Rational Pharmacotherapy Based on Irrational Legislation – Implicit Rationing Remains Alive also with Doctors’ Groups and Sick-Fund Contracts
Rational Pharmacotherapy Based on Irrational Legislation – Implicit Rationing Remains Alive also with Doctors’ Groups and Sick-Fund Contractsgerman translation / full article
Summary: This paper deals with the area of conflict between therapeutic freedom, rationing by exclusion of questionably effective drugs and price limits by the state. The last two ways are principally possible and do not lead to a statistically significant decrease in quality of care (as some OECD countries show). Prerequisite for such a move, however, is a courageous political decision making independent from pharmaceutical companies.
Implementing a system which offers each citizen the choice of insurance terms and hence limitation of available drug selection requires the confidence of politicians in the self-contained decisions of citizens.
The easiest way for politics is the maintenance of the illusion that every patient has the unlimited right to choose from all available drugs associated with implicit rationing on the doctor´s side.