MDNews - Cleveland-Akron-Canton

November/December 2018

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86 million Americans Maybe even you, have prediabetes. person-ABOUT-TO- FACT-CHECK-THIS-FACT. CORE DEMENTIA KIllS 1.5 MIllION PEOPlE GlOBAllY E ACH YE AR. SO DOES TUBERCUlOSIS. BUT ABOUT 300 TRE ATMENTS FOR Al ZHEIMER'S AND ONlY 80 FOR TB WERE UNDER DE VElOPMENT IN 2017, NOTES A REPORT BY THE SCHAEFFER CENTER FOR HE AlTH POlICY & ECONOMICS AT THE UNIVERSIT Y OF SOUTHERN CAlIFORNIA HIGHlIGHTING THE lINK BE T WEEN DRUG SPENDING AND INNOVATION. M O R E D E AT H S IN higher-income countries are related to dementia, whereas TB is far more common in lower-income nations, the report notes, and countries focus research dollars on their priorities. In addition, expected fi nancial returns aff ect investment decisions, according to the authors. That is a double-edged sword: While TB research may go begging, most HIV patients using antiretroviral therapies live in Africa — even though the therapies were developed in wea lthier countries. The burden of much of that development falls on the U.S., the writers argue, because Americans pay vastly more for drugs than people in poor or even other wealthy countries, creating profi ts that fund development. An analysis by the researchers suggests raising drug prices in Europe by 20 percent would yield more drug discovery and fi nancial gains on both sides of the Atlantic. "If other wealthy countries shouldered more of the burden for medical innovation, both American and European patients would benefi t," the authors write. Even poorer countries would benefit by paying more as their incomes rise and they confront increases in conditions such as diabetes and dementia: "Spending a bit more now to ensure their populations have access to eff ective treatment is in everyone's interest." n Innovation Tied to Drug Costs BY STEVE BARRETT STUDY: M D N E W S . C O M /// M D N E W S C l E V E l A N D /A K R O N / C A N T O N ■ N O V E M B E R / D E C E M B E R 2 018 2 1

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