Seth J. Baum, MD In 2013 Dr. Tom Frieden, Director of the CDC, judiciously proclaimed that “even one preventable death is one too many.” Just three years later we are mired in debates concerning cost effectiveness of innovative medicines. We argue about not only the price of drugs, but also the monetized value of a…

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by Seth J. Baum MD Recently, there have been several articles discussing the development, efficacy, cost and long-term impact of novel cholesterol lowering drugs – called PCSK9 inhibitors – new drugs that show the capacity to greatly reduce the levels of LDL, or “bad”, cholesterol in an individual’s bloodstream. Insurance providers have pushed back aggressively…

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by Seth J. Baum MD PCSK9 inhibitors are the most significant advance in the management of elevated cholesterol in the last 3 decades. These injectable medications are indisputably revolutionary: They provide intensive and predictable reduction of LDL cholesterol in even our most difficult-to-treat patients. So, you would think that insurance providers would embrace them. Not…

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by Seth J. Baum, MD A recent article by Caroline Humer and Ransdell Pierson for Reuters reported on the unexpectedly paltry number of prescriptions for PCSK9 inhibitors, the revolutionary cholesterol lowering drugs that were FDA approved in the summer of 2015. Insurance providers had viewed these costly medications as a potentially grave threat to their…

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by Seth J. Baum, MD Sporadically during the presidential debates we hear discussions that attempt to resolve issues. One of the most contentious one relates to healthcare, Obamacare specifically. Few would argue that we are better off today than we were prior to the institution of the Affordable Care Act. Those in favor point to…

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by Seth J. Baum, MD All physicians and other health care practitioners (HCPs) recognize the insidious process that has undermined our ability to properly care for our patients. Patients don’t yet fully grasp this, but they are beginning to do so. Over the last two decades HCPs have been commoditized – all doctors are considered…

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by Seth J. Baum, MD I’ve written extensively about the mounting burden borne by doctors and patients. Looking beyond the escalating regulatory time-drains beleaguering doctors throughout the nation we see that simply prescribing medications for our patients has become a tribulation. Why this is so and what ramifications ensue, deserves exploration. Thus I have written…

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