Canada. ( https://www.cbc.ca/news/canada/london/insulin-prices-united-states-canada-caravan-1.5195399 )

  • Can you focus a bit more of your content on policy solutions or the ecosystem those policies inhabit, like in this video. Right now that type of content is around 15% of your overall content. This type of thing is really informative for a lay person. It is a good middle ground between a lot of what you find in the news and the stuff you find in a Kaiser policy analysis article which makes it perfect for those of us interested in the topic but not experts or employed in the industry. Thx doc good episode. I love this kind of stuff.

  • There comes a time, as societies advance in our modern age, when you have to question the level of capitalism permitted and how it is used. For example, I’m not against medical companies running things as they like, but, rather than selling the drugs to the people, I think they should be selling them to governments (including the US government), who negotiates on behalf of the citizens who will need and receive the drugs. In essence, I think we should take a page from other single-payer systems, and make the drug companies (worldwide) compete to supply the drugs Americans need at the best prices. I guarantee you that, if the costs of drug prices, came out of the budget politicians use to reward their bribes (i.e. campaign donations), they’d put a curb on the price hikes. That said, this is only a bandaid on the real problem. As society grows increasingly complex, I find myself wondering if capitalism as we know it can survive. There’s only so far you can push the predatory tendencies of capitalism to exploit the people before it starts consuming itself and producing ever diminishing returns. (Sure, companies are making record-breaking profits, but the economy the very money they’ve made relies on is starting to collapse in response, which could wipe out the worth of that money in the end.) I wonder if the real solution is that governments have to run by the actual voice of the people they govern and will have to do more to protect the basic rights (life, including medical coverage, liberty, including basic rights, and the pursuit of happiness, including freedom from wage-slavery-level exploitation). Without changes to the very nature of society, I suspect any changes will be a case of ‘too little too late’.

  • You are missing one key point that is pretty much the sole reason for exorbitant drug prices in the US:

    DRUG IMPORTS ARE ILLEGAL!

    You could pay hundreds for a single drug that costs just a few dollars anywhere else in the world. But it might be produced by only one company in the US so they can charge whatever they want since you cant get it imported.

    THIS is the reason. And it´s all due to the great work of Pharma Lobbyists.
    Dear US citizens, your politicians have been bought and thus people are dying of diseases that every developed country would be ashamed for.

  • I got an idea. A government corporation whose sole purpose is the mass manufacturing of generic drugs en masse and sells those drugs worldwide AT COST. Absolutely no extensions to exclusivity windows. As the window nears opening, the Federal Medical Manufacturing Corp subpoenas all required documents and reports necessary to replicate entire industrial manufacturing methods and manufacturing systems and they get to work with the goal of manufacturing enough of a drug for the medical needs of the entire planet on day 1. The day the exclusivity window ends is the day the manufacturing lines start operating and distributing. The Original manufacturer can either lower their price to cost or leave the market, its their choice and they are free to do as they wish. Meanwhile, enough of drugs continued to be manufactured and distributed at cost to any hospital or pharmacy that wish to purchase them. No shortages, no market shenanigans, no quotas. The Corp simply maintains constant production of all drugs based on statistical requirements of the planetary population.

    In the cases of obvious price gouging, individuals should have the ability to sue a pharma company and seek the automatic removal of exclusivity as a standard punishment for gouging the public. Determination of gouging would be accomplished by a civil jury and in a public courtroom where the pharma company lawyers would have to explain to a jury why the little $1.50 pill costs $7800 a dose… in front of a live camera. Further, in the event that the pharma settles the lawsuit, it has to be public, and any agreement on the price of a drug applies to ALL patients needing that drugs. i.e. if you sue a pharma company and they panic and agree to sell you their life-saving thing for cheap, that cheap price is now the price they have to offer to ALL buyers.

  • Drug research directly funded by taxpayers is my vote.

    Basically create a government agency which does research on new drugs and studies on their uses directly fund that agency by taxpayers and then let any formulas or whatever be shared among any drug company who wants to make it for anything discovered that way. It would be a high budget item so likely increase taxes but I think it’s by far the simplest and most effective solution I’ve thought about.

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  • Thats why you tarvel elsewhere for all your medicine… You get to vacation, get inmerse on a foreign culture, bring back all your medicine plus more than youll ever need of the basic stuff. And still is way cheaper than practically throwing your money on a USA pharmacy.

  • Correction: No CAPITALIST company would develop a drug that they can’t sell. A socialist society would develop it simply cause it is needed.

  • Humira just reformulated to make the drug “more comfortable”. The reformulation tacks on additional years of exclusivity. It’s a logical move by the company but we should question why the rules are set to incentivize such behavior.

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  • People are stupid, PRICE CONTROLS DONT WORK! Venezuela is a perfect example of that, they have a price control on gasoline and because of that they have a gas shortage despite sitting on the worlds largest reserves of oil! Drugs are expensive because insurance pays for them, get insurance out of the drug market and companies are going to have to start being transparent with their pricing which will eventually lower the cost. Also loosening up the ridiculous FDA testing will also help lower drug prices.

