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Drug shortages are a constant worry for
the US healthcare system.
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Researchers looked at
prices of drugs under shortage from 2015 to 2016 and found that manufacturers
increased their pricesalmost double the expected rate in
absence of a shortage.
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Though no clear
reasoning was found behind the price increases, researchers suspect that
manufacturers opportunistically priced these drugs due to high demand.
Drug
shortages are a constant problem burdening the US healthcare system.
Earlier this year, hospitals starting running
out of epidurals, typically administered to women when they give birth. That's
adding to the aftermath of last year's Hurricane Maria, which disrupted the
supply of saline and other intravenous fluids.
A new study published by researchers from
the University of Pittsburgh School of Pharmacy, UPMC Health Plan and Harvard
Medical School in Annals of Internal Medicine found that on average the prices
of drugs increased more than twice their usual rate.
No
clear reasoning was found behind why the prices increased so drastically, but
researchers suspect that manufacturers were exploiting shortages to charge more
for drugs in high demand. The study also found that that prices rose even
faster for drugs where there was less competition.
To
conduct the study, researchers looked at prices for 917 drugs under shortage
between 2015 and 2016 using the FDA's shortage database.
Prescription
drug shortages can cause health systems to use less effective drugs as
substitutions or reduce doses and reserve supply for only those in emergent
need. They can rack up an estimated $230 million in additional costs each year,
according to the study. This includes the rising prices of drugs under shortage
and the higher costs of alternatives.
Dr.
William Shrank, an author on the study, said there was no obvious rationale
behind the price hikes. Unless there are serious issues with the material or
production facility that requires higher costs, Shrank thinks that there should
be a cap to control the pricing on these drugs.
"It's
really a central, if not the central, public healthcare policy that we're
dealing with today," he said. "The price of drugs is rising faster
than all other sectors of the healthcare economy, and we're spending more on
drugs than we are on hospital care. It's a bipartisan issue that we're all
looking to address and tackle."
The
issue of high drug prices has been at the center of the Trump Administration's
healthcare agenda, ever since President Donald Trump said last year that
pharmaceutical companies are "getting away with murder" in terms of
what they charge for medicine. The administration laid out a blueprint in May specifically
to tackle drug pricing.
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