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Pharma execs decline Trump offer for meeting on drug prices

Greenbeard

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There goes that photo op. The latest sign of collapsing clout for an embattled incumbent?

Pharma execs decline Trump offer for meeting on drug prices
A White House meeting with pharmaceutical executives that President Trump said would occur on Tuesday is now off, people familiar with the matter said.

A pharmaceutical industry source said "there was concern that this would not have been a productive meeting" and that companies are still discussing how to move forward after Trump signed a series of executive orders on Friday taking aim at drug prices.

Trump had announced during Friday's signing ceremony that there would be a meeting at the White House with industry executives on Tuesday, which he said would give drug companies a chance to propose an alternative to one of his executive orders. Drug companies, however, never publicly confirmed that they would attend the meeting.

The White House on Monday indicated it was still interested in having the meeting, but it appears that drug company executives do not want to move forward, at least not yet.
 
"Sorry, Trump, we're meeting with our lawyers"...hehe...

That said, this is a good thing. If he can make it happen, it's worth supporting...with your silence, if that's the best you can do, but cheap insulin will benefit Americans on both sides of the partisan divide.

Cheap insulin is already available. What some Americans want is expensive designer insulin at rock bottom prices.
 
"Sorry, Trump, we're meeting with our lawyers"...hehe...

That said, this is a good thing. If he can make it happen, it's worth supporting...with your silence, if that's the best you can do, but cheap insulin will benefit Americans on both sides of the partisan divide.

The House passed legislation last year empowering HHS to negotiate a maximum price for insulin; Trump threatened to veto it.
 
Cheap insulin is already available. What some Americans want is expensive designer insulin at rock bottom prices.

Americans want to eat what tastes good and damn the consequences; there’s a pill/medication for that......
 
Cheap insulin is already available. What some Americans want is expensive designer insulin at rock bottom prices.

Alright...I mean, I'm not diabetic, so I don't really understand the issue... On the surface cheaper meds seems like a good idea. Am I being wrong minded? Legit asking, I don't see how this is a bad thing.
 
The House passed legislation last year empowering HHS to negotiate a maximum price for insulin; Trump threatened to veto it.

Ok...I mean, if you're trying to convince me that Trump is an asshole, lemme save you from preaching to the choir. :) I don't think there's a single person on here that would think I enjoy the man. But if he manages to stumble into something that's actually good for you guys, the smart money says let him, no?

To be clear, I'm not taking a hard side on this, just looking for clarification.
 
Ok...I mean, if you're trying to convince me that Trump is an asshole, lemme save you from preaching to the choir. :) I don't think there's a single person on here that would think I enjoy the man. But if he manages to stumble into something that's actually good for you guys, the smart money says let him, no?

To be clear, I'm not taking a hard side on this, just looking for clarification.

These executive orders are performance art, nothing more. Just another hail mary to try and lift his sagging re-election hopes without actually doing anything. I'm sure he wanted to look tough on the pharma execs in front of the cameras like an episode of his TV show, but they seem comfortable with denying him that part of the performance.
 
These executive orders are performance art, nothing more. Just another hail mary to try and lift his sagging re-election hopes without actually doing anything. I'm sure he wanted to look tough on the pharma execs in front of the cameras like an episode of his TV show, but they seem comfortable with denying him that part of the performance.

So, the EO will not lower the price of the medication?
 
So, the EO will not lower the price of the medication?

They're symbolic, they don't actually do anything or change any policies. All they do is ask the HHS Secretary to engage in rulemaking on some unspecified timeline to potentially change policy someday, maybe. And, surprise, they don't have a plan for following through on that part.

In a news briefing after the signing ceremony, Alex M. Azar II, the health secretary, said the executive orders signaled that arguments in the administration about how to proceed were now over. He declined to describe a regulatory plan for enacting the orders.

This is theater, nothing more.
 
So, the EO will not lower the price of the medication?

Generally speaking, they cannot do something like that. No matter what the president orders, the APA (Administrative Procedure Act) requires executive agencies to do any number of things in certain ways.
 
They need more time to figure out how to squeeze money out of Trump's executive order. Perhaps they'll be talking to the Congressmen who they've bought and paid for to see what they can do.

No problem. Trump is patient.

Time is not his friend......
 
They're symbolic, they don't actually do anything or change any policies. All they do is ask the HHS Secretary to engage in rulemaking on some unspecified timeline to potentially change policy someday, maybe. And, surprise, they don't have a plan for following through on that part.



This is theater, nothing more.

This is true. I’m not even sure if the EOs would even be legal- dictating drug importation, price controls? Seems like that should require legislation.

Reforming rebates is not a bad idea, but I think the net effect is going to be driving UP prices to make up for increased Medicare losses.

Either way, it will take months before any of these can get through the maze of public comment, and Trump says he is allowing companies to come up with a plan by Aug 24 before they go into effect.

It’s a campaign gimmick to pretend he lowered prices. It doesn’t matter what actually happens, he will be talking about his ‘beautiful executive orders’ from now til Nov.
 
This is true. I’m not even sure if the EOs would even be legal- dictating drug importation, price controls? Seems like that should require legislation.

