More comments on Sofia Wallström’s review…

As you most likely know, Sofia Wallström has been appointed to review whether environmental considerations can be, and should be, taken within the framework of the pricing and reimbursement system. Due to the discussions that have been undertaken so far among the stakeholders in the sector, I do find the way Riksdag & Departement (a very official Swedish newspaper presenting news from ”parliament” and ”ministries”) presents Sofia’s work task surprising: ”Läkemedel ska kunna väljas bort av miljöskäl” (in English roughly ”Medicinal products should be possible to deselect due to environmental reasons”). The article continues: ”Government wants to know if pharmaceutical products can be deselected when coming from companies that do not take environmental matters into account”.

The reason why I am surprised is that the article talks about ”negative selection” (i.e. deselection) and nothing about potential green incentives to products that have been shown to meet environmental criteria. You can read more on the discussions on green economic incentives that have been ongoing for several months among the sector’s stakeholders via this link for instance. In addition to that, it surprises me also that Riksdag & Departement talks about ”deselection of products from companies that do not take…”. The discussions among the stakeholders, and also the way I have understood the commission to Sofia Wallström, have a product focus and not a company focus. The discussions concern defining green product criteria that should be met by a product from cradle-to-grave perspective, i.e. from active ingredient manufacturing operations, via formulation and packaging operations, to distribution, use and final disposal. It will be very interesting to see if Sofia Wallström also will evaluate if a company as such is green, and what impact such an evaluation should have.

As I said, surprising for me to see this way of presenting Sofia’s work task…

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