The myth of the free market for pharmaceuticals

New England Journal of Medicine

20 April 2024 - Critics of US policy aiming to reduce spending on prescription drugs claim that the government is wrongfully interfering with a “free” market. 

A recent comment from Merck about the 2022 Inflation Reduction Act exemplifies industry complaints: “Congress has long been committed to a free-market approach based on market-driven prices.…Last summer, however, Congress charted a radical new course.” But the modern US pharmaceutical market is not what Adam Smith would have considered “free.”

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Michael Wonder

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Michael Wonder

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Medicine , US , Health policy