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High Drug Prices and Patient Impact

The document discusses the high prices of medicine and medical care, supported by a survey of Gannon University students and examples from a New York Times article. It presents contrasting views on drug price regulation, highlighting the financial struggles of individuals versus the market's need for profit and investment in research. The author suggests that while regulation may impact profits, the benefits of making medications affordable for patients outweigh the drawbacks.

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0% found this document useful (0 votes)
14 views3 pages

High Drug Prices and Patient Impact

The document discusses the high prices of medicine and medical care, supported by a survey of Gannon University students and examples from a New York Times article. It presents contrasting views on drug price regulation, highlighting the financial struggles of individuals versus the market's need for profit and investment in research. The author suggests that while regulation may impact profits, the benefits of making medications affordable for patients outweigh the drawbacks.

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whupeeeb
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Evan Barish

LENG 112
March 2, 2021
PREDATION OF THE SICK AND INJURED: PRESENT

The price of medicine nowadays is outrageously high. In a survey conducted on February

23, 2021, 21 students from a Critical Analysis and Composition class at Gannon University

agreed unanimously that medicine and medical care are overpriced. While that was a small

survey and did not represent the rest of the country well, the stories illustrated by Thomas and

Ornstein do so extremely well.

In their article, “The Price They Pay” published in the March 6th, 2018 edition of The

New York Times, they tell the stories of a range of people who were charged for medicines that

are extremely overpriced and explain why those medicines are priced that way. On one end of

the spectrum is a middle-class woman, who had to pay $1000 dollars a month for a multiple

sclerosis medicine Gilenya. She had to sell many of her things to cover the costs. The price of the

actual Gilenya “nearly doubled to almost $92,000 a year since Novartis (the company now

selling the medicine) got approval [to sell it] in 2010” (Thomas & Ornstien, 2018). The

company, when questioned, only pointed to its patient assistance program, however the mother

made too much to qualify. And on the other end of the spectrum is a nearly impoverished,

disabled, and elderly lady with congestive heart failure and diabetes. Essentially, she makes only

hundreds more than the assistance cutoffs, and as a result she must skip taking a few of her

twelve essential medications with the risk of dying until she can afford the copays later in the

year. While these are only two examples, they explain that this could happen to anyone but the

financially elite.
Barish 2

The other side of the argument is in favor of the companies and the market. The high

prices attract many investors and allow for research and development to skyrocket. This does

actively benefit the individuals and community as new medicine can save lives. Main critics of

drug price control often point out this issue. If the prices were regulated, or even managed in

some sense, investors see less potential for profit. Regulations also would impose long run costs

to the market and to the companies involved with the medicine: i.e., insurance, pharmaceutical,

investment, and research and development (Santerre & Vernon, 2006) . The argument breaks

down into the individuals versus the market, and the market side has a few other valid points.

The United States has a free market system, for the most part, and opponents argue that

regulating or restricting part of the market is against the constitution, ‘their rights’ etc. These

arguments, while not entirely correct, are fair. It would be a dramatic change from the free-

market system known today if this were the only instance this type of action. Federal Bodies

such as the FDA and EPA already regulate the market, and it would not be out of the FDA’s

reach to regulate the drug prices more. The final point of the market argument, according to Will

Kenton’s definition and explanation of the free vs regulated market argument, is that it just is not

fair to the companies. To this, there is no counter argument other than is the price fair to the

patients? Three insulin drug makers have been accused of price fixing and have many ongoing

lawsuits and state investigations. (Thomas & Ornstien, 2018).

As a potential solution, price regulation seems to be the most popular, and divisive. As

explained above, opponents believe it is not fair, and stifles both the market and research. While

these may be true, the benefits of individuals being able to afford their medications and live

outweigh a hit to the pockets of the one percent.


Barish 3

References

Dickman, S. L., Himmelstein, D. U., & Woolhandler, S. (2017). Inequality and the health-care

system in the USA. The Lancet, 389(10077), 1431–1441. [Link]

6736(17)30398-7

Kenton, W. (2020, September 16). What is a Regulated Market? Investopedia.

