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The frustration of watching for over 20 years as rip offs disguised under a prescription label went out the pharmacy door has built up like lava under Krakatoa and I'm finally calling it.... Pharmaceutical manufacturers never hesitate to tell you prescription prices are so high because of the staggering costs involved in researching and developing new medicines. The truth is though, that while it does cost big bucks to bring a truly innovative product to market, pharmacy shelves are also stocked with blatant rip offs. Tiny manipulations of prescription strengths that make them no more effective but incredibly more expensive. Combination pills of meds that have been available separately for years treated as if they were a new product. A topical foam that contains the same product as a cream but is priced over a hundred dollars more. A glaucoma medicine that is repackaged with a little brush and sold, for more money, as an eyelash thickener. Even, in some cases, medicines that are less effective or even more dangerous than cheaper alternatives, but are promoted as the next new breakthrough. My plan with this book is to help empower you to become a smarter health care consumer by arming you with facts the pharmaceutical industry doesn't want you to know. Remember, your goal as a patient is to get better, while the goal of the drug company is to collect each and every last dollar it can. Sometimes those goals coincide, but many times they do not, so it can pay handsomely to do some research before getting that prescription filled. I wrote this book to give you an idea what could be at stake. Good luck.
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Thanks to remarkable advances in modern health care attributable to science, engineering, and medicine, it is now possible to cure or manage illnesses that were long deemed untreatable. At the same time, however, the United States is facing the vexing challenge of a seemingly uncontrolled rise in the cost of health care. Total medical expenditures are rapidly approaching 20 percent of the gross domestic product and are crowding out other priorities of national importance. The use of increasingly expensive prescription drugs is a significant part of this problem, making the cost of biopharmaceuticals a serious national concern with broad political implications. Especially with the highly visible and very large price increases for prescription drugs that have occurred in recent years, finding a way to make prescription medicinesâ€"and health care at largeâ€"more affordable for everyone has become a socioeconomic imperative. Affordability is a complex function of factors, including not just the prices of the drugs themselves, but also the details of an individual's insurance coverage and the number of medical conditions that an individual or family confronts. Therefore, any solution to the affordability issue will require considering all of these factors together. The current high and increasing costs of prescription drugsâ€"coupled with the broader trends in overall health care costsâ€"is unsustainable to society as a whole. Making Medicines Affordable examines patient access to affordable and effective therapies, with emphasis on drug pricing, inflation in the cost of drugs, and insurance design. This report explores structural and policy factors influencing drug pricing, drug access programs, the emerging role of comparative effectiveness assessments in payment policies, changing finances of medical practice with regard to drug costs and reimbursement, and measures to prevent drug shortages and foster continued innovation in drug development. It makes recommendations for policy actions that could address drug price trends, improve patient access to affordable and effective treatments, and encourage innovations that address significant needs in health care.