In the USA, November saw the Republicans took control of the House of Representatives, whilst the Democrats retained control of the Senate, with a reduced majority. These results will complicate Barack Obama's presidency for the remaining two years, following the approval of a major health care reform in March 2010.
The National Commission on Fiscal Responsibility & Reform published its first draft document in November 2010. Medium-term proposals affecting the health sector include paying doctors and other providers less, increasing drug rebates and strengthening the Independent Payment Advisory Board (IPAB); the latter two measures could affect the pharmaceutical industry particularly, notes a news report from Espicom Business Intelligence. The main long-term proposal affecting the health sector is to contain growth in total federal health spending to Gross Domestic Product (GDP) +1% after 2020.
The effect of the health care reform will be difficult to measure but pharmaceutical sales are expected to be boosted in the long-term. R&D investments are large but growth has slowed down. Around 85.0% of the USA's pharmaceutical requirements are domestically manufactured. A number of companies have made significant cutbacks, making reductions to sales forces.
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