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	<title>Comments on: Politics and drug importation</title>
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	<description>Contemplating medicine and the health care system</description>
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		<title>By: dalia</title>
		<link>http://www.medrants.com/archives/2045/comment-page-1#comment-384123</link>
		<dc:creator>dalia</dc:creator>
		<pubDate>Thu, 18 Jan 2007 15:04:09 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/08/13/politics-and-drug-importation/#comment-384123</guid>
		<description>I am really worried about the medications of many people use... thats the reason because show that theme to you... The Drugs like the LORATADINE

the most important things about Loratadine


Loratadine is used to relieve hay fever and allergy symptoms, including sneezing; runny 
nose; and red, itchy, tearing eyes. Loratadine is in a class of medications called 
antihistamines. It works by blocking histamine, a substance in the body that causes 
allergic symptoms. Loratadine may cause less drowsiness than other antihistamines.



In the same calification we can find drugs like


Flonase is a steroid. It prevents the release of substances in the body that cause inflammation, is used to treat the nasal symptoms of allergies and other seasonal reactions.,may also be used for purposes other than those listed in this medication guide.

Use Flonase spray exactly as directed by your doctor. Read the information insert included with your medication. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
To use the nasal spray:
Shake the bottle gently and then remove the dust cover,It is necessary to prime the pump 
into the air the first time it is used, or when you have not used it for a week or more. 
To prime the pump, hold the bottle with the nasal applicator pointing away from you and 
with your forefinger and middle finger on either side of the nasal applicator and your 
thumb underneath the bottle. Press down and release the pump three to four times until a 
fine spray appears. The pump is now ready to use,
Blow your nose to clear your nostrils,

the fioricet is a pain reliever and fever reducer.
is in a class of drugs called barbiturates that slow down your central nervous system (brain and nerve impulses) causing relaxation.
is believed to constrict dilated blood vessels that may contribute to tension headaches.
Together, acetaminophen, butalbital, and caffeine are used to relieve complex tension (muscle contraction) headaches although precisely how it works is unknown.
Fioricet may also be used for purposes other than those listed in this medication guide.

Amoxicillin is used to treat certain infections caused by bacteria, such as pneumonia; 
bronchitis; gonorrhea; and infections of the ears, nose, throat, urinary tract, and skin. 
It is also used in combination with other medications to eliminate H. pylori, a bacteria 
that causes ulcers. Amoxicillin is in a class of medications called penicillin-like 
antibiotics. It works by stopping the growth of bacteria. Antibiotics will not work for 
colds, flu, and other viral infections.
Amoxicillin comes as a capsule, a tablet, a chewable tablet, a suspension (liquid), and 
pediatric drops to take by mouth. It is usually taken every 12 hours (twice a day) or every 
8 hours (three times a day) with or without food. To help you remember to take amoxicillin, 
take it around the same time every day.

you can find more information about vicodin at www.crdrx.com, 10/325 at www.10-325.com, vicoprofen at www.1vicoprofen.com and lortab at www.1lortab.com


