jueves, 8 de marzo de 2018

What can we do to ensure that patients have the medicines they need?

1.
WHAT CAN WE DO TO ENSURE THAT PATIENTS HAVE THE MEDICINES THEY NEED?

Good afternoon ladies and gentlemen. I’d like to thank the organizers for inviting me to this important meeting.

2.
Here in Bulgaria, in many European Member States, and in many parts of the world, thousands of people suffer and die prematurely because they do not have access to the medicines they need.

The balance between the interests of pharmaceutical companies and the interests of patients and the population has been broken. We are paying exaggerated prices for medicines whose production cost (including R & D) is much lower. This is unfair.

Abusive prices are the main cause of the problem of access to medicines because patients and health services cannot afford them. If that is the main cause, then, to ensure that patients have the medicines they need, we have to take actions to solve this situation. Step by step. “Stepka pu stepka”.

3.
The first step is to know the numbers. We have to size the problem. And, having the numbers clear, negotiate according to actual costs of production.

In the current system, the price we pay for “new” brand drugs has to cover manufacturing costs, research costs, and a business profit margin.

When the patent for medicines expires, generics can be made. In this case, the price we pay covers manufacturing costs and a business profit.

In 2016, we paid a total of 165 billion euros in medicines (Ex Factory Price) in the European Union. If we had paid all the medicines at generic prices we would have spent only 65 billion euros.

It means that we have paid an "indirect tax" to laboratories to finance research that amounts to around 100 billion euros.

However, of this 100 billion euros raised to pay for the research through the patents and data exclusivity system, they have only spent 26 billion euros for that purpose. The rest, 74 billion euros, are unjustified profits, above the reasonable. This is the negotiating margin that governments have to set lower prices.

Part of these profits are used to buy-back shares (raising the price of shares and the remuneration of executives), raises in dividends, oversized marketing expenses, acquisitions of other companies, mergers, etc. etc. Different ways to "create value for its shareholders" at the expense of higher prices for patients and health systems.

It is worth to mention a statment made by the Director General of WHO last week:
“We must not tolerate systems that put the protection of intellectual property ahead of the protection of health. Patients must always come before patents.”

The companies, logically, do not want to focus the debate on prices and create other frameworks for discussion: Prices are expensive because it must be like that. Do not discuss the prices. We will help you in ways to pay for them. We will negotiate spending caps, rebates, discounts, payment for results, risk-sharing, etc. We will ask you 10,000 euros for a medicine that costs 100 euros, but we will make you a discount of, let’s say, 30%, etc. etc. The current framework is the "price for value", but prohibiting competition at the same time.

4.
Sarah Garner, and other colleagues, from WHO, warned that “In the end, there is no value in a medicine that is too expensive and sits on the shelf”.

5.
Let's suppose that governments have done the numbers and know the barganinig margin. However, they often feel that they do not have enough strength to negotiate with an industry that is very powerful and has enormous capacity for pressure (30 billion euros per year to be spend in marketing).

That is the reason why, while the monopoly system continues, governments must increase their bargaining power in various ways:

- Uniting forces of several countries, for example, improving price transparency and undertaking joint purchases

-Strengthening the regulation to apply compulsory license in case of abusive prices, and using it when necessary (recently the minister of health of the Netherlands talked about this possibility; the Expert Panel of the European Commission has also suggested this action)

-Support non-profit initiatives to manufacture generic and / or innovative medicines to face speculative prices (see the experience of DNDi, or the initiative by Non-profit catholic Hospital Organizations of the USA).
-Reinforcing the Health Technologies Assessment, guaranteeing the independence of the Agencies, so that it does not occur as in the European Medicines Agency whose financing is for the most part from the industry. And, of course, changing this situation for the EMA.

6.
In addition, governments may take other measures:

-Guarantee a fair public return on public investment in research, both at European and national level.

7.
-Increase direct public spending on R & D, financed by a discount of 10% -20% on current total sales, around 16 to 33 billion euros, which companies allocate to marketing, with profits supposedly intended to fund research. These types of discounts have been adopted by the EU Member States during the economic crisis and could now be adopted to deal with this "structural crisis". This could be an important step to delink R&D from prices and to reach an international covenant on R&D for medicines.

8.
-Governments can also fight against violations of competition, denouncing application of abusive prices to competition authorities, denouncing limitation of markets, and denouncing application of differential prices and confidential agreements systematically imposed by companies.

Likewise, governments must fight against the formation of cartels, both between generic companies and between originator companies.

9.
- On the other hand, governments and the EU can stimulate the introduction of generic and biosimilar medicines; and improve access to medicines by reducing co-payments, ensuring public financing of all essential medicines.

10.
-Finally, governments have to improve information systems to monitor the problems of access to medicines, and also the problems of “excess” (over-prescription, over use, adverse drug reactions, etc. And they have to disseminate this information to the public. Transparency is a key tool for change.


Dear colleagues. These are just some of the actions that, in my view, we can take to ensure that patients have the medicines they need.

11.
Some time ago, when I came to Bulgaria in 1996, I used to recite a poem by Nicomedes Santacruz: “I have faith in the future, because the man of tomorrow will enjoy healthy life, forged in the dark present ...”

“Aз вяра в бъдещето, защото утрешния човек ще се радва на здрав живот...”

I still have faith in the future, but to win a better future we have a lot of work to do. And we have to work together.

Thank you very much for your attention.


Dr Fernando Lamata,
Sofia 6 March 2018




References

(1)  EFPIA (2017) The Pharmaceutical Industry in Figures. Key Data 2017.
(2)  Garner S, Rintoul A, Hill S (2018). Value-Based Pricing: L’Enfant Terrible? PharmacoEconomics (2018) 36:5-6
(3)  Hill A, Barber M, Gotham D (2018). Estimated costs of production and potential prices for the WHO Essential Medicines List. BMJ Global Health 2018; 3:e000571. doi:10.1136/bmjgh-2017-000571
(4)  EXPH (Expert Panel on effective ways of investing in health) (2018). Opinion on innovative payment models for high-cost innovative medicines. 17.1.2018
(5)  European Commision. Antitrust in Aspen case. http://europa.eu/rapid/press-release_IP-17-1323_en.htm
(7)  Baker D (2005) Bird Flu Fears: is there a better way to develop drugs? CEPR, Issue Brief, october 2005. “Drug prices would fall by close to 70 percent if they were sold in competitive market”.
(8)  Lamata F, Gálvez, Pita-Barros P, Sánchez-Caro J, Puigventós F. Medicamentos, ¿derecho humano o negocio? Díaz de Santos, 2017, Madrid.


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