Starting this summer, Big Pharma launched a "death by a thousand cuts" during the COVID-19 pandemic to weaken a popular program that reduces prescription drug costs for low-income patients. The program, known as the "340B program," dates back to 1992. Nearly 41,000 organizations ranging from Federally Qualified Health Centers (FQHCs) to rural hospitals, participate in the program. Patients of these organizations can realize significant discounts on prescription drugs, such as insulin. For example, a patient reduced her three-month insulin supply cost from $3,000 to $88 because she uses an FQHC as her regular care source.
Big Pharma's range of tactics includes imposing onerous and arbitrary reporting requirements, refusing to provide specific medications to patients and restricting the number of pharmacies FQHC patients can access. This latter point means many rural Minnesotans will need to drive past the pharmacy in their town to another location miles away to pick up their prescriptions.
If Big Pharma's attacks on FQHCs continue, the White House's executive order referenced in the editorial may be a moot point. The president's order to ensure insulin is available to low-income patients will not happen if Big Pharma holds lifesaving medications hostage. Congress should act to stop these attacks on FQHCs under the 340B program.
The writer is CEO of the Minnesota Association of Community Health Centers.
District Court Judge Joseph Carter has served in Minnesota's First Judicial District (Dakota, Scott, Carver, McLeod, Goodhue, Sibley and LeSueur counties) since 2001. Judge Carter's entire career has been devoted to public service. Before he became a judge, he was both an assistant county attorney in Scott County and a public defender in Ramsey County. He also served low-income Minnesotans when worked for Southern Minnesota Regional Legal Services.
Before his appointment as judge, he was chief public defender for the First Judicial District. As a judge in the First Judicial District for 19 years, he has experience presiding over every type of cases litigated in the District: criminal cases ranging from minor traffic matters to major felonies, and every variety of civil cases, from divorces to personal injuries and contract disputes.