Have a great day</description>
		<content:encoded><![CDATA[<p>I am really worried about the medications of many people use&#8230; thats the reason because show that theme to you&#8230; The Drugs like the LORATADINE</p>
<p>the most important things about Loratadine</p>
<p>Loratadine is used to relieve hay fever and allergy symptoms, including sneezing; runny<br />
nose; and red, itchy, tearing eyes. Loratadine is in a class of medications called<br />
antihistamines. It works by blocking histamine, a substance in the body that causes<br />
allergic symptoms. Loratadine may cause less drowsiness than other antihistamines.</p>
<p>In the same calification we can find drugs like</p>
<p>Flonase is a steroid. It prevents the release of substances in the body that cause inflammation, is used to treat the nasal symptoms of allergies and other seasonal reactions.,may also be used for purposes other than those listed in this medication guide.</p>
<p>Use Flonase spray exactly as directed by your doctor. Read the information insert included with your medication. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.<br />
To use the nasal spray:<br />
Shake the bottle gently and then remove the dust cover,It is necessary to prime the pump<br />
into the air the first time it is used, or when you have not used it for a week or more.<br />
To prime the pump, hold the bottle with the nasal applicator pointing away from you and<br />
with your forefinger and middle finger on either side of the nasal applicator and your<br />
thumb underneath the bottle. Press down and release the pump three to four times until a<br />
fine spray appears. The pump is now ready to use,<br />
Blow your nose to clear your nostrils,</p>
<p>the fioricet is a pain reliever and fever reducer.<br />
is in a class of drugs called barbiturates that slow down your central nervous system (brain and nerve impulses) causing relaxation.<br />
is believed to constrict dilated blood vessels that may contribute to tension headaches.<br />
Together, acetaminophen, butalbital, and caffeine are used to relieve complex tension (muscle contraction) headaches although precisely how it works is unknown.<br />
Fioricet may also be used for purposes other than those listed in this medication guide.</p>
<p>Amoxicillin is used to treat certain infections caused by bacteria, such as pneumonia;<br />
bronchitis; gonorrhea; and infections of the ears, nose, throat, urinary tract, and skin.<br />
It is also used in combination with other medications to eliminate H. pylori, a bacteria<br />
that causes ulcers. Amoxicillin is in a class of medications called penicillin-like<br />
antibiotics. It works by stopping the growth of bacteria. Antibiotics will not work for<br />
colds, flu, and other viral infections.<br />
Amoxicillin comes as a capsule, a tablet, a chewable tablet, a suspension (liquid), and<br />
pediatric drops to take by mouth. It is usually taken every 12 hours (twice a day) or every<br />
8 hours (three times a day) with or without food. To help you remember to take amoxicillin,<br />
take it around the same time every day.</p>
<p>you can find more information about vicodin at <a href="http://www.crdrx.com" rel="nofollow">http://www.crdrx.com</a>, 10/325 at <a href="http://www.10-325.com" rel="nofollow">http://www.10-325.com</a>, vicoprofen at <a href="http://www.1vicoprofen.com" rel="nofollow">http://www.1vicoprofen.com</a> and lortab at <a href="http://www.1lortab.com" rel="nofollow">http://www.1lortab.com</a></p>
<p>Have a great day</p>
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		<title>By: swift</title>
		<link>http://www.medrants.com/archives/2045/comment-page-1#comment-4432</link>
		<dc:creator>swift</dc:creator>
		<pubDate>Fri, 20 Aug 2004 02:38:22 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/08/13/politics-and-drug-importation/#comment-4432</guid>
		<description>In rcentor&#039;s quoted news item, the GOP condemned Kerry for advocating reimportation, but now it seems that Bush is getting on the bandwagon...

&quot;President Bush, facing growing anger among senior citizens over the high cost of prescription drugs and a virtual revolt by some states, conceded on Wednesday it &#039;makes sense&#039; for Americans to be able to import cheaper medicines as long as they are safe,&quot; Entous writes.

&quot;I&#039;m looking at this,&quot; Bush said. &quot;There is a lot of pressure in Congress for importation. So I think it makes sense for us to make sure that we can do so in a safe way. If it&#039;s safe, then it makes sense.&quot;

http://www.reuters.com/newsArticle.jhtml;jsessionid=5BNVWERTMNE0ECRBAELCFEY?type=topNews&amp;storyID=6012501

Bush flip-flop? Never!

