Common Sense approach can lower drug prices, improve fiscal and personal health

St. Louis, MO, October 3, 2011--In response to many stories identifying cost-related challenges created by high prescription medicine prices, the publisher of a leading informational web site dealing with issues of an aging America, has issued a statement that a ‘Common Sense’ approach to personal importation of prescription medicines offers the most immediate and viable option to the problems created by prescription drug prices in the U.S., the highest in the world:

Daniel Hines, publisher of www.TodaysSeniorsNetwork.com notes that:

“For more than a decade, we and other advocates and groups have worked both individually and collectively to provide Americans relief from the highest prescription medicine prices in the world by supporting their right and recognizing their capability to make responsible decisions in their purchases of safe, affordable medicines from proven reputable sources outside the U.S

“Concurrently, we were among the first to identify the potential of the detrimental fiscal impact for both citizens and government of high prescription medicine prices, when, nearly four years ago, we first called for the U.S. government to ‘just do it’ in regards to lowering prescription drug costs

“Now, with the continuing fiscal crisis facing local, state and Federal governments, and with millions of Americans unemployed, there is a finally a growing consensus among a growing number of groups and policy-makers that healthcare costs are indeed a primary driver of our budgetary crisis, and, significantly, that prescription medicine prices are a major contributor to healthcare costs.

“The problem calls for a ‘Common Sense’ resolution such as presented again in a statement we made in August of this year , namely that ‘Common Sense’ recognizes the beneficial contribution of personal importation to addressing recent reports that define the extent of the crisis caused by healthcare and prescription drugs costs:

· As the skyrocketing costs of brand name drugs leave millions of Americans skipping doses or abandoning their prescriptions, investors representing 14 faith and health care organizations are petitioning the nation's top pharmaceutical companies to re-examine pricing for commonly used drugs like Lipitor, Plavix and Celebrex in an effort to make them more affordable;

· Cost of heart drugs makes patients skip pills, putting themselves at risk (Mayo Clinic);

· U.S. prescription drug spending will grow 93% during 2008-2018, exceeding all major categories of health expenditures (Centers for Medicare and Medicaid Services);

· Americans failing to fill prescriptions or not taking their medicines as prescribed because of costs of medicines (Consumer Reports);

· Bi-partisan identification of the problem of healthcare costs in resolving our fiscal crisis (Senator Richard Durbin (D-IL), former Senator John Danforth (R-MO);

· Recognition of the ‘safety valve’ function of personal importation in preventing prescription medicine prices from going even higher “Basically, what’s going on with Canada is a little bit of leakage, It’s a release valve so that American consumers don’t get more upset with the prices’’ ( Arthur A. Daemmrich, assistant professor of business administration at Harvard Business School);

· Formation of a Congressional Caucus by Representatives Joanne Emerson (R-MO) and Peter Welch (D-VT) to work to lower prescription drug prices (Representative Emerson is a long-time supporter of personal importation of prescription medicines);

· Reports of Seniors falling Into Doughnut Hole buying fewer drugs (Kaiser Family Foundation);

· As many as one in ten elderly people in the US, registered with Medicare, not have access to their prescribed medication because it is too expensive (Dr. Larissa Nekhlyudov and colleagues from Harvard Medical School);

· Adoption of a new policy by the FDA facilitating importation of ingredients for pharmaceutical manufacture in the U.S. to address drug shortages in this country via reciprocal agreements with regulatory agencies in other countries, validating a process of reciprocity long advocated by supporters of personal importation;

· Numerous private and government support systems exist to help ease the cost for America's poor, but there are still millions of patients who are uninsured, and many who can't find cheap medicines in the U.S. look abroad… To avoid high prices at home, U.S. patients have trekked to Canada for decades to buy their medicines… pharma companies and myriad industry-funded groups have scared Americans into believing that drugs from overseas pharmacies are inherently dangerous (American Enterprise Institiute);

· Introduction of legislation by Senators Al Franken (D-MN) and Amy Klobuchar (D-MN) supporting personal importation to relieve the growing problem of shortages of medicines in the U.S..

