Latest / Early Edition with Ryan Bridge / Neil Woodhams: Multiple Sclerosis New Zealand President on their call to change how Pharmac funds drugs in New Zealand
Transcript
- 0:00Speaker 1: Are there are calls for FARMAC to change up the
- 0:01Speaker 1: way it funds drugs are report commissioned by Multiple Sclerosis
- 0:05Speaker 1: New Zealand says it's time to base funding decisions not
- 0:08Speaker 1: just on the cost of the medical device, but on
- 0:11Speaker 1: the impact we'll have on the health system and society
- 0:13Speaker 1: as a whole. The cost benefit model has been widely
- 0:16Speaker 1: used overseas and was recommended by the Treasury in twenty fifteen.
- 0:20Speaker 1: Neil Woodhams is the Multiple Sclerosis New Zealand President. He's
- 0:23Speaker 1: with me this morning. Neil, Good morning to you.
- 0:25Speaker 2: Good morning Ryan, how are you well?
- 0:27Speaker 1: Thank you. My first question is has this not changed already?
- 0:30Speaker 1: David Seymour gave a directive, did he not to Farmac
- 0:34Speaker 1: to do something like this?
- 0:36Speaker 2: Yes, we are hopeful as this changed. We actually started
- 0:41Speaker 2: this report last year and it's the first detailed, evidently
- 0:49Speaker 2: based report on the subject. We think it supports David
- 0:54Speaker 2: Seymour's position, but we also think it's worthwhile demonstrating execs
- 1:00Speaker 2: what those costs are and how significant they are.
- 1:04Speaker 1: Can you give us one example of a medicine that
- 1:06Speaker 1: we don't currently fund, you know, using the old model
- 1:11Speaker 1: versus your new one.
- 1:13Speaker 2: Well, the medicine that we use in this case is
- 1:16Speaker 2: a drug called ocalism ab, which has been approved for
- 1:22Speaker 2: relapsing remitting MS, but not for primary progressive MS until
- 1:27Speaker 2: just very recently. It took us about I suppose eight
- 1:31Speaker 2: years to get that drug approved, and so we've based
- 1:38Speaker 2: the report, or Richard Milners based the report on the
- 1:42Speaker 2: modeling that was done for OSM. But the model that
- 1:47Speaker 2: he's used is applicable to any drug in a similar situation.
- 1:53Speaker 1: It's basically saying there are wider benefits to society, to
- 1:57Speaker 1: the health system, etc. From using these drugs other than
- 2:00Speaker 1: it might save one, two, three lives whatever.
- 2:04Speaker 2: That's absolutely right. I mean there are significant costs to
- 2:08Speaker 2: the government in a disease like multiple sclerosis that farmic
- 2:16Speaker 2: don't take into account. For example, this cost to social
- 2:22Speaker 2: welfare when people stop working and go on to an
- 2:25Speaker 2: unemployment benefit or a disability benefit. But there's also very
- 2:29Speaker 2: substantial cost to the family and to the individual. People
- 2:33Speaker 2: with MS may well stop work fifteen twenty years before
- 2:40Speaker 2: they would be due to retire, and so there's the
- 2:43Speaker 2: whole impact economic impact of the family of a loss
- 2:47Speaker 2: of an income and then on retirement, can we save
- 2:50Speaker 2: for etc.
- 2:51Speaker 1: Etc. It's interesting, isn't it. I mean something you would
- 2:54Speaker 1: have thought obviously Treasury recommended it in twenty fifteen. It's
- 2:56Speaker 1: something you would have thought that a government would be
- 2:59Speaker 1: looking at doing, or a lens through which they would
- 3:02Speaker 1: look at funding. Anyway, Neil, thank you for that. New
- 3:04Speaker 1: Wadham's the multiple Scleritist New Zealand President.
- 3:08Speaker 2: For more from early edition with Ryan Bridge. Listen live
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