Forums > Off-Topic Discussion > Drug price hike

Photographer

SAND DIAL

Posts: 6688

Santa Monica, California, US

To say 'hike' is putting it mildly,

http://www.rawstory.com/2015/09/ex-hedg … /comments/

Sep 22 15 08:13 am Link

Photographer

Frank Lewis Photography

Posts: 14487

Winter Park, Florida, US

SAND DIAL wrote:
To say 'hike' is putting it mildly,

http://www.rawstory.com/2015/09/ex-hedg … /comments/

I followed the link. That page loads slower than Huffington Post with all of its ads.

I saw the story on CNN last night. Dick heads like that guy are why the U.S. needs single payer health care like the rest of the civilized world.

Sep 22 15 08:30 am Link

Artist/Painter

ethasleftthebuilding

Posts: 16685

Key West, Florida, US

One article I read recently talked about a company that increased the price of a 62 year old drug by 5000%. 

Wouldn't a 62 year old drug be available as a generic?  That's what has kept the cost of the widely used prescription drugs down is they go generic after a number of years.

One issue with drugs that are not widely used is the cost to produce, in small batches is higher, and they have a finite shelf life.  I know the pharmacist at a large regional hospital who says 25% of the drugs she has to stock, that are used less often, but must be stocked for use when needed, represent over 75% of the cost of the stock.  They tend to be the more expensive drugs and also are more often discarded because of expiration date.

Sep 22 15 08:45 am Link

Photographer

Roy Hubbard

Posts: 3199

East Stroudsburg, Pennsylvania, US

I don't remember specifics, but a few years ago a pharmaceutical firm was granted the exclusive right to manufacture and distribute a medication I was taking at the time. The price went from $7 a bottle up to $450 a bottle overnight, and there was a period where I needed to foot the difference out of pocket because my insurance wouldn't cover it.

Sep 22 15 09:27 am Link

Photographer

Images By Cynthia

Posts: 60

Las Vegas, Nevada, US

Drug Companies need to make more money to foot the bill for their new candidate...maybe?

Sep 22 15 09:32 am Link

Artist/Painter

ethasleftthebuilding

Posts: 16685

Key West, Florida, US

Roy Hubbard wrote:
I don't remember specifics, but a few years ago a pharmaceutical firm was granted the exclusive right to manufacture and distribute a medication I was taking at the time. The price went from $7 a bottle up to $450 a bottle overnight, and there was a period where I needed to foot the difference out of pocket because my insurance wouldn't cover it.

The first thing I would want to know is why such price hikes are necessary.  A change from $7 to $450 really has the appearance of greed. 

I read something a few years ago about how the pharmaceutical companies have evolved over the last few decades.  Originally, the companies were controlled by the medical people who did the first research and created the early products that began that company.  Over the years, the medical people have been replaced in management by business people (pencil pushers, number crunchers) who worry more about wealth than the original mission of healthcare.  The wellbeing of the people who depend on their products is lost to them.  Their product becomes just another commodity on the market.

Sep 22 15 09:57 am Link

Photographer

Images By Cynthia

Posts: 60

Las Vegas, Nevada, US

ernst tischler wrote:

The first thing I would want to know is why such price hikes are necessary.  A change from $7 to $450 really has the appearance of greed. 

I read something a few years ago about how the pharmaceutical companies have evolved over the last few decades.  Originally, the companies were controlled by the medical people who did the first research and created the early products that began that company.  Over the years, the medical people have been replaced in management by business people (pencil pushers, number crunchers) who worry more about wealth than the original mission of healthcare.  The wellbeing of the people who depend on their products is lost to them.  Their product becomes just another commodity on the market.

The Drug Companies make more of a profit than the oil companies in our country. I have known some employees of  drug companies out of New Jersey and the money they make is really unbelievable. Their profits are huge and so is their greed!....the whole thing is sad!

Sep 22 15 10:01 am Link

Artist/Painter

ethasleftthebuilding

Posts: 16685

Key West, Florida, US

Images By Cynthia wrote:
The Drug Companies make more of a profit than the oil companies in our country. I have known some employees of  drug companies out of New Jersey and the money they make is really unbelievable. Their profits are huge and so is their greed!....the whole thing is sad!

