National

From our Expert Voices conversation on drug pricing.

American citizens help fund the basic science behind most drugs, and then we give corporations monopoly power to set the prices at whatever the market will bear.  50-60% of all new drugs are based on research funded by U.S. taxpayers and currently, we pay twice as much for most drugs as people in other wealthy nations.

Acknowledge taxpayers' investment and explain how the price of a drug reflects that investment.

Publicly commit that when a drug is approved in other countries, U.S. taxpayers will not be charged more than citizens of other wealthy nations given America's unique investment into the science driving drug discoveries.

Explain how the price of an orphan drug for treating rare diseases will decline as the number of patients receiving the drug expands.

The bottom line:  Novartis's new CAR-T drug, Kymriah, is an incredibly important one. But American taxpayers invested over $200 million in CAR-T's discovery. Based on several different data points, we believe the price for Kymriah is about $125,000-150,000 too high. That's disappointing. Drugs don't work if people can't afford them.

Greg Aune, pediatric oncologist, Greehey Children's Cancer Research Institute: Value isn't just about surviving cancer

Usman Azam, president & CEO, Tmunity Therapeutics: How to evaluate breakthrough therapies

Austin Frakt, health economist, Department of Veterans Affairs, Boston University and Harvard University: The public should have a say in what a drug is worth

Paul Howard, senior fellow, Manhattan Institute: Price should be based on outcome

Drugs don't work if people can't afford them

Expert Voices

F<a class="gtmContentClick" data-vars-link-text="rom our Expert Voices conversation on drug pricing." data-vars-click-url="https://www.axios.com/putting-a-price-on-new-cancer-treatments-1513305316-8d352b29-924b-49d1-ab5e-45c3e089bbe0.html" data-vars-content-id="5b244ef4-d608-4bfd-b337-3a3c9b754d7f" data-vars-headline="Drugs don&#x27;t work if people can&#x27;t afford them" data-vars-event-category="story" data-vars-sub-category="story" data-vars-item="in_content_link" href="https://www.axios.com/putting-a-price-on-new-cancer-treatments-1513305316-8d352b29-924b-49d1-ab5e-45c3e089bbe0.html" target="_self">rom our Expert Voices conversation on drug pricing.</a>American citizens help fund the basic science behind most drugs, and then we give corporations monopoly power to set the prices at whatever the market will bear. 5<a class="gtmContentClick" data-vars-link-text="0-60%" data-vars-click-url="https://www.usnews.com/opinion/policy-dose/articles/2016-12-12/the-harm-of-high-drug-prices-to-americans-a-continuing-saga" data-vars-content-id="5b244ef4-d608-4bfd-b337-3a3c9b754d7f" data-vars-headline="Drugs don&#x27;t work if people can&#x27;t afford them" data-vars-event-category="story" data-vars-sub-category="story" data-vars-item="in_content_link" href="https://www.usnews.com/opinion/policy-dose/articles/2016-12-12/the-harm-of-high-drug-prices-to-americans-a-continuing-saga" target="_blank">0-60%</a> of all new drugs are based on research funded by U.S. taxpayers and currently, we pay twice as much for most drugs as people in other wealthy nations.Drug companies have a responsibility to:<ul><li>Acknowledge taxpayers&#x27; investment and explain how the price of a drug reflects that investment.</li><li>Publicly commit that when a drug is approved in other countries, U.S. taxpayers will not be charged more than citizens of other wealthy nations given America&#x27;s unique investment into the science driving drug discoveries.</li><li>Explain how the price of an orphan drug for treating rare diseases will decline as the number of patients receiving the drug expands.</li></ul>The bottom line: Novartis&#x27;s new CAR-T drug, Kymriah, is an incredibly important one. But American taxpayers invested over $200 million in CAR-T&#x27;s discovery. Based on several different data points, we believe the price for Kymriah is about $125,000-150,000 too high. That&#x27;s disappointing. Drugs don&#x27;t work if people can&#x27;t afford them.Other voices in the conversation:<ul><li>Greg Aune, pediatric oncologist, Greehey Children&#x27;s Cancer Research Institute: <a class="gtmContentClick" data-vars-link-text="Value isn&#x27;t just about surviving cancer" data-vars-click-url="https://www.axios.com/value-isnt-just-about-surviving-cancer-1513388238-13bdcc47-2e98-4dc5-a3b9-8896d3b2bde8.html" data-vars-content-id="5b244ef4-d608-4bfd-b337-3a3c9b754d7f" data-vars-headline="Drugs don&#x27;t work if people can&#x27;t afford them" data-vars-event-category="story" data-vars-sub-category="story" data-vars-item="in_content_link" href="https://www.axios.com/value-isnt-just-about-surviving-cancer-1513388238-13bdcc47-2e98-4dc5-a3b9-8896d3b2bde8.html" target="_self">Value isn&#x27;t just about surviving cancer</a></li><li>Usman Azam, president &amp; CEO, Tmunity Therapeutics: <a class="gtmContentClick" data-vars-link-text="How to evaluate breakthrough therapies" data-vars-click-url="https://www.axios.com/how-to-evaluate-breakthrough-therapies-1513388239-376a4a23-93f7-424d-ad58-9b1602873b02.html" data-vars-content-id="5b244ef4-d608-4bfd-b337-3a3c9b754d7f" data-vars-headline="Drugs don&#x27;t work if people can&#x27;t afford them" data-vars-event-category="story" data-vars-sub-category="story" data-vars-item="in_content_link" href="https://www.axios.com/how-to-evaluate-breakthrough-therapies-1513388239-376a4a23-93f7-424d-ad58-9b1602873b02.html" target="_self">How to evaluate breakthrough therapies</a></li><li>Austin Frakt, health economist, Department of Veterans Affairs, Boston University and Harvard University: <a class="gtmContentClick" data-vars-link-text="The public should have a say in what a drug is worth" data-vars-click-url="https://www.axios.com/the-public-should-have-a-say-in-what-a-drug-is-worth-1513388237-605a6a44-ed00-439b-9da8-42102db1733f.html" data-vars-content-id="5b244ef4-d608-4bfd-b337-3a3c9b754d7f" data-vars-headline="Drugs don&#x27;t work if people can&#x27;t afford them" data-vars-event-category="story" data-vars-sub-category="story" data-vars-item="in_content_link" href="https://www.axios.com/the-public-should-have-a-say-in-what-a-drug-is-worth-1513388237-605a6a44-ed00-439b-9da8-42102db1733f.html" target="_self">The public should have a say in what a drug is worth</a></li><li>Paul Howard, senior fellow, Manhattan Institute: <a class="gtmContentClick" data-vars-link-text="Price should be based on outcome" data-vars-click-url="https://www.axios.com/price-should-be-based-on-outcome-1513388240-55105636-e34a-4a6c-aebb-55c90883455e.html" data-vars-content-id="5b244ef4-d608-4bfd-b337-3a3c9b754d7f" data-vars-headline="Drugs don&#x27;t work if people can&#x27;t afford them" data-vars-event-category="story" data-vars-sub-category="story" data-vars-item="in_content_link" href="https://www.axios.com/price-should-be-based-on-outcome-1513388240-55105636-e34a-4a6c-aebb-55c90883455e.html" target="_self">Price should be based on outcome</a></li></ul>

The U.S. faces a range of health care flashpoints — unaffordable drugs, opioids, vaping — as we debate whether to adopt universal care. For now, the Affordable Care Act is the law of the land, but Republicans want to issue it a final death blow.

David Mitchell (patient advocate)

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Drugs don't work if people can't afford them