I am grateful for Jim McMurry&#039;s comment, and I&#039;m glad to know that even people with &quot;libertarian impulses&quot; can recognize when market forces are not operational and will admit the possibility that regulation might be needed and helpful.</description>
		<content:encoded><![CDATA[<p>In rcentor&#8217;s quoted news item, the GOP condemned Kerry for advocating reimportation, but now it seems that Bush is getting on the bandwagon&#8230;</p>
<p>&#8220;President Bush, facing growing anger among senior citizens over the high cost of prescription drugs and a virtual revolt by some states, conceded on Wednesday it &#8216;makes sense&#8217; for Americans to be able to import cheaper medicines as long as they are safe,&#8221; Entous writes.</p>
<p>&#8220;I&#8217;m looking at this,&#8221; Bush said. &#8220;There is a lot of pressure in Congress for importation. So I think it makes sense for us to make sure that we can do so in a safe way. If it&#8217;s safe, then it makes sense.&#8221;</p>
<p><a href="http://www.reuters.com/newsArticle.jhtml;jsessionid=5BNVWERTMNE0ECRBAELCFEY?type=topNews&#038;storyID=6012501" rel="nofollow">http://www.reuters.com/newsArticle.jhtml;jsessionid=5BNVWERTMNE0ECRBAELCFEY?type=topNews&#038;storyID=6012501</a></p>
<p>Bush flip-flop? Never!</p>
<p>I am grateful for Jim McMurry&#8217;s comment, and I&#8217;m glad to know that even people with &#8220;libertarian impulses&#8221; can recognize when market forces are not operational and will admit the possibility that regulation might be needed and helpful.</p>
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		<title>By: Jim McMurry</title>
		<link>http://www.medrants.com/archives/2045/comment-page-1#comment-4430</link>
		<dc:creator>Jim McMurry</dc:creator>
		<pubDate>Wed, 18 Aug 2004 17:05:47 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/08/13/politics-and-drug-importation/#comment-4430</guid>
		<description>The prescription drug companies (pharma) do not operate in a free market, so the usual market forces do not fit. My libertarian impulses to cheer the profits for further new products are misplaced here.
The non-free market pharma industry makes the best industry profit year in year out, says an FDA economist who is my patient and did the study.
Fine, let them have a good profit, but there must be some reasonableness here.
FIRST, the advertising of prescription drugs to the public should stop.
SECOND, the FDA needs backbone and Congress (esp Hatch) needs to get off their back.
THIRD, if these don&#039;t improve the situation in a year or two, then price regulation will be next.

For myself, I quit the Republican Party this winter after the new Medicare drug payment plan passed Congress. After decades, I was now embarrassed to claim to be part of that party. But I can&#039;t see the Dem&#039;s as any better.</description>
		<content:encoded><![CDATA[<p>The prescription drug companies (pharma) do not operate in a free market, so the usual market forces do not fit. My libertarian impulses to cheer the profits for further new products are misplaced here.<br />
The non-free market pharma industry makes the best industry profit year in year out, says an FDA economist who is my patient and did the study.<br />
Fine, let them have a good profit, but there must be some reasonableness here.<br />
FIRST, the advertising of prescription drugs to the public should stop.<br />
SECOND, the FDA needs backbone and Congress (esp Hatch) needs to get off their back.<br />
THIRD, if these don&#8217;t improve the situation in a year or two, then price regulation will be next.</p>
<p>For myself, I quit the Republican Party this winter after the new Medicare drug payment plan passed Congress. After decades, I was now embarrassed to claim to be part of that party. But I can&#8217;t see the Dem&#8217;s as any better.</p>
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		<title>By: Bernie Simon</title>
		<link>http://www.medrants.com/archives/2045/comment-page-1#comment-4422</link>
		<dc:creator>Bernie Simon</dc:creator>
		<pubDate>Wed, 18 Aug 2004 00:00:22 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/08/13/politics-and-drug-importation/#comment-4422</guid>
		<description>&lt;i&gt;The big problem with this is that none of these manufacturing plants are regulated, and are often churning out fake drugs. If the FDA cannot keep a tight grip on drug manufacturers, the US consumber becomes vulnerable to buying drugs with little, no, or harmful amounts of effective ingredient.&lt;/i&gt;

Fake drugs are already a big problem in the United States. Any time a product has the huge markup pharmaceuticals have, you can be sure there will be counterfeits.

&lt;i&gt;One “simple” way to deal with a big part of the problem. Rationalize the patent system.&lt;/i&gt;

The simple and obvious solution to the high price of drugs is forced licensing of patents. Any other solution is just nubbling around the edges of the problem.

