Experts Offer Pharmaceutical Reform Plan

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Some 21 health experts are offering what they describe as a comprehensive proposal to ensure universal access to safe, innovative, and affordable medicines, according to a statement from Public Citizen. The plan, published in the British Medical Journal, identifies seven critical areas of reform, with short- and long-term solutions they say will improve the development, approval process, affordability, and marketing of medications. The seven areas are: 

  •          access through having the U.S. and Canada establish national formularies of the safest, most effective, and least expensive medications, and providing all residents with full coverage of formulary drugs without copays or deductibles;
  •          affordability by having public agencies negotiate with manufacturers to make branded medications more affordable and, if negotiations fail, issuing a “compulsory license” to allow generic manufacturing;
  •          preclinical development and patent protection limiting patents to medications that provide real innovation and having health agencies find a new public research program to develop and test new treatments outside of the patent system, prioritizing medications with high clinical value and for conditions deemed unprofitable by the industry;
  •          clinical testing through approval agencies increasing standards for clinical trials and increasing transparency by making all trial data publicly available;
  •          approval reform by funding approval agencies exclusive with public funds rather than industry user fees;
  •          postmarketing surveillance so that companies are required to promptly perform and submit safety studies after their products are on the market; and
  •          promotion to improve monitoring and stiffen sanctions for misleading or off-label promotions.

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