Dr. Michael Chernew Discusses Trump Drug Pricing Plan in Managed Care Cast, an AJMC® Podcast
Harvard healthcare economist
Chernew discusses the administration blueprint, American Patients First, for Managed Care Cast, the AJMC® podcast series, which can be accessed here.
The problem of rising drug prices remains unresolved because stakeholders have not reached an agreement on a mechanism to address competing needs: drug prices must be high enough to encourage innovation, but there must be a way to make drugs accessible to those who need them. The centralized government control that some seek—which President
“We are always trying to balance innovation with affordability,” he says. “What I think we are hearing politically in this country is that people want more emphasis on affordability and less emphasis on innovation—or at least people believe they can have more affordability with the same amount of innovation.” Chernew, however, has his doubts.
Overall, Chernew agrees that the plan does go as far as it could have, but elements that promote competition and seek to end abuses of the patent system are important. The decision to forego giving Medicare power to negotiate directly with drug makers is the plan’s most noteworthy feature, given Trump’s promises as a candidate.
“These may be weaker solutions than many would like,” Chernew says. “If it turns out they don’t address the problem effectively, this won’t be the last word on how we are going to deal with high drug prices and high medical spending more broadly.”
Managed Care Cast interviews policy leaders, newsmakers, and authors whose research appears in
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