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Five Key Principles Pelosi Ignores For Sound Prescription Medication Pricing Reform [Opinion]

An honest opinion from a doctor…

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Congress and policy makers in Washington are intently focused on how to optimally manage the cost of prescription medications. Many proposals have already been released and it is likely that this focus will continue well into the 2020 elections and beyond. This focus is appropriate given the importance access to medications plays as a cornerstone of the management of most medical conditions. It is also likely that over the next several months and years there will be a myriad of legislative and regulatory proposals floated, debated, and voted on or enacted.

Given the profound impact these policy changes will have on the efficacy of health care in the United States and, most importantly, the well-being of patients across the country, Men’s Health Network strongly urges public sector policy makers and regulators as well as private sector payers, benefit managers and PBM executives to adhere to the following principles to ensure that proposed reforms are focused on ultimately benefiting patients and optimizing the costs associated with adhering to prescribed medical therapies.

Five Key Principles to Sound Prescription Medication Pricing Reform:

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Prioritize Straightforward and Effective Reforms

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-Instead of overhauling systems or creating more complexity and confusion in an already complicated health system, policymakers should create systems and procedures that are simple, transparent, understandable and effective. This is of paramount importance to restoring the faith of patients in the system that has been lost as the processes have become mysterious, veiled in secrecy and overly complex and convoluted.

Ensure Cost Reductions Are Passed to Patients

-Any reforms must honor the tenant that was at the forefront of establishing the current system by returning the lion’s share of cost savings – whether they be from contract-rates, rebates, price concessions or whatever – to the patient. Further, the goal of reform should be to reduce patient out-of-pocket expenditures for prescription medications from current levels, rather than just holding the line on costs which are already problematic for many. Returning cost savings to insurance companies and PBMs (most of which are interlaced) or any other entity other than the patient is wrong.

Protect Access to Care

-Pricing reforms and caps on out-of-pocket expenditures for medications make sense only if they do not impede access to treatments. A “rob Peter to pay Paul” strategy where short term caps are imposed at the expense of significantly higher premiums or more restrictive access has not worked. If caps are instituted, they should be designed in a way to reduce out-of-pocket expenses without compromising other core elements of prescription care or access.

Preserve the Provider/Patient Relationship

-Access to the full spectrum of medications and innovative therapies should not be restricted by limited formularies or an undue trial-and-error process. The selection of therapeutic alternatives must honor the wishes and values of patients within a system that keeps the patient-healthcare provider relationship as the focal point of treatment decision making.

Allow Markets (Not Government) to Reduce Prices

-Pricing models and mechanisms should be market based, not dictated by government or policies. Establishing arbitrary price targets using reference standards that are not applicable to the needs, wishes and way of life of American patients undercuts fundamental principles of free markets.

These five principles have one commonality – keeping the long-term best interests of patients in focus. In the end that will fulfill the ethical and social obligations of providers, government and health benefit managers and enhance the care of patients.

As part of our work educating and providing advocacy opportunities for men, boys and their families, Men’s Health Network will continue to explore these principles in more depth in the coming weeks. Please check back here on our blog to follow the series or reach out on social media to engage, ask questions, and learn more about the policies that impact men’s health.

Dr. Salvatore J. Giorgianni, PharmD is Sr. Science Adviser, Men’s Health Network

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Biden Set to Provide Pathway to Citizenship for Upwards of 20 Million Undocumented Aliens

How do you say, ‘this is a terrible idea,’ in Spanish?

John Salvatore

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The goal of the Biden administration is simple. It’s not too dissimilar from the goal of the Obama administration’s, either. In a nutshell: destroy America. That’s the plan. From Los Angeles Times: During his first days in office, President-elect Joe Biden plans to send legislation to congress that would provide a pathway to citizenship for 11 million immigrants who are in the country without legal status. Biden’s legislation does not include money to support detention and deportation. Previous immigration bills passed under both Democratic and Republican administrations linked an expansion of immigration with stepped-up enforcement and security measures. CONTINUED: The bill would provide a shorter pathway to citizenship for people with Temporary Protected Status, for Deferred Action for Childhood Arrival (DACA) recipients and likely also for certain frontline essential workers, vast numbers of whom are immigrants. Biden’s proposal would be the most sweeping and comprehensive immigration package since President Reagan’s in 1986 Immigrants would become eligible for legal permanent residence after 5 years and wait 3 more years for U.S. citizenship. After Joe is sworn-in as president, how long will it be before he gives way to Kamala? What say you? A year and half? Two and half years at best? WATCH: https://twitter.com/FogCityMidge/status/1344038317134905346?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1344038317134905346%7Ctwgr%5E%7Ctwcon%5Es1_&ref_url=https%3A%2F%2Ftherightscoop.com%2Fwatch-joe-biden-is-still-calling-kamala-president%2F Here’s Commiela getting the shot… https://twitter.com/realDailyWire/status/1343963218583031808

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Massive Migrant Caravan Storms Through Guatemala Border En Route to America (Video)

Here we go again…

John Salvatore

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They’re baaaaaacccckkkkk. Except this time, the United States doesn’t have a strong, pro-American leader in the White House to stop them. Instead, we’re all stuck with beta male Joe and alpha woman Kamala. Lucky us. From New York Post: Guatemalan authorities have detained hundreds of Honduran migrants from the caravan including families with young children, though thousands of others were able to breach border security and continue their march northward, Reuters reported. “We are going to leave the country, to ask for help wherever they receive us,” one migrant told The Associated Press. Some 6,500 souls are on the move, fleeing poverty and political corruption in the hope of ultimately finding a better life in the United States. WATCH: https://twitter.com/thehill/status/1350537555872280576?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1350537555872280576%7Ctwgr%5E%7Ctwcon%5Es1_&ref_url=https%3A%2F%2Ftherightscoop.com%2Fmigrant-caravan-on-its-way-here-expects-biden-to-honor-his-commitment-to-them%2F https://twitter.com/MailOnline/status/1350268762453372930?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1350270001027055617%7Ctwgr%5E%7Ctwcon%5Es1_&ref_url=https%3A%2F%2Ftherightscoop.com%2Fmigrant-caravan-on-its-way-here-expects-biden-to-honor-his-commitment-to-them%2F Here we go again…

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