PT515 – The Economics of Psychedelics, with Elliot Marseille, DrPH, MPP
May 24, 2024
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Elliot Marseille, founding director of UC Berkeley’s Collaborative for the Economics of Psychedelics, discusses the economics behind emerging psychedelic therapies. Topics include the societal cost of not making psychedelic therapy accessible, his work with the SABA Foundation studying HIV/AIDS treatments, issues with recent ICER report on MDMA-assisted psychotherapy, and the need for long-term studies tracking healthcare utilization post-therapy.
Economics play a vital role in determining the allocation of resources for psychedelic therapy research.
Long-term studies are crucial in assessing the healthcare utilization impact post-psychedelic therapy.
Advocating for psychedelic therapies based on economic benefits can enhance accessibility and reduce unnecessary spending.
Deep dives
Significant Implications of Tapering Off SSRIs
Recent studies have shown that individuals may not need to taper off SSRIs to benefit from treatment, which can lower barriers to access and reduce costs.
Efficacy Without Therapy Support
Trials have demonstrated high efficacy without therapy support, prompting a discussion on the necessity of therapy versus support in psychedelic interventions.
Outcomes for Psychiatric and Societal Costs
Cost-effectiveness analyses incorporate productivity effects, criminal justice involvement, and other societal costs associated with conditions like PTSD and depression, focusing on both healthcare payer impacts and broader societal costs.
Future of Health Economics Research in Psychedelics
Expectations for growing interest and research in the field of health economics related to psychedelics, emphasizing collaboration, competition, and the importance of empirical data to drive decision-making.
Advocating for Psychedelic Therapies
Highlighting the importance of advocating for psychedelic therapies from an economic standpoint to demonstrate societal benefits, reduce unnecessary spending, and improve access to transformative treatments.
In this episode, Joe interviews Elliot Marseille, DrPH, MPP: founding director of UC Berkeley’s Collaborative for the Economics of Psychedelics (CEP), a network of health economists and researchers analyzing the economics behind emerging psychedelic-assisted therapies.
In the early days of drug research, efficacy was the leading factor in decision making, but as time has gone on, people are looking much more into the economics of everything: If a government is granted X amount of money, what should they spend it on that will be the most beneficial to the most people? How do you create models for future research and regulations based on the data we have now? Can there be a time in the near future when someone sits before Congress and says, “This is the exact societal cost of not making psychedelic therapy accessible”?
He discusses:
His early work with the SEVA Foundation, studying at the economics behind HIV/AIDS treatments in developing countries
His experiences working with Ram Dass and having a big psychedelic journey with Leo Zeff
His issues with the recent ICER (Institute for Clinical and Economic Review) report which said they couldn’t endorse MDMA-assisted psychotherapy
Why we need more studies tracking people for long periods after psychedelic therapy, specifically analyzing their healthcare utilization over time