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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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Bill Clinton Secretly Met With Jeffrey Epstein Madam Ghislaine Maxwell In 2014 — Details

Curiouser and curiouser…

John Salvatore

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Had Jeffrey Epstein not been killed committed suicide, there’s a decent chance he would’ve spilled some shocking information on Bill Clinton and other high-profile, big-name celebrities, in exchange for a lighter sentence. The world will never see that happen. However, more and more information continues to leak about the former president’s relationship to the convicted pedophile and his madam. From The Daily Wire: Former Democrat President Bill Clinton reportedly had an “intimate dinner” with accused child sex trafficker Ghislaine Maxwell in 2014, years after she had been accused of procuring minors for alleged child sex trafficker Jeffery Epstein. The dinner happened at Crossroads Kitchen, a high-end vegan restaurant in Los Angeles, according to a report from The Daily Beast, which noted that several other high profile individuals were there after being invited. VIDEO: https://www.youtube.com/watch?v=eS8aIa0h25s The craziest things seem to happen to people with dirt on Bill and Hillary, don’t they? On the night Slick Willy spoke at the 2020 Democrat National Convention, photos were released showing him getting massaged from an Epstein victim. And by victim, most likely sex slave. From Daily Mail: Bill Clinton grins with pleasure as he enjoys an intimate neck massage with a young Jeffrey Epstein victim in never-before-seen photographs obtained exclusively by DailyMail.com. […] Clinton traveled numerous times on the dead pedophile’s private Jet, the Lolita Express, socialized with his alleged Madame, Ghislaine Maxwell, and faced a slew of sexual misconduct accusations himself during his years in public life. LOOK:

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ESPN Host: ‘Right-Wing Extremists’ Are the Ones Responsible for Violent Riots We’ve Seen

LOL, this guy…

John Salvatore

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ESPN’s First Take morning show features two outspoken liberal hosts, Max Kellerman and Stephen A. Smith. Neither man is afraid of talking politics on their sports show, despite Americans constantly telling people to leave politics out of sports. If you’re a boxing fan, you know who Kellerman is. The guy is very knowledgable and knows the sport inside and out. Unfortunately, Max often times lashes out and shows the nation just how clueless he is when it comes to politics. On Tuesday, Max decided to go after right-wingers with a claim so ridiculous that you can’t really do much but laugh. WATCH: https://twitter.com/dhookstead/status/1308451193962729473?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1308451193962729473%7Ctwgr%5Eshare_3&ref_url=https%3A%2F%2Fwww.weaselzippers.us%2F You either love or hate Skip Bayless, if you listen to sports talk radio. He’s a character, to be certain. That being said, the former ESPN personality and current Fox Sports talking head has been around all things sports for decades. He knows people. He has connections. According to Skip, Los Angeles Lakers star LeBron James, who openly supported Hillary Clinton in 2016 and has been wildly critical of President Trump since he first took office, is considering running for president of the United States “some day.” You’d have to imagine based on popularity and his name alone, LeBron would snag quite a few votes – similarly to Republican Arnold Schwarzenegger when he ran for governor in blue California. LOOK: https://twitter.com/RealSkipBayless/status/1231091465050132480?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed&ref_url=https%3A%2F%2Ftrendingpolitics.com%2Fsports-host-says-lebron-james-has-seriously-considered-running-for-president%2F

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