Post-election itâ€™s all about the letter â€œP.â€
I am concerned that, as far as FDA is concerned, we will lose whatever momentum there was towards an agency that was focusing on (as Andy von Eschenbach phrased it) â€œthe three P's of prevention, predictive tools, and the participatory Critical Pathâ€ ...
â€¦ and we will move to a House of Representatives that is focused on payback and partisan politics. And that means hearings. Lots and lots of hearings couched in the word â€œoversight.â€ And thatâ€™s deleterious and particularly dangerous right now because of PDUFA.
On the broader health care front the Big P is certainly going to be a debate over whether or not Part D should be redesigned, specifically whether the non-interference clause should be revoked. Our new Speaker, Nancy Pelosi has this on her â€œFirst 100 Hoursâ€ to-do list. And thatâ€™s just a preliminary peroration towards a more frightening parley over price controls and intellectual property (aka: patents).
You can also bet weâ€™ll see more rhetoric over plans for phony importation schemes.
It's very important to remember that this election wasn't fought on health care. And don't let anybody tell you different.
Which means we must redouble our efforts to advance the public health by being peppy, potent, proactive, persuasive, puissant â€“ and most importantly â€“ positive.
America's health is too important to be about partisanship or about profits. It must be about progress, about patients.
We must keep our eyes on the prize and persevere.