dinerstein
<font size="4" face="Times New Roman">ok on sea level rise?</font><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">=</font></div><div><font size="4" face="Times New Roman" /><div><font size="4" face="Times New Roman">
</font></div><div>Newsmax Dr Brownstein - Jericho Writers http://web2.jerichowriters.com › content › viewPDF</div><div>cash. nevertheless when? get you acknowledge that you require to acquire those ..<b>. Dr David Samadi Newsmax Contributor</b> with Greg Kelly America's Forum | Dr.</div></div><div><font size="4" face="Times New Roman">=</font></div><div><font size="4" face="Times New Roman">newsmax</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">https://www.acsh.org/news/2019/01/08/president-trump-calls-low-drug-prices-media-hypes-pharma%E2%80%99s-recent-increases-13713</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">m</font></div><div><p style="box-sizing: border-box; margin: 0px 0px 11px;" open="Open" sans="Sans" helvetica="Helvetica" arial="Arial" sans-serif="sans-serif" font-size="font-size" px="px" background-color="background-color" rgb="rgb"><font size="4" face="Times New Roman"><strong style="box-sizing: border-box;"><a href="https://www.cnbc.com/2019/01/02/drug-companies-greet-2019-with-us-price-hikes.html" style="box-sizing: border-box; background-color: transparent; text-decoration-line: none;">edia buzz</a></strong> is afoot surrounding the announcement pharmaceutical companies will be raising U.S. drug prices despite the backdrop of President Trump’s call for lowering them. But, is it all hype? I had the opportunity to discuss this in a segment with Newsmax TV (link to follow).</font></p><p style="box-sizing: border-box; margin: 0px 0px 11px;" open="Open" sans="Sans" helvetica="Helvetica" arial="Arial" sans-serif="sans-serif" font-size="font-size" px="px" background-color="background-color" rgb="rgb"><strong style="box-sizing: border-box;"><font size="4" face="Times New Roman">The reality</font></strong></p><p style="box-sizing: border-box; margin: 0px 0px 11px;" open="Open" sans="Sans" helvetica="Helvetica" arial="Arial" sans-serif="sans-serif" font-size="font-size" px="px" background-color="background-color" rgb="rgb"><font size="4" face="Times New Roman">The pharmaceutical industry does not make a move without knowing what is coming down the pike or without global projections years into the future. In a traditionally opaque industry, they have access to all of the information we don’t to put such moves into context. This latest maneuver is standard fare. <strong style="box-sizing: border-box;"><a href="https://www.acsh.org/news/2018/01/22/hospital-systems-getting-big-pharma-game-12453" style="box-sizing: border-box; background-color: transparent; text-decoration-line: none;">Last year</a></strong> at this time, I spoke on Reuters TV in a <strong style="box-sizing: border-box;"><a href="https://www.reuters.com/article/us-usa-healthcare/drugmakers-raise-2018-u-s-prices-stick-to-self-imposed-limits-idUSKBN1ER1UL" style="box-sizing: border-box; background-color: transparent; text-decoration-line: none;">news blast on drug pricing</a></strong> because they vowed to maintain a self-imposed less than 10% increase cap (see <strong style="box-sizing: border-box;"><a href="https://www.reuters.com/article/us-usa-healthcare/drugmakers-raise-2018-u-s-prices-stick-to-self-imposed-limits-idUSKBN1ER1UL" style="box-sizing: border-box; background-color: transparent; text-decoration-line: none;">here</a></strong>). As I conveyed then, this is more of a PR stunt than a tangible win for patients. In the end, through co-pays, deductibles and taxes the actual burdens typically fall on us.</font></p><p style="box-sizing: border-box; margin: 0px 0px 11px;" open="Open" sans="Sans" helvetica="Helvetica" arial="Arial" sans-serif="sans-serif" font-size="font-size" px="px" background-color="background-color" rgb="rgb"><img alt="" src="https://www.acsh.org/sites/default/files/File_000%20%28122%29_0.jpeg" style="box-sizing: border-box; border: 0px; vertical-align: middle; max-width: 100%; float: right; height: 300px; width: 240px;" /><font size="4" face="Times New Roman">Consider the Trump Administration’s call for reducing prices amid this Pharma report as an early negotiation. The publicity is more smoke and mirrors. Pharma takes the heat at the start of the year, then as new legislation and discussions intensify and prices do go down they have given themselves a cushion. Remember, for example, they know exactly when their biggest sellers' patents expire and adjust accordingly.</font></p><p style="box-sizing: border-box; margin: 0px 0px 11px;" open="Open" sans="Sans" helvetica="Helvetica" arial="Arial" sans-serif="sans-serif" font-size="font-size" px="px" background-color="background-color" rgb="rgb"><strong style="box-sizing: border-box;"><font size="4" face="Times New Roman">It’s like a game of whack-a-mole</font></strong></p><p style="box-sizing: border-box; margin: 0px 0px 11px;" open="Open" sans="Sans" helvetica="Helvetica" arial="Arial" sans-serif="sans-serif" font-size="font-size" px="px" background-color="background-color" rgb="rgb"><font size="4" face="Times New Roman">Reducing prescription drug prices is like a game of whack-a-mole, you stamp out one factor and unintended, relentless other consequences follow suit to maintain equilibrium. Due to the sheer complexity of the pharmaceutical ecosystem and its many cogs in the wheel, one concession merely shifts changes as each component adapts to enhance its own margins.