Latest Drugwonks' Blog
Rahm Emanuel has probably never been called an "imperialist." But that's about to change. Now that he (along with Representative Emerson and Senators Snowe and Dorgan) are calling for legalizing "drugs from Canada," the Canadian Pharmacists Association, the Ontario Pharmacists' Association, the Best Medicines Coalition and the Canadian Association for Pharmacy Distribution have called on Canadian Health Minister Tony Clement to implement "an immediate ban on the export, both bulk and retail, of prescription drugs from Canada."
Here's the story from today's Toronto Globe and Mail:
http://www.theglobeandmail.com/servlet/story/LAC.20070115.PHARMACY15/TPStory/?query=pharmacists
In short, they're saying "hands off our medicines, imperalist American."
Here's the story from today's Toronto Globe and Mail:
http://www.theglobeandmail.com/servlet/story/LAC.20070115.PHARMACY15/TPStory/?query=pharmacists
In short, they're saying "hands off our medicines, imperalist American."
Want to know how the health care system operates...read Vanessa Furhman's article in Friday's Wall Street Journal " A Novel Plan Helps Hospital Wean Itself Off Pricey Tests" (The headline is a bit misleading) which describes how health care financing discourages ways to pay doctors and use technologies that prevent disease and keep people healthy.
http://online.wsj.com/article/SB116857143155174786-search.html
In a perfect world we shouldn't expand access to health care in ways that sustain this stupidity. We should give the money to providers and plans that actually will demonstrate they will improve health. That means expanding SCHIP or access to adult health care through Medicaid or Medicare is just flushing money down the toilet...
http://online.wsj.com/article/SB116857143155174786-search.html
In a perfect world we shouldn't expand access to health care in ways that sustain this stupidity. We should give the money to providers and plans that actually will demonstrate they will improve health. That means expanding SCHIP or access to adult health care through Medicaid or Medicare is just flushing money down the toilet...
Merrill Goozner of the Center for Science in the Public Interest (not to be confused with us) is in meltdown mode over the Washington Post editorial warning about government run medicine.
Here's his post on Huffington Post
http://www.huffingtonpost.com/merrill-goozner/the-right-prescription_b_38579.html
Fun to watch, but let try to make a couple of serious points here to demonstrate the faulty logic of the left...Clearly a case of their rhetoric on pharma jumping the shark.
Gooz claims that the VA is restrictive because is it not tainted by prescribing guidelines shaped by industry. All the guidelines are written by industry? Let's say that's the case. Fact is, the VA docs follow EVERY specialty association guideline in terms of treatment steps. So I guess that the industry should be given credit for something.. Then again the VA only differs in terms of drug selection and therapeutic approach.
Then again, not all government guidelines meet the Goozner standard. Hypertension guidelines and ALLHAT yes. Cholesterol guidelines that encourage earlier use of statins no. The latter were the tainted in his opinion because the doctors on the committee had industry ties. But so did everyone on the ALLHAT steering committee. What's the the difference? Gooz likes the fact that an ALLHAT rump section spun the results as generic drugs worked just as well as newer meds.
He claims that the VA does a great job weeding out pricey me too drugs...Again, he should thank the industry for creating competition among therapeutic choices based on value otherwise there would only be one in a class drugs which the VA keeps off formulary for at least 1-3 years. What will the VA do in an era of personalized medicine?
I won't even respond to the claim that the VA is doing all this great research. Sorry, it's all process measures.(Who get's what test and when) There are no studies compariing outcomes by drug and other variables. It has the ability to do that research but it never does...instead it supports studies that claim that the likelihood of suffering permanent nerve damage from older schizophhrenia drugs is ok and that old drugs are just as good as new. The fact is comparative effectiveness studies wind up showing that some people always do better on drug A than on drug B or vice versa. So the question is: how do get the right drug to the right patient first time every time? Goozner does not care and neither does the VA for that matter because it restricts formularies to save money on drugs not to improve outcomes.
Meanwhile, the real problem is that consumers are just too stupid or brainwashed to know any better. Or at least they are not as smart as Gooz. Consumers are being reprogrammed into new drug zombies that march into physician offices under the spell of pharmaceutical TV ads demanding inferior and expensive drugs which is why they want open formularies instead of the narrow ones offered by the wise and all-seeing pharmacy boards.
