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August 3, 2026 Blog, Innovation

PRI Celebrates Victory After Filing Amicus Brief in Landmark Gilead Case The Pacific Research Institute – the non-partisan, California-based, free-market think tank – today hailed a landmark California Supreme Court decision protecting future medical innovation. The ruling in the Gilead Tenofir Cases overturns a lower court decision that threatened to expose pharmaceutical innovators to sweeping new liability for decisions about the timing of the development of future medicines. In November 2024, PRI filed an amicus curiae brief in the case in support of Gilead, arguing that allowing the...

June 30, 2026 Multimedia, Price and Costs

In the Health Policy Podcast episode featuring Wayne Winegarden from the Pacific Research Institute, the discussion centers on the 340B Drug Pricing Program. Winegarden critiques the program's lack of transparency and its unintended consequences, which have led to large hospital systems profiting at the expense of smaller institutions and patients. He advocates for reforms, including improved transparency and a shift in funding models to better serve the intended vulnerable populations. ...

June 30, 2026 Price and Costs

California economist: 'The transparency is nonexistent' in federal 340b drug discount program By A.R. Baird A California healthcare economist is calling for greater transparency in the federal 340B Drug Pricing Program, arguing that lawmakers, taxpayers and even participating hospitals lack sufficient reporting to determine whether billions of dollars in drug discounts are being used as Congress intended. Speaking on the Health Policy Podcast, Wayne Winegarden, senior fellow in business and economics and director of the Center for Medical Economics and Innovation at the...

June 22, 2026 Innovation, Policy Proposals, Price and Costs

International drug price comparisons often create more confusion than clarity. One reason: they ignore the large drug access problems that exist in the comparator countries, such as Canada and the U.K. Lost access to drugs raises other health spending and reduces health outcomes. Another fundamental problem is these comparisons rely on U.S. medicines’ gross (or list) price. But list prices do not account for the complex U.S. drug supply chain, where manufacturers receive only a portion of the gross price and...

May 22, 2026 Innovation

For progressives, the answer to every healthcare problem is invariably the same: more government. First came Obamacare. Now, some on the Left are trying to take the next step toward socialized medicine — “free” primary care for all. A new report from the Searchlight Institute, authored by several architects of the Affordable Care Act, urges Democratic policymakers to guarantee primary care with no out-of-pocket costs at the point of service. It sounds compassionate. But making something “free” does not magically create more...

May 21, 2026 Policy Proposals, Price and Costs

If a charity organization collected billions of dollars with little evidence that needy people benefited, regulators and the public would quickly demand answers. Yet many large hospital systems participating in the federal 340B Drug Pricing Program are quietly doing just that—extracting billions in drug discounts with scarce oversight and no obligation to prove vulnerable patients benefit.   ...

April 3, 2026 Blog, Policy Proposals

Dr. Wayne Winegarden, director of PRI's Center for Medical Economics and Innovation, responded to the Trump administration's new plan to impose pharmaceutical tariffs. The Trump administration's new 100% tariff on certain patented pharmaceutical imports will hurt American families. Tariffs are taxes, plain and simple. Doubling the cost of importing many lifesaving medicines will inevitably increase spending for patients, employer-sponsored health plans, and taxpayer-funded insurance programs. At a time when 59% of American adults worry about paying for their medication -- and 19% have...

March 16, 2026 Innovation, Issues

A left-leaning pressure group recently sent a letter to Health and Human Services Secretary Robert F. Kennedy Jr. asking his agency to rescind the patent rights earned by the developers of GLP-1 drugs. Some 12% of U.S. adults have taken these medications. Rescinding the patents is a dangerous idea that would reduce our health and well-being. GLP-1 medications benefit patients with various conditions. They have become a popular weight loss drug that suppresses people’s appetites and helps patients living with Type 2...

January 20, 2026 Briefs, Price and Costs

A new issue brief released by the Center for Medical Economics and Innovation at the nonpartisan Pacific Research Institute finds that innovative drug manufacturers earn some of the lowest risk-adjusted returns in the U.S. health care system, despite making the largest investments in research and development. The findings challenge the central claim used to justify government drug price controls. The brief examines financial data from more than 1,200 publicly traded U.S.-based companies across five major health care sectors between 2022 and...

December 31, 2025 Blog, Price and Costs

Recently, PRI President, CEO and Thomas W. Smith Fellow in Health Care Policy Sally C. Pipes was in Fort Worth, TX at the American Legislative Exchange Council (ALEC) 2025 States and Nation Policy Summit for a discussion about the push for drug price controls and themes of her recent book The World’s Medicine Chest (Encounter Books).  The title of her talk was, “Balancing Access, Affordability and Innovation: The Hidden Costs of Drug Price Controls.”  This week, we present the latest post in...