</font></p><p style="box-sizing: border-box; margin: 0px 0px 11px;" open="Open" sans="Sans" helvetica="Helvetica" arial="Arial" sans-serif="sans-serif" font-size="font-size" px="px" background-color="background-color" rgb="rgb"><font size="4" face="Times New Roman">To understand the complicated nature of the many profit centers that influence drug pricing, review my ACSH colleague Dr. Chuck Dinerstein’s two-part series on <em style="box-sizing: border-box;">The Spread- Exploring The Reason for The High Cost of Pharmaceuticals</em> <a href="https://www.acsh.org/news/2017/06/01/spread-%E2%80%93-exploring-reason-high-cost-pharmaceuticals-11339" style="box-sizing: border-box; background-color: transparent; text-decoration-line: none;">here</a> and <a href="https://www.acsh.org/news/2017/06/02/spread-%E2%80%93-exploring-reason-high-cost-pharmaceuticals-part-2-11340" style="box-sizing: border-box; background-color: transparent; text-decoration-line: none;">here</a>. First, he details the many segments of the supply chain and their tethered relationship. Then, he explores the integration and consolidation of the industry as a result of the high cost of research and development for branded manufacturers, compounded by the expensive and lengthy wait times for approval set forth by the U.S. Food and Drug Administration (FDA).</font></p><p style="box-sizing: border-box; margin: 0px 0px 11px;" open="Open" sans="Sans" helvetica="Helvetica" arial="Arial" sans-serif="sans-serif" font-size="font-size" px="px" background-color="background-color" rgb="rgb"><font size="4" face="Times New Roman">To get a more comprehensive picture, review these articles:</font></p><ul style="box-sizing: border-box; margin-top: 0px; margin-bottom: 11px;" open="Open" sans="Sans" helvetica="Helvetica" arial="Arial" sans-serif="sans-serif" font-size="font-size" px="px" background-color="background-color" rgb="rgb"><li style="box-sizing: border-box;"><p style="box-sizing: border-box; margin: 0px;"><strong style="box-sizing: border-box;"><a href="https://www.acsh.org/news/2018/01/22/hospital-systems-getting-big-pharma-game-12453" style="box-sizing: border-box; background-color: transparent; text-decoration-line: none;"><font size="4" face="Times New Roman">Hospital Systems Getting Into The Big Pharma Game</font></a></strong></p></li><li style="box-sizing: border-box;"><p style="box-sizing: border-box; margin: 0px;"><strong style="box-sizing: border-box;"><a href="https://www.acsh.org/news/2018/07/23/it-checkmate-pharmas-epic-gaming-patents-13219" style="box-sizing: border-box; background-color: transparent; text-decoration-line: none;"><font size="4" face="Times New Roman">Is It Checkmate For Pharma's Epic Gaming Of Patents?</font></a></strong></p></li><li style="box-sizing: border-box;"><p style="box-sizing: border-box; margin: 0px;"><strong style="box-sizing: border-box;"><a href="https://www.acsh.org/news/2018/09/15/pharma-and-hospital-systems-now-playing-drug-pricing-blame-game-13414" style="box-sizing: border-box; background-color: transparent; text-decoration-line: none;"><font size="4" face="Times New Roman">Pharma And Hospital Systems Now Playing The Drug-Pricing Blame Game</font></a></strong></p></li><li style="box-sizing: border-box;"><p style="box-sizing: border-box; margin: 0px;"><strong style="box-sizing: border-box;"><a href="https://www.acsh.org/news/2017/09/13/are-cancer-drugs-cheaper-make-previously-thought-new-study-claims-so-11819" style="box-sizing: border-box; background-color: transparent; text-decoration-line: none;"><font size="4" face="Times New Roman">Are Cancer Drugs Cheaper To Make Than Previously Thought? New Study Claims So.</font></a></strong></p></li></ul><p style="box-sizing: border-box; margin: 0px 0px 11px;" open="Open" sans="Sans" helvetica="Helvetica" arial="Arial" sans-serif="sans-serif" font-size="font-size" px="px" background-color="background-color" rgb="rgb"><strong style="box-sizing: border-box;"><font size="4" face="Times New Roman">Take Home Message</font></strong></p><p style="box-sizing: border-box; margin: 0px 0px 11px;" open="Open" sans="Sans" helvetica="Helvetica" arial="Arial" sans-serif="sans-serif" font-size="font-size" px="px" background-color="background-color" rgb="rgb"><font size="4" face="Times New Roman">The pharmaceutical industry routinely gets demonized as the only villain in terms of drug pricing. The reality is this polarized good or pure versus evil is not effective and certainly does not paint an accurate or complete picture. Due to the innovative work of many in the field and the existence of the industry, our society has benefited from tremendous strides in the development of treatments for life-threatening conditions like Hepatitis C to immunotherapy for cancer. The truth is there are many sectors that influence pricing (e.g., hospitals, wholesalers, retail pharmacies, payers/insurers, pharmacy benefit managers). There have certainly been bad actors in each arena that haven’t helped things and patent gaming has reached epic levels (e.g., Allergan and Restasis, see <strong style="box-sizing: border-box;"><a href="https://www.acsh.org/news/2018/07/23/it-checkmate-pharmas-epic-gaming-patents-13219" style="box-sizing: border-box; background-color: transparent; text-decoration-line: none;">here</a></strong>).