The Pharmaceutical Research and Manufacturers of America (PhRMA) has expressed its support for "efforts to make sure patients and [health care] providers have high-quality information to guide their treatment and health-care decisions. As noted by the Consumers Union, there is an 'enormous' volume of evidence available on prescription drugs."
The CU issued an opinion poll, which found that only 4% of respondents had discussed the price of a drug with their physician at the point of prescribing, and 60% only finding out at the payment point in a pharmacy what the cost would be. The advocacy group's Consumer Reports magazine carries a report of cheaper medicines, usually generics, across 20 therapeutic classes.
However, the CU's backing of a federal government-led comparative effectiveness initiative is more controversial. Senator Tom Coburn (Republican, Oklahoma), a physician and member of the Senate's Health, Education, Labor and Welfare Committee, warned: "they're going to look at cost, just like England does, and say, 'we can't afford it so we won't do it'."
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