The Federal Trade Commission (FTC) is scrutinizing mergers more carefully than in the past. The federal agency is currently trying to block a merger between Amgen and Horizon Therapeutics.
In its lawsuit, the FTC said that if it allowed Amgen’s $27.8 billion purchase to go through, Amgen could pressure the companies that manage access to prescription drugs — pharmacy benefit managers, or PBMs — to boost the two extremely expensive Horizon products in a way that would inhibit any competition.
When Covid first began to spread it was difficult for patients to obtain Covid tests without going to an emergency room. When tests first became widely available there were drive-through testing centers with lines that snaked for blocks. When my wife began to feel ill in January of 2021, I made her an appointment for a Covid test at a Walmart Neighborhood Market pharmacy. The soonest appointment available was eight days away. We pulled up to the drive-through window and a pharmacy technician gave us the sealed swab and instructed my wife how to use it. My wife sealed it in the appropriate bag and deposited it in an adjacent laboratory collection box outside the drive-through. The results were relayed to us by phone a day or two later.
Covid changed everything. It has been three years since a mysterious virus began spreading around the globe and throughout the United States. From March of 2020 through August of that same year aggressive measures were put in place by the CDC to prevent the spread of Covid. As the pandemic took hold, lockdowns began. Non-essential businesses closed and there were strict criteria determining which could remain open while all others were shuttered. Schools and daycares closed, kids sheltered at home and did schoolwork over zoom.
In was the dawn of the 21st Century when untreated pain became a public health priority. In 1990 Dr. Mitchel Max, then president of the American Pain Society, authored an editorial in the Annals of Internal Medicine lamenting the lack of progress treating pain over the previous two decades. Within a few years Joint Commission jumped on the bandwagon and published Pain: The Fifth Vital Sign. Thus began America’s experiment in aggressive pain treatment and its descent into opioid addiction and overdose deaths.