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1 Henry G. Grabowski & John M. Vernon, The Search for New Vaccines i (1997)

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                THESARCH


   FOR NEW VACCINES


              THE EFFECT'S OF THE
   VACCINES FOR CHILDREN PROGRAM


Traditionally, the involvement of the government in vaccines has been
limited to providing free vaccination for the poor and near poor and
requiring vaccinations to prevent infectious diseases. In 1993 that
changed, however, when  the Clinton administration created the
Vaccines for Children program to increase the government's role in the
purchase and  distribution of vaccines. In this volume, Henry
Grabowski and John Vernon  examine the effect of the Vaccines for
Children program on the incentives to invest in research and develop-
ment for new and improved vaccines.
    The authors argue that significantly expanding the government
sector in pediatric vaccines is a cost-ineffective policy that would lead to
unintended adverse consequences. Eliminating most of the private
market for vaccines and substituting government purchases at lower prices
would  suggest to R&D  investors that tomorrow's pediatric vaccine
breakthroughs are to be valued less than other medical breakthroughs.
Ironically, a government program designed to advance children's health
care could operate to curtail the opportunities for improving it.

Henry  G. Grabowski is professor of economics and director of the
Program in Pharmaceuticals and Health Economics at Duke University.
John M. Vernon is professor of economics at Duke University.





                                       ISBN 084474033-0
                                                          5 1495