Baltimore Sun

Congress must act to stop Big Pharma greed

- By James Campbell

For decades, Big Pharma has raised drug prices with impunity. Here in Maryland, the average annual cost of brand name prescripti­on drug treatment increased 58% between 2012 and 2017, while the annual income for state residents increased only 11.5%. Prescripti­on drugs do not work if patients cannot afford them.

In D.C., there is rare bipartisan agreement that something must be done.

President Donald Trump and Health and Human Services Secretary Alex Azar took an important step with last week’s announceme­nt of the Safe Importatio­n Action Plan. But importatio­n is just a start. Americans need access to affordable drugs in their own country, available in their own neighborho­od.

That’s why the U.S. Senate needs to pass the Prescripti­on Drug Pricing Reduction Act when they return from August recess. It’s time. We thank Sen. Ben Cardin for his support of this bipartisan bill in the Senate Finance Committee. We urge Sen. Chris Van Hollen to join him in backing it when the Senate reconvenes and to support allowing Medicare to negotiate with drug companies for lower prices.

For too long, drug companies have been price gouging seniors and hardworkin­g Americans. Consider insulin, which people with diabetes rely on. Its price nearly tripled from 2002 to 2013. But it isn’t a breakthrou­gh drug: Insulin was invented nearly a century ago, yet modern formulatio­ns remain under patent, thanks to drug makers manipulati­ng the system. Some patients trek to Canada, while others risk their lives by rationing or skipping doses.

Older Americans are hit especially hard. Medicare Part D enrollees take an average of four to five prescripti­ons per month, and their average annual income is around $26,000. One in three Americans has not taken a medication as prescribed because of the cost.

The root cause of the problem is clear: The high prices of prescripti­on drugs set by pharmaceut­ical companies when they first come on the market, which then increase faster than inflation year after year.

In March, AARPlaunch­ed a nationwide campaign called “Stop Rx Greed” to rein in drug prices for all Marylander­s and all Americans. The bill under considerat­ion in the Senate would cap out-of-pocket drug costs for seniors and crack down on drugmakers whose price hikes outpace inflation. The nation clearly needs this reform: The average drug price increase in the first six months of 2019 was 10.5% — five times the rate of inflation.

Marylander­s, like all Americans, already pay among the highest drug prices in the world.

Meanwhile, Big Pharma is fighting for the status quo — and blocking needed improvemen­ts to the system that could bring relief to seniors, families, and small businesses. Drug giants Merck, Amgen and Eli Lilly actually sued the Trump administra­tion so they could keep the list prices of their drugs secret from the public. The industry is spending record sums to hire Washington lobbyists, and they are running ads claiming that more affordable drugs will actually harm consumers.

But the tide is turning. The National Academy for State Health Policy reports that, so far this year, 29 states have passed 47 new laws aimed at lowering prices for prescripti­on medication­s.

On July 1, Maryland enacted a state prescripti­on drug affordabil­ity board to monitor the cost of prescripti­on drugs to county and local government­s and make recommenda­tions for price limits. The board is the first of its kind in the nation, and it establishe­s Maryland as a leader in the movement to contain skyrocketi­ng drug prices. Ultimately, all levels of government have a part to play in making prescripti­on drugs available and affordable to people, so federal action is equally essential.

Maryland’s congressio­nal delegation is in the position to lead on this issue and make a difference for every Marylander. We urge the Senate to pass the Prescripti­on Drug Pricing Reduction Act in the fall, when the House is expected to act on its own drug pricing bill.

While there is reason to be hopeful that drug prices will come down, hope is not enough. Too much is at stake. No Marylander should have to choose between putting food on the table and buying a lifesaving medication. Congress needs to act to stop Rx greed. This legislatio­n should be at the top of the agenda when the Senate returns to Washington.

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