“These actions/situations from diverse groups reflect the extent of the problems and challenges caused by the pricing practices of Pharma that have made the cost of medicines in the U.S. the highest in the world, Hines says.

“ The most immediate and viable solution to these challenges is a ‘Common Sense’ approach protecting the right of Americans to purchase their safe and affordable medicines from reputable sources outside the U.S.

“The FDA’s actions for reciprocal agreements with other countries regarding ingredients for pharmaceutical manufacture can be a model for addressing questions of safety and efficacy.

“And, last but not least, we believe that for more than a decade, the safety and efficacy of personally imported medicines has been demonstrated by millions of Americans utilizing their ‘Common Sense’ validating that they are capable of acting in a responsible manner in making prescription drug purchases.”

Barrier to effective treatment for seniors - the cost of medicine... Elderly in the US find medication costs prohibitive

Publisher's Note: While Congress slaps itself on its collective back, the fact remains that no concrete steps have been taken to apply real-life solutions to problems such as the cost of prescription medicines, a major driver of our health care cost crisis which is a prime factor in the fiscal crisis the country faces. The question must be asked: Where are the Senators and Congressmen who have sponsored bill after bill in support of personal importation of prescription medicines? We have noted in previous entries that they have missed an obvious opportunity to advance lower medical costs by not bringing concrete proposals forth. And, ironically, while hailing the effectiveness of Part D, this latest report shows that even with Part D 'benefits', 10 percent or more of America's elderly cannot afford their medicines.

August 2, 2011--As many as one in ten elderly people in the US, registered with Medicare, do not stick to their prescribed medication because it is too expensive, according to Dr. Larissa Nekhlyudov and colleagues from Harvard Medical School. Their work, funded by the National Institute on Aging and the National Cancer Institute, shows that cost-related medication non-adherence - skipping pills to make the medicine last longer, and not filling in a prescription because it is too expensive - is common among this group, whether or not they suffer from cancer.

This suggests that elderly cancer survivors do not face a greater financial burden related to medical costs than those without cancer. The study is published online in Springer's Journal of Cancer Survivorship.

As the population ages, the cost of medicines is rising and there is evidence that this has resulted in financial burden for patients. Cancer costs in particular have grown substantially and patients with cancer are faced with significant out-of-pocket expenses during diagnosis, treatment and follow-up care. Many cancer survivors also take drugs for other chronic illnesses (or co-morbidities), including hypertension, diabetes, hyperlipidemia and osteoporosis.

In order to better understand cancer patients' medication issues, the authors analyzed data from the 2005 Medicare Current Beneficiary Survey and Medicare claims. They looked at cost-related medication non-adherence, spending less on basic needs to afford medicines and other cost-reduction strategies among both cancer survivors and non-cancer sufferers.

Nekhlyudov and team found no differences in the rate of cost-related non-adherence between cancer survivors (10 percent) and those without cancer (11 percent). Six percent of cancer survivors and nine percent of those without cancer also said they spent less on basic needs (such as food and heat) so that they could afford medicines. In addition, more than half of all enrollees used other cost-saving measures, including taking generic medications, requesting free samples and comparing pharmacy prices before buying drugs.

Dr. Nekhlyudov concludes: "As the number of cancer survivors continues to increase and get older, the findings of our study enhance our understanding of the potential barriers to effective treatment of their non-cancer co-morbidities."

Dramatic Price Increases in Brand Name Drugs spur Shareholders to action…

Investors from the Interfaith Center on Corporate Responsibility (ICCR) say new policies are needed to reign in drug costs

NEW YORK, April 27, 2011 /PRNewswire-USNewswire/ -- As the skyrocketing costs of brand name drugs leave millions of Americans skipping doses or abandoning their prescriptions, investors representing 14 faith and health care organizations are petitioning the nation's top pharmaceutical companies to re-examine pricing for commonly used drugs like Lipitor, Plavix and Celebrex in an effort to make them more affordable.