Fun fact: did you know the combined profits of the ten pharmaceutical companies in the Fortune 500 is larger than that of the other 490 companies?</description>
		<content:encoded><![CDATA[<p><i>The big problem with this is that none of these manufacturing plants are regulated, and are often churning out fake drugs. If the FDA cannot keep a tight grip on drug manufacturers, the US consumber becomes vulnerable to buying drugs with little, no, or harmful amounts of effective ingredient.</i></p>
<p>Fake drugs are already a big problem in the United States. Any time a product has the huge markup pharmaceuticals have, you can be sure there will be counterfeits.</p>
<p><i>One “simple” way to deal with a big part of the problem. Rationalize the patent system.</i></p>
<p>The simple and obvious solution to the high price of drugs is forced licensing of patents. Any other solution is just nubbling around the edges of the problem.</p>
<p>Fun fact: did you know the combined profits of the ten pharmaceutical companies in the Fortune 500 is larger than that of the other 490 companies?</p>
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		<title>By: swift</title>
		<link>http://www.medrants.com/archives/2045/comment-page-1#comment-4416</link>
		<dc:creator>swift</dc:creator>
		<pubDate>Sun, 15 Aug 2004 18:48:46 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/08/13/politics-and-drug-importation/#comment-4416</guid>
		<description>chris,

My suggestion is international cooperation through the WTO and Interpol.</description>
		<content:encoded><![CDATA[<p>chris,</p>
<p>My suggestion is international cooperation through the WTO and Interpol.</p>
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		<title>By: swift</title>
		<link>http://www.medrants.com/archives/2045/comment-page-1#comment-4413</link>
		<dc:creator>swift</dc:creator>
		<pubDate>Sun, 15 Aug 2004 17:25:54 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/08/13/politics-and-drug-importation/#comment-4413</guid>
		<description>To respond to jb:

__________________________
&quot;Price controls, marketing restrictions, concern about the sleeping habits of BigPharma executives???&quot; 

My concern for the executives was facetious. You&#039;ve got a keen eye for sarcasm.

__________________________
&quot;This will encourage people to invest in pharmaceutical companies?&quot;

Pharmaceutical companies aren&#039;t struggling to attract investors. They&#039;re even part of the president&#039;s portfolio.

__________________________
&quot;This type of system has been tried elsewhere on a larger scale, with disastrous results.&quot;

Tell us more. If, as you say, domestic and foreign drug companies are so utterly dependent on jacked-up pricing in the US for profits to sustain R&amp;D, then how and where could price controls have been implemented on a larger scale? And what of the disastrous results? Would we have ANOTHER drug for erectile dysfunction by now if not for the horrendous price controls imposed on some unnamed country that was a juggernaut of drug development? Or is this comment just empty rhetoric?

__________________________
&quot;There is almost no pharmaceutical development being done outside the US.&quot;

That&#039;s false, but I hope you&#039;ll consider submitting your comment to the Lancet to see what sort of response it brings.

__________________________
&quot;There is no free lunch. The real reform that needs to be passed is for other wealthy countries to pay their own way. That way prices in the US may become more competitive.&quot;

I&#039;m all in favor of drug pricing being more equitable across the developed world. But current pricing in the US isn&#039;t sustainable here or elsewhere. Prices in the US need to fall and prices in Canada and Europe need to rise until the pricing is more or less the same across the board and the incentive for cross-border, post-delivery sales of drugs is eliminated.

__________________________
&quot;It’s not for you or me to decide that the drug companies “waste” money; it’s their money to spend as they see fit after they earn it.&quot;

I guess you consider Abbott Laboratories&#039; decision to quadruple the price of its AIDS drug Norvir a clever way of &quot;earning&quot; money. The fact is that market forces aren&#039;t really at play in the medical world. It&#039;s not as though a patient is shopping for a car and can take the time to become educated about all the various brands, models, options, and pricing, and then choose accordingly. Very often patent-protected drugs are the only game in town. That&#039;s by design: purportedly limited-term patents allow manufacturers to recoup their investments and reap a fair profit before generic producers commoditize the drug. Since the public supports basic science research through the NIH and grants periods of protected profit-making through the patent office, the public most certainly does have a stake in how drug companies operate and should reasonably expect that regulation be brough to bear to thwart excesses and abuses. What is the Norvir story if not one of excess and abuse? (And please don&#039;t insult my intelligence by desribing Abbott&#039;s move as unique. It just happens to be one of the most flagrant.) What is the only real and meaningful solution? Regulatory price controls. Price controls have been used effectively for other products and services (e.g. electricity markets) and the truly &quot;disastrous results&quot; were obvious to everyone when pricing regulation was removed (think California and Enron). 

