Reference pricing for pharmaceuticals: is the Australia–United States Free Trade Agreement affecting Australia's Pharmaceutical Benefits Scheme?

@article{Faunce2007ReferencePF,
  title={Reference pricing for pharmaceuticals: is the Australia–United States Free Trade Agreement affecting Australia's Pharmaceutical Benefits Scheme?},
  author={Thomas Faunce},
  journal={Medical Journal of Australia},
  year={2007},
  volume={187}
}
  • T. Faunce
  • Published 13 June 2007
  • Political Science
  • Medical Journal of Australia
Amendments to the National Health Act 1953 (Cwlth) were legislated by the Australian federal government in 2007 with minimal public debate. The National Health Amendment (Pharmaceutical Benefits Scheme) Act 2007 includes several changes that will limit reference pricing under the Australian Pharmaceutical Benefits Scheme (PBS). Here, I argue that these amendments were influenced by the Australia–United States Free Trade Agreement (AUSFTA) particularly the Medicines Working Group established… 
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References

SHOWING 1-10 OF 30 REFERENCES
Will the Australia–United States Free Trade Agreement undermine the Pharmaceutical Benefits Scheme?
TLDR
Concerns are raised that the many concerned health and consumer organisations who have asked the Senate either not to pass the enabling legislation, or to delay its passage until a fairer deal in terms of public health can be obtained.
Assessing the impact of the Australia-United States Free Trade Agreement on Australian and global medicines policy
TLDR
To the extent that the AUSFTA medicines provisions may represent animportant precedent in a global strategy by industry on cost-effectiveness evaluation of pharmaceuticals, the study will be of great interest to policy makers in other jurisdictions.
'Linkage' pharmaceutical evergreening in Canada and Australia
TLDR
The regulatory lessons to be learnt from Canada and Australia's shared experience in terms of minimizing potential adverse impacts of so-called 'linkage evergreening' provisions on drug costs and thereby potentially on citizen's access to affordable, essential medicines are explored.
Reform of drug regulation--beyond an independent drug-safety board.
TLDR
A new federal authority for drug regulation is proposed, to be made up of three independent centers: a Center for New Drug Approval, a Centre for Post-marketing Studies, and a Center For Drug Information.
Australian Government Department of Health and Ageing. PBAC outcomes and public summary documents
    Let’s overhaul the Pharmaceutical Benefits Scheme
    • The Australian
    • 2006
    Chairman of Medicines Australia)
    • National Press Club speech 2005. Pharma in Focus 2005; 8 Aug. http://www.pharmainfocus.com.au/
    • 2007
    Let's overhaul the Pharmaceutical Benefits Scheme 10 Jan: 10. 17 Australian Government Department of Health and Ageing. AUSFTA – Medicines Working Group – 2007 meeting statement
    • The Australian
    • 2006
    Delegates to the OECD Group on Health. Pharmaceutical pricing policy
      ...
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