Tom Coburn: “There is a drug on the market known as Trazadone. The brand name is Desyrel. I use that drug a lot. I use the generic as…”

“There is a drug on the market known as Trazadone. The brand name is Desyrel. I use that drug a lot. I use the generic as a sleep-inducing aid for senior citizens, but I never use the generic for an antidepressant because it is not as effective. If we have this system, I will not be able to do that. So I will not be able to use a drug that there is significant difference in efficacy for treating depression, I will not be able to use that because we are going to use the generic. So, therefore, I will not be able to use that so I will not be able to give the care and nor will I have the confidence that my patient is going to get what they want. So the loss of choice is an implied loss of freedom, but it is also a decline in care.”