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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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Ocasio-Cortez Says Democrat Party Is A ‘Center-Conservative Party’ — Not A ‘Left Party’

Yes, she actually said these words…

John Salvatore

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Of all the absolutely ridiculous thoughts that come from the lips of freshman Democrat Socialist lawmaker Alexandria Ocasio-Cortez (NY), this sentence might just take the cake. Actually, it might just take the entire bakery. It’s as if AOC literally said the sun is the moon and the moon doesn’t exist. It is that stunning and blatantly ignorant. You know, it’s almost as if AOC legitimately has no clue about what she speaks. I wonder how liberals will feel about this. See for yourself, via Washington Examiner: Rep. Alexandria Ocasio-Cortez said the Democratic Party leans to the right of the political center. She said, “We don’t have a left party in the United States. The Democratic Party is not a left party. The Democratic Party is a center or center-conservative party.” AOC added, “We can’t even get a floor vote on Medicare for All, not even a floor vote that gets voted down. So, this is not a left party. There are a lot of true believers that we can ‘capitalism’ our way out of poverty in the Democratic Party. If anything, that’s probably the majority.” Reactions: https://twitter.com/bpjauburn/status/1219422563883016198?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1219422563883016198&ref_url=https%3A%2F%2Ftwitchy.com%2Fbrettt-3136%2F2020%2F01%2F20%2Faoc-democrats-are-center-conservative-and-believe-you-can-capitalism-your-way-out-of-poverty%2F https://twitter.com/ericsaid691/status/1219420015402856448?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1219420015402856448&ref_url=https%3A%2F%2Ftwitchy.com%2Fbrettt-3136%2F2020%2F01%2F20%2Faoc-democrats-are-center-conservative-and-believe-you-can-capitalism-your-way-out-of-poverty%2F https://twitter.com/thecheesefeed/status/1219397437837545473?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1219397437837545473&ref_url=https%3A%2F%2Ftwitchy.com%2Fbrettt-3136%2F2020%2F01%2F20%2Faoc-democrats-are-center-conservative-and-believe-you-can-capitalism-your-way-out-of-poverty%2F https://twitter.com/kalel1324/status/1219376539583774723?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1219376539583774723&ref_url=https%3A%2F%2Ftwitchy.com%2Fbrettt-3136%2F2020%2F01%2F20%2Faoc-democrats-are-center-conservative-and-believe-you-can-capitalism-your-way-out-of-poverty%2F https://twitter.com/MrSagacious/status/1219432046021500929?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1219432046021500929&ref_url=https%3A%2F%2Ftwitchy.com%2Fbrettt-3136%2F2020%2F01%2F20%2Faoc-democrats-are-center-conservative-and-believe-you-can-capitalism-your-way-out-of-poverty%2F https://twitter.com/NickKnox8/status/1219385743623249920?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1219385743623249920&ref_url=https%3A%2F%2Ftwitchy.com%2Fbrettt-3136%2F2020%2F01%2F20%2Faoc-democrats-are-center-conservative-and-believe-you-can-capitalism-your-way-out-of-poverty%2F https://twitter.com/mckenney1971/status/1219430553113501696?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1219430553113501696&ref_url=https%3A%2F%2Ftwitchy.com%2Fbrettt-3136%2F2020%2F01%2F20%2Faoc-democrats-are-center-conservative-and-believe-you-can-capitalism-your-way-out-of-poverty%2F President Ocasio-Cortez, anyone? Apparently, the far-left radical thinks about the idea. Could there be anything scarier for America? During a podcast interview, AOC admitted she thinks about running for POTUS “every once in a while.” AOC spoke with Yahoo! News’ Skullduggery podcast Sunday about a variety of issues, and the conversation eventually turned to her thoughts on the 2020 election and her own sights for higher office. AOC: “I don’t know, I really don’t know,” the freshman congresswoman said of her next steps in politics. “I think about it every once in a while but […] this is pretty hard already.” LISTEN: https://twitter.com/SkullduggeryPod/status/1117777587110129671?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1117777587110129671&ref_url=http%3A%2F%2Fwww.theamericanmirror.com%2Focasio-cortez-every-once-in-a-while-thinks-about-running-for-president-says-biden-doesnt-particularly-animate-her%2F H/T: Twitchy

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Jim Jordan & 7 Other House Conservatives Named to Trump’s Impeachment Team [Details]

How will Dems respond to this?

John Salvatore

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Reps. Jim Jordan (OH) and Lee Zeldin (NY) are two of the seven House Republicans appointed to President Trump’s impeachment team. Who are the other five? Let’s get into it, via The Hill: The White House announced Monday that President Trump appointed several prominent Republican House members to advise his impeachment defense team ahead of the Senate trial set to begin this week. GOP Reps. Jim Jordan (Ohio), John Ratcliffe Texas), Mike Johnson (La.), Mark Meadows (N.C.), Debbie Lesko (Ariz.), Lee Zeldin (N.Y.), Elise Stefanik (N.Y.) and Doug Collins are set to play leading roles. Continued: A statement from the White House said the lawmakers “have provided guidance to the White House team, which was prohibited from participating in the proceedings concocted by Democrats in the House of Representatives” throughout the House proceedings and would continue to do so in the Senate. At this rate, no matter how hard the left tries, it would appear Trump has 2020 all but in the bag. Great for America, bad for the left. But what’s bad in the eyes of the left is usually good for the left – they just can’t see it. Liberals. SMH. BREAKING: New leaked video from inside CNN: President Jeff Zucker tells employees to push “impeachment” and that all of CNN’s stories should be about “moves towards impeachment” One of CNN’s employees says Zucker has a “personal vendetta against Trump” https://twitter.com/RealSaavedra/status/1183780647522856960?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1183780647522856960&ref_url=https%3A%2F%2Fwww.weaselzippers.us%2F435181-project-veritas-video-cnns-jeff-zucker-directing-employees-to-push-impeachment%2F WATCH: Democrat Rep. Al Green says the impeachment of @realDonaldTrump is needed “to deal with slavery.” MSNBC’s Alex Witt “mmhhhmms” throughout the clip in agreement. https://twitter.com/SteveGuest/status/1203420159639277573?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1203420159639277573&ref_url=https%3A%2F%2Fwww.dailywire.com%2Fnews%2Fdemocrat-congressman-al-green-trump-must-be-impeached-to-deal-with-slavery Let them keep thinking Trump should be impeached. Let’s see how that plays out for them. As we’ve seen so far, it’s not going well. In fact, it’s going very poorly.

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