December 24, 2025 Blog, Price and Costs

Recently, PRI President, CEO and Thomas W. Smith Fellow in Health Care Policy Sally C. Pipes was in Fort Worth, TX at the American Legislative Exchange Council (ALEC) 2025 States and Nation Policy Summit for a discussion about the push for drug price controls and themes of her recent book The World’s Medicine Chest (Encounter Books).  The title of her talk was, “Balancing Access, Affordability and Innovation: The Hidden Costs of Drug Price Controls.”  This week, we present the latest post in...

December 17, 2025 Blog, Price and Costs

Recently, PRI President, CEO and Thomas W. Smith Fellow in Health Care Policy Sally C. Pipes was in Fort Worth, TX at the American Legislative Exchange Council (ALEC) 2025 States and Nation Policy Summit for a discussion about the push for drug price controls and themes of her recent book The World’s Medicine Chest (Encounter Books).  The title of her talk was, “Balancing Access, Affordability and Innovation: The Hidden Costs of Drug Price Controls.”  This week, we present the latest post in...

December 10, 2025 Blog, Price and Costs

Recently, PRI President, CEO and Thomas W. Smith Fellow in Health Care Policy Sally C. Pipes was in Fort Worth, TX at the American Legislative Exchange Council (ALEC) 2025 States and Nation Policy Summit for a discussion about the push for drug price controls and themes of her recent book The World’s Medicine Chest (Encounter Books). The title of her talk was, “Balancing Access, Affordability and Innovation: The Hidden Costs of Drug Price Controls.” This week, we begin a series...

October 8, 2025 Blog, Policy Proposals, Price and Costs

Sen. Sanders and President Trump are reading from the same playbook. They are trying to address a real problem – the U.S. spends way too much on healthcare – but their playbook misdiagnoses the causes. Consequently, their cures will only worsen the problem. Whether it is Sanders vilifying pharmaceutical companies or Trump’s emphasis on imposing price controls, they both allege that drug spending is a primary driver of the nation’s rising healthcare costs. Even a cursory look at the data demonstrates...

October 1, 2025 Briefs, Policy Proposals, Price and Costs, Studies

SACRAMENTO – As California prepares to restrict access to proven private health insurers for dual eligible Medicare and Medi-Cal patients, the Center for Medical Economics and Innovation at the Pacific Research Institute – the nonpartisan, California-based, free market think tank – today released a new brief showing that expanding competition—not imposing new government restrictions—is the best way to lower costs, expand access, and improve patient outcomes. Download the new brief at www.medecon.org “California mistakenly believes that reducing health care choices will save...

August 4, 2025 Briefs, Industry Trends, Studies

SACRAMENTO – A new issue brief released today by the Center for Medical Economics and Innovation at the Pacific Research Institute calls for reforms to expand the reach of the Program of All-Inclusive Care for the Elderly (PACE), a joint Medicare and Medicaid program that delivers comprehensive medical and social care services to lower-income seniors eligible for nursing home-level care so they can live safely at home. Click here to download the brief Expanding PACE’s reach by supporting additional for-profit providers participating...

July 30, 2025 Innovation, Price and Costs

The flaws driving up costs across the broader health care landscape are also driving up the costs for innovative drugs. After all, pharmaceuticals are an integral component used in combination with the broader healthcare system. As a result, spending on medicines both influences and is influenced by the spending on all other healthcare services. Evaluating the total amount of spending on drugs as a share of total healthcare spending provides important perspective, consequently. As Drug Channels notes, “total net drug spending...

July 23, 2025 Price and Costs

The government explicitly grants innovators temporary market exclusivity to provide an opportunity for groundbreaking pharmaceutical companies to recover the costs of capital associated with developing novel treatments. This was one of the express purposes of past federal reform legislation, such as the Hatch-Waxman Act signed in 1984 and the Biologics Price Competition and Innovation Act of 2009 (BPCIA). The reality that, since 2000 alone, 750 new medicines have been developed, demonstrating that these acts are achieving their stated purpose. The pharmaceutical...

July 16, 2025 Price and Costs

Recently, the Federal Trade Commission (FTC) held its first of three listening sessions on the pharmaceutical market. The goal was to discuss reforms that will improve drug affordability by increasing “generic and biosimilar availability” and promoting “competition”. Achieving these goals is essential. The flaw of the first listening session is its focus on the ill-founded claims of “anticompetitive practices” by incumbent manufacturers. This focus demonstrates an inherent misunderstanding of the strengths and flaws of the current pharmaceutical market. Consequently, it will...