Access to Innovation

Authors

  • Peter J. Pitts President, Center for Medicine in the Public Interest

DOI:

https://doi.org/10.5912/jcb684

Keywords:

Innovation, Access, Adherence, Outcomes, Patient-Centric Care, Responsibility, Investment, Regulatory Science, QALY, Value-Based Insurance Design

Abstract

Healthcare innovation saves lives, saves money, promotes economic growth, and provides hope for hundreds of millions of people (both patients and care-givers) in the United States and around the world. But innovation isn’t easy.

There are many roadblocks beyond those of discovery and development. The complicated and conflicting dynamics of politics, perspectives on healthcare economics, of friction between payers, providers, manufacturers, and regulators, the battle for better patient education, and the need for a more forceful and factual debate over the value of innovation all create the need for a more balanced and robust debate.

Should we blame our skewed priorities? American healthcare often works miracles when people become very ill, but it needs to do a better job with preventive care. Equally to blame is the fact that we spend a disproportionate amount of our healthcare budget for end-of-life care.

Rather than tangle up the already volatile healthcare debate in ethical arguments over whose life is worth more, it would be smarter to shift the focus to keeping people healthier longer. Earlier diagnosis and care are crucial to the future health of both Americans and American healthcare—and pharma has a starring role here.

We cannot afford, in terms of dollars or lives, to continue the blame game. In order to deliver on the promise of affordable and quality healthcare for all citizens, all the players in the healthcare debate must work together. At the end of the day, we should unite against our common enemy—disease.

And our most potent weapon in innovation.

Author Biography

  • Peter J. Pitts, President, Center for Medicine in the Public Interest
    Peter J. Pitts, a former FDA Associate Commissioner, is President of the Center for Medicine in the Public Interest.

References

http://visualeconomics.creditloan.com/100-years-of-consumer-spending/

http://economistsview.typepad.com/economistsview/2007/11/mankiw-beyond-t.html

http://www.nytimes.com/2010/08/19/health/19alzheimers.html?_r=0

http://www.innovation.org/index.cfm/insidedrugdiscovery

http://csdd.tufts.edu/

http://www.washingtontimes.com/news/2008/may/12/health-care-realities/

Ibid

http://www.econ.yale.edu/~nordhaus/.../health_nber_1.doc

http://www.ashpmedia.org/AJHP/DrugExpenditures-2014.pdf

http://www.nytimes.com/2014/07/24/business/sales-of-hepatitis-c-drug-sovaldi-soar.html

http://www.reuters.com/article/2014/05/28/us-usa-healthcare-hepatitisc-insight-idUSKBN0E80AZ20140528

http://www.drugs.com/clinical_trials/pegasys-proven-effective-hepatitis-c-latino-patients-according-article-new-england-journal-medicine-6620.html

http://www.healio.com/gastroenterology/curbside-consultation/%7Ba8b9ec89-2c79-4696-a702-84e9fad15233%7D/what-is-the-likelihood-t

http://www.focr.org/news/inside-health-policy-fda-drug-chief-drug-cures-progress-could-require-down-payment

http://www.pwc.com/us/en/health-industries/behind-the-numbers/specialty-drugs.jhtml

http://thomas.loc.gov/cgi-bin/query/z?c111:H.R.3200:

http://www.sph.umich.edu/vbidcenter/registry/pdfs/NPC_VBIDreport_7-22-09.pdf

http://www.stockholm-network.org/downloads/events/Lichtenberg.pdf

http://fortune.com/?s=why-were-losing-the-war-on-cancer%2F

http://www.nejm.org/doi/full/10.1056/NEJM199705293362206

http://www.researchgate.net/publication/46555895_Are_Increasing_5-Year_Survival_Rates_Evidence_of_Success_Against_Cancer_A_Reexamination_Using_Data_from_the_U.S._and_Australia/file/e0b49521388f04d272.pdf

Hartung DM, Ketchum KL, Haxby DG. An evaluation of Oregon's evidence-based Practitioner-Managed Prescription Drug Plan.Health Affairs 2006;25:1423-32.

http://www.wolterskluwerhealth.com/News/Pages/Symposium-Focuses-on-Disparities-in-Cardiovascular-Disease.aspx

http://www.healthpocket.com/healthcare-research/infostat/prescription-drug-coverage-and-affordable-care-act#.U_sp9UgQGiw

http://www.csro.info/

http://www.bemedicinesmart.org/Medication_Adherence_Fact%20Sheet.pdf

http://www.burrillreport.com/printer_article-facing_an_adherence_and_compliance_gap.html

http://www.adherenthealth.com/whatsnew/index.php

https://www.linkedin.com/pulse/article/20140612143605-322581966-why-society-needs-a-vibrant-pharmaceutical-industry-improving-patients-lives

http://www.innovation.org/index.cfm/insidedrugdiscovery

http://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Market-Reforms/Review-of-Insurance-Rates.html

http://www.cdc.gov/nchs/data/nhsr/nhsr007.pdf

http://www.ibiweb.org/community-events/detail/more-evidence-that-improving-health-can-improve-productivity

Published

2015-01-01

Issue

Section

From the Boardroom