No Easy Access in U.S. or U.K. -- MEDICA - World Forum for Medicine

No Easy Access in U.S. or U.K.

“There seem to be a lot of generalizations as to the worse availability of such drugs in the United Kingdom, compared to the United States,” said study co-author Kalipso Chalkidou. “We wanted to take a serious look at what claims one can make based on evidence rather than preconceived ideas.”

Chalkidou from the UK and U.S.-based lead author Ruth Faden compared the cost and availability of eleven drugs used to treat a variety of cancers, focusing on those costing between 8,700 U.S. dollars and 32,000 U.S. dollars for a three-month supply.

For seven of the eleven expensive cancer drugs examined, British patients pay no out-of-pocket costs. In comparison, U.S. patients, even those with Medicare coverage, pay out-of-pocket costs ranging from 1,200 dollars to 24,000 dollars, depending on the length of their treatment.

U.S. patients without insurance pay even more, and because cancer patients often take more than one drug, their out-of-pocket costs could soar higher, the authors reported. However, for the other four drugs in the study, the U.K.’s National Health Service pays nothing, whereas U.S. Medicare plans offer at least some coverage for all eleven drugs.

Chalkidou noted that lack of reliable data made it difficult to conduct meaningful comparisons on price, access and affordability for U.S. and U.K. cancer patients. “Both systems have to make tough choices and neither is perfect. However, based on our analysis, it seemed to us that the way decisions are made in the United Kingdom tends to be more predictable, consultative and transparent than in the United States,” she said.

In the United Kingdom, national and local governments and clinicians use published criteria to make judgments about covering the costs of treatment with expensive cancer drugs. Treatment for American cancer patients, on the other hand, often depends not on the government or doctors’ decisions, but on their health insurance coverage and their personal financial resources, the authors wrote.; Source: Health Behavior News Service