Dr. Michael Ybarra

There are more than 1000 neurological disorders affecting 100 million Americans costing the country $800 billion according to a new study released by America’s Biopharmaceutical Companies. Dr. Michael Ybarra, an emergency room physician and Senior Director of Alliance Development at the Pharmaceutical Research and Manufacturers of America (PhRMA) comes on the podcast to talk about the study and the path a medicine takes from being an idea the market.

Issues we talk about in the podcast include:

How he balances the work he’s doing with PhRMA with and being a clinical physician
The 2018 Medicines in Development Report on Neurological Disorders. What’s important about it?
Why are there now so many medicines? Are they similar with just slight variations or are they altogether different? For example, why do we need 46 medicines for Parkinson’s disease or 27 medicines for headaches?
What are some of the treatments patients receive now? Why does a medicine bring hope?
Medicine side effects: How to balance the side effect from the benefit of the medicine? How the law plays a role.
How much does it cost to get a drug to market? What is the process? What does Phase I/II/III mean and how long does it take for an application to be approved?
What are the challenges faced in drug production?
What is the balance between helping people with the least cost option and making a profit?
What is role of intellectual property and patents? What recourse do drug manufacturers have?
What are the challenges doctors face when trying to learn about these new medicines?
What are drug companies doing to help either work within the system to alleviate costs or reform the overall Affordable Care Act? Where do they fit in in the policy discussion?

Links of note:

Medicines in Development for Neurological Disorders – 2018 Report
President Trump’s recent drug policy announcement

Dr. Ybarra’s bio:

Michael Ybarra, MD, FAAEM/FACEP is a board-certified emergency physician and Senior Director of Alliance Development at the Pharmaceutical Research and Manufacturers of America (PhRMA). Dr. Ybarra is a graduate of Stanford University, Georgetown University School of Medicine, and completed residency training at MedStar Washington Hospital Center.

After residency, Dr. Ybarra practiced academic emergency medicine. He was the Site Director for emergency medicine residents at MedStar Georgetown University Hospital. He also became the founding Program Director of the Health Policy Fellowship, which is a partnership with MedStar Georgetown University Hospital, the McCourt School of Public Policy, and the Association of American Medical Colleges. He has authored a number of medical peer-reviewed publications, case reports, and book chapters.

In addition, Dr. Ybarra has also served in various roles with the American Academy of Emergency Medicine including as President of the Resident and Student Association and Director of the Young Physicians Section.

In 2014, Dr. Ybarra joined PhRMA as Senior Director of Alliance Development. In this capacity, he leads outreach to provider, multicultural, and LGBT organizations. His issue areas include communications with health care professionals, healthcare delivery reform, adherence, and the 340B drug discount program. He continues to practice clinically in the Emergency Department at MedStar Georgetown University Hospital.

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