Anyone who’s had a critical prescription has to be both relieved and frustrated by the reaction to the rapid increase in the rise of EpiPen, the shot that people with severe and life-threatening allergies use to stay alive.
Relieved because politicians finally are noticing what pharmaceutical companies are doing to people. Frustrated because their experiences over the last few years met indifference until the scandal affected the right people.
Sen. Amy Klobuchar has a daughter who carries an EpiPen, the New York Times says. She wants Congress to investigate the price hikes.
“This is a mainstream product that people carry, and it’s getting harder and harder for people to afford it,” she said.. “It’s just another example of what we keep seeing, outrageous price increases when a monopoly situation ends up in a company’s lap.”
It’s the kind of thing that could be an actual issue in a presidential campaign year if anyone had bothered to notice the suffering that people have been going through for years trying to pay for their prescriptions.
Prescription drugs cost twice as much in the United States as any other advanced nation.
The most important factor that allows manufacturers to set high drug prices is market exclusivity, protected by monopoly rights awarded upon Food and Drug Administration approval and by patents. The availability of generic drugs after this exclusivity period is the main means of reducing prices in the United States, but access to them may be delayed by numerous business and legal strategies. The primary counterweight against excessive pricing during market exclusivity is the negotiating power of the payer, which is currently constrained by several factors, including the requirement that most government drug payment plans cover nearly all products. Another key contributor to drug spending is physician prescribing choices when comparable alternatives are available at different costs. Although prices are often justified by the high cost of drug development, there is no evidence of an association between research and development costs and prices; rather, prescription drugs are priced in the United States primarily on the basis of what the market will bear.
The prescription drug companies blame the victims for being enrolled in high-deductible insurance plans, CNN says, almost as if they haven’t raised their prices to astronomical levels.
What’s amazing is how this issue disappeared from the political landscape over the years.
Drug companies are acting much like a cartel such as OPEC, says Stephen Schondelmeyer, a pharmaceutical economist at the University of Minnesota. He says the companies must figure “if we all keep moving [our prices] up and nobody moves down, we can get away with raising the price, because if a person has multiple sclerosis, what other choice do they have?”
Last year, new drugs to treat hepatitis C at a cost of $80,000 or more also sparked an anxious discussion about high drug prices. At least those drugs cure the disease, and by so doing reduce future health-care costs. But that’s not true for multiple sclerosis drugs.
“When the price of a drug doubles, does the patient get twice as much outcome?” Schondelmeyer asks. “No, it’s the same drug.”
Last August, a Kaiser study showed a quarter Americans said they were having difficulty affording their prescriptions. And 10% of insured U.S. patients with the blood cancer multiple myeloma said they had stopped taking a cancer drug because of its cost.
That’s a scandal that long-predated the EpiPen price hikes and has literally killed Americans.
What we have here is a public safety problem, the Minnesota Court of Appeals has ruled.
A Minnesota law requiring collector cars to be “screened” from public view has survived a challenge from a Cleveland Avenue, St. Paul man who buried two of them under tarps.
The Minnesota Court of Appeals ruled today that neither the tarps nor the fence that John Krenik built to screen the cars from an unhappy neighbor, satisfied the language of the state law, which says:
Pioneer, classic, collector vehicles, collector military vehicles, or street rods, licensed or unlicensed, operable or inoperable, may be stored in compliance with local government zoning and ordinances on their owners’ property, provided that the vehicles and any outdoor storage areas they may require are maintained in such a manner that they do not constitute a health or environmental hazard and are screened from ordinary public view by means of a fence, shrubbery, rapidly growing trees or other appropriate means. The appropriate local agency or authority may inform an owner of the owner’s failure to comply with these requirements, and may order the vehicles removed from the outdoor storage area if the owner fails to comply with these requirements within 20 days after the warning
Someone complained about Krenik’s two cars at his home on Cleveland Avenue so, after a warning from a city inspector, Krenik built a fence to “screen” the vehicles.
But, the roof of the car was still visible from next door, so City Council ruled him in violation.
Today, the Minnesota Court of Appeals upheld the ruling, saying if people can tell there’s a car there, it’s not screened.
“The city argues that the vehicles’ presence must be hidden from ordinary public view, or in other words, that Krenik’s efforts are insufficient because a person could tell that cars are located under the tarps and behind the fence,” Judge Rene Worke wrote on behalf of a three-judge panel. “Krenik argues that the vehicles must be screened so that a person cannot see the condition of the vehicles and, thus, cannot tell whether the vehicles are “junk” cars. Both interpretations are reasonable; thus, the statute is ambiguous.”
But Judge Worke concluded that the condition of vehicles in a driveway doesn’t matter, one of the few times the beauty of a Model T was invoked in a decision from the Court of Appeals.
Moreover, Krenik’s claim that the legislature enacted section 168.10, subdivision 1e, solely for aesthetic purposes is unpersuasive in light of the scope of the statute. Krenik argues that in enacting the statute, the sole “mischief to be remedied” is hiding the appearance of an unsightly collector vehicle. See Minn. Stat. § 645.16(3). Such an interpretation, however, is unreasonable because the statute also encompasses vehicles that do not create an “eyesore,” such as a well-maintained Ford Model T registered as a pioneer vehicle.
The law is as much about public safety as aesthetics, she concluded. Having the cars out in the open could lead to vandalism. And she noted that because junk yards must be screened from highways because they could distract drivers, the two cars could also pose a distraction.
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