Morning Briefing
Summaries of health policy coverage from major news organizations
Perspectives: The Dream For Curing Cancer Now A Reality, But Costs Stand In The Way
When I was training as an oncologist nearly three decades ago, we dreamed of curing cancer. Today, advances in cellular immunotherapy make it no longer a dream: A cure for cancer has become possible, even probable. But tragically, the costs of these drug therapies are so high that the American health care system can鈥檛 afford them. A potential revolution in cancer care may be stymied by the high price of drugs, which suggests that we need to reconsider how we price them. (Ezekiel Emanuel, 9/20)
Last week, the High Court of England and Wales announced a momentous decision: It invalidated the pharmaceutical company Gilead鈥檚 patent on Truvada, opening the way to generic competition. Truvada, a combination of two drugs, is one of the world鈥檚 most-used H.I.V. medicines. For treating H.I.V., it鈥檚 used along with a third drug. But many H.I.V.-negative people also take Truvada daily as a preventive. That鈥檚 called pre-exposure prophylaxis, or PrEP.In the United States, Truvada is available only as a brand-name drug. It costs $20,000 a year. (Tina Rosenberg, 9/25)
When聽medical breakthroughs are announced, they often affect a surprisingly small number of people.聽Many聽new drugs these聽days are targeting聽rare diseases or聽niche patient groups, and their impact is further restricted by price.聽Monday鈥檚 results from Amarin Corp.鈥檚 test聽of purified fish oil Vascepa in people at risk for heart diseases are an exception 鈥� and one聽more likely than any recent drug outcome聽to affect the average person reading this column. (Max Nisen, 9/24)
The United Nations General Assembly might be best known for causing several days of traffic jams in midtown New York City. But this year, for the first time ever, one of the days will be devoted to tuberculosis. On September 26, heads of state and other leaders (Bill Gates is filling the U.S. speaker slot) will make comments, unveil a grand plan to fight TB, and share the funding commitments and other concrete steps that each country will take to fulfill an already-made pledge to beat back TB. The drugs to fight the disease are also improving. Bedaquiline and another new medicine, delamanid, are the first new TB drugs in over 40 years 鈥� yes, 40 years. Thanks largely to government incentives, they were developed, approved for use, and made widely available in 2015. (Paul Farmer and Lelio Marmora, 9/26)
With just six weeks to go until the midterm elections, candidates from both parties are looking for wedge issues to turn out support. Democrats hope that prescription drug prices are one of those issues. House Minority Leader Nancy Pelosi has instructed her colleagues to campaign on a three point plan of President Trump, the economy, and health care costs 鈥� specifically the cost of prescription drugs. Missouri Sen. Claire McCaskill, one of the most vulnerable Democratic Senators, has made prescription drug prices her signature issue. "I鈥檓 going after the pharmaceutical companies," she says. (Terry Wilcox, 9/24)
While walking through the duty-free at Dulles International Airport in Washington, D.C., I happened upon the price tag of an imported French purse. Looking around, I wondered how many travelers could afford a $2,000 handbag. At the gate, I found a seat and logged on to the internet, where I happened upon a story about the CEO of Nostrum Laboratories, Nirmal Mulye. In an interview, Mr. Mulye explained why he raised the price of an antibiotic by more than 400%, from under $500 to over $2,000. (Pear, 9/24)
Investors in Elanco Animal Health Inc. 鈥斅爐he unit聽of Eli Lilly & Co., which聽went public on Thursday 鈥� are hoping for some of that Zoetis Inc. magic. And no wonder: Zoetis,聽too, is a former big pharma animal-health unit (of Pfizer Inc.),聽and has been a huge聽success since its own IPO in 2013, rising聽nearly 250 percent.聽But cosmetic similarity and IPO-day excitement may be causing an excess of optimism. (Max Nisen, 9/20)