A House subcommittee yesterday praised U.S. biomedical innovation and leadership, especially in response to COVID-19. But this raises an important question: Why is Congress pushing drug pricing policy that would harm the very industry that has helped save lives and the economy?
“What can we do to accelerate innovation to improve the health and lives of every American?” asked House Energy and Commerce Health Subcommittee Chair Anna Eshoo (D-CA) kicking off the December 8 hearing, The Future of Biomedicine: Translating Biomedical Research into Personalized Healthcare. What should Congress invest in “to accelerate innovation for the betterment of the American people in the third decade of the 21st century?”
It’s been 20 years since the publication of the landmark Human Genome Project research, she noted, which led to “groundbreaking scientific breakthroughs.”
Breakthroughs like the mRNA vaccines for COVID-19—which “underscore the extraordinary return on basic science investments,” said Dr. Lloyd B. Minor, Dean of Stanford University School of Medicine. “Beyond the hundreds of thousands of lives saved, these vaccines—built on decades of research—are blunting the pandemic’s financial burden.”
Members on both sides agreed on the need to support biomedical innovation, especially for areas of unmet medical needs—but there were sharp political divides over drug pricing policies under consideration in the Build Back Better Act.
“We cannot talk about advancing health care innovation without addressing the harmful drug pricing provisions” in Build Back Better,said Subcommittee Ranking Member Brett Guthrie (R-KY), citing a new University of Chicago study finding these provisions would decrease R&D investments by $660 billion through 2039, leading to 135 fewer drugs brought to market.
Several Members agreed—with Rep. John Curtis (R-UT) expressing concern about the impact on the ability of small life sciences companies to get investment to work on diseases like ALS (around 2:45:00), and Rep. John Joyce (R-PA), a medical doctor, saying price controls would “cripple this innovation, especially with regard to rare diseases” (around 3:20:00).
One potentially better solution: “Payment structures based on patient outcomes,” particularly for precision medicines, said Rep. Markwayne Mullin (R-OK)—watch the exchange.
There’s a lot to unpack—including the importance of clinical trial diversity and real-world evidence and patient experience data, the Bayh-Dole Act, and the proposed Advanced Research Projects Agency for Health (ARPA-H). Watch the whole thing.
More Health Care News:
The New York Times: The world is unprepared for the next pandemic, report says
“The latest Global Health Security Index finds that no country is positioned well to respond to outbreaks.”