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Senate Hearing: Why U.S. Prescription Drug Prices Are the Highest in the World

Original title: WHY DOES THE U.S. PAY THE HIGHEST PRICES IN THE WORLD FOR PRESCRIPTION DRUGS?

Record date · January 1, 2022

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What This Bill Does

This document is a transcript of a 2021 U.S. Senate subcommittee hearing examining why the United States pays significantly higher prices for prescription medications compared to other nations. The hearing features testimony from medical experts, researchers, and patient advocates regarding the pharmaceutical industry's pricing practices.

Why it matters

The hearing explores the factors driving high drug costs for American consumers and the federal government, which directly impacts household healthcare affordability and federal spending on programs like Medicare.

Who It Affects

Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.

Directly affected

American consumers

They pay the final retail prices for prescription drugs at pharmacies.

Directly affected

Pharmaceutical industry

They set the pricing structures and profit margins for prescription medications.

Directly affected

Medicare

The program is a major purchaser of prescription drugs and is subject to the pricing models discussed.

Key Facts

  • The hearing took place on March 23, 2021, in the Dirksen Senate Office Building.
  • The U.S. pays the highest prices in the world for prescription drugs.
  • U.S. healthcare spending is nearly double that of other countries.
  • The pharmaceutical industry utilizes an opaque pricing system where different government branches may pay different prices for the same medication.
Show all 6 facts
  • The hearing included testimony from four primary witnesses: Aaron Kesselheim, Nav Persaud, Elia Spates, and Alex Brill.
  • The National Council on Disability submitted a statement regarding Quality-Adjusted Life Years (QALYs).

Frequently Asked Questions

What was the purpose of this hearing?
To investigate why the United States pays significantly higher prices for prescription drugs than other countries.
Who participated in the hearing?
The hearing was led by the Subcommittee on Primary Health and Retirement Security, with testimony from medical experts, researchers, and a patient advocate.

What else do you want to know?

News Coverage

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Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

Focus on Pricing Transparency

The hearing highlights a legislative focus on the lack of transparency in how pharmaceutical companies set drug prices.

Connected Entities

Bernie Sanders, Susan Collins, Aaron Kesselheim and 4 more
PersonBernie Sanders“Chairman of the Subcommittee on Primary Health and Retirement Security”Map →
PersonSusan Collins“Ranking Member of the Subcommittee”Map →
PersonAaron Kesselheim“Professor of Medicine at Harvard Medical School and witness”Map →
PersonElia Spates“Witness from Derby, VT”Map →
OrganizationSubcommittee on Primary Health and Retirement Security“The Senate body conducting the hearing”Map →
PersonAlex Brill“Resident Fellow at AEI and witness”Map →
PersonNav Persaud“Canada Research Chair in Health Justice and witness”Map →

Sources

Open source document

www.govinfo.gov

Analysis Score

0–100
  • Significance80
    How much this matters to a regular citizen
  • Controversy60
    Intensity of disagreement among stakeholders
  • Entertainment20
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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