Studies

S2012-04

The Shortage of Generic Sterile Injectable Drugs: Diagnosis and Solutions

According to the U.S. Food and Drug Administration, the number of times drugs were in short supply almost tripled from 61 in 2005 to 178 in 2010. The figure reached more than 250 in 2011. This means that manufacturers reported to the FDA that they were unable to meet demand for the drugs. Hospital and health-system pharmacists, as well as oncologists, anesthesiologists and other specialists have also increasingly reported difficulties acquiring drugs.

These are mostly injectable drugs for cancer and other important therapies, and they are frequently produced by generic drugmakers. These drugs are not dispensed by community pharmacies, but rather administered by health professionals in clinical settings.
Currently proposed solutions are unlikely to address the crisis satisfactorily. Congress appears ready to give more power to the FDA, but making FDA regulations more onerous will not alleviate the current shortage of crucial medicines.
A more promising approach is to make it easier for competitors to enter the market in response to forthcoming shortages. In general, this means reducing and ultimately removing the FDA’s monopoly on the approval of drugs for medical use. Shifting these medicines to Medicare Part D insurance may also stabilize supply by helping ensure manufacturers receive adequate compensation for the medicine, even as taxpayers are protected from escalating costs. … more
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Recommendations to Strengthen Civil Society and Balance Michigan’s State Budget — 2nd Edition

An Analysis of Fiscal-Year 2003-04 Appropriations and Recommendations for 2004-05. … more

Recommendations to Strengthen Civil Society and Balance Michigan's State Budget

An Analysis of Fiscal-Year 2002-03 Appropriations and Recommendations for 2003-04

If Gov. Jennifer Granholm and the Michigan Legislature need specifics on how to close Michigan’s looming $1.7 billion budget deficit, they need look no further than the Mackinac Center for Public Policy’s new report on balancing the state budget, released today.

More than 200 specific recommendations from Mackinac Center analysts total more than $2 billion in cost savings and revenue enhancements. All budget reductions, including those involving federal funds, total $3.7 billion. 157 pages. … more

Stress Claims in Michigan: Worker's Compensation Entitlement for Mental Disability

The worker's compensation system was developed as a way for workers who suffer on-the-job physical injuries to be compensated fairly and quickly for medical expenses and loss of income. In recent years, however, it has expanded into a new area fraught with vagueness: mental stress. Though the focus of this report is on Michigan, which has been in the forefront among states in mental stress claims, its searching analysis of the inherent difficulty in evaluating these claims will be useful for anyone interested in this growing area of workplace abuse. 36 pages. … more

Washington Should Kick the Mandate Habit:

The Fiscal Impact of Medicaid Mandates on Michigan

Unfunded mandates forced on state governments by Congress pose a substantial challenge to both their budgets and their fiscal sovereignty. Nearly one-third of the growth in Michigan state government revenue for 1993 was consumed by the cost of federal Medicaid mandates alone. The authors' recommendations include the creation of a mandate ombudsman and database, requirements that Congress determine the cost of mandates before passing them, and a call for Michigan's federal representatives to appear before the state legislature to explain their positions on mandate issues. 17 pages. … more

Twenty Myths About National Health Insurance

The allure of national health insurance comes largely because it is perceived as successful in Canada and Britain. This thoroughly documented report shows conclusively that government-run national health insurance has led to serious and inevitable dilemmas that no country should want to emulate. The authors prove that other models have not been more successful than the U.S. in controlling costs or providing superior access to care, and that adoption of a national health system would have negative consequences. Released in cooperation with the Dallas-based National Center for Policy Analysis. 68 pages. … more

An Agenda for Solving America's Health Care Crisis

The best way to address the American health care crisis is to put market-based incentives in place where unwise public policies have been imposed. This study reviews the history and causes of national health care problems and proposes remedies such as the creation of medical savings accounts, reform of tax laws, and the repeal of expensive state-mandated health benefits. Released in cooperation with the Dallas-based National Center for Policy Analysis. 33 pages. … more

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