Here is the Gooz, oozing at his most hyperbolic:
"Consumers are going to police the system through their individual choices? Are these the same consumers who are bombarded daily with direct-to-consumer ads touting the latest me-too drug on television, in the pages of their daily newspapers and in weekly magazines? Such poorly informed consumers will likely gravitate over time to the least restrictive formularies precisely because they include drugs that are no better than generics." (Meanwhile consumers in these open formularies are stampeding over to generics.)
Yeah, we are just too stupid and too brainwashed. Teach us Merrill. Show us the light, the truth and the way.
Here's his post on Huffington Post
http://www.huffingtonpost.com/merrill-goozner/the-right-prescription_b_38579.html
Fun to watch, but let try to make a couple of serious points here to demonstrate the faulty logic of the left...Clearly a case of their rhetoric on pharma jumping the shark.
Gooz claims that the VA is restrictive because is it not tainted by prescribing guidelines shaped by industry. All the guidelines are written by industry? Let's say that's the case. Fact is, the VA docs follow EVERY specialty association guideline in terms of treatment steps. So I guess that the industry should be given credit for something.. Then again the VA only differs in terms of drug selection and therapeutic approach.
Then again, not all government guidelines meet the Goozner standard. Hypertension guidelines and ALLHAT yes. Cholesterol guidelines that encourage earlier use of statins no. The latter were the tainted in his opinion because the doctors on the committee had industry ties. But so did everyone on the ALLHAT steering committee. What's the the difference? Gooz likes the fact that an ALLHAT rump section spun the results as generic drugs worked just as well as newer meds.
He claims that the VA does a great job weeding out pricey me too drugs...Again, he should thank the industry for creating competition among therapeutic choices based on value otherwise there would only be one in a class drugs which the VA keeps off formulary for at least 1-3 years. What will the VA do in an era of personalized medicine?
I won't even respond to the claim that the VA is doing all this great research. Sorry, it's all process measures.(Who get's what test and when) There are no studies compariing outcomes by drug and other variables. It has the ability to do that research but it never does...instead it supports studies that claim that the likelihood of suffering permanent nerve damage from older schizophhrenia drugs is ok and that old drugs are just as good as new. The fact is comparative effectiveness studies wind up showing that some people always do better on drug A than on drug B or vice versa. So the question is: how do get the right drug to the right patient first time every time? Goozner does not care and neither does the VA for that matter because it restricts formularies to save money on drugs not to improve outcomes.
Meanwhile, the real problem is that consumers are just too stupid or brainwashed to know any better. Or at least they are not as smart as Gooz. Consumers are being reprogrammed into new drug zombies that march into physician offices under the spell of pharmaceutical TV ads demanding inferior and expensive drugs which is why they want open formularies instead of the narrow ones offered by the wise and all-seeing pharmacy boards.
Here is the Gooz, oozing at his most hyperbolic:
"Consumers are going to police the system through their individual choices? Are these the same consumers who are bombarded daily with direct-to-consumer ads touting the latest me-too drug on television, in the pages of their daily newspapers and in weekly magazines? Such poorly informed consumers will likely gravitate over time to the least restrictive formularies precisely because they include drugs that are no better than generics." (Meanwhile consumers in these open formularies are stampeding over to generics.)
Yeah, we are just too stupid and too brainwashed. Teach us Merrill. Show us the light, the truth and the way.
Yesterday's vote on "government pricing" of prescription medicines garnered the fewest votes of Speaker Pelosi's "First 100 Hour" pieces of legislation. Legislators are seeing the light.
As Everett Dirkson was fond of saying, "When I feel the heat, I see the light."
And the heat is from America's seniors who are pleased with the Part D drug benefit.
And the heat is from, among other places, the Washington Post. Here is what America's lawmakers woke up to find in their own Newspaper of Record:
The Wrong Prescription
Government should not negotiate drug prices in Medicare.
HOUSE Democrats delivered on a campaign promise yesterday, passing a bill that would require the government to negotiate the price of pharmaceuticals covered by the new Medicare drug benefit. The idea is that government negotiators could force prices down, generating savings that could be used to make the benefit more generous. But the measure is misguided.
Here's a link to the complete editorial:
http://www.washingtonpost.com/wp-dyn/content/article/2007/01/12/AR2007011201885_pf.html
And the most unhappy fella in DC today is Rahm Emanuel -- sponsor of the Newspeak-named "Pharmaceutical Market Access and Drug Safety Act which demands "world pricing" as well as drug importation.
