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DRUGS

Rösler vows high drug prices to fall

Big pharmaceutical firms have been put on notice that the government plans to crack down on high drug prices, with German Health Minister Philipp Rösler vowing Wednesday to bring prices “under control.”

Rösler vows high drug prices to fall
Photo: DPA

“The Health Ministry will put forward a co-ordinated plan to get average drug prices permanently under control,” he said after meeting with statutory health insurers.

Rösler said this applied even to new and innovative drugs for which manufacturers insist they have to charge heavily in order to recoup the high cost of research and development.

The cost-benefit analysis the government uses to appraise drugs would play a role in this, according to the minister.

The shot across the bow of Big Pharma was surprising because Rösler’s party, the Free Democrats (FDP), are traditionally close to the pharmaceutical industry as well as doctors and pharmacies, meaning cost-savings in the health sector are not normally core issues for the party.

On the contrary, the FDP reportedly played the key role in forcing out Peter Sawicki as head of the Institute for Quality and Efficiency in Health Care because he had been a tough critic of the industry.

After hospitals and general practitioners, drugs are the third biggest cost to the health system.

Many common drugs in Germany are more expensive than elsewhere in Europe or even in the United States.

Rösler met on Wednesday in Berlin with the heads of some of the statutory health insurers, who made concrete proposals about how to save money on pharmaceuticals.

Thomas Ballast, head of the Association of Health Insurers, said: “It is now the policy to bring this discussion process to an end and to take up some suggestions.”

The goal above all is to ensure that the pharmaceutical firms are no longer so free to set the price for their products. The health funds agreed on the need for a greater legally mandated discount from companies along with lower sales tax.

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DRUGS

Germany should make cannabis available at pharmacies not ‘coffee shops’, says FDP boss

Germany's possible new government could well relax the country's strict cannabis laws. But FDP leader Christian Lindner says he doesn't want to go down the Netherlands route.

A demonstrator smokes a joint at the pro-cannabis Hanfparade in Berlin in August 2021.
A demonstrator smokes a joint at the pro-cannabis Hanfparade in Berlin in August 2021. Photo: picture alliance/dpa | Annette Riedl

The Social Democrats (SPD), Greens and the pro-business Free Democrats (FDP) are set to engage in coalition talks in a bid to become the next German government.  And the future of cannabis will likely be one of the topics to be thrashed out.

In drug policy, the three parties are not too far apart in their positions. So it’s possible that the drug could be decriminalised.

However, nothing is set in stone and the parties still haven’t come to a common line on the question of where and to what extent cannabis could be accessed. 

The leader of the Liberal FDP, Christian Lindner, has now come out in favour of allowing cannabis products such as hashish to be sold in a controlled manner. 

Consumers should be allowed “to purchase a quantity for their own use, for example, in a pharmacy after health education,” Lindner told a live broadcast on German daily Bild on Sunday.

Lindner said he was sceptical about the sale in “coffee shops” according to the Dutch model. “I am in favour of controlled distribution, and therefore health education must be able to take place,” he said.

READ MORE: Patients in Germany still face hurdles accessing medical marijuana

People in the Netherlands can access cannabis products in coffee shops under the country’s tolerant drugs policy. However coffee shops have to follow certain strict conditions. For instance they are not allowed to sell large quantities to an individual. 

Lindner said his main aims were about “crime and health prevention” and not with “legalising a right to intoxication”.

It’s not clear if Lindner advocates for prescription-only cannabis for medical use, or an over-the-counter model. 

The FDP previously said that they they are in favour of the creation of licensed shops. Their manifesto highlights the health benefits, tax windfalls and reallocation of police resources that legalisation would create.

The Green party also want licensed shops, as well as a whole new approach to drug control starting with the controlled legalisation of marijuana. The Greens state that “strict youth and user protection” would be the centre point of their legislation and hope to “pull the rug from under the black market”.

The SPD also want a reform of Germany’s prohibition stance – but are more cautious than the smaller parties on the legalisation aspect. They would like to initially set up pilot projects. 

READ ALSO: Why Germany could be on the brink of legalising cannabis

Controversial topic

So far, the sale of cannabis is officially banned in Germany. Possession of cannabis is also currently illegal across the entire country. Those caught carrying the substance can face anything from a fine to five years in jail.

However, the justice system generally looks away if you are caught carry small quantities for personal use unless you have a previous conviction.

The definition of personal use differs from state to state, with Berlin having the most liberal rules and Bavaria the tightest.

It is estimated that around four million people regularly use cannabis in Germany.

Representatives of police unions in Germany have warned against legalisation. They argue that cannabis is an often trivialised drug that can lead to considerable health problems and social conflicts, especially among young people.

Oliver Malchow, from the GdP police union, said that “it doesn’t make any sense to legalise another dangerous drug on top of alcohol”.

The current Ministry of Health also continues to oppose the legalisation of cannabis, a spokesperson for Minister Jens Spahn (CDU) made clear. Cannabis is a dangerous substance and therefore legalisation is not advisable, the spokesman said. 

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