Peter Maybarduk
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maybarduk.bsky.social
Peter Maybarduk
@maybarduk.bsky.social
Access to medicines director at Public Citizen, board at Medicines Patent Pool. Lawyer (citizen.org/access), songwriter (maybarduk.com). Maia’s dad.
TrumpRx is designed to help Big Pharma keep its prices high by diluting the bargaining power of insurance companies, weakening an important check on pharma.

Thanks David Lim and Politico for including us
February 6, 2026 at 3:53 PM
High prices start with Big Pharma. Prices won’t fall until we crack down on drug corporations.
September 29, 2025 at 4:44 PM
PhRMA also put figures today to its U.S. infrastructure investments and patient assistance programs. Most of these are not new, and patient assistance programs are notoriously hard to navigate.

Lowering prices is a simpler way to promote access to medicine.
September 29, 2025 at 4:44 PM
But the prices are still unaffordably high for most patients and cannot substitute for offering broadly low prices to insurers and benefit managers, to support widespread access.
September 29, 2025 at 4:44 PM
Some drugmakers have announced lower list prices for some drugs through direct-to-patient sales. These can be useful for limited numbers of people.
September 29, 2025 at 4:44 PM
Puffing up direct-to-patient sales lets Big Pharma pass the blame for high prices to insurers and benefit managers, without taking serious responsibility itself to make medicine affordable.
September 29, 2025 at 4:44 PM
Meanwhile, Senator Bernie Sanders (I-Vt.), ranking member of the Senate health committee, issued a report showing that prices are higher now for nearly 700 prescription drugs than when Donald Trump took office.

www.sanders.senate.gov/wp-content/u...
September 29, 2025 at 4:44 PM
Today PhRMA announced a new website, AmericasMedicines.com, to support direct-to-patient sales of prescription drugs.

The White House had set today as a deadline for drugmakers to offer Americans lower prices or face government action, including an expected rule on most-favored nation pricing.
September 29, 2025 at 4:44 PM
Reposted by Peter Maybarduk
Thanks to health leaders Emily Bass, Mitchell Warren, Asia Russell, Amanda Banda, and Isata Dumbuya. And to our event co-hosts UNAIDS, Health GAP, People's Medicines Alliance, UAEM, Treatment Action Group, RESULTS, and Partners In Health.
September 25, 2025 at 8:19 PM
Reposted by Peter Maybarduk
We had a critical discussion about continuing the fight to bring medicines to all, with the first step being bringing that breakthrough — at that price — to the world.

Thanks to UNAIDS' Winnie Byanyima and Unitaid's Tenu Avafia for joining us today and for your leadership.
September 25, 2025 at 8:19 PM
State is cutting HIV/AIDS programming over Congress’s objection and full appropriation, but there is no “America First” when it comes to infectious disease. Trump’s cuts will save no more than a rounding error, but cost America its credibility, and likely millions of people their very lives.
September 18, 2025 at 6:26 PM
U.S. agencies supported the global mpox fight & helped overcome hurdles including vax supply & delivery through Jan 2025.

Trump's exec orders freezing foreign aid & work with WHO ended that support.

The White House needs to fix this, rather than let another pandemic spread for no reason at all.
June 12, 2025 at 7:18 PM
MVA-BN is the 2nd-most expensive vaccine UNICEF buys. The U.S. appears to have paid less than UNICEF to stockpile MVA-BN.

$2.4bn in public funding supported MVA-BN's development.

We called on Bavarian Nordic to lower its price and increase supply to UNICEF: www.citizen.org/article/lett...
Letter to Bavarian Nordic: Fix Approach to Pricing, Access - Public Citizen
(Read more about access and the mpox response).   Paul Chaplin Bavarian Nordic A/S Philip Heymans Alle 3 DK-2900 Hellerup…
www.citizen.org
June 12, 2025 at 7:18 PM
Africa CDC has a 6.4m dose target & calls the MVA-BN vaccine’s high price a major bottleneck.

UNICEF can't afford the remaining 350,000 doses of its million dose contract, at $65 per dose.

Bavarian Nordic has not responded to calls to lower its price and publish its costs. That needs to change.
June 12, 2025 at 7:18 PM
"Africa CDC is “pushing” its member countries to “mobilize domestic resources,” ACDC says, & hoping African companies can soon produce mpox vaccines at affordable prices."

That's needed. @cohenjon.bsky.social

Meanwhile high prices contribute to artificial scarcity.

www.science.org/content/arti...
African countries fall far short of mpox vaccination targets
Continent faces a shortage of doses and distribution challenges
www.science.org
June 12, 2025 at 7:18 PM