How could anyone describe the current pricing scheme (and it&#039;s rate of increase) as perfectly fine and sustainable? They would have to be high or on a drug company payroll. Hell, I&#039;ve even had a physician who works for a major pharmaceutical company tell me that drug pricing has to change. Guess that just leaves being high. No wait, you could be Libertarian.</description>
		<content:encoded><![CDATA[<p>To respond to jb:</p>
<p>__________________________<br />
&#8220;Price controls, marketing restrictions, concern about the sleeping habits of BigPharma executives???&#8221; </p>
<p>My concern for the executives was facetious. You&#8217;ve got a keen eye for sarcasm.</p>
<p>__________________________<br />
&#8220;This will encourage people to invest in pharmaceutical companies?&#8221;</p>
<p>Pharmaceutical companies aren&#8217;t struggling to attract investors. They&#8217;re even part of the president&#8217;s portfolio.</p>
<p>__________________________<br />
&#8220;This type of system has been tried elsewhere on a larger scale, with disastrous results.&#8221;</p>
<p>Tell us more. If, as you say, domestic and foreign drug companies are so utterly dependent on jacked-up pricing in the US for profits to sustain R&#038;D, then how and where could price controls have been implemented on a larger scale? And what of the disastrous results? Would we have ANOTHER drug for erectile dysfunction by now if not for the horrendous price controls imposed on some unnamed country that was a juggernaut of drug development? Or is this comment just empty rhetoric?</p>
<p>__________________________<br />
&#8220;There is almost no pharmaceutical development being done outside the US.&#8221;</p>
<p>That&#8217;s false, but I hope you&#8217;ll consider submitting your comment to the Lancet to see what sort of response it brings.</p>
<p>__________________________<br />
&#8220;There is no free lunch. The real reform that needs to be passed is for other wealthy countries to pay their own way. That way prices in the US may become more competitive.&#8221;</p>
<p>I&#8217;m all in favor of drug pricing being more equitable across the developed world. But current pricing in the US isn&#8217;t sustainable here or elsewhere. Prices in the US need to fall and prices in Canada and Europe need to rise until the pricing is more or less the same across the board and the incentive for cross-border, post-delivery sales of drugs is eliminated.</p>
<p>__________________________<br />
&#8220;It’s not for you or me to decide that the drug companies “waste” money; it’s their money to spend as they see fit after they earn it.&#8221;</p>
<p>I guess you consider Abbott Laboratories&#8217; decision to quadruple the price of its AIDS drug Norvir a clever way of &#8220;earning&#8221; money. The fact is that market forces aren&#8217;t really at play in the medical world. It&#8217;s not as though a patient is shopping for a car and can take the time to become educated about all the various brands, models, options, and pricing, and then choose accordingly. Very often patent-protected drugs are the only game in town. That&#8217;s by design: purportedly limited-term patents allow manufacturers to recoup their investments and reap a fair profit before generic producers commoditize the drug. Since the public supports basic science research through the NIH and grants periods of protected profit-making through the patent office, the public most certainly does have a stake in how drug companies operate and should reasonably expect that regulation be brough to bear to thwart excesses and abuses. What is the Norvir story if not one of excess and abuse? (And please don&#8217;t insult my intelligence by desribing Abbott&#8217;s move as unique. It just happens to be one of the most flagrant.) What is the only real and meaningful solution? Regulatory price controls. Price controls have been used effectively for other products and services (e.g. electricity markets) and the truly &#8220;disastrous results&#8221; were obvious to everyone when pricing regulation was removed (think California and Enron). </p>
<p>How could anyone describe the current pricing scheme (and it&#8217;s rate of increase) as perfectly fine and sustainable? They would have to be high or on a drug company payroll. Hell, I&#8217;ve even had a physician who works for a major pharmaceutical company tell me that drug pricing has to change. Guess that just leaves being high. No wait, you could be Libertarian.</p>
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		<title>By: chris</title>
