Health
Study Finds Stark Global Inequalities in Cost of Essential Medicines
European countries are spending more on essential medicines than any other region, but wealthier nations ultimately benefit from greater affordability once purchasing power is taken into account, a new international study has found.
The research, published in the JAMA Health Forum, analyzed the cost and availability of 549 essential medicines across 72 markets worldwide. These drugs, drawn from the World Health Organization’s (WHO) list of essential medicines, range from painkillers and antibiotics to anesthetics, chemotherapy drugs, and treatments for mental health conditions.
The study revealed that in 2022, European nations collectively spent around €1.74 billion, averaging €167 per person. In comparison, the Americas spent approximately €868 million overall, while Southeast Asia reported just €6 per capita. Availability of medicines also varied widely, with Germany stocking 438 of the listed medicines, compared with just 225 in Kuwait. Across 33 European countries included, the average was 367 medicines available.
While richer nations typically face higher list prices for drugs, they are cushioned by stronger purchasing power, national insurance systems, and state-led price negotiations. Once these factors are taken into account, many wealthier countries enjoy some of the lowest effective medicine costs globally.
By contrast, lower-income nations, despite often showing lower list prices, face a disproportionate burden. For people in parts of Africa and Southeast Asia, a month’s treatment can cost weeks of wages, forcing families to make impossible choices between healthcare and other essentials.
The study highlighted significant variations across regions. In Lebanon, for instance, drug prices were roughly one-fifth of those in Germany when adjusted for purchasing power, while in Argentina, they were nearly six times higher. In Pakistan, the cost of medicines equaled German levels once purchasing power was considered, while in the United States, prices reached three times higher than Germany’s.
The financial burden was most acute for treatments such as chemotherapy and chronic disease medications. A minimum-wage worker in India would need about 10 days’ wages to afford a month’s supply of tenofovir disoproxil, a drug for hepatitis B and HIV/AIDS. For paclitaxel, a chemotherapy drug, workers in poorer countries could spend nearly six weeks of wages on a single month’s treatment.
Mental health and cardiovascular drugs emerged as some of the costliest categories, while hepatitis treatments were among the least expensive. Researchers stressed that these disparities highlight a pressing issue of global health equity.
“Some poorer countries face a higher burden of medication costs, even if the price for the same medicine is lower compared to richer countries,” the study concluded, urging policymakers to consider both price and affordability in shaping access to essential treatments.
Health
Novo Nordisk Teams Up With OpenAI to Accelerate Drug Discovery Using AI
Danish pharmaceutical giant Novo Nordisk has announced a new partnership with OpenAI aimed at integrating artificial intelligence across its drug development and business operations.
The collaboration, revealed on Tuesday, is expected to help the company identify new treatments more quickly and improve how medicines are developed, produced and delivered to patients. Novo Nordisk said the use of advanced AI tools will allow it to analyse vast and complex datasets, uncover patterns that were previously difficult to detect, and shorten the timeline from research to patient access.
Chief executive Mike Doustdar said the agreement marks an important step in positioning the company for the future of healthcare. He noted that millions of people living with chronic conditions such as obesity and diabetes still require better treatment options, adding that new therapies remain to be discovered.
Novo Nordisk is widely known for its leading treatments in these areas, including Ozempic and Wegovy, which have seen strong global demand in recent years. The company said integrating AI into daily workflows will allow its teams to test ideas more rapidly and bring innovations to market at a faster pace.
The partnership will not be limited to research and development. Both companies plan to apply AI tools to manufacturing processes, supply chains and commercial operations, with pilot programmes already set to begin. Full integration is expected by the end of the year.
Sam Altman said artificial intelligence is transforming industries and has the potential to significantly improve outcomes in life sciences. He added that the collaboration would support faster scientific discovery and more efficient global operations, helping to shape the future of patient care.
The move comes as pharmaceutical companies increasingly turn to AI to gain an edge in drug discovery. Novo Nordisk has already invested in innovation through initiatives such as the Danish Centre for AI Innovation, developed in partnership with Nvidia and Denmark’s export and investment fund.
Competition in the sector is intensifying. US-based Eli Lilly, a key rival in the weight-loss drug market, recently announced its own AI-focused collaboration with Insilico Medicine to develop new treatments. The agreement, valued at up to $2.75 billion, highlights the growing role of AI in reshaping pharmaceutical research.
Industry analysts say such partnerships reflect a broader shift toward data-driven innovation in healthcare, where the ability to process and interpret large volumes of information is becoming increasingly important.
For Novo Nordisk, the partnership with OpenAI signals a commitment to staying at the forefront of this transformation, as companies race to harness technology in the search for new and more effective treatments.
Health
Study Finds AI Models Fall Short in Early Medical Diagnosis
A new study has found that artificial intelligence language models still struggle with one of the most critical aspects of medical care, raising concerns about their use without human oversight.
Researchers from Mass General Brigham reported that AI systems failed to produce an appropriate early diagnosis more than 80 per cent of the time. The findings, published in JAMA Network Open, highlight ongoing limitations in how these systems reason through complex clinical scenarios.
The study examined 21 large language models, including systems developed by OpenAI, Google and xAI. Among those tested were versions of GPT, Gemini, Claude, Grok and DeepSeek.
Researchers used a structured evaluation tool known as PrIME-LLM to assess how well the models handled different stages of clinical reasoning. These stages included forming an initial diagnosis, ordering tests, reaching a final diagnosis and planning treatment. The models were tested using 29 standardised clinical scenarios, with information introduced gradually to mirror real-life patient cases.
While the systems showed relatively strong performance when identifying a final diagnosis, their ability to generate a differential diagnosis — a key step in distinguishing between conditions with similar symptoms — remained limited. This early-stage reasoning is widely regarded as essential in medical decision-making.
Marc Succi, a co-author of the study, said current models are not ready for independent clinical use. He noted that differential diagnosis represents a core part of medical practice that AI has yet to replicate effectively.
Another researcher, Arya Rao, said the findings show that AI performs best when given complete information but struggles when cases are still developing. She explained that the models are less reliable in situations where doctors must make judgments based on limited or uncertain data.
Despite these shortcomings, the study identified a group of higher-performing systems, including advanced versions of GPT, Gemini, Claude and Grok. These models achieved final diagnosis success rates ranging from around 60 per cent to over 90 per cent when provided with detailed clinical data such as lab results and imaging.
Experts not involved in the research also stressed the importance of caution. Susana Manso García said the findings reinforce that AI should not replace professional medical judgement. She advised that patients continue to seek guidance from qualified healthcare providers when dealing with health concerns.
The study concludes that while AI has made progress, it still requires close human supervision in clinical settings. Researchers say the technology shows promise as a support tool, but its current limitations mean it cannot yet be trusted to make independent medical decisions.
Health
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