There were a couple of great articles in JAMA Internal Medicine this week on cancer drug development and pricing.
The first, discussed in this NYTimes article, did a thorough job of tallying the total R&D cost to bring a new cancer drug to market. The study authors ended up with a significantly lower number than has been reported in the past.
“Following approval, the 10 drugs together brought in $67 billion, the researchers also concluded — a more than sevenfold return on investment. Nine out of 10 companies made money, but revenues varied enormously. One drug had not yet earned back its development costs.”
From Margot Sanger-Katz in the New York Times, on why moving to single-payer health care would be unlikely to “fix” the United States’ health care cost problem. Summary: even if you were to cut out our (significant) administrative costs, such a program would still cost more to run than in other countries because the underlying price of health care is so much higher here.
I saw this in the last issue of National Geographic, and had to include it. This infographic shows the C-section rate across different countries – and demonstrates that in most places, it is way too high.
More on the Bernie Sanders health care plan – and it’s financial costs. As the usually left-leaning Vox.com points out, a single-payer plan such as Sanders proposes would required tax increases far larger than what Americans have been able to stomach.
“Vermont’s failed single-payer attempt helps explain the difficulties a Sanders administration would face in building a Medicare-for-all system. Like Vermont, the United States would also need a massive tax increase to build a health care system like Canada’s.”
Bernie Sander’s new single-payer health care plan was introduced at the beginning of the week, and Ezra KIein of the left-leaning Vox media was not so keen. Big promises of new benefits, but where exactly was the money to pay for it coming from?
“All in all, Sanders wants to raise taxes by a bit over a trillion dollars per year — which may not sound like much to those who remember the Obamacare debate, but remember that the numbers that got thrown around for Obamacare were 10-year estimates. Adding inflation, Sanders will be raising taxes by close to $15 trillion when the Congressional Budget Office applies its normal scoring window.”