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    A physician’s tale of irrational drug prices


    The reasons why fundamentally inexpensive-to-manufacture drugs are sold for outrageous prices is a lack of transparency, a lack of competition and an insurance model that accepts these prices for many patients.


    POPULAR ON OUR SITE: My proposal to change the American healthcare system for the better


    Price controls do not work and should not be considered. Public shame has some value, but with so many overpriced drugs, its value will be diluted. Some element of transparency would be afforded with internet-based public directories of all drug wholesale and average retail prices. Medicare should be allowed to negotiate prices. And the federal government should refuse to purchase for any government funded healthcare program (Medicare, Medicaid, Veterans and military) at a price well above that charged in other developed countries where prices are usually substantially lower than in the United States. These actions will rein in inappropriate drug pricing, leaving intact the costs of innovation and a reasonable profit.


    Stephen C Schimpff, MD is a quasi-retired internist, professor of medicine and public policy, former CEO of the University of Maryland Medical Center, senior advisor to Sage Growth Partners and to Sanovas Inc. and is the author of Fixing the Primary Care Crisis: Reclaiming Relationship Medicine and Returning Healthcare Decisions To You And Your Doctor



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      (1) Dr. Schimpff was one of my Professors at Univ. of Maryland [Grad in 1976] - I ended up in Rheumatology. (2) RE: Rosacea - (outside the box, I know) Try a Gluten Free Diet for 4 -6 Months. I had a patient who felt she was 'Gluten Sensitive' (various non-specific complaints) and on a Gluten Free Diet her Rosacea Improved ! ( ? Coincidence ??) (3) There appear to be some folks who report improvement in their Rosacea off Gluten, including a family member - but it took about 5 - 6 months to report a Robust Improvement. (4) Not the topic of the article - but what did You Expect ? (5) A Proposed Mechanism of Action by altering Diet - The Gut "Microbiome" . David A Shaller, MD

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