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Healthy Skepticism Library item: 19549

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Report

Prescription Drug Pricing in the United States: Drug Companies Profit at the Expense of Older Americans
U.S. House of Representatives. 1999 Sep 11


Abstract:

EXECUTIVE SUMMARY
Many senior citizens in the United States cannot afford the high prices of prescription
drugs. One of the principal causes of these high prices is price discrimination by drug
manufacturers. This report by the minority staff of the Committee on Government Reform
quantifies the extent of prescription drug price discrimination in the United States and its impacts
on seniors.
The report finds that older Americans and others who pay for their own drugs are charged
far more for their prescription drugs than are the drug companies’ most favored customers, such
as health maintenance organizations and the federal government. The report finds that a senior
citizen in the United States paying for his or her own prescription drugs must pay, on average,
more than twice as much for the drugs as the drug companies’ favored customers. And the report
finds that this is an unusually large price differential — more than six times greater than the
average price differential for other consumer goods.
In effect, the pricing strategies of drug manufacturer victimize those who are least able to
afford it. As a result of price discrimination, large corporate and governmental customers with
market power are able to buy their drugs at low prices while senior citizens, who often have the
greatest need and the least ability to pay, are forced to pay the highest prices for prescription
drugs.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909