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Invited Commentary
Health Policy
April 27, 2020

Affordable Biologics for All

Author Affiliations
  • 1School of Health Policy and Management, Faculty of Health, York University, Toronto, Ontario, Canada
  • 2Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
JAMA Netw Open. 2020;3(4):e204753. doi:10.1001/jamanetworkopen.2020.4753

To paraphrase something that Mark Twain is alleged to have said, “Everybody talks about drug prices, but nobody does anything about them.” The last part of the paraphrase is not quite accurate, but to date, none of the major federal proposals to lower drug prices have been enacted, and state legislation, such as the California Preserving Access to Affordable Drugs Act, is under legal challenge from the pharmaceutical industry. Especially hard hit by high prices are uninsured patients who pay the list price. Cost-related treatment nonadherence in low-income US patients was almost 25% according to the results of the Commonwealth Fund 2014 International Health Policy Survey of Older Adults.1

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