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Re: Medicare negotiations....Looking for some guesses from the TA users...I wonder what Trump will say when Congress tells him Medicare is already the beneficiary of price negotiations by the insurance carriers and PBM's ( pharmacy benefit managers). These private capital-incented enterprises squeeze pharma pricing to the bone...requiring pharmacoeconomic analysis to justify pricing. If it doesn't pass their economic value to the patient and insurers, the pharma company must reduce its price or not get in the formulary...and if it's not on the insurer's formulary, it doesn't get on the Medicare part D formulary. The case of such negotiations with the makers of Solvaldi and Hovnani ( the first Hep C drugs that cured the disease) are poster child examples of effective negotiations. Those two drugs are cheaper in USA than in price-controlled Europe. Virtually every drug in our market has been subjected to this review and resolution. But maybe trump will proclaim, and challenge the congress to go along that :"He knows that Medicare can do a better job negotiating if they go direct to each company." Because he knows, that's why. Now, "Mr Trump" is that consistent with your thinking that the government should not be in the business of running the healthcare insurance programs? Or, perhaps such inconsistencies aren't relevant. Oh, can anyone imagine the bureaucracy required to pull that off effectively...AND better than the free enterprise system we already have? We must remain confident that our system of independent branches of government will prevail and that decisions will be made on facts and astute analysis, rather than ( I know more about ISIS than the generals do) as one of a dozen examples from our hedious campaign Michael |
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