When medical innovation meets politics

Wall Street Journal

24 August 2018 - FDA Commissioner Scott Gottlieb on the promise and challenges of biologic drugs, capital risk and ‘regulatory arbitrage’ of generics.

An Iowa teenager last summer found himself conscripted into a national debate over health care. The state’s largest insurer, Wellmark Blue Cross and Blue Shield, was threatening to pull out of the ObamaCare market. One reason, a Wellmark executive said, was a single patient whose care cost $1 million a month. 

The young man (never publicly named) has haemophilia, which prevents his blood from clotting. The standard treatment, infusions of the missing clotting factor, is expensive. In severe cases, a patient can require several infusions a day.

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Michael Wonder

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Michael Wonder

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Medicine , US , Regulation