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美国从国外药品监管中汲取的教训

Lessons for the United States from Pharmaceutical Regulation Abroad
Journal of Economic Perspectives · 2025 · [{"name": "Margaret Kyle", "affiliation": ["École Nationale Supérieure des Mines de Paris"]}]

中文摘要

制药市场的特征是存在进入壁垒和信息问题。许多国家对药品定价和报销的干预程度,迄今超过美国政府。来自政治人物的持续压力以及近期立法,可能会改变美国的药品市场。本文讨论了其他发达国家所采用的方法,以及这些方法在美国使用所产生的影响——由于美国市场规模庞大,其对创新的速度和方向具有远大于其他国家的影响力。文章还评述了替代性政策选择及其实施过程中面临的挑战。

Abstract

Pharmaceutical markets are characterized by barriers to entry and information problems. Many countries intervene in the pricing and reimbursement of drugs to a greater extent than the US government to date. Continued pressure from politicians and recent legislation are likely to change the market for pharmaceuticals in the United States. This article discusses the approaches adopted in other developed countries and the implications of their use in the United States, which due to its size, has far greater influence over the rate and direction of innovation. Alternative policy choices and the challenges of their implementation are also reviewed.
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