1st Edition

New Drugs, Fair Prices Managing the Pharmaceutical Innovation Ecosystem for Sustainable and Affordable New Medicines

By Brian D. Smith Copyright 2023
322 Pages 16 B/W Illustrations
by Routledge

322 Pages 16 B/W Illustrations
by Routledge

322 Pages 16 B/W Illustrations
by Routledge

New Drugs, Fair Prices addresses the important question of how we might get the innovative new medicines we need at prices we can afford. Today, this debate is impassioned but sterile. One side calls for price controls, discounting their impact on investment in innovation. The other points to miraculous new therapies, disregarding their affordability and social inequity. This polarized... Read more

Preface: Writing with Intent

Acknowledgements

  1. Balancing Tomorrow with Today
  2. Precis

    How important a question is this?

    How American a question is this?

    First, do no harm. What might change put at risk?

    Does pharmaceutical innovation have a problem?

    Where does this leave us?

  3. A New Paradigm for a Wicked Problem
  4. Precis

    Why did the drug pricing debate become so sterile?

    Are we looking at drug pricing the wrong way?

    What is the case for the ecosystem paradigm?

    What is the pharmaceutical innovation ecosystem?

    What does the ecosystem perspective imply for the affordability debate?

    The pharmaceutical innovation ecosystem is fragile

    The pharmaceutical innovation ecosystem can only be managed systemically

    How can we resolve our dilemma?

  5. The Discovery Habitat
  6. Precis

    What is the discovery habitat and who inhabits it?

    What does a healthy PIE require of the discovery habitat?

    Is the discovery habitat capable of supporting a healthy PIE?

    How can we improve the discovery habitat?

    Will this be enough?

  7. The Innovation Habitat
  8. Precis

    What happens in the innovation habitat and who inhabits it?

    What does a healthy PIE require of the innovation habitat?

    Is the innovation habitat capable of supporting a healthy PIE?

    How can we improve the innovation habitat?

    Will this be enough?

  9. The Coalition Habitat
  10. Precis

    What happens in the coalition habitat and who inhabits it?

    What does a healthy PIE require of the coalition habitat?

    Is the coalition habitat capable of supporting a healthy PIE?

    How can we improve the coalition habitat?

    Will this be enough?

  11. The Value Habitat
  12. Precis

    What happens in the value habitat and who inhabits it?

    What does a healthy PIE require of the value habitat?

    Is the value habitat capable of supporting a healthy PIE?

    How can we improve the value habitat?

    Will this be enough?

  13. The Pricing Habitat
  14. Precis

    What happens in the pricing habitat and who inhabits it?

    What does a healthy PIE require of the pricing habitat?

    Is the pricing habitat capable of supporting a healthy PIE?

    How can we improve the pricing habitat?

    Will this be enough?

  15. The Competition Habitat
  16. Precis

    What happens in the competition habitat and who inhabits it?

    What does a healthy PIE require of the competition habitat?

    Is the competition habitat capable of supporting a healthy PIE?

    How can we improve the competition habitat?

    Will this be enough?

  17. The Patient Habitat
  18. Precis

    What happens in the patient habitat and who inhabits it?

    What does a healthy PIE require of the patient habitat?

    Is the patient habitat capable of supporting a healthy PIE?

    How can we improve the health of the patient habitat?

    Will this be enough?

  19. Breaking Ground, Raising the Debate

Precis

Where are we now?

Breaking ground on a PIE for the future

Raising the debate

Index

Biography

Brian D. Smith is an academic, author and advisor who has worked in and studied the life sciences sector for over 40 years. He has published over 300 books, papers and articles and worked with most of the world’s leading pharmaceutical companies.