</font></p><p style="box-sizing: border-box; margin: 0px;" open="Open" sans="Sans" helvetica="Helvetica" arial="Arial" sans-serif="sans-serif" font-size="font-size" px="px" background-color="background-color" rgb="rgb"><font size="4" face="Times New Roman">But, having knee-jerk disdain for Pharma does not solve all of the many hands in the cookie jar working to increase their own spread while simultaneously serving actually to increase the tangible costs to the patien</font></p></div><div><font size="4" face="Times New Roman">=</font></div><div><div><font size="4" face="Times New Roman">467.98</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">We are sorry to hear this incident. Please ensure you don't click any links, images on the spam e-mails. If you're not familiar with the sender, do not open, download, or execute any files or email attachments. Ensure you delete that spam e-mail and also if you feel that you have been scammed or any other issues related to this, please contact our support number 866-622-3911. You can also contact our Chat Support by accessing the link below,</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">McAfee Support</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">Regards,</font></div><div><font size="4" face="Times New Roman">Madhan M</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman"></font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">no lnx pix of pirate dAN</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">Physicians Descend On Capitol Hill To Champion Putting Patients Before Profits</font></div><div><font size="4" face="Times New Roman">EMAIL</font></div><div><font size="4" face="Times New Roman">FACEBOOK</font></div><div><font size="4" face="Times New Roman">LINKEDIN</font></div><div><font size="4" face="Times New Roman">TWITTER</font></div><div><font size="4" face="Times New Roman">REDDIT</font></div><div><font size="4" face="Times New Roman">PRINT</font></div><div><font size="4" face="Times New Roman">Related articles</font></div><div><font size="4" face="Times New Roman">As President Trump Calls For Low Drug Prices, Media Hypes Pharma’s Recent Increases</font></div><div><font size="4" face="Times New Roman"> </font></div><div><font size="4" face="Times New Roman">What Are 2018 Top Drugs By Sales? Cancer, Cancer And Cancer!</font></div><div><font size="4" face="Times New Roman"> </font></div><div><font size="4" face="Times New Roman">On the Prescription Drug Battlefield, Hospitals Put Generics in Play</font></div><div><font size="4" face="Times New Roman"> </font></div><div><font size="4" face="Times New Roman">Debunking Myths About Organ Donation</font></div><div><font size="4" face="Times New Roman"> </font></div><div><font size="4" face="Times New Roman">After Swallowing Magnets, Boy Loses Parts Of Colon, Intestines</font></div><div><font size="4" face="Times New Roman">By Jamie Wells, M.D. — April 5, 2019</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">Former U.S. Navy SEAL officer and current U.S. Representative Dan Crenshaw with ACSH Director of Medicine Dr. Jamie Wells</font></div><div><font size="4" face="Times New Roman">Physicians from across the political spectrum, from all over the country and representing nearly every specialty, came to Washington, DC earlier this week to advocate for and protect patients by shining a spotlight on the many hidden ways healthcare dollars are being wasted and abused.</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">This coalition of grassroots physician organizations aims to make healthcare more affordable by facilitating physicians ability to be free to care (see here). This reality is currently threatened and under significant attack by the involvement of innumerable third party players whose influence has marginalized the primary stakeholders of doctor and patient - all the while depleting resources away from the landscape without any consideration for the best interest of the patient, and routinely to their detriment.