By: Dennis Cauchon, USA TODAY
Every industrialized Country -
except the United States - imposes some form of price controls on
prescription drugs.* As the lone holdout,
the United States pays the price, literally. U.S. consumers
subsidize research and development for the world as well as the
pharmaceutical industries substantial profits. Fortune
magazine ranked the pharmaceutical business as the most profitable
of all industries last year when measured by returns on equity, sales
and assets.
"Pharmaceutical
companies use the U.S. as their safety valve," says Alan Sager, head of
the Access and Affordability Project at Boston University's School of
Public Health. "If other countries negotiate or regulate to win lower
prices, drug makers raise their prices on the hapless American consumer.
Our pockets are being picked."
In a typical
price-control program, pharmaceutical companies are required to report
what they charge in certain countries. Then the government demands the
average or the lowest price charged in the comparison countries. This
policy of linking prices among countries has resulted in a
quasi-international price for most drugs - and a separate U.S. Price.
"It's quite a
different mindset over here in Europe than in the U.S.," says Richard
Marsh, head of the American Pharmaceutical Group, a London based trade
group that represents U.S. companies. "It's two different worlds."
Read the Official US Government Policy (Click Here)
Drug
Industry Most Profitable, Survey Finds.*
Updated: Thursday, Nov 29 7:02 PM
EST
By Maggie Fox, Health and
Science Correspondent
WASHINGTON
(Reuters) - The drug industry, which spends more than any other industry
on consumer advertising, is also the most profitable, researchers said
on Thursday.
The Kaiser Family Foundation, a non-profit organization that does
research into health and family issues, said Americans are buying more
and more drugs and are spending more and more for them. "Compared to
other industries, the pharmaceutical sector continues to earn the
highest profit rates," the report, available online at http://www.kff.org,
reads.
"Profits as a percent of revenues for the pharmaceutical industry
have been more than four times the median rate for all Fortune 500 firms
in the late 1990s (18.6 percent of revenues compared to 4.5 percent for
all Fortune 500 firms in 2000.)"
The foundation's Larry Levitt, who helped direct the study, said
Americans fill 3 billion prescriptions a year, or 11 per person on
average. "We now spend $117 billion a year on drugs," Levitt told a news
conference. "We are taking more drugs," he added. Meanwhile,
pharmaceutical companies are developing more and more prescription
drugs. "As these new drugs come on the market, the average prices of
drugs continues to go up," Levitt said. He said all 20 top-selling drugs
are brand-name. "The result is the average price of a prescription is
now $45 -- double what it was 10 years ago."
This is triple the average generic price. "So efforts to encourage
the use of generics have not helped a great deal and in fact may have
failed in reducing costs," Levitt said. Costs may be increasing due in
part to the huge amount that companies spend advertising their drugs to
potential patients and promoting them to doctors, Levitt said.
"Since 1996 the amount spent on drug ads has more than tripled," he
said.
He said drug companies spent $15.7 billion promoting drugs in 2000,
or 14 percent of revenues. That compared to 3.7 percent of sales
revenues spent on promotion by department stores, 3.9 percent for
tobacco products, 10.7 percent for soap and detergent and 12 percent for
games and toys.
"Drugs are among the more promotion-intensive products," Levitt
said. "In terms of promotional intensity, drugs look most similar to
toys and dolls."
The report found that drug companies spend only 14 percent of
revenues on research and development, although drug companies often
argue that drugs are expensive because they cost so much to develop.
"Profits also exceeded R and D (24 percent compared to 14
percent)," the report reads.
But Americans, and their insurance companies, are buying and will
probably continue to do so as the population ages.
"National spending for prescription drugs, projected to be $116.9
billion in 2000, has almost tripled since 1990," the report reads.
"Although prescription drugs represent only 10 percent of personal
health care spending, they are the fastest growing segment of health
care spending, accounting for 20 percent of the estimated increase in
such spending between 1999 and 2000," it says.
New Reports Show
Impact of Direct-to-Consumer Advertising and Trends in Prescription Drug
Spending and Utilization.*
National spending on
prescription drugs is the fastest growing segment of health care
spending, accounting for 20% of the estimated increase in such spending
between 1999 and 2000. Spending on advertising directly to consumers
increased nine-fold from $266 million in 1994 to nearly $2.5 billion in
2000, largely due to growth in television advertising (13% of
direct-to-consumer spending in 1994, rising to 64% in 2000). A new
survey report finds that nearly one in three adults has talked to a
doctor and one in eight has received a prescription in response to a
seeing an ad for a prescription drug and provides information on how
consumers react to seeing various ads. A separate report outlines trends
in prescription drug expenditures and factors driving their growth and
prescription drug utilization, including types of drugs used.
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*The articles above have been edited for brevity.