Corruption of Pharmaceutical Markets: Addressing the Misalignment of Financial Incentives and Public Health

被引:41
作者
Gagnon, Marc-Andre [1 ,2 ]
机构
[1] Carleton Univ, Sch Publ Policy & Adm, Ottawa, ON K1S 5B6, Canada
[2] Harvard Univ, Edmond J Safra Ctr Eth, Cambridge, MA 02138 USA
关键词
RESEARCH-AND-DEVELOPMENT; INSTITUTIONAL CORRUPTION; GHOST MANAGEMENT; PROMOTION; PROGRAM; TRIAL; DRUGS; COST;
D O I
10.1111/jlme.12066
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
This paper explains how the current architecture of the pharmaceutical markets has created a misalignment of financial incentives and public health that is a central cause of harmful practices. It explores three possible solutions to address that misalignment: taxes, increased financial penalties, and drug pricing based on value. Each proposal could help to partly realign financial incentives and public health. However, because of the limits of each proposal, there is no easy solution to fixing the problem of financial incentives.
引用
收藏
页码:571 / 580
页数:10
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