Why Prescription Drug Prices Keep Rising – and 3 Ways to Bring Them Down
Prescription drug prices have been rising at a blistering rate over the last few decades. Between 1980 and 2016, overall spending on prescription drugs rose from about $12 billion to roughly $330 billion, while its share of total health care spending doubled, from 5% to 10%.
Although lawmakers have shown renewed interest in addressing the problem, with pharmaceutical CEOs testifying before the Senate Finance Committee in February and pharmacy benefit managers (PBMS) scheduled to do so this week, no comprehensive plan to halt the relentless increase in prices has been proposed, let alone agreed upon.
Robin Feldman, a professor at the University of California Hastings College of Law, takes a look at the drug pricing system in a new book, “Drugs, Money and Secret Handshakes: The Unstoppable Growth of Prescription Drug Prices.” In a recent conversation with Bloomberg’s Joe Nocera, Feldman said that one of the key drivers of rising prices is the ongoing effort of pharmaceutical companies to maintain control of the market.
Fearing competition from lower-cost generics, drugmakers began over the last 10 or 15 years to focus on innovations “outside of the lab,” Feldman said. These innovations include paying PBMs to reduce competition from generics; creating complex systems of rebates to PBMs, hospitals and doctors to maintain high prices; and gaming the patent system to extend monopoly pricing power.
Feldman’s research on the dynamics of the drug market led her to formulate three general solutions for the problem of ever-rising prices:
1) Transparency: The current system thrives on secret deals between drug companies and middlemen. Transparency “lets competitors figure out how to compete and it lets regulators see where the bad behaviors occur,” Feldman says.
2) Patent limitations: Drugmakers have become experts at extending patents on existing drugs, often by making minor modifications in formulation, dosage or delivery. Feldman says that 78% of drugs getting new patents are actually old drugs gaining another round of protection, and thus another round of production and pricing exclusivity. A “one-and-done” patent system would eliminate this increasingly common strategy.
3) Simplification: Feldman says that “complexity breeds opportunity,” and warns that the U.S. “drug price system is so complex that the gaming opportunities are endless.” While “ruthless simplification” of regulatory rules and approval systems could help eliminate some of those opportunities, Feldman says that the U.S. doesn’t seem to be moving in this direction.
Read the full interview at Bloomberg News.
3 Dumb Moves That Can Hurt Your Career
What's the most common way to breach workplace etiquette and curb your career growth, if not derail it altogether?
AccountTemps says employers and staffers don't always see office etiquette the same. But bosses certainly have more leverage in the matter, since they can fire employees who buck the rules, and a company survey finds U.S. chief financial officers are most often bugged by workers "being distracted" on the job (27% of CFOs say so) and "gossiping about colleagues" (18%).
Other top offenses cited by CFOs:
- Not responding to calls or emails.
- Being late to meetings, or missing them.
- Not crediting other staffers when appropriate.
Employers and workers may not see the top etiquette breaches equally, but they agree on professional decorum more than they disagree, and the shared message is easy to sum up: "Most jobs today require teamwork and strong collaboration skills, and that means following the unwritten rules of office protocol," says Bill Driscoll, a district president of Accountemps. "Poor workplace etiquette demonstrates a lack of consideration for coworkers."
Related: Modern Etiquette: Outclassing the Competition
Of course, the list of workplace professional breaches exceeds the AccountTemps list.
"I've seen it all," notes Nicole Williams, a workplace consultant and a career contributor to NBC's The Today Show. "Employees who lie on expense reports; who badmouth the company or boss on social media or to clients; proofreading mistakes; missing deadlines. Just to name a few."
If you do trip up on the job, it's best to be accountable. "If you really screw up, you have to suffer the consequences in silence," Williams says. "Don't protest, don't try and get out of it, and don't put the blame on someone or something else. People will respect you more for owning your mistakes."
This article originally appeared on Main Street
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The Lucrative Business of SAT Test Prep Is About to Get Disrupted
For years, critics of the SAT have claimed that wealthy students who can afford expensive, private test prep courses have a leg up on poorer students without access to such classes.
That just changed. Starting yesterday, all students can access free, high-quality online test prep via a new partnership between the College Board, which administers the test, and online course powerhouse Khan Academy, a nonprofit supported by the Bill and Melinda Gates Foundation and Ann and John Doerr among others. The online program will include quizzes, video lessons and personalized lessons.
The Official SAT Practice will focus on the recently redesigned SAT, with questions created by the tests’ authors.