[Link]

%20the%2020th%20century,and%20the%20Environmental%20Protection%20Agency.

Santerre, R. E., & Vernon, J. A. (2006). Assessing consumer gains from a drug price control

policy in the United States. Southern Economic Journal, 73(1), 233.

doi:10.2307/20111885

Thomas, K., & Ornstien, C. (2018, March 6). The Price They Pay. The New York Times.

Common questions

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Federal bodies like the FDA and EPA play critical roles in regulating markets by enforcing standards that ensure consumer safety and environmental protection. By extension, the FDA could potentially regulate drug prices by implementing rules that limit price hikes or cap prices to ensure medications are affordable. Such regulatory measures would align with its responsibilities to protect public health, although it would challenge the traditional free-market dynamics .

Regulating drug prices could lead to reduced profit margins for pharmaceutical companies, which might decrease their appeal to investors seeking substantial returns. This could potentially result in reduced funding for research and development of new drugs, limiting innovation. Additionally, companies may need to optimize their operational costs or adjust their business models to sustain profitability under regulated pricing conditions .

Critics argue that drug price regulation could stifle innovation of new medicines by decreasing the financial incentives for companies to invest in research and development. With lower potential profits due to capped prices, investors might be less willing to finance new drug discovery and development efforts, ultimately slowing the pace of medical advancements and availability of new treatments .

The examples of individuals in "The Price They Pay" illustrate that drug pricing significantly impacts people across different social classes, except the financially elite. A middle-class woman had to sell her possessions to afford her multiple sclerosis medication, Gilenya, which costs $92,000 annually. Conversely, an impoverished elderly woman with congestive heart failure and diabetes had to skip essential medications due to unaffordable copays. These cases highlight the financial strain and life-threatening risks that high drug prices impose on those who do not qualify for assistance but cannot afford these costs .

Arguments against high drug prices, despite the benefits to research and market investments, focus on the ethical obligation to make essential medications accessible to all. High prices disproportionately affect those in lower-income brackets who cannot afford the medications but earn too much to qualify for subsidies. Critics assert that the societal benefits of affordable healthcare, including reduced mortality and morbidity rates, outweigh the financial benefits to a small elite and argue for a more equitable health system .

The disparity in drug affordability between different socio-economic classes raises significant ethical concerns regarding equity in healthcare access. Ethical considerations pertain to the justice of a system where life-saving medications become inaccessible to those not financially elite, potentially leading to life-threatening consequences for individuals who cannot afford essential drugs. It also challenges ethical obligations of the healthcare system to provide equitable care and the moral responsibilities of pharmaceutical companies to price medications fairly .

A regulated market in the context of drug pricing involves government interventions to control costs and ensure affordability, often by limiting price increases or setting maximum prices for essential medications. This contrasts with a free-market system where prices are determined by supply and demand dynamics, allowing companies to set prices aimed at maximizing profits. The free-market principle encourages investment and innovation through potential high returns, whereas regulation prioritizes consumer protection and equity in access to necessary treatments .

The lawsuits against insulin drug makers for price fixing highlight ongoing concerns about the fairness of drug pricing. These legal actions suggest that some pharmaceutical companies may engage in practices that artificially inflate prices, thereby exacerbating the financial burden on patients who need these life-sustaining medications. Such cases illustrate a significant ethical dilemma where profit motives might override accessible patient care, indicating a need for stricter regulatory oversight to ensure fairness in drug pricing .

The document outlines several arguments against regulating drug prices in a free-market system. Firstly, high drug prices attract investors, which in turn drives research and development of new medicines. Secondly, regulation could limit potential profit, discouraging investment in innovation. Moreover, it argues that regulation represents a departure from free-market principles, which some see as unconstitutional or unfair to companies. However, these arguments often omit the perspective of fairness to patients .

The primary benefit of government regulation in drug pricing, despite market opposition, is ensuring that individuals can afford essential medications, ultimately saving lives. Regulation aims to balance the need for pharmaceutical companies to profit with maintaining accessibility and affordability for consumers, particularly those who cannot afford high prices and are excluded from assistance programs .

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