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                                                                                                 U.S. NEWS Saturday 12 May 2018


















            Few teeth in Trump’s prescription to reduce drug prices



                                                                      would “seek input” on do-    $497  per  person  spent  in  “It’s hard to know why Ger-
                                                                      ing away with drug rebates  the United Kingdom, which  many or France or Australia
                                                                      in  the  Medicare  system  to  has  a  nationalized  health  would agree to something
                                                                      encourage  more  direct  care        system.    Trump’s  like  that,”  said  Professor
                                                                      discounts.  He  gave  no  speech singled out foreign  Jack  Hoadley  of  George-
                                                                      timeframe  for  more  con-   governments  that  “extort  town  University’s  Health
                                                                      crete  steps.  America  has  unreasonably  low  prices  Policy Institute.
                                                                      the  highest  drug  prices  in  from  U.S.  drugmakers”  us-  In  the  U.S.,  Medicare  is
                                                                      the  world.  The  U.S.  spent  ing price controls and said  the  largest  purchaser  of
                                                                      $1,162  per  person  on  pre-  U.S.  trade  representatives  prescription  drugs,  cover-
                                                                      scription drugs in 2015, ac-  would prioritize the issue in  ing  60  million  seniors  and
                                                                      cording  to  the  Organiza-  trade deals. But experts are  Americans  with  disabilities,
                                                                      tion  for  Economic  Coop-   skeptical the U.S. can pres-  but it is barred by law from
                                                                      eration and Development.  sure  foreign  governments  directly  negotiating  lower
                                                                      That’s more than twice the  to pay more for drugs.        prices with drugmakers.q


             President  Donald  Trump  walks  to  the  Oval  Office  with  Health
             and Human Services Secretary Alex Azar after an event about
             prescription drug prices with in the Rose Garden of the White
             House in Washington, Friday, May 11, 2018.
                                                     Associated Press
            Continued from Front         ority  for  Trump  and  Con-
                                         gress, according to recent
            “This weak plan abandons  polling  by  the  Kaiser  Fam-
            the millions of hard-working  ily Foundation. As a candi-
            families  struggling  with  the  date,  Trump  railed  against
            crisis  of  surging  drug  pric-  the   pharmaceutical   in-
            es,” said Democratic Lead-   dustry. But as president he
            er Nancy Pelosi, in a state-  has shied away from major
            ment.      Pharmaceutical  changes  and  has  staffed
            investors  and  analysts  ex-  his  administration  with  ap-
            pressed relief after the an-  pointees  who  have  deep
            nouncement,  and  shares  ties  to  the  industry.  They
            of  most  top  drugmakers  include  Health  Secretary
            rose  Friday  afternoon,  in-  Alex Azar, a former top ex-
            cluding  Pfizer,  Johnson  &  ecutive at Eli Lilly and Co.,
            Johnson and Eli Lilly. “Trump  who  joined  Trump  for  Fri-
            had  a  choice  today:  to  day’s announcement.
            seek  disruptive  fundamen-  Azar  and  other  Trump  offi-
            tal  reform  or  to  embrace  cials have hinted for weeks
            more  incremental  steps,”  that  the  plan  would,  in
            wrote Terry Haines, a finan-  part,  “dismantle”  the  con-
            cial  analyst,  in  an  invest-  voluted  system  of  rebates
            ment  note.  “Trump  chose  between  drugmakers  and
            the  incremental  over  the  the  health  care  middle-
            disruptive.”  Some  parts  of  men  known  as  pharmacy
            the  plan  were  previously  benefit  managers,  which
            proposed in the president’s  negotiate  price  conces-
            budget  proposal  sent  to  sions for insurers, employers
            Congress,  including  pro-   and other large customers.
            viding  free  generic  drugs  Trump  called  out  those
            to  low-income  seniors  and  companies  in  his  speech:
            sharing rebates from drug-   “Our  plan  will  end  the  dis-
            makers  with  Medicare  pa-  honest     double-dealing
            tients. Other parts could be  that allows the middleman
            implemented  directly  by  to  pocket  rebates  and
            the administration.          discounts  that  should  be
            A  majority  of  Americans  passed  onto  consumers
            say  passing  laws  to  bring  and patients,” Trump said.
            down  prescription  drug  Azar  later  told  reporters
            prices should be a top pri-  that   the   administration
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