		<link>http://www.medrants.com/archives/2045/comment-page-1#comment-4412</link>
		<dc:creator>chris</dc:creator>
		<pubDate>Sun, 15 Aug 2004 17:03:16 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/08/13/politics-and-drug-importation/#comment-4412</guid>
		<description>jb has another good point.  We can sit here and cry about how the drug companies charge us too much, but I think it would be more beneficial if we attacked the root of the problem: other countries extorting lower prices out of the drug companies.  Its a very difficult problem to solve.  It would require a global enforced legislation, which is a near impossible feat.  All a company needs is a chemist to break a patented drug down and make a knock-off.  Any suggestions on how to protect the interests of the pharmaceutical companies?</description>
		<content:encoded><![CDATA[<p>jb has another good point.  We can sit here and cry about how the drug companies charge us too much, but I think it would be more beneficial if we attacked the root of the problem: other countries extorting lower prices out of the drug companies.  Its a very difficult problem to solve.  It would require a global enforced legislation, which is a near impossible feat.  All a company needs is a chemist to break a patented drug down and make a knock-off.  Any suggestions on how to protect the interests of the pharmaceutical companies?</p>
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		<title>By: jb</title>
		<link>http://www.medrants.com/archives/2045/comment-page-1#comment-4409</link>
		<dc:creator>jb</dc:creator>
		<pubDate>Sun, 15 Aug 2004 14:50:01 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/08/13/politics-and-drug-importation/#comment-4409</guid>
		<description>Price controls, marketing restrictions, concern about the sleeping habits of BigPharma executives???  This will encourage people to invest in pharmaceutical companies?  This type of system has been tried elsewhere on a larger scale, with disastrous results.  There is almost no pharmaceutical development being done outside the US.  What will we do for new drugs when we have to depend on the collected research output of Europe and South America? Even the minimal output from Europe and Japan that makes it to market depends on the US to provide the profits to justifythe development costs.  There is no free lunch.  The real reform that needs to be passed is for other wealthy countries to pay their own way.  That way prices in the US may become more competitive. It&#039;s not for you or me to decide that the drug companies &quot;waste&quot; money; it&#039;s their money to spend as they see fit after they earn it.</description>
		<content:encoded><![CDATA[<p>Price controls, marketing restrictions, concern about the sleeping habits of BigPharma executives???  This will encourage people to invest in pharmaceutical companies?  This type of system has been tried elsewhere on a larger scale, with disastrous results.  There is almost no pharmaceutical development being done outside the US.  What will we do for new drugs when we have to depend on the collected research output of Europe and South America? Even the minimal output from Europe and Japan that makes it to market depends on the US to provide the profits to justifythe development costs.  There is no free lunch.  The real reform that needs to be passed is for other wealthy countries to pay their own way.  That way prices in the US may become more competitive. It&#8217;s not for you or me to decide that the drug companies &#8220;waste&#8221; money; it&#8217;s their money to spend as they see fit after they earn it.</p>
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		<title>By: swift</title>
		<link>http://www.medrants.com/archives/2045/comment-page-1#comment-4407</link>
		<dc:creator>swift</dc:creator>
		<pubDate>Sat, 14 Aug 2004 22:03:32 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/08/13/politics-and-drug-importation/#comment-4407</guid>
		<description>Reimportation is little more than political cover for those who want to create the appearance of being responsive to the financial plight of citizen consumers but who lack the political will to legislate meaningful cahnge. It&#039;s not an accident that drugs are cheaper in Canada and elsewhere: those countries have price controls. Reimportation has the effect of borrowing another country&#039;s price controls because our leaders are too beholden to drug companies to create our own.  Unfortunately it introduces a whole slew of safety risks by creating an unregulated delivery chain.

