Opinion: You can’t pay for 21st century medicines with a 20th century payment system

Many Americans are angry and worried about the price of prescription drugs. Yet underneath the anecdotes and headlines, a deeper, more consequential issue is often ignored. A major transformation in the drug industry has occurred in recent years — and continues today. The science and economics of the pharmaceutical industry have fundamentally changed, but the way we pay for medicines has not.

We essentially have 21st-century drugs with a 20th-century payment system. It’s like using a 1999 road atlas in the era of Google Maps. There’s been a huge shift, and few policymakers understand its implications or what to do about it.

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