KRLD Radio

The Business of Health Care Report
2001 Drug Study - September 2002


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Doug Hawthorne, President and CEO of Texas Health Resources I'm Doug Hawthorne, President and CEO of Texas Health Resources, with "The Business of Health Care Report" on News Radio 1080 KRLD. Today's topic is rising prescription drug spending in the United States.

While prescription drugs account for around 10 percent of total U.S. health care spending, drug costs have recently contributed disproportionately to a sharp upturn in overall health costs. In 2001, retail pharmacies dispensed 3.1 billion prescriptions at an average cost of $49.84 each, up from $45.27 each in 2000.

According to National Institute for Health Care management, the rise in pharmaceutical spending is primarily caused by an increase in the volume of prescriptions. In 1999, doctors prescribed 146 drugs for every 100 office visits, up from 109 drugs in 1985. There are more first-time users of prescription medicines. Current users are taking medicines longer. And there are more people taking two or more medicines at one time.

Advertising directly to consumers and physicians also has contributed to increased prescription drug spending, with direct to consumer marketing pushing demand.

Another reason for rising prescription drug spending is the increased rate of diagnosis and treatment of chronic illnesses, such as asthma, diabetes, elevated cholesterol and arthritis.

Today, financial barriers have been removed through insurance for many people to access prescription drugs, driving demand and use.

There is no doubt that prescription drugs have contributed enormously to the improved treatment of many medical conditions, illnesses and diseases in recent years. . .and to reduction in lost time from work.

Even so, the escalating costs of prescriptions raise many issues. The most important issue from a health care financing perspective is whether the growing use of prescription drugs will, over time, reduce the need for other, more costly medical treatments and hospitalizations.

For Texas Health Resources and its family of hospitals - Harris Methodist Hospitals, Presbyterian Healthcare System and Arlington Memorial Hospital - I'm CEO Doug Hawthorne with "The Business of Health Care Report" on NewsRadio 1080 KRLD.

Doug Hawthorne

Source:  PRC, Reality Check, focus groups conducted by THR

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