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{"id":11885,"date":"2019-08-27T15:45:15","date_gmt":"2019-08-27T13:45:15","guid":{"rendered":"https:\/\/www.3-min.info\/?p=11885"},"modified":"2019-08-27T15:45:15","modified_gmt":"2019-08-27T13:45:15","slug":"prix-des-medicaments-chaque-dimanche-le-meme-scenario","status":"publish","type":"post","link":"https:\/\/3-min.info\/fr\/2019\/08\/27\/prix-des-medicaments-chaque-dimanche-le-meme-scenario\/","title":{"rendered":"Prix des m\u00e9dicaments \u2013 chaque dimanche le m\u00eame sc\u00e9nario"},"content":{"rendered":"<p>Pas de dimanche sans gros titres sur le prix des m\u00e9dicaments dans les \u00e9ditions dominicales des grands \u00e9diteurs de presse. La semaine derni\u00e8re \u00e9galement, on pouvait lire en grosses lettres dans la Sonntagszeitung\u00a0: Les co\u00fbts des m\u00e9dicaments explosent. Il s\u2019agit l\u00e0 une fois de plus d\u2019une g\u00e9n\u00e9ralisation tendancieuse, destin\u00e9e \u00e0 attirer l\u2019attention. Contrairement \u00e0 son titre, l\u2019article traite exclusivement des m\u00e9dicaments oncologiques de prix \u00e9lev\u00e9.<\/p>\n<p>&nbsp;<\/p>\n<p>Le point de d\u00e9part de l&rsquo;article \u00e9tait que sant\u00e9suisse a pour la premi\u00e8re fois publi\u00e9 le co\u00fbt des m\u00e9dicaments oncologiques. Mais, plut\u00f4t que d\u2019ordonner correctement les chiffres, sant\u00e9suisse en a une fois de plus profit\u00e9 pour jouer sa vieille partition indiff\u00e9renci\u00e9e sur l&rsquo;augmentation du co\u00fbt des m\u00e9dicaments.<\/p>\n<p>&nbsp;<\/p>\n<p>Pas un mot sur le fait que le probl\u00e8me fondamental est que ces derni\u00e8res ann\u00e9es, les ventes de m\u00e9dicaments \u00e0 prix \u00e9lev\u00e9s ont fortement augment\u00e9 alors que les d\u00e9penses pour les m\u00e9dicaments \u00e0 bas prix sont rest\u00e9es stables depuis des ann\u00e9es. Pourtant ce sont justement ces chiffres* qui seraient int\u00e9ressants et qui expliqueraient beaucoup de choses:<\/p>\n<ul>\n<li>Le chiffre d\u2019affaires des produits dont le prix ex factory est sup\u00e9rieur \u00e0 CHF 2&rsquo;570.- a augment\u00e9 depuis 2005 de CHF 658 millions en chiffres ronds (plus de 1000 pourcent!). En comparaison, la valeur et la quantit\u00e9 des produits \u00e0 bas prix sont rest\u00e9s relativement stables depuis 2005.<\/li>\n<li>Le prix ex factory de plus de 96 pourcent de l\u2019ensemble des emballages vendus dans le march\u00e9 LS est inf\u00e9rieur \u00e0 CHF 200.-, et ils repr\u00e9sentent moins de la moiti\u00e9 du chiffre d\u2019affaire. Seul environ un pourcent de tous les emballages a un prix ex factory sup\u00e9rieur \u00e0 CHF 880.-, le chiffre d\u2019affaires qu\u2019il repr\u00e9sente \u00e9tant toutefois de plus de 35 pourcent.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Mais on pr\u00e9f\u00e8re toujours \u00e9conomiser sur les m\u00e9dicaments \u00e0 bas co\u00fbt. L\u2019article ne fait pas non plus mention des r\u00e9ductions de prix des deux derni\u00e8res ann\u00e9es, qui se sont traduites par des \u00e9conomies annuelles de 350 millions. Ces \u00e9conomies ont \u00e9t\u00e9 r\u00e9alis\u00e9es essentiellement sur les m\u00e9dicaments \u00e0 bas prix. Elles sont toutefois compens\u00e9es par la hausse des ventes des produits \u00e0 prix \u00e9lev\u00e9.