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The costs of medicines in Canada are decided by a mix of federal regulations and provincial negotiations. The worth of every patented drug bought in Canada, each prescription and non-prescription, is regulated federally by the Patented Medication Prices Assessment Board ( PMPRB, 2017a ). four The PMPRB performs an initial evaluate of a brand new drug's price to find out if it is akin to other products already offered in Canada. If the drug is akin to an existing product, the value is just not allowed to be higher than that of the present drug. However, if it's not comparable, the worth is allowed to be set at a point not higher than the median price in seven different industrialized international locations: France, Germany, Italy, Sweden, Switzerland, the United Kingdom, and the United States. Additional increases in drug costs are restricted to the expansion in the consumer price index ( PMPRB, 2017b ).
The excessive value of prescription medicines coincides with will increase in all forms of healthcare spending ( 12 ). Although health spending is highest within the United States, all economically developed nations wrestle to ensure their health expenditures are fiscally sustainable ( 12 ). Other economically developed countries have taken larger steps than the United States to use nationwide insurance policies to curb health spending and protect patients from OOP bills. Because these mechanisms rely heavily on government regulation, negotiation, and worth setting, they've gained little favor within the United States.
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