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Basic errors in The Conversation articleHow drug companies are playing hardball with Australia’s PBS
22 July 2026
Better Access Australia have written to the editors The Conversation seeking the immediate removal of selectively quoted and inaccurate portrayals of comments made by the authors in the article How drug companies are playing hardball with Australia’s PBS. In this article the authors selectively quote the Chair of Better Access Australia, Ms Felicity McNeill PSM, in relation to Australia's PBS spend. The authors then go on to quote incorrect figures as to Australia's actual PBS spend claiming that this is not 'charity'. However, they have not quoted PBS figures, instead they have relied on OECD figures that relate to public and private expenditure of health care products, which includes spending on band aids, vitamins and condoms. A basic and serious error.
Using the Australian Government source document, The PBS Expenditure Report for 2024-25 (the latest data publicly available - https://www.pbs.gov.au/statistics/expenditure-prescriptions/expenditure-prescriptions-report-1-july-2024-30-june-2025), the gross (public and private co-contribution) spend on the PBS was $19.1B. Table 1 on page 2 shows that net Government PBS spend is $12.557B. Pharmacy dispensing fees ($4.809B) and wholesale markups ($617M) (Tables on page 48) need to be subtracted as these do not relate to the price paid to companies for medicines. Hence, the actual Government spend on medicines is $10.131B. Using an Australian population figure of 28M, the per capita expenditure was $361.82 , which is 71% lower than the figure quoted in the article. This significant factual error undermines the authors' argument, and justifies BAA Chair’s previous media statements.
The authors' description of PBS pricing processes was also inaccurate, in that the mechanism by which prices are set and adjusted for PBS listed medicines missed crucial steps, such as risk share arrangements, that impact the commercial viability of PBS listings. Unlike the authors who have an outsiders understanding of the system, BAAs Chair ran the PBS within the Department of Health for 5 years and was involved in numerous pricing negotiations.
The references to parallel imports, other specialised medicine programs, and the theft of company IP, for the supposed "greater good", further emphasise a lack of legal and regulatory knowledge on the operation of Australian law and medicine markets, and for these reasons alone the article should be removed.
Given the significant factual inaccuracies in this article, Better Access Australia has requested The Conversation immediately remove the article. Better Access Australia has also request that a note be issued clarifying that the previous content had been removed due to factual inaccuracies and an apology issued to BAA and our Chair for these errors.