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by wernerb 630 days ago
Wasn't if part of US law that medicine prices cannot be negotiated?
1 comments

Medicare + Medicaid has been prohibited from assisting negotiation of drug price between pharmacy + drug company for a few decades. That is set to change in the future id my understanding.

I have private health care insurance so my insurance company would try negotiate the price down.

I agree with other commenters saying basically, drug companies all around the world do R&D, are happy to sell drugs at cost in England or Somalia, but will aim to make money in US selling drugs with a healthy profit margin here.

> Medicare + Medicaid has been prohibited from assisting negotiation of drug price between pharmacy + drug company for a few decades. That is set to change in the future id my understanding

It’s already started [1].

[1] https://www.cnn.com/2023/08/29/politics/medicare-drug-price-...

Slowstarted
> so my insurance company would try negotiate the price down.

Do they have any incentives to do that though? If their profits are fixed at a specific % wouldn’t they be incentivized to spend as much as possible so that they could increase premiums (as long as all other companies play along)?

If premiums are too high, employers will switch the insurance company they offer employees.
To whom? Everyone will do the same because everyone's incentives are the same.
You’re talking about something theoretical. I’m telling you what actually happens.

Insurance companies lose business when their premiums are unnecessarily high. In the long run, all their prices go up, but those who manage rising costs better (and provide better service and all that other stuff), grow their businesses.

I think you're being theoretical. Insurers can only increase profits by inflating medical costs.

"Insurers are supposed to spend 80% of every dollar on care and only 20% on administrative costs. However, instead of lowering premiums, the insurance companies have been incentivized to increase costs so that they can make more money."

https://penncapital-star.com/uncategorized/americans-suffer-...

> To whom?

Themselves. Plenty of companies hold the risk and outsource administration.

In the article the drug maker suggestss that rather than negotiate the price down, US insurers stop buying the drug if he cuts the price too low.

That seems like a wild claim to make, but since it's just reported as if that was normal rather than a shocking scandal, I guess it's probably true.

It's part of the grift. Expensive drugs means all sorts of middle men negotiate concessions to make themselves get better performance reviews.