The group is citing several benchmarking reports including one from the General Accountability Office this past February that found branded drugs consistently outpacing generics relative to inflation (6.3% vs. 3.8%). ICCR members are asking management for pricing that hews closer to the consumer price index, a strategy they believe is a more accurate reflection of value and a more sustainable policy over the long term.

The Centers for Medicare and Medicaid Services projects that U.S. prescription drug spending will grow 93% during 2008-2018, exceeding all major categories of health expenditures. AARP reports that the branded prescriptions most widely used by Medicare patients increased 9.7%, far exceeding the cost for other consumer goods in the last 12 months: prices for generics during the same time period fell. ANovember 2010 report from Deloitte Consulting concluded that the issue will intensify, and that current pricing practices are not sustainable.

"The evidence from all the studies is clear, " said Ed Gerardo, director, Community Commitment and Social Investments of Bon Secours Health System, Inc. " Measures must be taken to control costs and bring transparency into the drug pricing equation."

Resolutions are on the ballots at the nation's top pharmaceutical companies including Johnson and Johnson, Abbott, Bristol-Myers Squibb and Pfizer, requesting that management utilize a combination of approaches to keep drug prices at reasonable levels.

ICCR members have been in dialogue with pharmaceutical companies for decades on issues of access and affordability.

Cathy Rowan, consultant to Trinity Health, said, " Many of us represent health care systems with missions to enhance the health of the communities they serve. We would like to see the pharmaceutical companies in which we invest have access to medicines at the heart of their business strategies."

"This isn't about charity or foregoing a profit," said Laura Berry, Executive Director of ICCR. "Our members expect that the companies they invest in espouse policies, pricing and otherwise, that promote both justice and sustainability while enhancing shareholder value. The absence of clear and reasonable pricing policies is neither just for consumers nor sustainable as a business practice."

Barbara Aires, coordinator, Corporate Responsibility, the Sisters of Charity of St Elizabeth, said, " It's hard to justify these increases in this economy. More and more, people have to choose between buying groceries and picking up their prescriptions and when people can't afford to take their medicines they get sick, straining an already fragile health care system. Our company needs a rational pricing policy that keeps branded products affordable and accessible to consumers yet will remain competitive to generics when patents expire."

About the Interfaith Center on Corporate Responsibility ( www.iccr.org ):

Currently celebrating its 40th year, ICCR is the pioneer coalition of active shareholders who view the management of their investments as a catalyst for change. Its 300 member organizations with over $100 billion in AUM have an enduring record of corporate engagement that has demonstrated influence on policies promoting justice and sustainability in the world.

SOURCE Interfaith Center on Corporate Responsibility

Cost of heart drugs makes patients skip pills, putting themselves at risk

For more than 5 million Americans with heart failure, a critical step to better health is taking the medications they're prescribed. But many patients fail to do so, putting themselves at greater risk of hospitalization and even death. To date, studies have not fully answered why patients fall short when it comes to taking heart medicine.

In a study appearing in the April issue of Mayo Clinic Proceedings, Mayo Clinic researchers found the drugs' cost is one of the biggest deterrents.

"We found patients weren't filling their prescriptions because of the expense," says Shannon Dunlay, M.D., Mayo Clinic cardiologist and lead author.

The study recruited patients from Olmsted County, Minn., and tracked their pharmacy records. Previous studies looked only at electronic prescription claims data, possibly missing drugs purchased with cash or not covered by insurance, Dr. Dunlay says.

The 209 patients in the study, ages 60 to 86, were asked how often they missed doses or didn't take drugs at all, and why.

Researchers found that younger patients were slightly more likely to skip certain heart medications than older patients.

