Thursday, September 23, 2021

Biden's War on Profits

President Biden's programs and their fiscal ramifications
have inflationary tones; indeed, economists are saying that
inflation is currently making a comeback. 

But our president, in order to shore up support for his 
economic agenda, is looking for scapegoats for to palm
off the blame onto. He has found such a choice in the
pharmaceutical industry. Now, your faithful Peasant has
his own criticisms of that particular industry, but here I 
find Biden's accusations to be quite meritless. Claiming
that the pharma firms are "jacking up prices", he is 
castigating the very companies that have produced the 
vaccines and treatments (in record time yet!) that are
saving people the world over from the Coronovirus
pandemic. Making a pitch for his drug price controls,
he claims that we Americans "... pay the highest pre-
scription drug costs of any developed nation in the 
world." While he is right on this point, he must realize
that we also get access to more and better treatments 
sooner than in the other developed countries. And 
his fiscal initiatives will certainly have an adverse effect
on drug prices, among other goods and services. 

The profits that the pharma firms make make research 
and development into new treatments possible. In the 
meantime, drug prices have been declining thanks to
increased competition. Prescription drug prices have 
dropped 2.6% over 2020 while the consumer-price 
index increased 5.4%. Also keep in mind (a pity that
Biden doesn't) that Medicare already negotiates over 
prescription drug prices, which is why some consumers
aren't seeing the price cuts.

Private insurers that manage Medicare Part D plans demand
rebates from the pharma folks to place their medicines on 
formularies. Then the insurers use the rebates to reduce 
premiums for all beneficiaries. The result of all this:
drug makers raise their list prices, making some beneficiaries
with higher deductibles and coinsurance pay more out of
pocket for some drugs. 

However, a recent study by IQVIA discovered that net prices
after rebates for brand medicines declined 2.9% in 2020. 
Per capita-wise, real net spending on drugs in the U.S. 
increased by a mere 0.5% annually over the past decade 
even as higher-cost treatments have been approved.

President Biden wants to get rid of the profits that make 
possible the incentive to innovate. Large pharmaceutical 
firms invested $91 billion in new treatments in 2020.
The Coronovirus pandemic proved that the benefits in 
lives saved are a magnificent profit in another, more 
dear currency. Pity all this is lost on our president.


MEM

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