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Thursday, 17 May 2018

Drag Market, Price, and distribution to the patients. May 17,2018

Price for medicine is over the sly level. Of cause, there are many publications how to reduce price to medicine, and how to increase wellness.
When there is little or no competition, however, generic-drug manufacturers can substantially increase prices, and drug shortages may occur. Such market failures can compromise care and negatively affect patients, health care providers, government insurance programs, and private health plans.
 Addressing Generic-Drug Market Failures — The Case for Establishing a Nonprofit Manufacturer
 by Dan Liljenquist, J.D.,Ge Bai, Ph.D., C.P.A.,and Gerard F. Anderson, Ph.D.
https://www.nejm.org/doi/full/10.1056/NEJMp1800861?query=TOC
Price for medicine is not only genetic. This medicine usually very not-expensive.  What about Brand Medicine? It is all up to manufacturers, regardless how many of them and if they do have competitors or not. This is why every Big Pharma manufacture try to develop medicine as fast as they do, and get FDA approval in front of competitors. Now take a trip back in time when Insulin was developed and first diabetics were treated with Insulin. There was only one company which manufactured Insulin, still within one year, just one year, price to Insulin dropped by 95%. They did not have competitors. Why price was dropped in first place?
       Today there are 80,000 Death every year due to high blood sugar, result of absence of insulin secretion. They are not diabetics type 1, these diabetics take Insulin in injections from the time they are diagnosed with diabetes and then they live over the 60 years after. It is diabetics type 2, insulin independent type of diabetes which, as presented by Med.Pro. do not need to take Insulin in injections. The question is, do they wish, or do they need to die timelessly, to live in pain and fear day after day? Do they? Well, no one ever asked them what they want. Tha matter of fact, there is no place for us to say express ourselves. No one listen. All is, what MD said, and never what diabetic or some other patients, I think we all in the same boat, think, feel, or how do we live.
In 2010, for example, Valeant acquired the rights to Syprine (trientine hydrochloride), a drug invented in the 1960s to treat Wilson’s disease, a rare condition, and subsequently raised its price by more than 3000% for a monthly supply, from $652 to $21,267. Similarly, in 2015 Turing acquired the rights to Daraprim (pyrimethamine), a drug used to treat toxoplasmosis, which has a market of only 6000 patients in the United States, so that one manufacturer could supply the entire market. Turing then raised the price of Daraprim by more than 5000% for one tablet, from $13.50 to $750. In these and other cases, policymakers and economists have asked, “Why don’t other manufacturers enter this seemingly lucrative market?”
        Would competition solve the problem? Really? In this example  rare condition, and I am sure it is not these drugs so skyrocket the profit of manufactures companies and Big Pharma. Let us take a look at the common drug, Insulin. There are many competition. Different companies, different types of Insulin developed and still under developing. Why price is so high? One box 5 pens of Insulin cost about $400. It is medicine which if diabetic left without it, will lead to severe complications, and Death. So, diabetic will pay for this medicine, in expense of any other medicine diabetic needs. And we need a lot more.  
      Many complications accompany our condition: CVD, Asthma, COPD, Sleep aphnea, Carpal Syndrome. vision, headaches, severe obesity, mobility reduction, and so so on, you name it, we do have it. Also do not forget the never healing wounds every diabetic suffer. It is dressing supply, very very expensive. Is dressing supply Brand Medicine? Not at all. Why it is so expensive? Because of we need it. Even after part of body amputated wounds do not heal. They still spread all over the body, inside and outside. Dressing supply never used twice. One roll of wrap I use every day cost $4-$5. It is only one roll, and I need two of them, one for every leg. If I do not wrap my legs, wounds will return.
      When we diagnosed with diabetes the first line treatment is Diet and work out, life style modifications. This part of diabetes therapy cost nothing to diabetic. Diabetic even can safe money if one stop to eat. As ADA recommend, Starvation is way to recovery, to reverse diabetes type 2.  I will except this treatment. Just stop to ask donations for those who suffer Hunger and Starvation. Really, why there are so many organizations ask to help to Africa where kids die from Starvation? They suppose to be healthy compare with American kids. Sorry, it is not mu intention to use other people suffering. But the question is, why so many people in America, and all Med. Pro suggest to me to step on Starvation way?
      BTW, there were studies conducted in areas where real Starvation happened during war or natural disaster, and  ... survivors developed diabetes later after problems were solved. This is my suggest to ADA. Before publish so happy way to cure diabetes type 2, why do not read what is already published?
    What I suggest, to divide Medicine and Pharmacy for two parts. Leave those who already developed fatty account on people suffering, pain, and deaths. Organize another Medicine where  doctors work  not like ghost under cover someone who command what to do and best way to work out its profit. Let administration to do the job, and doctors to do job they were trained to do. Do we really have doctors in clinics? Not at all. They are business persons. They do know all about business. They do know also, what medicine is good for them to Rx.This is why we all do have medicine we do not need, and do have no medicine we do need. In clinic there are doctors who do what? And there are another doctors who committed suicide because of it is not the way of life they wish to live. So sad. Best gone first.


via Ravenvoron

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