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Title : More On The Democratic Role D Drug Negotiation Debate

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More On The Democratic Role D Drug Negotiation Debate

A friend inward big pharma responded to my before post on Part D disagreeing amongst me that the Democratic proposal is non a threat to the drug industry.

He made ii points:

• The Dem neb does non forestall the authorities from requiring each in addition to every excogitation to prior authorize a medicine for which it is unable to negotiate an "acceptable" price. They come across such restrictions equally possible because this would non hold upward a formulary.
• They worry that CMS might, past times regulation, determine that to participate a PDP must follow a cost schedule. They come across this equally possible because the Dem neb eliminates the prohibition against a cost schedule.

My feel is that the 3 page Dem neb says goose egg almost whatever of this in addition to it powerfulness hold upward possible for a time to come Democratic direction to hold upward expansive inward the means it interprets whatever of this. And perhaps not.

However, I yet keep that the existent threat to pharma is from the big marketplace portion HMOs that produce possess got the marketplace clout in addition to tin found a formulary likewise equally a co-payment construction that should scare pharma a whole lot to a greater extent than than what a time to come Democrat CMS administrator powerfulness dream up. Any interpretation of this neb falls brusque of what the HMOs tin at in 1 lawsuit produce without asking.

In the end, my feel is that pharma is scared, in addition to should be, because of the "camel's olfactory organ nether the tent" this neb creates to a greater extent than than whatever short-term run a endangerment it creates.

But, pharma should hold upward a lot to a greater extent than afraid of what the big HMOs tin already produce similar the charge per unit of measurement of generic take-up that mortal plans, including PDPs, possess got been effective inward steering.

This 3 page House Democratic bill is niggling to a greater extent than than a hollow political proposal. If it were serious, it would hold upward to a greater extent than than 3 pages long! I can't retrieve the final fourth dimension I saw a 3 page neb (the ones that refer a postal service run are longer).

The House volition travel past times this, the Dems volition celebrate, it volition larn to the Senate, in addition to it volition die. If the Dems are actually lucky (and the Republicans are stupid) a Republican senator volition seat a "hold" on the neb in addition to the Democrats tin blame the Republicans for siding amongst the big drug companies in addition to against grandma.

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