Less of a hard pill to swallow? Keep prescription prices down
More than 40 years ago, I became a primary care physician. I often would say to my patients and medical students working with me, “We have no magic (to eradicate common chronic medical problems) after diet and exercise. Using medicines is as close as we get.”
The country has understandably focused on insulin costs, and Illinois was one of the early states to pass legislation controlling its cost. Few diabetics are only on insulin. Most of the newer medications are cost-prohibitive. Too many of my patients with asthma skimped on their medications because of the cost of inhalers, ending up in the emergency room and risking death. So many with uncontrolled high blood pressure had increased incidence of heart attacks, heart and kidney failure or stroke, because they could not afford a regimen that controlled their pressure. People with inflammatory arthritis unable to afford astoundingly effective medication ended up with severe deformities and disability. I am sure many know friends or family in this situation, as three out of 10 on medications “stretch them out.”
Years ago, if I prescribed medications that had been around for many years, it was likely that my patients could afford them. For the last 10 to 15 years I practiced, that assumption was no longer true. Prices of many meds go up and up, beyond the increased cost of raw materials or cost of manufacture. In 2022, over 1,400 medications increased in cost, a higher percentage than the rate of inflation.
Working its way through the Illinois Legislature right now are two bills, HB 4472/SB 3108, to establish a Prescription Drug Affordability Board that would look at expensive medications, take into account all the steps in the supply chain and then establish an upper payment limit for all consumers in the state.
I applaud the many legislators who want us to join with 11 other states that already have enacted similar legislation. I hope my fellow medical providers and fellow citizens will call on their representatives to support this important effort. Dr. Geralynn M Kahn, North Center