Social Entrepreneurs in the Pharmaceutical Industry: The Catalyst That Finally Drives Down Price?
DOI:
https://doi.org/10.47611/jsrhs.v11i3.3224Keywords:
Healthcare; social enterprises; non-profit organisations; medical; United StatesAbstract
The cost of healthcare in the United States is notoriously expensive. In recent years, social enterprises and nonprofit organisations have begun flooding into the market to try and stem the rising costs. I perform a case study on two prominent social enterprises and analyse the challenges they’re facing and the implications of their work. I requested an interview from a key figure within each respective organisation to gain a better understanding of their perspective. The companies are at polar ends when it comes to company growth, with one being a startup company that is just beginning to grow into its name and the other an already well-established firm. I provide overviews on each respective firm and compare their challenges and company goals. A better understanding of the pharmaceutical market led to suggestions of potential solutions to the problem of high healthcare prices in the form of patent reform and negotiation committees.
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“Affordable Care Act (ACA) - Healthcare.gov Glossary.” HealthCare.gov, https://www.healthcare.gov/glossary/affordable-care-act/.
Austin, David, and Tamara Hayford. “Research and Development in the Pharmaceutical Industry.” Congressional Budget Office, Apr. 2021, https://www.cbo.gov/publication/57126.
Ashoka. “Selecting Leading Social Entrepreneurs - Batukarinfo.” Selecting Leading Social Entrepreneurs, Ashoka, https://www.batukarinfo.com/system/files/BLUE%20BOOK%20-%20English%20Version.pdf.
Blumberg, Yoni. “Here's Why Many Prescription Drugs in the US Cost so Much-and It's Not Innovation or Improvement.” CNBC, CNBC, 14 Jan. 2019, https://www.cnbc.com/2019/01/10/why-prescription-drugs-in-the-us-cost-so-much.html.
Center for Drug Evaluation and Research. “Novel Drug Approvals for 2019.” U.S. Food and Drug Administration, FDA, 14 Jan. 2020, https://www.fda.gov/drugs/new-drugs-fda-cders-new-molecular-entities-and-new-therapeutic-biological-products/novel-drug-approvals-2019.
Civica Rx. “Home: Civica Rx: Nonprofit Generic Drug & Pharmaceutical.” Civica Rx, 24 Jan. 2022, https://civicarx.org/.
“CivicaScript, the Newly Named Civica Initiative to Serve Patients in Retail Markets, Announces a New Health Plan Partner, a New President, and a New Drug Manufacturing Partner.” Business Wire, 16 June 2021, https://www.businesswire.com/news/home/20210616005264/en/CivicaScript-the-Newly-Named-Civica-Initiative-to-Serve-Patients-in-Retail-Markets-Announces-a-New-Health-Plan-Partner-a-New-President-and-a-New-Drug-Manufacturing-Partner.
Curley, Christopher. “U.S. Prescription Drug Prices Are Twice as High.” Healthline, Healthline Media, 3 Feb. 2021, https://www.healthline.com/health-news/prescription-drug-prices-in-the-u-s-are-twice-as-high-heres-why#What-can-be-done.
Da Silva, Chantal. “A ‘Caravan’ of Americans Is Crossing the Canadian Border to Get Affordable Medical Care.” Newsweek, Newsweek, 9 May 2019, https://www.newsweek.com/caravan-americans-crossing-canadian-border-get-affordable-medical-care-1417582.
Dees, Gregory. “Enterprising Nonprofits.” Harvard Business Review, The Magazine, 1998, https://hbr.org/1998/01/enterprising-nonprofits.
Emanuel, Ezekiel J. “Big Pharma's Go-to Defense of Soaring Drug Prices Doesn't Add Up.” The Atlantic, Atlantic Media Company, 26 June 2019, https://www.theatlantic.com/health/archive/2019/03/drug-prices-high-cost-research-and-development/585253/.
Feldman, Robin. “Perspective | Our Patent System Is Broken. and It Could Be Stifling Innovation.” The Washington Post, WP Company, 13 Aug. 2021, https://www.washingtonpost.com/outlook/2021/08/08/our-patent-system-is-broken-it-could-be-stifling-innovation/.
Fox, Daniel M. “Policy Commercializing Nonprofits in Health: The History of a Paradox from the 19th Century to the ACA.” The Milbank Quarterly, BlackWell Publishing Ltd, Mar. 2015, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4364435/.
Garver, Rob. “Why US Consumers Pay Such High Prices for Prescription Drugs.” VOA, Why US Consumers Pay Such High Prices for Prescription Drugs, 5 Nov. 2021, https://www.voanews.com/a/why-us-consumers-pay-such-high-prices-for-prescription-drugs-/6300995.html.
Gazette Fact Checker team. “Fact Checker: Would Government-Negotiated Drug Prices Lead to Fewer Options?” Log In, 30 Aug. 2021, https://www.thegazette.com/government-politics/fact-checker-would-negotiating-drug-prices-lead-to-fewer-choices/.
Gill, Lisa L. “How to Pay Less for Your Meds.” Consumer Reports, 5 Apr. 2018, https://www.consumerreports.org/drug-prices/how-to-pay-less-for-your-meds/.
Goldman, Dana, and Darius Lakdawalla. “The Global Burden of Medical Innovation.” Brookings, Brookings, 2 Feb. 2018, https://www.brookings.edu/research/the-global-burden-of-medical-innovation/.
Gross, D J, et al. “International Pharmaceutical Spending Controls: France, Germany, Sweden, and the United Kingdom.” Health Care Financing Review, CENTERS for MEDICARE & MEDICAID SERVICES, 1994, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193451/.
