Policy Proposals

On this page, you’ll find our analysis on key state and federal pharmaceutical policy proposals, with a focus on providing the expected economic impact from these proposals.

Republicans have concluded their national convention without offering a detailed policy plan for the next four years. Instead, they have stuck with their 2016 platform and offered seven bullet points outlining their priorities when it comes to healthcare. Among those seven are promises to reduce health insurance premiums and end surprise medical bills. They can accomplish both by insisting on transparency from both providers and insurers. The price of medical care is shrouded in secrecy. Healthcare providers may charge different insurers different amounts. Those who pay...

Surprise Billing Price Controls Decreasing Care Quality in CA By: Jacqueline LaPointe, Reporter Researchers at the Pacific Research Institute are warning Congressmembers to steer clear from price controls as a solution for surprise billing after finding that the policy approach had unintended consequences in California. In a new brief, researchers found that California’s surprise billing solution – which imposes benchmark prices on out-of-network services delivered at an in-network facility – narrowed provider networks for patients and incented further provider consolidation in the state. “California’s surprise...

Millions of people will continue to have access to affordable short-term health plans, thanks to a new ruling from the U.S. District Court of Appeals for the District of Columbia. A three-judge panel of the court upheld by a 2-1 margin a Trump administration rule extending the maximum duration of a short-term plan to just under a year. Insurers can also renew the plans for up to three years. Short-term plans are appealing because they're so affordable. Unlike those for sale on the exchanges, they're not required to...

Sally C. Pipes joins the Lars Larson Show to question the Trump administration's latest action on drug pricing. President Trump plans to sign an executive order on Friday, July 24 that puts limits on drug pricing in the United States. Pipes explains that 90 percent of drugs are generic and already save most Americans a great deal of money. But the pending executive order ties the average reference drug price to those in other countries - Canada, UK, Germany, France,...

President Trump issued four executive orders Friday that he said will lower drug prices — but in reality, three of the orders will cause far more harm than good and represent electioneering at its worst. The three harmful executive orders allow the importation of drugs from Canada, reduce the price of insulin, and introduce an International Pricing Index for prescription drugs. The International Pricing Index will effectively impose price controls on prescription drugs under Medicare Part B — and in so doing, dramatically...

President Reagan famously said, “the nine most terrifying words in the English language are: I’m from the Government and I’m here to help”. It is time for President Trump to learn this wisdom. Along with Speaker Pelosi, Senator Sanders, and Representative Ocasio-Cortez, President Trump seems to believe that giving the government the authority to impose price controls on medicines will help patients. And, following the signing ceremony on Friday, he is now officially trying to make government price controls a reality. Of...

It’s not often that Joe Biden agrees with President Trump. But the former vice president found common ground with his presumptive opponent this month when he announced he would outline a plan to bring medical manufacturing back to the United States, something the president has long endorsed. This isn’t the first time political opponents have come together to support “Buy America” plans. Late last month, Sens. Marco Rubio, Florida Republican, and Elizabeth Warren, Massachusetts Democrat, introduced several bills designed to increase...

The pharmaceutical industry has responded to the Covid-19 pandemic with, arguably, the greatest surge in drug innovation in history. Consider that Remdesivir (produced by Gilead) has already received an emergency use authorization by the FDA for Covid-19. Losmapimod (produced by Fulcrum) is another promising treatment for Covid-19 that is in Phase III trials. And, these are just two of the many treatments that are showing great potential for patients. There are also multiple vaccines that are advancing at light speed while still maintaining the necessary safety protocols....

As single-payer advocates such as Senator Bernie Sanders (I-VT) and House member Alexandria Ocasio-Cortez (D-NY) are seizing on the COVID-19 pandemic to push even more aggressively for a complete takeover of our health care system by the federal government, listen to a special presentation of our recent webinar featuring PRI President, CEO, and Thomas W. Smith Fellow in Health Care Policy Sally C. Pipes discussing why “Medicare for All” would be the wrong solution for the U.S. to embark on...

By Henry I. Miller, M.S., M.D. and Andrew I. Fillat Every day seems to bring some new, unexpected, unpleasant revelation about the SARS-CoV-2 and the illness it causes, COVID-19. The infection has a long, often asymptomatic incubation period, high transmissibility, the ability to infect many human tissues, and, frequently, rapid deterioration of the clinical course. Some curious aspects of the infection, such as long duration of symptoms, multi-organ involvement, blood clots, and patients’ ability to tolerate extremely low blood oxygen levels have...