If only 24 Republicans voted for HR 4, the chances for Mr. Emanuel's legislation are about as good as Nancy Pelosi calling for a statue of Charlie the Tuna in Dupont Circle.
Here's what Mr. Emanuel's constituents woke up in today's Chicago Sun-Times:
Cheaper drugs would come at a steep price
BY PETER J. PITTS
U.S. Rep. Rahm Emanuel (D-Ill.) has announced legislation "aimed at driving down the price of prescription drugs." But the only thing such legislation would actually drive down is pharmaceutical innovation.
And here's the link to that article:
http://www.suntimes.com/news/otherviews/209130,CST-EDT-REF13A.article
Even the New York Times is reporting that the Congressional Budget Office (CBO) study on "government pricing" shows that direct negotiations wouldn't save America's seniors any money.
America's legislators are beginning to feel the heat of truth and see the light of day -- that "government pricing" and quick fixes like drug importation are false promises -- and that the American people know it.
As Everett Dirkson was fond of saying, "When I feel the heat, I see the light."
And the heat is from America's seniors who are pleased with the Part D drug benefit.
And the heat is from, among other places, the Washington Post. Here is what America's lawmakers woke up to find in their own Newspaper of Record:
The Wrong Prescription
Government should not negotiate drug prices in Medicare.
HOUSE Democrats delivered on a campaign promise yesterday, passing a bill that would require the government to negotiate the price of pharmaceuticals covered by the new Medicare drug benefit. The idea is that government negotiators could force prices down, generating savings that could be used to make the benefit more generous. But the measure is misguided.
Here's a link to the complete editorial:
http://www.washingtonpost.com/wp-dyn/content/article/2007/01/12/AR2007011201885_pf.html
And the most unhappy fella in DC today is Rahm Emanuel -- sponsor of the Newspeak-named "Pharmaceutical Market Access and Drug Safety Act which demands "world pricing" as well as drug importation.
If only 24 Republicans voted for HR 4, the chances for Mr. Emanuel's legislation are about as good as Nancy Pelosi calling for a statue of Charlie the Tuna in Dupont Circle.
Here's what Mr. Emanuel's constituents woke up in today's Chicago Sun-Times:
Cheaper drugs would come at a steep price
BY PETER J. PITTS
U.S. Rep. Rahm Emanuel (D-Ill.) has announced legislation "aimed at driving down the price of prescription drugs." But the only thing such legislation would actually drive down is pharmaceutical innovation.
And here's the link to that article:
http://www.suntimes.com/news/otherviews/209130,CST-EDT-REF13A.article
Even the New York Times is reporting that the Congressional Budget Office (CBO) study on "government pricing" shows that direct negotiations wouldn't save America's seniors any money.
America's legislators are beginning to feel the heat of truth and see the light of day -- that "government pricing" and quick fixes like drug importation are false promises -- and that the American people know it.
The good news is that the House passed the price control bill by the slimmest margin of any of the pieces of legislation introduced by Democrats during the 100 horrors campaign. Not enough votes to override an expected presidential veto. Which puts pressure on the Senate.
The bad news -- or at least the takeaway from all this -- is that opponents of price controls did not stress enough just how many seniors and disabled people (40 million and counting) now have coverage where they did not have it before. And combined with patient assistance programs, it means that America has gone a long way to making medicines affordable for those who need and use them most.
This has gotten lost in the debate about prices...always does. And so it is important to hammer home the point that more people are getting their drugs paid for -- at $200 billion less than expected -- with more choices than ever before. This will prevent disease and save money in Medicare overall. People are suffering less and living better as a result. Every dollar of new drug consumption reduces spending for other services by about seven or eight dollars.. We need to make that investment and we need more valuable ad effective drugs to make a greater difference.
Which is what should be emphasized. Disease still is more expensive than any drug. And making people pay for the most cost-effective and valuable part of health care makes no sense at all. We need to spend more on medicines, not less and we need to find ways to encourage that spending and ensuring that people are using medicines right for them, the first time. Now that's one way to fill the donut hole: personalizing prescribing to reduce side effects and provide more timely feedback.
