Patients with chronic illnesses, who could need the drug for years, are getting hit hardest by the change, says Dan Mendelson, president of Avalere Health, a national health-policy analysis firm.

“It gets to the fundamental question of ‘What is insurance?’ ” he said.

As advances in medicine become ever more costly, insurance that requires heavy cost-sharing from patients for pricey drugs is likely a “microcosm of medicine’s future,” predicts a commentary in a recent New England Journal of Medicine.

The authors warn: “At some point in our lives, we may all join that small pool of users of high-cost care.”

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One Response to ““The newest generation of drugs: Who can afford them?””

  1. Lisa Emrich Says:

    Thank you Mandy,

    Another excellent article which sheds more light on the “problem.” Every time I read the words – “more skin in the game” – my blood pressure climbs just a little.

    I enjoyed her wide selection of quotes from organizations which deserve looking into now. The AHIP stance cracks me up actually – protect the other 1000 employees from the high costs. Ha!!

    Anyway, thanks.

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