Pharmaceutical policy arises through an ongoing process of negotiation
acid interaction among the key players in the pharmaceutical market:
consumers, industry, healthcare providers and government. There is con
stant discussion about the just distribution of reward between cost-co
ntainment goals and the goals of research and development in the pharm
aceutical arena. All industrial countries are under pressure to contro
l healthcare costs, but it is unclear how cost-containment policies wi
ll influence industrial policies for pharmaceuticals. The pharmaceutic
al industry is an easy target for governmental cost-containment polici
es. The industry is driven by 3 issues: access to consumers, access to
new technology and new competitive realities. The launch of a new, in
novative product that represents a significant therapeutic breakthroug
h is becoming increasingly difficult, and a major challenge for politi
cians and governments will be to balance the need for cost-effective u
se of drugs and the need to create a favourable climate for innovation
. Previously, there was generally little competition between pharmaceu
tical companies, but those companies will now have to undergo fundamen
tal and comprehensive changes. Particularly, it will be important to h
ave extremely well developed and integrated management systems focusin
g on both consumers and costs.