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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:

Trending: Black Man Brutally Attacks Mexican Woman He Thinks is Asian

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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Black Man Brutally Attacks Mexican Woman He Thinks is Asian

A black man brutally beat an elderly Mexican-American woman on an L.A. bus reportedly because he thought she was an Asian woman.

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A black man brutally beat an elderly Mexican-American woman on an L.A. bus reportedly because he thought she was an Asian woman. A 70-year-old woman of Mexican heritage was riding on an L.A. bus last week when, according to police, 23-year-old Yasmine Beasley attacked her. The victim’s family says that the attacker yelled an Asian slur at her as he attacked. “The victim’s son reportedly says that a female passenger, described as ‘black,’ called his mother an anti-Asian slur and then attacked her,” according to a report by KTLA. The woman’s family says that the man beat her in the face, severely hurt her lag, and pulled out some of her hair. Photos of the woman shows her face is heavily bruised. Per the station: The Mexican American victim was profiled as Asian by her attacker, who hurled a racial epithet used against people of Chinese descent before attacking the grandmother as she got off the bus to go grocery shopping, according to the son, who gave his name only as Pete. Beasley was charged with felony battery charges. Police reports show that Beasley is being held on a $130,000 bond and is due in court on Friday. Follow Warner Todd Huston on Facebook at: facebook.com/Warner.Todd.Huston.

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A Perfect Example How the Media Lies to Push a Left-Wing Agenda

Venture capitalist and novelist J.D. Vance has the perfect example of how the biased media lies to push their left-wing agenda.

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Venture capitalist and novelist J.D. Vance has the perfect example of how the biased media lies to push their left-wing agenda. Vance, who wrote the popular book Hillbilly Elegy, reports that he decided to quit the board of directors of Kentucky green energy company AppHarvest. But after he resigned, the left-wing media began pushing the fake news tale that he left the board under a cloud because Bloomberg caused the company to force him out. This claim that he was forced out is a provable lie. But despite the truth, outlets including the Cincinnati Enquirer, The Lexington Herald Leader, The New York Post, Bloomberg and the Associated Press and more all pushed the lie as if it was incontrovertible fact. Bloomberg claimed that Vance was forced out because he posted “controversial tweets” which had prompted the Bloomberg to ask AppHarvest to account for Vance’s tweets. But this is false. Vance did post tweets that leftists would find “controversial,” but they were posted after he left the company. Vance finally went to Twitter to describe how the left-wing media lied about the situation. “Alright, here’s a story about how the media often shapes narratives instead of reporting the truth, and how a small untruth can morph into a lie that’s repeated again and again throughout the media bubble,” Vance wrote Friday on Twitter. Read this Twitter thread… https://twitter.com/JDVance1/status/1383063817907699713 https://twitter.com/JDVance1/status/1383063819551862785 https://twitter.com/JDVance1/status/1383063821355388933 https://twitter.com/JDVance1/status/1383063823016288259 https://twitter.com/JDVance1/status/1383063824685703176 https://twitter.com/Debbie51351/status/1383069525340344333 Follow Warner Todd Huston on Facebook at: facebook.com/Warner.Todd.Huston.

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