Jun 11, · The Drug That Could Break American Health Care. Aduhelm, the first new Alzheimer’s drug in 18 years, may not work. But states and Medicare might pay billions of dollars for it anyway Health Care System Essay. Page 1 of 50 - About essays. The Health Of A Health Care System Words | 8 Pages. A health care system is a framework of interrelated, interacting, and interdependent descriptions of human development in a given country, region, or community. This system of human development functions as an organized measure to May 08, · In this essay I am going to talk the patterns and trends of health and ill health among different social groupings. I will talk about each pattern and trend in its own paragraph, Social class, Gender, Ethnicity, Age and Geographical location. I will talk about the links between these to health issues.I will back these up through the use of evidence such as statistics
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As a result, a serious risk now exists that millions of people will be prescribed a drug that does more harm than good. The federal government will bear the brunt of the new spending. We could wind up spending more than that for Aduhelm alone. Most of the costs will be borne by taxpayers. But Medicare beneficiaries will take an additional hit.
That would be quite hard on seniors, many of whom live on fixed incomes. States will also come under pressure. But they may be eligible for Medicaid, which state and federal governments jointly fund.
As a result, states could face hundreds of millions of dollars in unanticipated Medicaid spending. That dynamic played out after the FDA approval of Sovaldi, a cure for people with chronic hepatitis C. The decision to approve Aduhelm is thus likely to increase the federal deficit, squeeze state budgets, and force additional costs onto seniors— all for a drug that may not work, essay on care. Yet the FDA has no authority to consider the broader fiscal consequences of its decision.
It focuses not on dollars and cents, but on safety and efficacy—and even on that metric, physicians widely criticized the decision. This situation underscores a big problem in how we pay for drugs in the United States. Here in the United States, however, a mix of legal constraints and political obstacles leaves the government little choice about whether to cover approved drugs.
FDA approval and payment policies are tightly linked. The big question now is whether Aduhelm finally breaks that link. The reasons for the linkage between FDA approval essay on care government spending go back towhen Congress created Medicare. Today, however, that figure stands at The law is also ambiguous about whether Medicare can consider costs in deciding what to cover.
Or is Medicare committed to paying for all medically necessary care, costs be damned? On three occasions since the early s, Medicare has explored the possibility of excluding coverage for certain cost-ineffective treatments. Each time, medical interest groups have mobilized to defeat those efforts, as the health-policy scholar Susan Bartlett Foote described in The way that Medicare pays for drugs exacerbates the problem, essay on care. The program is not structured to negotiate with manufacturers, which spurs drug companies to set high prices.
Medicare does have one mechanism essay on care pushing back on novel technologies. Instead, essay on care, they channel treatment to those who stand to benefit most from it. In very rare cases, CMS has considered using NCDs to limit coverage for FDA-approved drugs, essay on care, most notably when it proposed restricting coverage of essay on care CAR T-cell cancer therapies to people who were enrolled in CMS-approved trials. The agency could take a similar approach to Aduhelm, as some health-policy experts have recently urged.
CMS ultimately declined to restrict Medicare coverage for CAR T. In the case of CAR T, unlike that of Aduhelm, there was no question that the drugs were effective. It would have been difficult for Medicare to say that it was not yet persuaded by the same evidence that had already persuaded the FDA. Alternatively, CMS could have conceded that the drugs were effective, but decided that their costs were excessive when compared to their benefits. Will Medicare also cover Aduhelm? If essay on care, it would mark a seismic change in how Medicare thinks about covering new drugs of marginal effectiveness, essay on care.
Congress may also possibly decide that it has no choice but to act. Already, doing something to curb drug spending has bipartisan support, even if Republicans and Democrats are far apart on what essay on care something actually is. Maybe Aduhelm can shake loose some kind of grand bargain, even in a politically toxic environment, essay on care. Under essay on care law, state Medicaid programs must cover essentially all drugs approved by the FDA, however expensive the drugs are and however slim their clinical benefits may be.
Even if a state thought that the FDA had acted recklessly in approving Aduhelm, it would face serious legal risks if it tried to restrict coverage. Which brings us back to where we started. Skip to content Site Navigation The Atlantic. Popular Latest. Sections Politics Ideas Photo Science Culture Podcasts Health Education Planet Technology Family Projects America In Person Global Events Books Fiction Newsletters.
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How to Analyze Negligence on a Torts Essay (Pt. 1): Palsgraf \u0026 The Duty of Care
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