One of the few regulatory actions his HHS actually tried taking in the past few years was on bringing price controls based on an international index into Medicare Part B. Not only did that stall out because the GOP doesn't support it and Trump didn't seem all that interested in fighting for it, but it was based on authority that only exists under the Affordable Care Act. Which, of course, Trump is fighting very hard to get the courts to throw out in its entirety.
 
He has more than four years.

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There goes that photo op. The latest sign of collapsing clout for an embattled incumbent?

Pharma execs decline Trump offer for meeting on drug prices

Hint.... this line from the story. They are pissed at the president. Result no meeting now!
A pharmaceutical industry source said "there was concern that this would not have been a productive meeting" and that companies are still discussing how to move forward after Trump signed a series of executive orders on Friday taking aim at drug prices.
 
Hint.... this line from the story. They are pissed at the president. Result no meeting now!
A pharmaceutical industry source said "there was concern that this would not have been a productive meeting" and that companies are still discussing how to move forward after Trump signed a series of executive orders on Friday taking aim at drug prices.

One barrier to a productive meeting is also referred to in the article:

Another issue cited by the pharmaceutical industry source was the fact that the White House has not released the text of the executive order in question.

"We don't even know what we're negotiating against," the source said.

The White House has declined to say when it will release the text.

If he's not going to release the text of the order, presumably the one linking U.S. drug prices to overseas costs, then Trump doesn't want a productive meeting. No one goes into a meeting with the President, perhaps on camera, without knowing in advance what the WH position actually is.

You can check - it's not there yet. Access Denied

And if you read the orders, this is typical:

Sec. 3. Directing Drug Rebates to Patients Instead of Middlemen. The Secretary of Health and Human Services shall complete the rulemaking process he commenced seeking to: [this is a goal]

(a) exclude from safe harbor protections under the anti-kickback statute, section 1128B(b) of the Social Security Act, 42 U.S.C. 1320a–7b, certain retrospective reductions in price that are not applied at the point-of-sale or other remuneration that drug manufacturers provide to health plan sponsors, pharmacies, or PBMs in operating the Medicare Part D program; and

(b) establish new safe harbors that would permit health plan sponsors, pharmacies, and PBMs to apply discounts at the patient’s point-of-sale in order to lower the patient’s out-of-pocket costs, and that would permit the use of certain bona fide PBM service fees.

OK, so it's an order to complete something, we don't know what the final result would be, but it will exclude from the safe harbor "certain" reductions in price...."or other remuneration...." What does that mean? No one knows because there are no rules to look at. What are the new safe harbors? We'll see in a month, or two, or three, or in 2021, or maybe 2022. He's ordering HHS to at some undefined point establish some new rules doing something good, we are promised.

Bottom line is governing is hard, making changes to a massive part of our economy is hard, and it takes months or years of work, and Trump and his incompetent boot lickers aren't interested in doing that hard work, so we get this nonsense instead, which is a promise to do the work and turn it in later, if they get around to it. Now it's late July in a pandemic in an election year, and you can see how well the drug companies took this stunt - said, no thanks.
 
Alright...I mean, I'm not diabetic, so I don't really understand the issue... On the surface cheaper meds seems like a good idea. Am I being wrong minded? Legit asking, I don't see how this is a bad thing.

There are two high level categories of insulin. The natural stuff and analogs. You can pick up a vial of NPH over-the-counter for around $25 at your local Walmart pharmacy. The analogs are produced using patented genetic modification, require a prescription and can cost upwards of $300 per vial. There is no medical necessity to use analogs over NPH, but they are designed to provide certain conveniences like faster absorption and fewer injections so people prefer them when accessible.

All of the noise we hear about the cost of insulin is about a medically unnecessary product designed for personal convenience so I’m not on board with forcing pharmaceutical companies to make it as affordable as the natural stuff. Diabetics can manage their condition on the cheap natural stuff as they have for the last 98 years.
 
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There are two high level categories of insulin. The natural stuff and analogs. You can pick up a vial of NPH over-the-counter for around $25 at your local Walmart pharmacy. The analogs are produced using patented genetic modification, require a prescription and can cost upwards of $300 per vial. There is no medical necessity to use analogs over NPH, but they are designed to provide certain conveniences like faster absorption and fewer injections so people prefer them when accessible.

All of the noise we hear about the cost of insulin is about a medically unnecessary product designed for personal convenience so I’m not on board with forcing pharmaceutical companies to make it as affordable as the natural stuff. Diabetics can manage their condition on the cheap natural stuff as they have for the last 98 years.

Agreed, but its not cheap natural stuff. Beef and Pork insulin is the natural stuff - not sure if its cheap anymore because no one uses it.

The cheap $25 vials are recombinant human insulin - NPH and regular, and they worked well for all diabetics and were the only choices until the mid to late 90s.

The newer insulins are more effective and much easier to use, and give better glucose control for most people, so there is a damn good reason to want people to use them, especially long term.

But the biosimilars to the other insulin like Lantus are way, way overdue and the FDA should accelerate their approvals. The entire US pricing system for drugs is bad - and when I say bad, I mean literally insane. One problem is not being able to get generic biosimilars on the market in a reasonable timeframe.
 
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