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PDF Editor FAQ

Have prescription drug prices outpaced spending in other areas of health care such as hospital and doctors fees?

Historically, drugs prices have outgrown other medical costs which is why a good portion of Americans have experienced massive drug cost increases. Drug spending as a percentage of health spending dropped to 5% in 1980 but have now risen up to 10%. [1][2]The annual growth rate was as high as 14% back in the 90s and now averages 5.7% per year.A few notable events are worth pointing out.1984 was the Hatch-Waxman Act which established new market exclusivity and extended patent rights for new drugs as well as opened the door to generics. This would usher a new wave of drug development.1992 was the introduction of PDUFA I which help the FDA significant grow to handle a larger pipeline of drug approvals2003–2006 would be the approval of Medicare Part D which would create payment plans for Medicare beneficiaries to pay for drugs. This seems to have a stabilizing effect on drug prices.2014 seems to be an odd year but that’s because Gilead got approval for Sovaldi and Harvoni which made up 40% of the increase.[3]If you look at the data from the past decade you get a few clearer trends. The Centers for Medicare & Medicaid Services (CMS) projects a steady increase in drug prices along with the national healthcare expenditure. Drug prices only slightly outpace NHE growth but it should be noted that both vastly outpace the rate of inflation at 5.7%.[4]The America Medical Association presents a different narrative despite also getting their data from CMS. They show from 2008 through 2013 greater increases in clinical services and hospital feeds until a massive rise in 2014.[5]A more detailed summary of the data from 2007–2014:Physician spending increased 3.7% per yearHospital spending increased by 5.1% per yearClinical spending increased by 6.2% per yearDrug spending increased by 3.5% per year.Regardless of how you look at the data, both grow quite a lot and at a rather unsustainable rate. But in spirit of the question with the exception of an odd 2014–2015 year, drug spending and hospital spending now grow at fairly similar rates.Footnotes[1] The Hutchins Center Explains: Prescription drug spending[2] What are the recent and forecasted trends in prescription drug spending? - Peterson-Kaiser Health System Tracker[3] The Hutchins Center Explains: Prescription drug spending[4] New CMS Forecast: Lower Drug Spending Growth [5] Trends in health care spending

What are some ironies of the Trump presidency?

As of the end of April, The Washington Post newspaper, tracking the progress of 60 pledges Donald Trump made during his campaign, provides the following summary: Promises kept 14, Promises broken 16, Launched 15, Stuck 8, Compromise 7, Not yet rated 0.Time Magazine for May 12 says, “In Rose Garden remarks at the White House Friday, Trump called his plan the ‘most sweeping action in history to lower the price of prescription drugs for the American people.’ But it does not include his campaign pledge to use the massive buying power of the government’s Medicare program to directly negotiate lower prices for seniors.”The irony of the items mentioned in Duncan’s approval of him, “pulled out of the Paris climate accord and withstood the howls about imperiling the planet, or ended DACA despite all the pressure to keep it, or exited the Iran deal” is that they have made our allies nervous if not angry. The whole world is laughing at us.

How has Trump measured up to your expectations, whether good or bad?

