[HN Gopher] FTC Accuses Drug Middlemen of Inflating Insulin Prices
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       FTC Accuses Drug Middlemen of Inflating Insulin Prices
        
       Author : OutOfHere
       Score  : 30 points
       Date   : 2024-09-20 17:39 UTC (5 hours ago)
        
 (HTM) web link (www.nytimes.com)
 (TXT) w3m dump (www.nytimes.com)
        
       | OutOfHere wrote:
       | https://archive.is/U8GDM
       | 
       | It has now come to the FTC to protect us because the FDA has been
       | strongly aligned with big money. If Trump comes to power,
       | however, the FTC would be on the chopping block.
        
         | jachriga wrote:
         | PBMs finally being on the chopping block is 20+ years overdue,
         | and the American public have consistently refused to accept
         | that drug manufacturers aren't solely responsible for high drug
         | prices. Having worked with the JDRF in the past, it's never
         | been a secret that while the list price of insulin has been
         | going up...the net revenue per unit has actually gone down
         | (albeit only slightly). Total profit has been scaling upwards
         | because of a massive push of type 2 patients towards insulin,
         | increasing sales volume.
         | 
         | Knowingly pushing type 2 patients towards insulin when cheaper,
         | better options for them might exist can 100% be blamed on the
         | manufacturers; however, the oft-maligned list price increases
         | have a lot to do with the mostly-secret negotiations between
         | manufacturers, PBMs, and health plans (many of which share
         | ownership with the PBMs). A big effect of those negotiations
         | helps to artificially increase the amount of dollars spent on
         | drugs (on paper) while also artificially decreasing the actual
         | dollars spent, making it easier for health plans to hit the ACA
         | 80/20 rule with elevated premiums.
         | 
         | All of this to say...none of these price negotiations or
         | middlemen entities (I'm counting health plans as middlemen
         | between patients and their drugs...) _should_ be targeted by
         | the FDA, as that 's not their responsibility. The FDA should be
         | focused on the clinical side only as much as possible. Much to
         | my chagrin, some amount of credit for PBMs and drug rebates
         | being part of the modern conversation goes to the Trump
         | administration.
        
           | howard941 wrote:
           | They may be hitting the 80/20 rule W/R/T PPACA premiums but
           | the out of pocket for almost everything not negotiated by the
           | executive branch is out of this world. Common generics have
           | become crazy expensive. Don't even go to the on-patent meds:
           | They're unaffordable for all but large employer plans and the
           | policies covering Federal employees.
        
         | htek wrote:
         | Isn't it a moot point anyway? The corrupt SCOTUS tossed out the
         | Chevron doctrine, putting into question the "constitutionality"
         | of administrative enforcement of Executive Branch agency rules
         | and enforcement of federal law.
        
       | toomuchtodo wrote:
       | https://www.ftc.gov/news-events/news/press-releases/2024/09/...
        
       | hirvi74 wrote:
       | What does the FTC expect in for-profit healthcare system?
        
       | janalsncm wrote:
       | It's a bad sign for a market when certain players' profits are
       | growing unconstrained. It suggests something is very wrong with a
       | market. I believe the government's role is _at a minimum_ to
       | correct for market failures and inefficiencies.
       | 
       | Intuitively, a healthy market should prevent this kind of price
       | gouging because there's a strong incentive for new players to
       | undercut incumbents. I can't charge too much for gas because the
       | station across the street will undercut me. If _prices_ are
       | growing that isn't necessarily a bad sign. But we have seen
       | several areas, like rent prices, eggs, meat, and oil, where
       | profits grew unconstrained. And that's a strong indicator that
       | something is wrong.
       | 
       | Lena Khan is very sharp and seems to be cracking down on this
       | kind of thing. I just hope she is able to continue.
        
         | JohnMakin wrote:
         | > I believe the government's role is at a minimum to correct
         | for market failures and inefficiencies.
         | 
         | Much, maybe even half of the country does not believe this
         | though. Until that changes nothing will.
         | 
         | late edit: I personally believe this, but I've lost faith in
         | this government's ability to do this role without extreme
         | corruption, so meh. No idea what to do really.
        
       | dimal wrote:
       | The medical industry, when presented with a chronic illness,
       | instead of trying to cure it, sees it as a source of recurring
       | revenue. And then that's not even good enough. The consumers are
       | captive, so they find a way to gouge them.
       | 
       | I wish people would stop calling what we have a healthcare
       | system. We have a medical industry, which seeks to provide a
       | minimum of medical services for maximum profit. The system is
       | working exactly as designed.
        
         | theGnuMe wrote:
         | This is patently untrue.
        
           | keyboardcaper wrote:
           | Explain how we keep treating essential tremor as a disease of
           | the elderly to be managed with CNS depressant drugs, when we
           | have known for decades the disease is entirely caused by a
           | single substance (harmane) which can be mostly avoided by
           | stopping coffee, tobacco and meat consumption?
           | 
           | There are plenty of other examples.
        
             | PoignardAzur wrote:
             | > _which can be mostly avoided by stopping coffee, tobacco
             | and meat consumption?_
             | 
             | Wait, so you're implying the medical industry is
             | responsible for people eating meat and drinking coffee?
        
       | Suppafly wrote:
       | That's literally what middlemen do, they wouldn't exist if they
       | couldn't extract value from the items they pass along.
        
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       (page generated 2024-09-20 23:02 UTC)