The bad news -- or at least the takeaway from all this -- is that opponents of price controls did not stress enough just how many seniors and disabled people (40 million and counting) now have coverage where they did not have it before. And combined with patient assistance programs, it means that America has gone a long way to making medicines affordable for those who need and use them most.
This has gotten lost in the debate about prices...always does. And so it is important to hammer home the point that more people are getting their drugs paid for -- at $200 billion less than expected -- with more choices than ever before. This will prevent disease and save money in Medicare overall. People are suffering less and living better as a result. Every dollar of new drug consumption reduces spending for other services by about seven or eight dollars.. We need to make that investment and we need more valuable ad effective drugs to make a greater difference.
Which is what should be emphasized. Disease still is more expensive than any drug. And making people pay for the most cost-effective and valuable part of health care makes no sense at all. We need to spend more on medicines, not less and we need to find ways to encourage that spending and ensuring that people are using medicines right for them, the first time. Now that's one way to fill the donut hole: personalizing prescribing to reduce side effects and provide more timely feedback.
Peter and I have op-eds today in Newsday and The Washington Times respectively on the Pelosi Prescription Price Club proposal to be voted on today.
Here are links to both ...
http://www.newsday.com/news/opinion/ny-opfri125048767jan12,0,1225572.story?coll=ny-viewpoints-headlines
http://washingtontimes.com/op-ed/20070111-084554-5979r.htm
And a Washington Times editorial on Medicare part D:
http://washingtontimes.com/op-ed/
Here are links to both ...
http://www.newsday.com/news/opinion/ny-opfri125048767jan12,0,1225572.story?coll=ny-viewpoints-headlines
http://washingtontimes.com/op-ed/20070111-084554-5979r.htm
And a Washington Times editorial on Medicare part D:
http://washingtontimes.com/op-ed/
Here we go again.
Remember the Pharmaceutical Market Access and Drug Safety Act? That’s the ill considered Emanuel/Emerson/Snowe/Dorgan bill that wants the US to import “world prices†along foreign drugs.
Well, the AARP has come out strongly in favor – particularly on the drug importation provision.
It seems that the AARP is getting old and a bit forgetful. Wasn’t is just recently that they pointed to Part D and said that it was a better deal than drugs “from Canada.†Short-term memory loss I suppose.
For more on this silly bill and the dangerous implications of drug importation, please see my December 22nd blog (“The John Grishams of Drug Importationâ€).
Remember the Pharmaceutical Market Access and Drug Safety Act? That’s the ill considered Emanuel/Emerson/Snowe/Dorgan bill that wants the US to import “world prices†along foreign drugs.
Well, the AARP has come out strongly in favor – particularly on the drug importation provision.
It seems that the AARP is getting old and a bit forgetful. Wasn’t is just recently that they pointed to Part D and said that it was a better deal than drugs “from Canada.†Short-term memory loss I suppose.
For more on this silly bill and the dangerous implications of drug importation, please see my December 22nd blog (“The John Grishams of Drug Importationâ€).
In retreat Democrats still want to control drug prices. Now the target are breakthrough drugs or one of a kind medicines as they were called in congressional testimony today. That means an attack on the most vulnerable...biotech companies -- who spend billions on research with hardly a hope of breaking even in the near time -- on breakthrough drugs for dying or severely ill patients.
We have be there before with disastrous consequences.....
We are back to the future when it comes to what
proponents of price control supporters want. They are
proposing special negotiating authority for new,
unique drugs.
Under the Clinton health plan, (and my thanks to the Heallthcare Blog for tracking this history down) because new drugs often initially have very high
prices, the Secretary was to have the authority to
negotiate special prices for breakthrough drugs
considered overpriced and could exclude these new
drugs from coverage if a rebate agreement could not be
reached. The Act also would have created an Advisory
Council on Breakthrough Drugs, which would advise the
Secretary on the reasonableness of launch prices of
new drugs representing significant advances over
existing therapies. Although the findings of the
council would not be binding, they would influence the
Secretary and the drug payments of other entities with
purchasing power.
The Advisory Council would have had the power to hold
hearings, supeona records publicly reprimand companies
whose prices are deemed excessive, and recommend to
the HHS secretary that it deny such companies the R&D
tax credit, Medicare/Medicaid reimbursement, or full
patent terms. This proposal caused the stock prices
for biotech companies plunge 40 percent.
Back then leading Democrats caved in....
