Not Enough Cancer Drugs, Too Many Price Controls

There were more than 250 generic drug shortages in 2011 compared with 58 in 2004, thanks largely to the Medicare Modernization Act.

Cancer patients face daunting challenges, including side effects of treatment, impact on family life and work disruptions. They now face another problem: shortages of vital drugs.

Imagine an oncologist talking to his patient: Everything is going well with your treatment, he says, but one of the drugs you've been receiving is unavailable. There's a substitute—sort of. Your Medicare copayment for the drug we've been using is $9. Now it will cost you $520 each time the substitute is given.

Unfortunately, while this is an actual case, at least there was a substitute drug. In many other cases, there are only ...

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