The Soapbox

111Balz

Joined: 08/13/1998 Posts: 59884
Likes: 57440


OK here’s one example why what you linked is trash. The writer asserts that


Joe’s claim that negotiation by the government through Medicare with drug companies could save hundreds of billions of dollars was a lie because the CBO said it would be a negligible impact.
I am copying and pasting from the CBO report read the whole thing. You’re more than smart enough to understand that the CBA’s response was to a very narrow question. In fact, they say it could be a substantial reduction in price for some drugs. It also explains the limits it put upon the governments authority in such a negotiation and its answer. It doesn’t prove Joe was lying in any shape, form or description.
“If the Secretary was given authority to negotiate by Congress and used that authority, would it be possible to obtain savings in Medicare?
The key factor in determining whether negotiations would lead to price reductions is the leverage that the Secretary would have to secure larger price concessions from drug manufacturers than competing PDPs currently obtain. Negotiation is likely to be effective only if it is accompanied by some source of pressure on drug manufacturers to secure price concessions. For example, authority to establish a formulary could be a source of pressure. In the absence of such pressure, the Secretary’s ability to issue credible threats or take other actions in an effort to obtain significant discounts would be limited. Thus, CBO concluded that providing broad negotiating authority by itself would likely have a negligible effect on federal spending.
Could negotiating by the Secretary over drug prices obtain savings for the Medicare program if those negotiations were limited to selective instances?
The authority to engage in negotiations limited to a few selected drugs or types of drugs under exceptional circumstances could potentially generate cost savings. For example, negotiations could be focused on drugs with no close substitutes or those with relatively high prices under Medicare that are needed to address a public health emergency.
In such cases, CBO expects that the effect of the Secretary’s actions—if he or she took advantage of the new authority—would primarily reflect the use of the “bully pulpit” to pressure drug manufacturers into reducing prices. Thus, CBO concluded that the overall impact on federal spending from negotiations targeted at selected drugs would be modest. Beyond that general conclusion, the precise effect of any specific proposal would depend importantly on its details.”

(In response to this post by Mad Bowl Hoo)

Posted: 03/22/2024 at 08:36AM



+1

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