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Flawed U.S. Drug Pricing Policies Jeopardize U.S. Innovation and Empower China

America’s leadership in the life sciences is under threat. While some in Washington are considering damaging drug pricing policies like the “Most Favored Nation” rule, China is surging ahead in biopharmaceutical innovation — gaining ground in clinical trials, drug approvals and new breakthroughs.
 

China Outpacing the U.S.


Consider, for example, how China is outpacing the U.S. in several critical metrics. â€‹These trends aren’t just numbers — they represent a fundamental shift in global leadership and a warning sign for the future of American innovation.

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  • Chinese CAR-T therapies are scaling at extraordinary speed, with over 850 CAR-T trials in China compared to about 601 in the United States since 2017.1
     

  • In 2024, China registered approximately 7,100 clinical trials, compared to around 6,000 in the United States.2
     

  • Between 2019 and 2023, China approved 256 new drugs, exceeding the 243 new approvals in the U.S. over the same period.3
     

  • In 2024 alone, China’s NMPA approved 228 NDAs (123 small molecules and 93 biologics) — an unprecedented pace compared to the FDA’s typical 50–60 new approvals annually.4

Bottom line:

Continuing down this path means that the consequences will be severe: fewer life-saving cures, stifled scientific progress and the loss of over 4.9 million high-quality U.S. jobs. Innovation that once thrived in America is at risk of moving overseas.

WE WORK FOR HEALTH AND OTHER LEADING VOICES ARE SOUNDING THE ALARM. IT’S TIME FOR U.S. POLICYMAKERS TO LISTEN — AND ACT — BEFORE IT’S TOO LATE:

“While intended to put America first, the EO will have precisely the opposite effect, reduce the United States’ global lead in both pharmaceutical innovation and patient access to novel drugs and therapies.”

When we speak of access, it includes affordability and availability. Change that does not improve access, does not make life better for people in Arizona or across our nation. A Most Favored Nations policy in the United States, if not carefully implemented, would harm the patients we work to help and stifle the thriving health innovation ecosystem that Arizonans have spent decades building.”

Adoption of foreign price control schemes ultimately means vulnerable patients have decreased access to medicines they need. Foreign countries that employ price control schemes and socialized medicine essentially discriminate against rare diseases and chronically ill patients by devaluing innovation and implementing excessive access restrictions.”

At a time when China is becoming an increasingly fierce competitor in this industry, policymakers should stop approaching America’s biopharmaceutical industry with price controls and tariffs and instead start supporting it in two key ways: 1. by insisting that other countries pay their fair share for medicines—thereby raising the floor instead of racing to the bottom; and 2. by investing in public-private partnerships to develop the technological innovations that can help companies cost-competitively manufacture medicines in the United States (generic and innovative alike).”

While linking drug prices in the United States to the lowest prices paid in other countries may generate short-term savings, such policies carry significant risks for Americans. These include delays in access to treatments, reduced treatment options, and increased strain on health care providers. Any approach to drug pricing reform must be transparent, focused on sustaining access to high quality, person-centered care, and grounded in patient perspectives.”

“Policies across-the-board must be consistent to enable robust innovation and investment across all sectors. That means strongly rebuking price controls and government micro-management of all business sectors.”

But tackling the problem by taking it out on the innovators—by importing other countries’ backward policies—will only harm the world’s greatest producer of cures and replicate those countries’ failing systems. Europe’s price controls have reduced its once-thriving pharmaceutical industry to dust, while Europeans (and Australians and Canadians) have access to far fewer new drugs than are available to Americans, including breakthrough cancer treatments. Those nations also show how a lack of innovation leads to even higher healthcare costs in the longer run.”

​MFN will likely not lead to other countries paying more for medicines. Without any wealthy country paying market price for medicines, companies cannot expect to recuperate the R&D costs for the medicines they create. This will depress innovation and cause drug shortages to a degree that is entirely unacceptable.

Most favored nation is a deeply flawed proposal that would devastate our nation’s small- and mid-size biotech companies – the very companies that are the leading drivers of medical innovation in the United States and the cornerstone of America’s biotechnology leadership.”

 The current system works by ensuring broad patient access to medicine while enabling companies to reinvest in research and development. Drastic changes such as MFN pricing would upend this balance and threaten job creation and investment in states like Georgia.”

But price controls virtually always lead to unintended consequences: shortages of the price-controlled products or services; lower quality as manufacturers cut corners to meet government-imposed price points; less innovation, since companies don’t know if they’ll be allowed to recover their costs; and a black market where people pay more to get what they want or need.”

Importing foreign price controls on prescription drugs into the United States will lead to much less revenue for the pharmaceutical industry — and much less money to invest in the development of the next generation of medicines.”

MFN is nothing more than a destructive price control that will distort the market and result in fewer new drugs being developed. The goal of lowering drug prices is noble, but instituting price controls that will align U.S. prices with foreign countries will backfire and end up harming patients.”

If the U.S. continues to hamstring its own industry, we will risk ceding the future of medicine to China, our access to medical innovations, and a robust industrial research and manufacturing base with high-paying jobs that follow.”

"China is outpacing the US in the volume of high-impact research in 57 of the 64 critical technologies in ASPI’s Critical Technology Tracker. The US’s main remaining advantage is downstream in implementing technology, and even that’s at risk as China’s significant S&T investments pay off."

MFN dodges meaningful reform now and guarantees long-term harm, distorting market incentives and undercutting the innovation patients rely on.”

America leads the world in drug development because we reward risk-taking. MFN would reverse that -- cutting off the lifeblood of future cures and weakening our global leadership. We urge policymakers to reject MFN and pursue smarter reforms that improve access without sacrificing innovation. The future of medicine depends on it.”

Importing European-style price controls won’t help Americans access medicines or make them cheaper. Rather, these policies will dampen innovation and R&D, threaten patient access and empower bureaucrats abroad to undermine America’s health system.”

Rather than accept the price controls’ high burden, the U.S. should focus on improving the efficiency of the drug pricing market. Focusing on these policy-created inefficiencies can generate significant savings for patients while still promoting the important goals of increasing access and promoting innovation.”

The President is right to object to foreign governments' price controls on pharmaceuticals, which result in America disproportionately funding most pharmaceutical research. However, the answer is not to import foreign government price control policies into the United States, but instead to pressure foreign governments to give up their price controls.”

Any effort to ease Americans’ health care burden is admirable, but the most-favored-nation policy is not the approach to take and it does not take into consideration the real-world cost.”

We Work For Health brings together national and local business leaders, labor, biopharma, patient advocacy, and other healthcare-related stakeholders to support policies and initiatives that foster innovation and facilitate the delivery of lifesaving and life-enhancing medicines. 

We Work For Health. © 2023 All Rights Reserved.

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