Former Louisiana governor (also former HHS secretary) Bobby Jindal and Charlie Katebi wrote an editorial in the Washington Examiner explaining how to rein-in high drug costs. To start with they don’t like the Inflation Reduction Act (IRA). President Biden championed the IRA as a way for Medicare to lower drug costs for a small, insignificant number of hyper expensive drugs. For the uninitiated, the IRA allows Medicare to identify 10 high-cost drugs and negotiate the cost down, using punitive excise taxes if drug companies refuse. Jindal and Katebi have a point. The IRAs price negotiation formula is a Rube Goldberg-type of policy mechanism that only Democrats’ legislative writers would think up.
Author: Devon Herrick
Dr. ChatGPT Outperforms Dr. Google
Have you ever consulted Dr. Google? When I first began researching Internet-based medicine 25 years ago everyone was amazed that something like 100 million people per year were searching the Internet for health information. It is hard to overstate the importance of the Internet to learn more about one’s own health conditions. In the early days doctors hated it. Articles appeared in medical journals lamenting all the misinformation patients would encounter and the waste of doctors’ time discussing or refuting what their patients found. Looking back these fears seem ludicrous. Respected health care systems, like Mayo Clinic and Cleveland Clinic, sponsor websites that provide basic but useful information about health and medicine.
Insurers are Marking Up Drugs that Should be Cheap
Why do people buy health insurance? The most often cited reason is to transfer the risk of illness to a third party by paying a premium. University of Minnesota economist John Nyman has studied this for many years. He argues that people buy health insurance as an income transfer in the event they become sick. People who are ill often lose their income and health insurance pays a benefit that patients would use their income on. A commenter on the NCPA Health Blog a few years ago said he believed that people buy health insurance for the negotiated discounts. That makes a lot of sense.
Why Health Care is Not Competitive and How to Fix It
Technology is a significant driver of high health care spending. For instance, many treatments common today were not available 50, 40 or even 30 years ago. There are far more drugs and medical procedures than there were in the 1990s when I first began studying health care. Yet, treatments and therapies that have been in use for decades are still quite expensive. In typical consumer markets, the quality of technology gets progressively better while the inflation-adjusted prices often falls as older technology is surpassed by newer technology. This is especially true of consumer electronics but also true of automobiles, appliances and other types of consumer goods.