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Drug Licenses: A New Model For Pharmaceutical Pricing
Dana P. Goldman,
Anupam B. Jena,
Tomas Philipson and
Eric Sun
High drug prices are a major barrier to patients access to drugs and compliance with treatment. Yet low drug prices are often argued to provide inadequate incentives for innovation. We propose a drug-licensing model for health care, which has the promise of increasing drug use without altering patients out-of-pocket spending, health plans costs, or drug companies profits. In such a model, people would purchase annual drug licenses that would guarantee unfettered access to a clinically optimal number of prescriptions over the course of a year. Using the example of statins, we illustrate how such a model could be implemented.

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M. R. Nuwer, G. J. Esper, P. D. Donofrio, J. P. Szaflarski, G. L. Barkley, and T. R. Swift
Invited Article: The US health care system: Part 1: Our current system
Neurology,
December 2, 2008;
71(23):
1907 - 1913.
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