Few if any POTUS’s have done as much in one term as Trump hasHere are a few itemsTrump Signs Executive Order To Lower Drug Prices“My Most Favored Nation order will ensure that our Country gets the same low price Big Pharma gives to other countries,” the president said on Twitter. “The days of global freeriding at America’s expense are over and prices are coming down FAST!”The order said Americans finance much of the biopharmaceutical innovation but foreign nations, many of which have nationalized public healthcare systems, benefit by paying lower prices for those drugs. It adds that the U.S. government, the largest buyer of prescription drugs, should also pay prices lower than smaller buyers.“When the federal government purchases a drug covered by Medicare — the cost of which is shared by American seniors who take the drug and American taxpayers — it should insist on, at a minimum, the lowest price at which the manufacturer sells that drug to any other developed nation,” the order said.Trump signs executive order to lower drug pricesTrump Administration AccomplishmentsTrump Wall Construction - Track the Status of Trump's Border Wall!President Donald J. Trump's Accomplishments List:MAGAPILLU.S. enjoys best manufacturing jobs growth of the last 30 yearsU.S. enjoys best manufacturing jobs growth of the last 30 yearsThe surprising facts about jobs coming back to AmericaU.S. Manufacturers Are Coming Back Thanks to Trumphttps://townhall.com/columnists/kenblackwell/2020/08/08/us-manufacturers-are-coming-back-thanks-to-trump-n2573957Trump list shows 319 'results' and promises kept in three yearsExclusive: Trump list shows 319 'results' and promises kept in three years“U.S. median income hit record in 2019, Census data shows”“The U.S. Census Bureau said real median household income jumped 6.8% from $64,324 in 2018 to $68,703 last year - the highest since the agency began tracking the data in 1967.It also said the nation's poverty rate fell last year to 10.5%, a 1.3-percentage-point drop. Another measure of poverty that adjusts for government aid programs for low-income Americans showed a drop to 11.7% last year from 12.8% in 2018.”U.S. median income hit record in 2019, Census data showsU.S. oil and gas boom powers nation's fastest-growing industryU.S. oil and gas boom powers nation's fastest-growing industryRecord Breaking Stock Market“Record economic optimism under Trump, better than Reagan, Clinton, and Obama”“6 in 10 Americans say they are better off now than three years ago: Gallup”6 in 10 Americans say they are better off now than three years ago: Gallup“Black and Hispanic unemployment is at a record low”Black and Hispanic unemployment is at a record low“Rising paychecks for blue-collar workers are shrinking the wage gap”Overlooked on economy? Rising paychecks for blue-collar workers are shrinking the wage gapRecord economic optimism under Trump, better than Reagan, Clinton, and ObamaRecord-High Optimism on Personal Finances in U.S.“United States Consumer Spending”The real reason Eric Ciaramella is being protected so fervently“New Jersey Examples of Tax Reform Good News”How the Trump Republican Tax Cuts Are Helping New Jersey“Manufacturing and Housing in the Rust Belt States”Manufacturing and Housing in the Rust Belt States“Here are Four Pieces of Great News for America and President Trump”Here are Four Pieces of Great News for America and President TrumpPromises Kept | President Donald J. Trump's AccomplishmentsMarket indexes up over 60%“At a 10-year high, wage growth for American workers likely to keep accelerating”At a 10-year high, wage growth for American workers likely to keep accelerating“US consumer sentiment surges to highest level in 15 years”US consumer sentiment surges to highest level in 15 yearsUnemployment hits 49-year low as US employers step up hiringUnemployment hits 49-year low as US employers step up hiringU.S. Manufacturing Jobs: From Carnage to ConfidenceU.S. Manufacturing Jobs: From Carnage to Confidence | RealClearPoliticsThe Trump Economic Boom is Benefiting All Americans | The White HouseThe Trump Economic Boom is Benefiting All AmericansIn 2019, Blue-Collar Workers Disappearing And In Hot DemandTrump Economy: Blue-Collar Wages Rise Faster than White-CollarTrump Economy: Blue-Collar Wages Rise Faster than White-CollarTrump’s list: 289 accomplishments in just 20 months, ‘relentless’ promise-keepingDonald TrumpTrump's Policy "Magic Wand" Boosts Manufacturing Jobs 399% In First 26 Months Over Obama's Last 26Trump's Policy "Magic Wand" Boosts Manufacturing Jobs 399% In First 26 Months Over Obama's Last 26CNN Poll: 7 in 10 say economy in good shapeOverall, 71% say the nation's economy is in good shape, the highest share to say so since February 2001, and the best rating during Trump's presidency by two points. A majority give the President positive reviews for his handling of the nation's economy (51% approve), and his overall approval rating has ticked up to 42% in the new poll. The 51% who say they disapprove of the President's job performance overall represent the lowest share to do so in CNN polling since the start of his presidency.CNN Poll: 7 in 10 say economy in good shapeThe Most Underrated Story About the U.S. EconomyIncome growth is faster at the bottom than at the top. Thank a growing economy, falling unemployment, and minimum-wage hikes across the country.The Most Underrated Story About the U.S. EconomyA Summary of the 2019 Economic Report of the PresidentFor the second consecutive year, the U.S. economy outperformed expectations and broke from recent trends by a substantial margin. In June 2017, the Congressional Budget Office projected that during the four quarters of 2018, real gross domestic product (GDP) would grow by 2.0 percent, the unemployment rate would decline by 0.1 percentage point, to 4.2 percent, and employment growth would average 107,000 jobs per month. Instead, real GDP in the first three quarters of 2018 grew at a compound annual rate of 3.2 percent—above the Trump Administration’s own Q4-over-Q4 forecast for the second successive year—the unemployment rate declined by 0.4 percentage point, to a near-50-year low of 3.7 percent, and employment growth averaged 223,000 jobs per month. Growth in labor productivity, which averaged just 1.0 percent between 2009:Q3 and 2016:Q4, doubled to 2.0 percent in 2018. Capital expenditures by nonfinancial businesses rose 13.9 percent at a compound annual rate through 2018:Q3.A Summary of the 2019 Economic Report of the President | The White HouseAmericans' Confidence in Their Finances Keeps Growing• 69% expect their financial situation to improve over the next year• Optimism about finances over the next year is almost at a record-high level• 50% say they are in better shape financially than a year agoU. S. workers see fastest wage growth in a decade ...https://www.washingtonpost.com/.../us...wage.../3c2e7894-dc85-11e8-85df-7a6b4d25cf...

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