Health care reform: pharmacies are cashed


Health care reform: pharmacies are cashed in The criticism of health care reform comes from all directions. The Federal Association of German Pharmacists 'Associations (ABDA) sees the pharmaceutical market reorganization law (AMNOG) as disproportionate burdens on pharmacies and makes this one of the central topics at the upcoming German Pharmacists' Day in Munich. However, the boundaries between justified criticism and pure lobbying are sometimes very vague.

ABDA President sees overexploitation at pharmacies
ABDA President Heinz-Günter Wolff warned that "the conversion of the wholesale fee (...) is not necessary, but a massive mistake". "We are cashed in here" and "That is unfair and disproportionate. That is overexploitation, ”Wolff complained about the planned changes. The conversion of the wholesale remuneration based on the AMNOG is a thorn in the side of the pharmacists. For the pharmacies, this means a burden of more than 500 million euros per year, which is significantly more than Federal Health Minister Philipp Rösler (FDP) announced, said Wolff. “The AMNOG hangs over the pharmacists like a sword of Damocles. It threatens to turn the entire drug supply upside down, ”added the ABDA President in a recent press release.

The Federal Ministry of Health calculated incorrectly
A major accusation in the direction of the Federal Ministry of Health is that the calculations were incorrect. “Legislators urgently need to do the calculations. Otherwise, the burdens will increase immeasurably ”, because instead of the targeted 175 million euros, 630 million euros would be generated in savings at the expense of the pharmacies, explained Wolff. According to his calculations, this would result in a minus of 23,000 euros per pharmacy every year. This would be the end of nationwide care close to home in Germany, emphasized the ABDA President.

Full coverage close to home is desired
Karl-Heinz Resch, ABDA Managing Director for Economic and Social Affairs, also warned that the planned reform would endanger the pharmacy. However, a cut in benefits is not acceptable to consumers, as a recent Forsa survey among 1,000 citizens shows, explained Resch. According to this, nine out of ten respondents rated the emergency service and messenger service as particularly important and 87 percent did not want to do without comprehensive coverage. Respondents were equally important to patient information - 84 percent rated it as particularly important - and protection against counterfeiting (82 percent). The government must say at what point the pharmacies should save services to compensate for the impending deficit, explained Heinz-Günter Wolff. The fact that the salary of the pharmacists is not to be taken into account here arises from Wolff's statements, according to which the so-called functional discounts had long been taken into account when changing the pharmacy fee and if the wholesale fee had already been changed at that time, the pharmacist's fees would have been set accordingly higher would be. In conclusion, the ABDA President calls on the government parties to offer pharmacies reliable, fair framework conditions so that they can maintain their comprehensive services in the area of ​​pharmaceutical supply. The proposals for the further development of health care that were submitted by the ABDA and the National Association of Statutory Health Insurance Physicians should finally be taken into account, Wolff demanded - and suddenly lobbying and not patient well-being seemed to come first again in the short term. (fp, 06.10.2010)

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Video: Dan Kennedy, BPharm on the role of pharmacists in health care reform


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