<\/p>\n<p>Et le Conseil f\u00e9d\u00e9ral? Pendant ce temps, Il pr\u00e9voit comment il pourra exercer \u00e0 l\u2019avenir encore plus de pression sur les m\u00e9dicaments \u00e0 bas prix, notamment \u00e0 travers les prix de r\u00e9f\u00e9rence ainsi que d\u2019autres mesures. Par contre, le probl\u00e8me central des m\u00e9dicament \u00e0 prix \u00e9lev\u00e9 est tr\u00e8s largement contourn\u00e9. Il s\u2019av\u00e8re simplement moins cher (et plus facile), se serrer la vis aux plus \u00e9conomiques.<\/p>\n<p>&nbsp;<\/p>\n<p>Et cela pr\u00e9sente encore un autres aspect: Jusqu\u2019\u00e0 pr\u00e9sent, le co\u00fbt des m\u00e9dicaments \u00e0 prix \u00e9lev\u00e9 a \u00e9t\u00e9 r\u00e9percut\u00e9 sur tous les payeurs de primes, avec la cons\u00e9quence bien connue que les dites primes augmentent chaque ann\u00e9e. Le grand nombre des payeurs de primes couvre donc les co\u00fbts \u00e9lev\u00e9s de cas isol\u00e9s. Cette solution n\u2019est toutefois pas tenable \u00e0 long terme, car le principe de solidarit\u00e9 est mis \u00e0 mal par des primes inabordables pour un nombre croissant de personnes, alors que simultan\u00e9ment des mesures d\u2019\u00e9conomies frappent les m\u00e9dicaments bon march\u00e9 et que rien n\u2019est fait pour stopper la progression des m\u00e9dicaments \u00e0 prix \u00e9lev\u00e9.<\/p>\n<p>&nbsp;<\/p>\n<p>Vas Narasimhan, CEO de Novartis, couronne la discussion en d\u00e9clarant que les prix des m\u00e9dicaments anticanc\u00e9reux \u00e0 prix \u00e9lev\u00e9 sont d\u00e9termin\u00e9s, et justifi\u00e9s, par leurs b\u00e9n\u00e9fices. On peut se demander si M. Narasimhan envisage le mot \u00ab\u00a0b\u00e9n\u00e9fices\u00a0\u00bb en termes d&rsquo;efficacit\u00e9, d\u2019ad\u00e9quation et d\u2019\u00e9conomicit\u00e9, le trio utilis\u00e9 en Suisse comme r\u00e9f\u00e9rence pour le remboursement par l\u2019assurances maladie obligatoire. Probablement pas. Une telle d\u00e9claration est un affront absolu.<\/p>\n<p>&nbsp;<\/p>\n<p>*Source IQVIA, MAT 02\/19<\/p>\n<p>\u00a9 Image by Adobe Stock<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pas de dimanche sans gros titres sur le prix des m\u00e9dicaments dans les \u00e9ditions dominicales des grands \u00e9diteurs de presse. La semaine derni\u00e8re \u00e9galement, on [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":11884,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[61],"tags":[47,50],"class_list":["post-11885","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actuel","tag-prix-des-medicaments","tag-santesuisse-fr"],"jetpack_featured_media_url":"https:\/\/www.3-min.info\/wp_201802\/wp-content\/uploads\/2019\/08\/Jeden_Sonntag_gr\u00fcsst_das_Murmeltier.jpg","_links":{"self":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/11885","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/comments?post=11885"}],"version-history":[{"count":1,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/11885\/revisions"}],"predecessor-version":[{"id":11886,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/11885\/revisions\/11886"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/media\/11884"}],"wp:attachment":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/media?parent=11885"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/categories?post=11885"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/tags?post=11885"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}