If national health insurance becomes a reality, what options should
be considered for the coverage of prescription drugs? The
authors-whose Pills, Profits, and Politics has had a dramatic
effect on physicians, pharmacists, patients, and the drug industry
as well as on federal and state legislators-insist that the major
objective must be the best possible health care. But holding down
costs to patients and taxpayers must also be a goal. To complicate
matters further, the advantage of each likely option-including
price controls, the use of formularies, drug utilization review,
patient cost-sharing, and the use of low-cost, generic-name
products-is offset by a disadvantage, even a danger. If drug prices
are slashed too much, the industry will lose many of its incentives
to develop better drugs for the future. Particular attention is
focused on the so-called drug lag-the lengthy delays in licensing
of new drugs, even after they have been used with apparently good
results in other countries. Pills and the Public Purse also
addresses the seldom-appreciated fact that investing tax dollars in
needed drugs may save taxpayers in the long run by minimizing
unnecessary physician visits and hospitalization. Pills and the
Public Purse challenges Congress and such agencies as the Food and
Drug Administration and the Health Care Financing Administration to
enact policies that put the interests of the public before those of
government, industry, physicians, and pharmacists. This title is
part of UC Press's Voices Revived program, which commemorates
University of California Press's mission to seek out and cultivate
the brightest minds and give them voice, reach, and impact. Drawing
on a backlist dating to 1893, Voices Revived makes high-quality,
peer-reviewed scholarship accessible once again using
print-on-demand technology. This title was originally published in
1981.
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