The idea that we need to pay through the nose for drugs to ensure the steady advance of pharmaceutical development is laughable. We already fund a huge portion of the research costs through the NIH. I realize that drug companies incur a substantial cost in bringing drugs from the bench to the pharmacy and need to have an opportunity to recover their investment and make a profit for their shareholders. But drug companies waste a lot of money too (and physicians are partly to blame). Here are my modest proposals:

1. Empower the FDA to create price controls. Work through the WTO to create equitable international price controls for the developed world (higher than current prices in Canada and elsewhere) and lower price controls for the developing world (at or near cost). Offering drugs at cost to the developing world (e.g. sub-Saharan Africa) does not truly deprive drug companies of any profit because those countries don&#039;t currently have the financial resources to actually constitute a market.
2. Eliminate non-print drug company marketing to and &quot;education&quot; for health care professionals. When a patient sees a physician write a script for the same drug that&#039;s emblazoned on the pen that spills the ink, the physician comes off as a drug company whore, rightly or wrongly. Nevermind all the meals, lecture-mercials, etc. Replace nitwit sales reps with a scholarly-run, pharmaceutical industry association supported, educational institute that provides fair and balanced (but not according to the Fox News definition) continuing education on drug classes that describes comparability and highlights important differences in efficaciousness and side effects.
3. Eliminate direct-to-consumer non-print drug company marketing. Let the same educational institute create community outreach programs designed to instruct the public about benefits, risks, and proper use of pharmaceuticals. Removing the hype, perhaps patients will stop thinking that pills are always the answer (antibiotics for the flu, Ritalin for children with discipline problems, antidepressants for every relationship break-up).

I am confidant that by relieving drug companies of their enormous marketing cost burdens (think SuperBowl ads are cheap?) they will still manage to make a profit and conduct effective R&amp;D under a system with price controls.  And their executives will surely sleep easier knowing they are no longer driving retirees on chronic meds into the poor house.</description>
		<content:encoded><![CDATA[<p>Reimportation is little more than political cover for those who want to create the appearance of being responsive to the financial plight of citizen consumers but who lack the political will to legislate meaningful cahnge. It&#8217;s not an accident that drugs are cheaper in Canada and elsewhere: those countries have price controls. Reimportation has the effect of borrowing another country&#8217;s price controls because our leaders are too beholden to drug companies to create our own.  Unfortunately it introduces a whole slew of safety risks by creating an unregulated delivery chain.</p>
<p>The idea that we need to pay through the nose for drugs to ensure the steady advance of pharmaceutical development is laughable. We already fund a huge portion of the research costs through the NIH. I realize that drug companies incur a substantial cost in bringing drugs from the bench to the pharmacy and need to have an opportunity to recover their investment and make a profit for their shareholders. But drug companies waste a lot of money too (and physicians are partly to blame). Here are my modest proposals:</p>
<p>1. Empower the FDA to create price controls. Work through the WTO to create equitable international price controls for the developed world (higher than current prices in Canada and elsewhere) and lower price controls for the developing world (at or near cost). Offering drugs at cost to the developing world (e.g. sub-Saharan Africa) does not truly deprive drug companies of any profit because those countries don&#8217;t currently have the financial resources to actually constitute a market.<br />
2. Eliminate non-print drug company marketing to and &#8220;education&#8221; for health care professionals. When a patient sees a physician write a script for the same drug that&#8217;s emblazoned on the pen that spills the ink, the physician comes off as a drug company whore, rightly or wrongly. Nevermind all the meals, lecture-mercials, etc. Replace nitwit sales reps with a scholarly-run, pharmaceutical industry association supported, educational institute that provides fair and balanced (but not according to the Fox News definition) continuing education on drug classes that describes comparability and highlights important differences in efficaciousness and side effects.<br />
3. Eliminate direct-to-consumer non-print drug company marketing. Let the same educational institute create community outreach programs designed to instruct the public about benefits, risks, and proper use of pharmaceuticals. Removing the hype, perhaps patients will stop thinking that pills are always the answer (antibiotics for the flu, Ritalin for children with discipline problems, antidepressants for every relationship break-up).</p>
<p>I am confidant that by relieving drug companies of their enormous marketing cost burdens (think SuperBowl ads are cheap?) they will still manage to make a profit and conduct effective R&#038;D under a system with price controls.  And their executives will surely sleep easier knowing they are no longer driving retirees on chronic meds into the poor house.</p>
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		<title>By: chris</title>
		<link>http://www.medrants.com/archives/2045/comment-page-1#comment-4405</link>
		<dc:creator>chris</dc:creator>
		<pubDate>Sat, 14 Aug 2004 19:44:14 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/08/13/politics-and-drug-importation/#comment-4405</guid>
		<description>jb is right.  This is a tough pill to swallow, but inevitable should Kerry nd others become successful in pushing health care as a &quot;right&quot;.  (If he wins the presidency)</description>
		<content:encoded><![CDATA[<p>jb is right.  This is a tough pill to swallow, but inevitable should Kerry nd others become successful in pushing health care as a &#8220;right&#8221;.  (If he wins the presidency)</p>
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