</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">As rising costs and narrowing access with respect to healthcare dominates today’s discourse, a blurred picture has been promulgated as to the why. This symposium, held at the Library of Congress, is calling for transparency not simply of drug price listings, but everything, touching heavily on the topic of the opacity of the middlemen (ie pharmacy benefit managers, group purchasing organizations), as one example (1). Misguided avenues for addressing physician shortages that ostensibly reduce care quality is another important subject, along with non-medical switching, kickbacks and health savings account reforms. The litany is long and vital to a thorough understanding of where actionable and effective measures can be implemented that yield the greatest dividends (watch video here or here).</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">Soundbites and politics will not cure what ails this ever fragmenting “system."</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">As Dr. Marion Mass (pictured after quote wearing white coat), one of the lead organizers and co-founder of Practicing Physicians of America, best articulates</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">“Physicians take an oath. Our oath is to teach our craft to carry it forward and to do no harm to our patients. To protect them. Our advocacy is something we must do to keep our oath given the current healthcare landscape is in need of healing. Us coming together as leaders who have no conflicts of interest, only a vested interest in keeping this oath, and coming together with patient advocacy organizations is the only way to fix healthcare.</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">Present at the event were African-American pastors representing congregations and organizations representing Hispanic Americans. Organizations as well representing the patients of America in total. Doctors from all across America from both sides of the aisle came together...with their hands outstretched to help heal the broken healthcare landscape. Who better to do than us? If not us, then who will do it? It certainly will not be the best and special interests that are sucking billions, hundreds of billions in fact out of the healthcare system each year… The first thing that must happen is transparency. And by that I mean the public must understand the flow of money in healthcare.”</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">At the bipartisan breakfast I was honored to attend for healthcare leaders and lawmakers, obstetrician and U.S. Representative (Dr.) Roger Marshall spoke of his conversation last week with President Trump underscoring an emphasis on transparency, innovation and understanding the current consumerism in healthcare delivery. Former U.S. Navy SEAL officer and current U.S. Representative Dan Crenshaw was also available to discuss the many issues at hand (photo atop this article).</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman"> </font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">While there and standing with Dr. Nicole Johnson, co-founder of the organization Physicians for Patients, we learned an article on her talk on tackling physician shortages was featured in MedPage Today (see link here, pictured together below). Please find more photos from the breakfast as well, including a group picture and one with emergency room physician Dr. Katherine Newland Barton.</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman"> </font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman"> </font></div><div><font size="4" face="Times New Roman"> </font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">Note(s):</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">1. To get a more comprehensive picture on this topic, review these articles:</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">As President Trump Calls For Low Drug Prices, Media Hypes Pharma’s Recent Increases</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">Hospital Systems Getting Into The Big Pharma Game</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">Is It Checkmate For Pharma's Epic Gaming Of Patents?</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">Pharma And Hospital Systems Now Playing The Drug-Pricing Blame Game</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">Are Cancer Drugs Cheaper To Make Than Previously Thought? New Study Claims So.</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">To understand the complicated nature of the many profit centers that influence drug pricing, review my ACSH colleague Dr. Chuck Dinerstein’s two-part series on The Spread- Exploring The Reason for The High Cost of Pharmaceuticals here and here.</font></div><div><font size="4" face="Times New Roman">
</font></div><div><font size="4" face="Times New Roman">Tags: </font></div><div><font size="4" face="Times New Roman">patient safetyphysicianshealthcarephysician shortagesPBMsdrug pricinghealth policyDan CrenshawRoger MarshallCapitol Hilladvocacykickbackshealth savings accountPracticing Physicians of AmericaPhysicians for PatientsDr. Marion MassDr. Nicole JohnsonDr. Katherine Newland BartonPhysicians for ReformTexas Public Policy Foundation</font></div><div><font size="4" face="Times New Roman"></font></div></div><div><font size="4" face="Times New Roman">=</font></div>