From a 1994 biotech news roundup
DRUG PRICE REVIEWS PROPOSAL DROPPED
In a move seen as a concession to the biotechnology industry,
Representative John Dingell (D-MI) announced last week that his
Energy and Commerce Committee is dropping a proposal to review
drug prices. The announcement apparently came in response to
pressure by Representative Lynn Schenk (D-CA), whose legislative
district contains 100 biotechnology companies. The Clinton proposal
would have established an Advisory Council on Breakthrough Drugs
to review charges of pharmaceutical price gouging. Schenk said, "The
proposal has already panicked financial markets and forced cutbacks
on research and development in the biotechnology industry." Carl
Feldbaum, president of the Biotechnology Industry Organization
(BIO), said, "Ms. Schenk has exercised extraordinary influence for a
freshman member of Congress. The ultimate winners will be the
people suffering from diseases that have no treatment or cure."
If Democrats want to repeat this part of history, they will get hammered even harder than they are now on their mangling of Part D.
We have be there before with disastrous consequences.....
We are back to the future when it comes to what
proponents of price control supporters want. They are
proposing special negotiating authority for new,
unique drugs.
Under the Clinton health plan, (and my thanks to the Heallthcare Blog for tracking this history down) because new drugs often initially have very high
prices, the Secretary was to have the authority to
negotiate special prices for breakthrough drugs
considered overpriced and could exclude these new
drugs from coverage if a rebate agreement could not be
reached. The Act also would have created an Advisory
Council on Breakthrough Drugs, which would advise the
Secretary on the reasonableness of launch prices of
new drugs representing significant advances over
existing therapies. Although the findings of the
council would not be binding, they would influence the
Secretary and the drug payments of other entities with
purchasing power.
The Advisory Council would have had the power to hold
hearings, supeona records publicly reprimand companies
whose prices are deemed excessive, and recommend to
the HHS secretary that it deny such companies the R&D
tax credit, Medicare/Medicaid reimbursement, or full
patent terms. This proposal caused the stock prices
for biotech companies plunge 40 percent.
Back then leading Democrats caved in....
From a 1994 biotech news roundup
DRUG PRICE REVIEWS PROPOSAL DROPPED
In a move seen as a concession to the biotechnology industry,
Representative John Dingell (D-MI) announced last week that his
Energy and Commerce Committee is dropping a proposal to review
drug prices. The announcement apparently came in response to
pressure by Representative Lynn Schenk (D-CA), whose legislative
district contains 100 biotechnology companies. The Clinton proposal
would have established an Advisory Council on Breakthrough Drugs
to review charges of pharmaceutical price gouging. Schenk said, "The
proposal has already panicked financial markets and forced cutbacks
on research and development in the biotechnology industry." Carl
Feldbaum, president of the Biotechnology Industry Organization
(BIO), said, "Ms. Schenk has exercised extraordinary influence for a
freshman member of Congress. The ultimate winners will be the
people suffering from diseases that have no treatment or cure."
If Democrats want to repeat this part of history, they will get hammered even harder than they are now on their mangling of Part D.
My attempt to help people parse out Nancy Pelosi's health care Newspeak...from The American Spectator
http://www.spectator.org/dsp_article.asp?art_id=10863
http://www.spectator.org/dsp_article.asp?art_id=10863
As any regular drugwonks reader knows, we have our differences with Senator Grassley on many issues. Significant differences.
But we all share the belief that the Part D benefit is working -- and working well ... and that Congress shouldn't start to monkey around with it for political purposes.
Here's what Senator Grassley had to say on the floor of the Senate:
Download file
We here at drugwonks hope that Senator Grassley will take similarly fact-based positions during the upcoming PDUFA debate.
But we all share the belief that the Part D benefit is working -- and working well ... and that Congress shouldn't start to monkey around with it for political purposes.
Here's what Senator Grassley had to say on the floor of the Senate:
Download file
We here at drugwonks hope that Senator Grassley will take similarly fact-based positions during the upcoming PDUFA debate.
Center for Medicine in the Public Interest is a nonprofit, non-partisan organization promoting innovative solutions that advance medical progress, reduce health disparities, extend life and make health care more affordable, preventive and patient-centered. CMPI also provides the public, policymakers and the media a reliable source of independent scientific analysis on issues ranging from personalized medicine, food and drug safety, health care reform and comparative effectiveness.
