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A HEALTH IMPACT FUND IN THE U.S.: HOW A THEORETICAL IMPLEMENTATION OF THE HIF CAN INFORM FUTURE DRUG PRICING POLICY IN AMERICA

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abstract
Over the last two decades, pharmaceutical prices in the U.S. have risen at an unprecedented rate. As a result of the incentive structure through which the U.S. currently drives pharmaceutical development, pharmaceutical companies have made decisions that increasingly limit the ability of individuals and populations to obtain drugs necessary for their health. In light of this growing strain, the need for reform to the current U.S. incentive structure is becoming ever more clear. A multitude of solutions have been proposed, each offering their own unique strengths and limitations – and each hoping to navigate the enormously complex path to successful implementation.This thesis begins with an overview of the current dysfunction of pharmaceutical pricing in the U.S., and outlines the incentivization structure behind this dysfunction and how it has contributed to the current state of affairs. The thesis then examines one potential reform strategy – the Health Impact Fund – and how a hypothetical implementation of the strategy might perform in the U.S. Finally, this project assesses that hypothetical implementation of pharmaceutical incentive reform through the lens of Rawlsian Justice as Fairness. In doing so, it distills general insights that will help guide the implementation of any potential U.S. reform in the future – toward being both practically successful and morally just.
subject
Health Impact Fund
Justice as Fairness
Pharmaceutical Pricing
Pharmaceutical Reform
contributor
Carter, Jeremy (author)
King, Nancy MP (committee chair)
Hall, Mark (committee member)
Colgrove, Nicholas (committee member)
date
2021-01-13T09:35:31Z (accessioned)
2021-01-13T09:35:31Z (available)
2020 (issued)
degree
Bioethics (discipline)
identifier
http://hdl.handle.net/10339/97963 (uri)
language
en (iso)
publisher
Wake Forest University
title
A HEALTH IMPACT FUND IN THE U.S.: HOW A THEORETICAL IMPLEMENTATION OF THE HIF CAN INFORM FUTURE DRUG PRICING POLICY IN AMERICA
type
Thesis

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