Men were less likely than women to stick to certain drug regimens. Among patients who did a poor job following prescriptions, financial concern was the main reason: 46 percent reported that they had stopped taking statins or not filled a prescription because of cost, and 23 percent acknowledged skipping doses to save money.

Although 77 percent of patients in the study were eligible for Medicare, medication costs were still an important issue for some of them.

Dr. Dunlay emphasizes that heart failure patients worried about medication costs should tell their physicians. There often are lower-cost alternatives, she says.

Why RxforAmericanHealth believes personal importation of medicines from Tier One Countries can lower our debt at the local, State and Federal levels

· The United States faces what many believe to be the most severe fiscal crisis of its history—the burdensome Federal debt.

· Forty cents of every dollar spent by the government is today being applied to payment of interest for the debt.

· As of January 31, 2011 the amount of the U.S. debt had grown to $14.6 trillion.

· While there is debate among policy makers with differing political beliefs about contributors to this crisis, a consensus is rapidly emerging that a major contributor is the cost of healthcare.

· While the rate of the growth of healthcare costs has diminished somewhat, this is due to individuals not utilizing services due to the economic recession.

· At the same time, Prescription drug spending accelerated in 2009 to $249.9 billion, increasing 5.3 percent after 3.1 percent growth in 2008, driven by faster growth in both prices and utilization, according to the report.

· This reflects the fact that the pharmaceutical industry (Pharma) is a major driver of the ongoing—and growing—fiscal crisis as it relates to the costs of healthcare.

· ‘Negotiations’ between the Obama Administration and the pharmaceutical industry have not only not reduced the costs of prescription medicines, but they have actually created a guaranteed market for Pharma that will generate additional sales of drugs to be paid for by the Federal Goverment as the Doughnut Hole Medicare Part D is gradually eliminated, and as Pharma has continued to raise prices to offset its promise to ‘reduce’ prices for America’s elderly utilizing Medicare Part D.

· The result has been to increase prices for prescription medicines for all Americans, all the while failing to offer true relief for the elderly, but adding to the burden of the Federal debt.

· There must be relief from the prices Americans pay for prescription medicines—the highest in the world.

· Allowing personal importation of brand-name prescription medicines is the most effect strategy to provide the competitive forces to reduce the negative impact upon personal and governmental budgets, and at the same time, enhance the health and well-being of Americans by providing a healthcare regimen that includes access to safe, affordable brand-name medicines.

o Access to safe, affordable prescription name-brand medicines from licensed, regulated pharmacies outside the U.S. will reduce costs of medications, while improving the health of U.S. citizens

o Every American is entitled to enjoy the health benefits made possible by prescription medicines.

o We believe that Americans are capable of making informed decisions about his or her personal health and can do so in a responsible manner.

· This is validated by the growing number of policy makers—including President Obama—who in January 2011 reiterated his oft-stated campaign position regarding personal importation as a means of lower prescription drug prices, and reflected his sponsorship of legislation allowing personal importation when he served in the U.S. Senate.

· The President is not alone. A growing number of members of the U.S. Congress has introduced or announced support of personal importation as a primary driver as an option to offset increased healthcare costs directly, and, therefore the Federal debt.

· · The pharmaceutical industry has conducted an ongoing campaign comprised of false charges, inaccuracies, and fear tactics to damage the reputation of companies, services and individuals supporting a role for brand-name prescription medicines from outside the U.S.

· This is a reflection of Pharma’s goal to protect the status quo, as well as to make moves to prevent the free market from offering Americans the opportunity to purchase lower-cost safe brand-name medicines, and the industry’s belief that Americans are not capable of making such responsible decisions.

· · We shall present the truth about the safety, efficacy and cost-savings of brand-name prescription medicines from licensed, registered pharmacies in Tier One countries where standards of safety and efficacy meet or exceed those of the U.S.·

· We shall support policies allowing U.S. citizens to exercise their right to freedom of choice in brand-name prescription medicine purchases from licensed, registered pharmacies outside the U.S.