Related: SAT Tests: Another Drain on the Family Budget
College test preparation is a $4.5 billion business. Private SAT tutors charge in excess of $100 per hour and classes from companies like Kaplan or Princeton Review run about $1,000. And those classes may help. Students from the wealthiest families have average test scores that are more than 300 points higher than students from the poorest families on average, according to the College Board.
In recent years, more colleges have moved away from the SAT and its competitor, the ACT, as a backlash against the tests have grown.
More than 850 schools have made the tests optional for admission, according to advocacy group FairTest, choosing instead to focus on class grades and other factors. A study released last year of undergrads at those schools found no difference in either the GPAs or the graduation rates of students who took the SATs versus those that skipped it.
Gas Prices This Summer Could Be Cheapest Since 2009
Gas prices have been on a tear in recent weeks, hitting a national average this week of $2.75 per gallon, the highest price this year, but they’re poised to fall back down as the summer progresses, according to AAA.
The organization is predicting that the cost of gas could fall to its lowest levels since 2009, which is good news for travelers ready to hit the road. About 60 percent of Americans recently surveyed by AAA said they were more likely to take a long road trip this year is gas prices remain low.
While the national average price of gas remains well below $3 per gallon, and 87 percent of U.S. stations are selling gas for below that benchmark, consumers out west and in Hawaii are paying more. Prices in California are highest at $3.30, followed by Hawaii ($3.70) and Nevada ($3.30).
Related: Gas Prices or Economy, Experts Disagree on What Drives U.S. Demand
The average price for a gallon of gas last month was $2.69 per gallon, nearly a dollar less than the $3.66 it cost last May. Economists have been hoping for months that low energy prices would boost consumer spending, but Americans have been choosing to sock away their extra cash rather than spending it.
Personal spending was basically flat in April, falling less than 0.1 percent despite a slight increase in personal income. At the same time, the savings rate increased from 5.2 to 5.6 percent.
Millennial Women are Taking Charge—at Work and at Home
According to a recent report from U.S. Trust, women at the top of the earnings ladder are not only making strides in the workplace, but they’re also taking charge of their households’ finances at higher rates.
The national survey of 640 adults found that among high-net-worth individuals—defined as those with at least $3 million in investable assets—30% of Gen Y women are breadwinners in their households, and another 21% contribute the same amount of income to the household as their partners.
Perhaps even more surprising? That’s true for Millennial women more than any other demo.
Related: How Millennials Could Damage the U.S. Economy
Compare that to the 11% of Gen X women and 15% of Baby Boomer women who earned more than their husbands.
Likely a result, young women have a greater influence over their family’s money decisions than ever. Among today’s high-earning female Millennials, 31% are the primary decision-makers when it comes to their household’s wealth and investment planning. That’s considerably more than the 11% of Gen Xers and 9% of Boomer women who can say the same.
Of course, these role changes don’t just affect women. As moms continue to earn more, about one in four Millennial fathers are more likely to be the primary caretakers of their children—a striking difference from the 7% of Gen X and 3% of Boomer dads who’ve undertaken the same responsibility.
When Will the Consumer Spending Surge Finally Happen?
Economists have been waiting for a surge in consumer spending fueled by savings at the gas pump and a stronger job market boosting personal incomes. They’re going to have to keep waiting.
The Commerce Department on Monday said personal spending was essentially flat in April —it fell less than 0.1 percent — even as personal income rose a better-than-expected 0.4 percent. Americans made more money in April but they didn’t spend more. Instead, they socked it away, raising the savings rate — personal savings as a percentage of disposable income — from 5.2 percent in March to 5.6 percent in April.
Related: How Obamacare Could Be Squeezing Consumer Spending
The April spending picture was the reverse of that from March, when incomes growth stalled but spending rose. Overall, though, Americans still look to be hesitant about opening up their wallets.
“This report clearly indicates that the bounce back in March did not continue into April,” Chris G. Christopher, Jr., director of consumer economics at HIS Global Insight, said in a note to clients. “It is becoming blatantly obvious that the so-called consumer gasoline price dividend is not motivating the average American household to increase their discretionary spending in any meaningful manner.”
Energy prices have risen lately, but they are still down 20 percent from where they were a year ago, notes PNC Senior Macroeconomist Gus Faucher. Eventually, that should still translate to more spending as long as the job market recovery continues apace.
“Clearly, consumption is hardly booming, but the lag between declines in gas prices and the response in the spending numbers is long, typically six or seven months,” Ian Shepherdson, chief economist at Pantheon Macroeconomcs, said in a note to clients. “Gas prices did begin to fall rapidly until November, with the biggest single drop in January, so we don't expect to see consumption accelerate properly until the summer.”
For now, the economists — and the economy — keep waiting.
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