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Thread: Shortages Lead Doctors To Ration Critical Drugs

  1. #11
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    Re: Shortages Lead Doctors To Ration Critical Drugs

    Quote Originally Posted by Mickey Shane View Post
    We should import medications from Canada.
    This would certainly help bend the cost curve down.

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    Re: Shortages Lead Doctors To Ration Critical Drugs

    Quote Originally Posted by Mickey Shane View Post
    We should import medications from Canada.
    Quote Originally Posted by megaprogman View Post
    This would certainly help bend the cost curve down.
    Quote Originally Posted by Councilman View Post
    I have 3 Stints in my heart requiring that I take blood thinner and Plavix every day for the rest of my life and there is no Generic I can buy, and the pills cost $200 at Walmart so I don't want to hear how the profit margins are two small.
    I just checked the price of a month's supply of Plavix (75mg) from three Canadian on-line pharmacies - $76, $71 and $79. If the US allowed you to buy this from Canada, the cost would drop dramatically as free market competition would regulate the prices.

    I've never understood why the GOP almost universally and a majority of the Dems have so fiercely protected Big Pharm from the free market. They do the same thing with durable medical equipment and routine medical supplies like catheters, stoma supplies, diabetes testing, wounds care supplies, compression hoses and such.

    Breaking this monopoly was one of the things ObamaCare planned to address - and it is why Big Pharm and Big Med Supply poured so much money into electing Congressmen who would not allow any part of the monopoly-busting to pass.
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    Re: Shortages Lead Doctors To Ration Critical Drugs

    Quote Originally Posted by Frolicking Dinosaurs View Post
    I just checked the price of a month's supply of Plavix (75mg) from three Canadian on-line pharmacies - $76, $71 and $79. If the US allowed you to buy this from Canada, the cost would drop dramatically as free market competition would regulate the prices.
    Would help yes, but hardly a free market since there are even certain restrictions in Canada.

    I've never understood why the GOP almost universally and a majority of the Dems have so fiercely protected Big Pharm from the free market. They do the same thing with durable medical equipment and routine medical supplies like catheters, stoma supplies, diabetes testing, wounds care supplies, compression hoses and such.
    Money.. Big pharma is one of the biggest political backers out there. But they of course use excuses of dangerous Mexican and Cuban drugs flooding into the US or Nigerian fake drugs. A valid argument, but that does not justify banning drugs from Europe or Canada...

    Breaking this monopoly was one of the things ObamaCare planned to address - and it is why Big Pharm and Big Med Supply poured so much money into electing Congressmen who would not allow any part of the monopoly-busting to pass.
    Big pharma is powerful world wide. The EU has for decades tried to break their strangle hold on Europe and have so far lost. It was last year or so that the court system found in favour of the drug industry to keep in place restrictions on cross border drug selling. Their argument was safety of course... one of the only arguments allowed per the treaty to keep competition harming rules in place.

    Thankfully while our politicians are some what complicit in keeping the status quo on the restrictions, they at the same time have put in place various rules and regulations that put big pressure on the drug companies to keep prices realistic. This varies from country to country, but it works... only problem not all countries have such regulations and one of the biggest fears of the drug companies of an open market for pharma was that people would flood to low priced areas of Europe (good regulation) and buy drugs to sell in high price areas (lax regulation)..... and that was exactly what the EU wanted so to lower prices even more. Sadly the EU lost for now. As an example of regulation.. in Spain it is now mandatory for doctors to proscribe generic brands over named brands if the medicine and effect are the same. This will save the Spanish healthcare system billions a year.

    But no where is the power of big pharma as big as in Switzerland. Having the second most expensive healthcare system in the world after the US, and 100% private, the Swiss have for years been seriously discussing dumping the private system and putting in place a public/private system instead. But big pharma uses huge amounts of money to combat politicians and organisations who float the idea and hence making any realistic debate about it, fall apart almost before it starts. One of their lame arguments is the amount of jobs Switzerland will loose.... and ironically the money used for these campaigns come from gauging the population on private care and insurance..