Hamel, Liz, et al. “Public Opinion on Prescription Drugs and Their Prices.” KFF, 22 Nov. 2021, https://www.kff.org/health-costs/poll-finding/public-opinion-on-prescription-drugs-and-their-prices/.
Hamm, Nicholas. “How High Drug Prices Affect Patients.” Managed Healthcare Executive, Managed Healthcare Executive, 12 Nov. 2020, https://www.managedhealthcareexecutive.com/view/how-high-drug-prices-affect-patients.
Holman, Jordyn, and Margaret Sutherlin. “What Ever Happened to Toms Shoes?” Bloomberg.com, Bloomberg, 6 Apr. 2021, https://www.bloomberg.com/news/articles/2021-04-06/toms-shoes-ends-one-to-one-giving-model-in-turnaround-plan.
Jenkins, Jo Ann. “Prescription Drug Prices Impact All Americans.” AARP, 2 Oct. 2019, https://www.aarp.org/politics-society/advocacy/info-2019/jenkins-soaring-drug-prices.html.
Kessel, Mark. “Restoring the Pharmaceutical Industry's Reputation.” Nature News, Nature Publishing Group, 9 Oct. 2014, https://www.nature.com/articles/nbt.3036.
Kirzinger, Ashley, et al. “KFF Health Tracking Poll – February 2019: Prescription Drugs.” KFF, 1 Mar. 2019, https://www.kff.org/health-costs/poll-finding/kff-health-tracking-poll-february-2019-prescription-drugs/.
Kliff, Sarah. “The True Story of America's Sky-High Prescription Drug Prices.” Vox, Vox, 30 Nov. 2016, https://www.vox.com/science-and-health/2016/11/30/12945756/prescription-drug-prices-explained.
Lowe, Derek. “Where Drugs Come from: By Country.” Science, 9 Nov. 2010, https://www.science.org/content/blog-post/drugs-come-country.
Mozilla Foundation. “Mozilla Foundation Announces Creation of Mozilla Corporation.” Mozilla Foundation Announces Creation of Mozilla Corporation - Mozillazine Talkback, 3 Aug. 2005, https://web.archive.org/web/20060907025204/http://www.mozillazine.org/talkback.html?article=7085.
Mulcahy, Andrew W. “Prescription Drug Prices in the United States Are 2.56 Times Those in Other Countries.” RAND Corporation, 28 Jan. 2021, https://www.rand.org/news/press/2021/01/28.html.
“New Evidence to Battle Drug Price Increases.” ScienceDaily, ScienceDaily, 18 June 2021, https://www.sciencedaily.com/releases/2021/06/210618134007.htm.
NP2. “Nonprofit Generic Drug and Pharmaceutical Corporation.” NP2, 25 Jan. 2022, https://np2.org/.
Ortaliza, Jared, et al. “How Does Health Spending in the U.S. Compare to Other Countries?” Peterson-KFF Health System Tracker, 21 Jan. 2022, https://www.healthsystemtracker.org/chart-collection/health-spending-u-s-compare-countries-2/.
Person. “Civica RX-The Big Drug Venture Founded by 4 Health Systems-Aims to Offer 20 Drugs This Year.” Advisory Board, Advisory Board, 28 Jan. 2019, https://www.advisory.com/en/daily-briefing/2019/01/28/drug-nonprofit.
Quigley, Fran. “Making Medicines Accessible: Alternatives to the Flawed Patent System.” Health and Human Rights Journal, Health and Human Rights Journal, 23 Nov. 2015, https://www.hhrjournal.org/2015/11/making-medicines-accessible-alternatives-to-the-flawed-patent-system-2/.
Rajkumar, Vincent S. “The High Cost of Prescription Drugs: Causes and Solutions.” Nature News, Nature Publishing Group, 23 June 2020, https://www.nature.com/articles/s41408-020-0338-x.
Robinson, James C., et al. “Negotiating Drug Prices without Restricting Patient Access: Lessons from Germany.” STAT, 26 June 2019, https://www.statnews.com/2019/06/27/negotiating-drug-prices-without-restricting-patient-access-lessons-from-germany/.
Sanchez, Denisse, and Justin Mendoza. “How High Prescription Drug Costs Harm Families.” FamiliesUSA, FamiliesUSA, May 2019, https://familiesusa.org/wp-content/uploads/2019/05/SILC_The-Problem-with-Rx-Drug-Pricing_Fact-Sheet_05172019.pdf.
Sarnak, Dana O., et al. “Paying for Prescription Drugs Around the World: Why Is the U.S. an Outlier?” HealthInformatics, The Commonwealth Fund, Oct. 2017, https://heatinformatics.com/sites/default/files/images-videosFileContent/___media_files_publications_issue_brief_2017_oct_sarnak_paying_for_rx_ib_v2.pdf.
Tamara. “Social Enterprises vs. Non-Profits: Understanding the World of Non-Profits:” FineLine Solutions - Donor Acquisition, Donor Retention & Donor Stewardship, FineLine Solutions - Donor Acquisition, Donor Retention & Donor Stewardship, https://www.finelinesolutions.com/academy/blogs/16-donor-series/66-social-enterprises-vs-nonprofits-understanding-the-%20world-of-nonprofits.html.
Wager, Emma, et al. “How Does Health Spending in the U.S. Compare to Other Countries?” Peterson-KFF Health System Tracker, 21 Jan. 2022, https://www.healthsystemtracker.org/chart-collection/health-spending-u-s-compare-countries-2/.
“Why Patents Are Necessary for the Pharmaceutical Industry.” Servier, 13 June 2017, https://servier.com/en/why-patents-are-necessary-for-the-pharmaceutical-industry/.
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