  • Maybe for biologics we could add something to say the NIH, where they develop, produce and sell their own versions, but being a part of the government, it would be much easier to limit the price of these drugs to something that actually is only intended to recoup development costs.

  • Why is it so hard to lower drug prices in the USA?

    = because Americans don’t pay taxes to help their fellow human beings, if you’re sick that’s your problem. welcome to capitalism everyone.

    No but for real if you wanna solve this problem you need to set up the USA government as the primary competitor to drug companies, and it’s investors would be the american people themselves. that level of competition is going to bring prices WAAAAAAAAAAY THE FUCK DOWN. Sincerely, UK, Canada, AUS.

  • Have you not heard about lawsuits over companies colluding with eachother to raise prices to screw consumers? Pretty fuckin big bit to mention!
    Source: https://www.latimes.com/business/la-fi-generic-drug-price-fixing-lawsuit-20190624-story.html

  • 6:25 hold up
    Did he actually say shortages. Even though earlier he talked about the introduction of generics lowering prices because of competition?
    Aren’t these contradictory?

  • I love this debate. Pay the price of the drug or don’t use it. If the company didn’t invest (like with antibiotics, which are likely to be our BIGGEST medical downfall) it wouldn’t exist and you would still be without the drug. If governments want to control pricing, they should make bulk purchases, they do in Canada. Interfering in business NEVER ends well.

  • Jonas Salk created the vaccine for polio and gave it away for the benefit of mankind. Now drug companies bankrupt average Americans by charging as much money as they can for needed prescription drugs. Either the government needs to step in and regulate drug prices in the same way the FTC regulates things like gas and electricity prices, or we need non-profit organizations set up to research and manufacture commonly used medicines for reasonable prices.

  • Surely the FDA has counterparts in at least some other developed countries who can be trusted to approve drugs. I think the biggest single step that could be taken would be to rely on those institutions in addition to the FDA, and allow importation of drugs from those countries. The idea that all drugs have to be made here is absurd.

  • Healthcare is essential and too important to rely on free market competition to make prices lower. Most of the developed world outside the US have realized this.

  • Sounds like a lot of these problems can be resolved by doing medical research with government agencies funded by taxes. As a government charter there is no impetus for profit, so pricing can be based solely on cost of development and manufacture without the overhead of profit. Products of tax-funded research would also be public domain by default so if some private company thinks they can make it for less, or can use it as a basis for something new, they can do so without dealing with patents.

  • If no one enters the market after exclusivity time has passed, this should be considered a monopoly and government price-controlled like other monopolies such as utilities.

  • The correct answer was massive corruption and corporate lobbying to buy the US senate. I hope this segment doesn’t waste anyone’s time with the explanations that account for the other 90% of what Americans pay more than in civilized countries? ( Unfortunately he did come up with every other reason….)

  • Maybe I just don’t fully understand the situation but; I don’t get how it’s okay to do these terrible things for life saving medicine. I feel like if a medicine can literally save a human life, these types of practices shouldn’t be allowed, BY LAW! If you allow this kind of behavior for the sake of money, you’re saying that human life has a price tag…that’s not okay. Things like viagra or other non-critical drugs, I’m more okay with. Life saving though? That needs to be readily available, not matter what.

  • Yes drug prices in the US seem unfair; but, the problem (as you mentioned) is complicated.
    Here are some other reasons it is complicated:

  • We need more regulation of everything in healthcare. Doctors, Dentist, Surgeons, Hospitals the whole healthcare system in the US is overpriced. Doctors, hospital ceos, and insurance companies are going to kick and scream because we need to slash their salaries. Theres no way insurance and medicare/ medicaid can keep up with these insane prices. It sending our taxes threw the roof not to mention its unethical selling people bandages for thousands of dollars.

  • Why is it so hard to lower prices? Government. Government grants drug monopolies. Government sets competitive barriers, national and international. Government restricts barriers to entry into the market. Government works for the interests of large established pharma companies and against the interests of the people.

  • Here’s a somewhat counter-intuitive option: Instead of preventing them from raising prices, prevent them from lowering it more than a small % each year.

    The way these monopolies screw over people is by first raising the price. Then when a competitor tries to enter the market, they drop it to such a low price that the competitor can’t make back their investment and goes bankrupt. Then they raise the price again.

    In order to do that, they need the ability to both raise and lower prices at any time. Preventing them from raising the price can lead to shortages when their costs starts going up, but preventing them from lowering the price has no such problems. A competitor can safely enter the market, knowing the monopoly cannot suddenly try to undercut them. This leads to more competition and lower prices overall.

    In fact, the monopolies aren’t stupid and they can foresee these competitors coming in, so they wouldn’t raise their price in the first place. Better take a small cut in the profit than to allow someone to steal the market.

  • This is what happens when you let the free market have control over something where real competition is sometimes impossible. Capitalism should be a tool not an end in itself. When the tool your using doesn’t do the job well and keeps cutting you maybe think of using a different tool?

  • I wonder how long it will be before there’s a shortage for Canadians And if this will affect the prices long term. Supply and demand??? Big pharma wacks up 2 trillion dollars a year as it is. Now watch the profits soar!!! Sarc.