    And before people come and claim the usual big pharma argument for these anti-competitive actions..the "we need the money to do R&D" argument.. bull****... big pharma uses more on marketing and advertising that it uses on R&D.
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    Re: Shortages Lead Doctors To Ration Critical Drugs

    Quote Originally Posted by Frolicking Dinosaurs View Post
    I just checked the price of a month's supply of Plavix (75mg) from three Canadian on-line pharmacies - $76, $71 and $79. If the US allowed you to buy this from Canada, the cost would drop dramatically as free market competition would regulate the prices.

    I've never understood why the GOP almost universally and a majority of the Dems have so fiercely protected Big Pharm from the free market. They do the same thing with durable medical equipment and routine medical supplies like catheters, stoma supplies, diabetes testing, wounds care supplies, compression hoses and such.

    Breaking this monopoly was one of the things ObamaCare planned to address - and it is why Big Pharm and Big Med Supply poured so much money into electing Congressmen who would not allow any part of the monopoly-busting to pass.
    Well, as sig says, America believes in corporate socialism and public capitalism.
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    Re: Shortages Lead Doctors To Ration Critical Drugs

    Quote Originally Posted by Councilman View Post
    I have 3 Stints in my heart requiring that I take blood thinner and Plavix every day for the rest of my life and there is no Generic I can buy, and the pills cost $200 at Walmart so I don't want to hear how the profit margins are two small.
    because of our poor system of tying health insurance to employment, the copay for an essential medicine i take is now $200 a month because i had to change jobs. it was $30 per month at my previous job. no generic, no alternative available.

    this system is unsustainable.

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    Re: Shortages Lead Doctors To Ration Critical Drugs

    Quote Originally Posted by Helix View Post
    because of our poor system of tying health insurance to employment, the copay for an essential medicine i take is now $200 a month because i had to change jobs. it was $30 per month at my previous job. no generic, no alternative available.

    this system is unsustainable.
    what do you propose as the solution?
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    Re: Shortages Lead Doctors To Ration Critical Drugs

    Quote Originally Posted by Helix View Post
    there's plenty of profit motive.

    perhaps if a company can't or won't meet demand for an essential drug, it should significantly shorten their patent on it. plenty of generic companies are ready to crank these medicines out by the ton, and at a moment's notice.
    Actually, there is not nearly as much profit in generics as there is in drugs where the patent is still owned. So perhaps part of the solution would be to LENGTHEN patents...
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    Re: Shortages Lead Doctors To Ration Critical Drugs

    Quote Originally Posted by PeteEU View Post
    Not a shock at all... happens when you live in a monopolistic system like the US.
    it is only monopolistic for companies that still have a patent on a drug... and those are the most profitable...
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    Re: Shortages Lead Doctors To Ration Critical Drugs

    Quote Originally Posted by Mickey Shane View Post
    We should import medications from Canada.
    We already do.

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    Re: Shortages Lead Doctors To Ration Critical Drugs

    Quote Originally Posted by justabubba View Post
    what do you propose as the solution?
    health care should not be tied to employment. an employer could provide funds for the purchase of health insurance, and the employee would buy the policy on an exchange. also on this exchange will be a competitively priced option to buy into medicare early, which is needed to place downward pressure on skyrocketing private plans.

    the cost problem needs to be addressed. we need more doctors, and we need to make it simpler and more economical for students to go to medical school.

    finally, we need to remove some excuses that the pharmaceutical companies have for charging outlandish amounts of money for medications. first, it shouldn't cost a billion dollars to bring a drug to market. i'm not entirely convinced aspirin would reach the market if it were developed today. the consumer is going to have to accept that there is some degree of risk with any medication. this doesn't mean releasing prescription pharmaceuticals into the market untested, but there is certainly some middle ground that we could explore.

    if that's not enough to bring costs down, then there are other a few other nuclear options we could try. we could develop some pharmaceuticals publicly, funding direct research and development as we currently fund basic research through the grant system. we wouldn't have to do much of that to give pharmaceutical companies additional competition. the manufacture of publicly developed medicines could be sold to private industry, or that could be public, as well. perhaps we should consider re-examining patents as well. the novel nature of any medicine would play a role, as would the proposed pricing structure.

    and if none of the above works, we move to single payer public health insurance and force the prices down.

    our current system is rising in cost at an unsustainable rate. something is going to have to be done.

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