Hilary Daniel, BS; Sue S. Bornstein, MD; for the Health Public Policy Committee of the American College of Physicians *
Financial Support: Financial support for the development of this position paper came exclusively from the ACP operating budget.
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-0013.
Corresponding Author: Hilary Daniel, BS, American College of Physicians, 25 Massachusetts Avenue NW, Suite 700, Washington, DC 20001; e-mail, firstname.lastname@example.org.
Current Author Addresses: Ms. Daniel: American College of Physicians, 25 Massachusetts Avenue NW, Suite 700, Washington, DC 20001.
Dr. Bornstein: 3111 Beverly Drive, Dallas, TX 75205.
Author Contributions: Conception and design: H. Daniel, S.S. Bornstein, F. Syed, J. Quinton.
Analysis and interpretation of the data: H. Daniel, J.K. Carney, T.G. Cooney, T.L. Henry.
Drafting of the article: H. Daniel, F. Syed.
Critical revision of the article for important intellectual content: H. Daniel, S.S. Bornstein, J.K. Carney, T.G. Cooney, L.S. Engel, H.E. Gantzer, T.L. Henry, M.B. Southworth, F. Syed, J. Quinton, M.A. Wallace.
Final approval of the article: H. Daniel, S.S. Bornstein, J.K. Carney, T.G. Cooney, L.S. Engel, H.E. Gantzer, T.L. Henry, J.D. Lenchus, B.M. McCandless, M.B. Southworth, F. Syed, J. Quinton, M.A. Wallace, A. Valdrighi.
Administrative, technical, or logistic support: H. Daniel.
Collection and assembly of data: H. Daniel.
The increasing price of prescription drugs is an ongoing concern for Medicare and Medicaid, particularly for patients with chronic health conditions who are using multiple medications and patients in these programs taking high-priced brand-name specialty drugs. Shifts in benefit design, including higher deductibles and a movement away from copayments to coinsurance, have increased patient out-of-pocket costs and put pressure on program budgets. In this paper, the American College of Physicians expands on its position paper from 2016 and offers additional recommendations to decrease out-of-pocket costs for patients, enhance the government's purchasing power, and address existing policies that add costs to the health care system.
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November 13, 2019
Address human cost of iatrogenic diseases first
How can you address the cost of prescription drugs without talking about the root cause of diseases?Most diseases today are of iatrogenic origin.Vaccines and Biologics injury table based on mechanistic evidence – Mar 2019https://doi.org/10.5281/zenodo.2582634Role of anti-carbonic anhydrase 2 antibodies induced by vaccine antigens, in the etiology of acute myeloid leukemia and other malignancieshttps://doi.org/10.5281/zenodo.3534442Vaccination with bovine, chick, yeast antigens synthesizes cross-reactive antibodies targeting human acetylcholine receptor and MuSK protein to cause Myasthenia Gravis: Confirmed by natural experiment (VAERS data), bioinformatics, case reports, animal experiments and titer studyhttps://doi.org/10.5281/zenodo.3421558Role of animal, food, fungal protein containing vaccines, insulin injections and gastric acid inhibition therapy in the etiology of celiac diseasehttps://doi.org/10.5281/zenodo.3370427Role of bovine adiponectin contaminated vaccine induced autoimmunity in the etiology of type 2 diabetes, atherosclerosis related coronary artery disease, cerebral infarction, obesity and polycystic ovarian syndrome; epicutaneous immunotherapy home remedy as a potential prevention or treatment approachhttps://doi.org/10.5281/zenodo.3261865Autoepitopes (22 of 27) in rheumatoid arthritis differ from vaccine antigens by a single amino acid residue, ideal for low affinity self reactive T cell mediated autoimmunity and aluminum adjuvant promotes citrullination of vaccine antigens thus the synthesis of ACPAhttps://doi.org/10.5281/zenodo.3382978
Daniel H, Bornstein SS, for the Health Public Policy Committee of the American College of Physicians. Policy Recommendations for Public Health Plans to Stem the Escalating Costs of Prescription Drugs: A Position Paper From the American College of Physicians. Ann Intern Med. 2019;171:825–827. [Epub ahead of print 12 November 2019]. doi: https://doi.org/10.7326/M19-0013
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Published: Ann Intern Med. 2019;171(11):825-827.
Published at www.annals.org on 12 November 2019
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