Will this be the week that legislators empower South Carolinians
65 and older to drive down prescription prices the American way -
with market leverage? Readers should hope so because even
middle-class seniors with medical problems face difficulty paying
for costly medications.
Thanks to Rep. Alan Clemmons, R-Myrtle Beach, and Sen. Dick
Elliott, D-Myrtle Beach, a pair of identical bills to create a state
bulk-buy program for prescriptions faces one last hurdle before
reaching the desk of Gov. Mark Sanford: the S.C. Senate.
Deft handling of the bills last week by the Senate's Medical
Affairs Committee, chaired by Sen. Harvey Peeler, R-Gaffney,
rendered the Senate version of the bill congruent with the version
that Clemmons guided through the House. Now, the Senate is set to
take up the matter as early as Wednesday.
Senators should resist intense pharmaceutical-company lobbying to
change the wording of either bill. Time for the 2003 session of the
S.C. General Assembly is running short. Amendments probably would
prevent passage of the bulk-drug program, S.C. Retirees and
Individuals Pooling Together for Savings, this year.
Such delay would be a pity. The program would cost S.C. taxpayers
nothing and involve no mandates or subsidies. Instead, enrollment
fees would cover costs for the program administrator, the S.C.
Department of Health and Human Services. The department, in turn,
would buy medications on the market, in bulk, then pass them on to
members at cost.
Just as Wal-Mart drives down consumer costs by placing big orders
to leverage lower pricing from wholesalers, the SCRIPTS program
would leverage favorable pricing from pharmaceutical companies in
return for volume purchases. What could be more American?
The S.C. Silver-Haired Legislature, a politically attuned seniors
group, has worked hard to get the legislation to this point, as have
Clemmons, Elliott and other Horry legislators. With luck and
continued pressure, the SCRIPTS program will clear its final hurdles
this week and become reality this year.