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In a new analysis, researchers from the RAND Corporation assessed potential impacts of the increase in pharmaceutical expenditures at the national level.
The study looked at five policy challenges that could increase pharmaceutical expenditures, including:
Health care, which includes higher prices for services and goods, including drugs, by individuals, employers and governments, payers other entities;
Medicare, which may induce higher payouts to hospitals, including those participating in Medicare Part B;
Cost containment, which may result in the purchase of costly pharmaceuticals at higher prices than in the past;
Income redistribution toward the wealthiest, such as a higher income tax; and
Egalitarian policies, such as raising the minimum wage
The study also explored various policy responses, including:
Reformulated legislation or regulations to lower prices;
Rescinding prescription drug tax credits and expanded access to generic drugs;
Improving payment for the high returns to research and development;
Extensive efforts to improve patient safety, including requiring medical personnel to document medications and verify dosage information;
Implementation of evidence-based drug reimbursement schemes;
Enforcing patent law by establishing criminal or civil penalties requiring fines;
Elimination
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Enforcement of laws prohibiting the marketing drugs to underage individuals. The San Rafael, California Police Department will not allow children to play with toy guns on Halloween night. The move follows a similar ban that went into effect in Albuquerque, New Mexico 2011 after it was revealed that children at a local elementary school were shooting toys into the air and making rounds of the halls. This past January, two 6-year-old siblings were arrested after the father reported that he saw his young daughter play with toy guns.
The San Rafael, California Police Department's decision was not prompted by a desire to restrict adult freedoms. After receiving a complaint about the children, San Rafael police officer Ben Fields called for backup, and officers arrested one of the children. After police department's intervention, the incident ended, and neither child was charged with any act of violence. But the move was nevertheless noteworthy, as gun-control activists have long argued that banning guns from public play areas and playing fields will not stop children from playing with guns. According to the Law Center Prevent Gun Violence, children who are not.
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