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Copyright 2000 Federal News Service, Inc.  
Federal News Service

July 18, 2000, Tuesday

SECTION: PREPARED TESTIMONY

LENGTH: 757 words

HEADLINE: PREPARED TESTIMONY OF JOHN D. GOLENSKI, ED.D. ACTING EXECUTIVE DIRECTOR RXHEALTHVALUE
 
BEFORE THE SENATE COMMITTEE ON HEALTH, EDUCATION, LABOR AND PENSIONS
 
SUBJECT - "PRESCRIPTION DRUGS: WHAT DRIVES INCREASES."

BODY:
 Mr. Chairman and members of the Committee, my name is John Golenski. I am Acting Executive Director of RxHealthValue, a coalition of consumer organizations, labor unions, physician groups, pharmacists, insurers, business groups, large employers, and concerned individuals recently formed to address questions of the value of prescription drugs. Current membership in the coalition includes AARP, Families USA, the National Consumers League, the Senior Coalition, the AFL-CIO, UAW, SEIU, AFSCME, the American College of Physicians, the American Medical Group Association, the Lahey Clinic, the American Hospital Association, Blue Cross Blue Shield Association of America, the Alliance of Community Health Plans, Kaiser Permanente, the Academy of Managed Care Pharmacists, PCS Health Systems, the Washington Business Group on Health, the Midwest Business Group on Health, the Pacific Business Group on Health, General Motors, Ford, GTE, and USWest. In his recent New York Times article about the coalition, Milton Freudenheim reported that RxHealthValue's combined organizations represent approximately 135 million Americans' interest in assessing and securing value for the resources they expend--through taxes, deferred wages and direct purchase-for prescription drugs.

RxHealthValue's core mission is to ensure Americans' access to health- improving medications. The members of RxHealthValue believe that current trends in utilization and costs of prescription drugs threaten the long-term availability of necessary pharmaceutical therapies. The results of the RxHealthValue-sponsored Brandeis-PCS study just described by my colleague, Dr. Stanley Wallack, point to the reasons for the urgency and enthusiasm with which the coalition members are working to develop both private and public sector recommendations. In recent plenary sessions, RxHealthValue members have committed the coalition, through consensus vote, to the following strategies: Sponsoring research to inform and educate consumers, providers, employers and third-party payers about the benefits and costs of prescription drugs as they contribute to overall health; Proposing solutions in the market for prescription drugs that encourage competition, foster appropriate and safe utilization of drugs and encourage innovation that improves on currently available therapies; and Encouraging the creation of independent, science-based institutions to conduct clinical research regarding the comparative value of drugs within therapeutic classes. Members of the Committee have just heard a report of the first sponsored research. At RxHealthValue's inaugural press conference at the National Press Club on May 10th, the coalition also presented its first three recommendations:

1. That the FDA, in a collaborative process with consumer and patient advocates, providers and manufacturers, develop standards for full disclosure of risks and benefits information for all prescription drugs advertised directly to consumers.

2. That the FDA require improved post-marketing surveillance of prescription drugs by manufacturers, especially of"fast-track" medications, to monitor adverse drug reactions (ADRs).

3. That independent, non-profit institutes, governed by boards with substantial consumer participation, conduct and publish scientific research regarding the comparative value-clinical and economic-of prescription drugs.

In addition, an expert panel of coalition members' staff are preparing a set of recommendations for end-of-summer release regarding the issues of intellectual property rights, patents, patent extensions and exclusivity as they impact competitiveness in the pharmaceutical market. The coalition expects to continue further policy research and construction of recommendations. It is the conviction of the participating stakeholders in RxHealthValue that only a vigorous, open and information-rich dialogue can answer the question of value and secure access to health-improving prescription drugs for all Americans. They have convened this effort to advance their shared interest in increasing the amount and quality of independent information available to guide treatment, coverage, and policy decisions and to inform consumers who increasingly seek information about health choices. RxHealthValue aims to be available to Congress, state legislatures, and the public to provide balance in the public policy debate with a focus on the value of pharmaceuticals.

Mr. Chairman, thank you for giving me the opportunity to testify today.

END

LOAD-DATE: July 20, 2000




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