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Last Post 04/26/2020 06:49 PM by smokey 52. 198 Replies.
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smokey52

Posts:493

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02/05/2016 11:44 AM
lsd: Actually, it was an FDA guidance that clarified requirements for direct-to-consumer ads in 1999. (http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM070065.pdf).
Congress is to blame for allowing supplements to be sold and marketed without any FDA oversight unless the products start harming people. People complain about the high cost of pharmaceuticals, then spend billions on products without any safety or efficacy studies. go figure.
ChinookPass

Posts:809

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02/05/2016 11:56 AM
Are drug prices high because of advertising? I would have thought they were high to maximize profits.

It is crazy these days, I still read paper magazines and each drug ad is at least 4 pages long.
Cosmic Kid

Posts:4209

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02/05/2016 01:19 PM
Posted By ChinookPass . on 02/05/2016 11:56 AM
Are drug prices high because of advertising? I would have thought they were high to maximize profits.


Is it the sole reason? Of course not, however It is absolutely a component of it...you have to cover those advertising costs. And when you are spending billions of dollars on it (as an industry), yup...we are paying for it.
Just say "NO!" to WCP!!!!
ChinookPass

Posts:809

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02/05/2016 02:02 PM
Yes! So if the government is subsidizing medicines or requiring insurance to pay for medicines, it should have a hand in the control of prices. Both for the drugs and for the insurance.

The anti-regulation folks would argue that govt should do none of the above. To me, it's kind of an either-or. Regulate or don't. Don't do it half way. And if no regulation, don't be upset if the drug industry takes advantage of its position.
smokey52

Posts:493

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02/05/2016 03:02 PM
Litigation is another component in high cost of drugs. SOTUS upheld a liability case against Wyeth in a suit brought by a woman who sued when she lost use of her arm after a phenergan (anti-nausea) injection. She lost her livelihood since she was a professional pianist. The basis of the liability against Wyeth was that the federally controlled label was not modified for use in Vermont to warn against injection into an artery. This was an intra-venous drug, not designed for arterial injection. The doctor was at fault, but the pharma company got sued.
Cosmic Kid

Posts:4209

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02/05/2016 03:10 PM
I've gotta find the stats, but there has been evidence presented that shows the overall cost of litigation in cases like those described above is actually a very small piece of health care costs. The insurance lobby has sold us a bill of goods in that regard.....

I'll see if I can dig it up, but I was shocked when I read it.
Just say "NO!" to WCP!!!!
Orange Crush

Posts:4499

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02/05/2016 04:28 PM
Big pharma is like big oil, they'll milk us any way they can.

Anyone catch Martin Shkreli's pathetic performance yesterday?

And why is it that as WADA concluded a decade ago about tenfold the amount of EPO is pumped into the market than medically needed?
smokey52

Posts:493

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02/05/2016 05:59 PM
CK: Litigation includes patent infringement, not just liability suits. If a generic launches early, the innovator's recourse is through litigation, not regulatory agencies. FDA only determines if generics meet the minimum (in my opinion lax) requirements, not if they meet patent terms. Courts decide that. Most of the current drug shortages are due to innovators dropping the product (no longer profitable) while generics do not meet production quality standards.
OC: Once when my wife asked why gasoline costs so much, my answer was simply, "They want our money." These companies are not non-profit. The Onion had a good piece on Shkreli uniting Rs & Ds, but his actions point to a real issue: Many drugs are undervalued, including lots of the generics involved in shortages.
Back on original topic, this is one of my concerns about Hillary. When she was my NY US Senator, she spoke about re-importing drugs from Canada. If you want price control, then implement price control. Bernie does not assuage any of these concerns when he rants about expensive drugs.
longslowdistance

Posts:2881

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02/06/2016 01:16 AM
CK, that "data" is flawed, but is heavily promoted by the trial lawyers, who are doing very well with the status quo. I'm in the medical field and I can assure you that "defensive medicine" accounts for a substantial chunk of total dollars spent.
Trial lawyers, drug companies and insurance companies got a complete pass in the ACA - a tactical decision to get the bill passed, but the price to us consumers is very high.
Dale

Posts:1767

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02/06/2016 08:12 AM
^ When Missouri capped punitive damages several years ago in an effort to decrease health care costs I didn't see a slowing down of my insurance rate increases... they stayed the same as neighboring states. 'Sup with that?
smokey52

Posts:493

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02/06/2016 07:12 PM
I spent some time on the trainer, so I guess I can post on a cycling site again. The Republican candidate debate is about to start. One observation I have is that the fact-checking for the Democrats involves nuances whereas the fact-checking for the Republicans involves whoppers.
smokey52

Posts:493

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02/06/2016 07:14 PM
Watermoccasin- insurance reform is similar to gun safety reform: it needs a consistent national approach, even if administered by states.
Gonzo Cyclist

Posts:568

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02/07/2016 03:28 PM
all I can say is.........."Is it over over yet?"
My wife had a good one this morning, she's a Bernie fan, but she did say, "He's 74, how is he the new "Fresh Face" of politics?"

I remember a few years back, some of my old MTB riding partners got into it, big time about a presidential race, to the point where we almost had to separate them, and then they would not ride together again for a few years, and these guys have been friends for over 40 years, crazy.....
Cosmic Kid

Posts:4209

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02/07/2016 10:58 PM
A Canadian, a Cuban and a White Supremacist walk into a bar. Bartender looks up and says "What can I get you, Senator Cruz?"

Thank you....i'll be here all week. Don't forget to tip the wait staff.
Just say "NO!" to WCP!!!!
huckleberry

Posts:824

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02/08/2016 03:23 PM
"One observation I have is that the fact-checking for the Democrats involves nuances whereas the fact-checking for the Republicans involves whoppers." - Smokey

My feelings exactly.
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