America is in a state of collective angst, one that hasn't been seen since perhaps the Second World War. Every crisis since then, whether it was war, the 9/11 attacks, flu pandemics, or financial meltdown, had left most Americans unaffected. But now, few are economically, medically, or emotionally untouched. The SARS-CoV-2 virus and the disease it causes, COVID-19, pose threats or extreme inconvenience of one sort or another to virtually everyone. In a crisis like this, driven by health (and the...

It was not long ago that the economy’s rising tide was supporting state budgets across the country. As the Pew Charitable Trusts noted, widespread economic prosperity was supporting tax revenue growth and creating budget surpluses. When times are good, saving money is not always a priority in state capitols. But, times are no longer good, and saving money is now a top policy priority. The carnage is not contained to state budgets either. Businesses large and small are losing money, families are struggling...

On ‘Supply-Chain Repatriation,’ It’s Buyer (and Nation) Beware By Scott Lincicome One of the most fashionable COVID-19 proposals being circulated by Washington politicians and pundits these days is the “repatriating” of global supply chains for pharmaceuticals, medical devices, and “personal protective equipment” that have been “outsourced” over the past three decades, leaving America utterly dependent on foreign countries, especially China, for these essential products. Bringing that manufacturing back home, so the story goes, is the only way to ensure future “resiliency” in...

PRI President, CEO, and Thomas W. Smith Fellow in Health Care Studies Sally C. Pipes joins PRI's Next Round podcast to discuss some of the health care challenges that have popped up during the coronavirus crisis, including a renewed push for single-payer and calls for prescription drug price controls and a “Buy America” mandate for drug manufacturing. We also discuss a few positives changes that have occurred despite these tough times – the rise of telehealth and the rolling back...

Dr. Henry Miller joins the nationally-syndicated Lars Larson Show to debate shelter-in-place rollbacks by states and European countries and why it could be too early. Miller and Larson also debate the approaches of other countries and how their infection and death rate compare to the United States. Dr. Miller's segment begins at the 47:00 minute mark.  Lars Larson National Podcast · Lars Larson National Podcast 04-21-20...

The presidential campaign of Sen. Bernie Sanders, I-Vt., may have ended, but his "Medicare-for-all" crusade marches on. Writing in The New York Times last week, Sanders argued that the coronavirus outbreak proved the government should take over our nation's health care system. Sanders isn't the only one championing "Medicare-for-all" in the wake of the pandemic. More than half of voters now say they support a single-payer system. But "Medicare-for-all" would not have improved our nation's response to the outbreak. Other countries with socialized medicine have struggled mightily to combat COVID-19. In fact, the United States would have been even...

Dr. Oz and other TV docs hit with new coronavirus symptom: tripping over their own tongues By Corky Siemaszko Three of America's best known TV doctors are taking their medicine after making inflammatory statements about the coronavirus. . . . . . Dr. Henry I. Miller, a former federal Food and Drug Administration researcher and a senior fellow at the Pacific Research Institute in San Francisco, said they are ubiquitous on television because the medium is looking for "pseudo-experts" who reflect the biases of...

Dr. Henry Miller joins the John Batchelor Show to provide an update on the state of testing in the United States and rest of the world. Dr. Miller explains that antibody testing will determine the true amount of cases, and also explains that only reliable, largely-used tests will help in the fight against the coronavirus. Dr. Miller also explains the danger of inaccurate and bad testing, like a recent example from the United Kingdom where their recent antibody tests were...

President Trump announced at the White House coronavirus press briefing on Tuesday that the United States will immediately halt all funding for the World Health Organization, because it had caused "so much death" by "severely mismanaging and covering up" the coronavirus' spread, putting "political correctness over lifesaving measures." Other government officials, health experts, and analysts also have raised concerns about the WHO’s bungled response to the pandemic, accusing it of being too trusting of the Chinese government, which initially tried to conceal the outbreak in Wuhan. Rather than taking Beijing to...

The coronavirus pandemic is threatening to stretch many hospitals to their breaking point. Beds are filling up with stricken patients, and public health officials are concerned about whether we'll have enough doctors and other healthcare professionals to care for them. So they're scrambling to roll back years' worth of regulations on the healthcare labor market—many of which never should've been in place to begin with. There's no shortage of red tape for policymakers to cut to boost the supply of care...