It is interesting to me how some drugs can be so expensive, yet I pay Wal-Mart less than $50 a year total for the two drugs I take...and that is the cash price.  If I used my insurance, I would have to pay two $20 co-pays every 90-days.

Sep 22 15 11:43 am Link

Photographer

Michael Bots

Posts: 8020

Kingston, Ontario, Canada

Price gouging is not unique to this product either --

Anti-parasitic drug's 5,000% price hike 'not excessive,' Turing CEO says
http://www.cbc.ca/news/health/clinton-p … -1.3238202

--- This is the guy  ---
https://i.cbc.ca/1.3238798.1442941515!/fileImage/httpImage/image.jpg_gen/derivatives/16x9_620/martin-shkreli.jpg


Price gouging like this in the specialty drug market is outrageous. Tomorrow I'll lay out a plan to take it on. -H https://t.co/9Z0Aw7aI6h
— @HillaryClinton
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Roy Hubbard wrote:
I don't remember specifics, but a few years ago a pharmaceutical firm was granted the exclusive right to manufacture and distribute a medication I was taking at the time. The price went from $7 a bottle up to $450 a bottle overnight, and there was a period where I needed to foot the difference out of pocket because my insurance wouldn't cover it.

That would be  Colchicine.     It's  0.04 per pill in Canada wholesale.(similar cost as ASA, Acetaminophen etc.)
---------------------------------------------------------------------------------------------------

Drug Goes From $13.50 a Tablet to $750, Overnight
http://www.nytimes.com/2015/09/21/busin … .html?_r=0

Pyrimethamine (Daraprim)    0.45 per pill retail (generic) from the mail order pharmacies in Canada

Historical pricing ---   (0.17 1/4 cents in 2013)
http://pricebuysideeffects.org/buy-dara … ABLETPrice


https://en.wikipedia.org/wiki/Pyrimethamine       (chemical structure is simpler than Asperin)
"It is on the World Health Organization's List of Essential Medicines, the most important medications needed in a basic health system".

http://www.newsforage.com/2015/09/ceo-w … -more.html


Meet the most despised man in the world: Global outrage as 32-year-old ex-hedge funder buys rights to AIDS drug and promptly raises price overnight by 5500% - from $13.50 to $750.00 per pill
http://www.dailymail.co.uk/news/article … -5500.html
--------------------------------------------------------------------------------------------------

Tuberculosis drug price jumps 2,000%, shocks doctors
http://www.cbc.ca/news/health/tb-drug-p … -1.3237868
"Overnight in North America, cycloserine went from $15 US per pill to $360 US."
"The patent on cycloserine expired long ago. Elsewhere in the world, it sells for 22 cents US a pill. It is considered an essential medicine by the World Health Organization."


'It is people looking to make a quick buck.'
— Prof. Amir Attaran



Lawmakers Probe ‘Staggering’ Price Hikes for Generic Drugs
http://blogs.wsj.com/pharmalot/2014/10/ … ric-drugs/

"In a letter to the drugmaker, the lawmakers pointed to the price hike for Albuterol Sulfate, which is used to treat asthma and other lung conditions. The average cost for a bottle of 100 pills was $11 last October, but rose to $434 by this past April. And the doxycycline hyclate antibiotic cost $20 last October for a bottle of 500 tablets, but by April, the price was $1,849, according to their pricing chart."


When a drug costs 30 times what it once did
http://articles.latimes.com/2013/mar/07 … s-20130308

Sep 22 15 12:52 pm Link

Photographer

Looknsee Photography

Posts: 26342

Portland, Oregon, US

I have mixed feelings.  When I was a computer engineer, I had a client who was/is a major drug company, and I learned a lot about their business.  Some things that surprised me:  it can take up to 20 years for a drug to get approved, and many drugs don't make it through the approval process.  Further, drug companies face huge liability risks -- problems with drugs make national headline news.

But this guy -- he's a hedge fund manager out for a fast buck.  The manufacturing cost of this $750/pill drug is tiny, and at 62 years old, there isn't much liability risk.  He might say that the increased drug price will fund R&D, and that's probably true, but like a politician's promise, there's probably a lot of spin to that statement.  The price funds R&D if $0.25 of the price increase goes to R&D -- the rest is probably going into the greedy bastard's pocket. 

So, when properly run, drug companies do amazing things -- we've got amazing drugs now that just weren't available 5 or 10 years ago, and these have improved the quality of life for a lot of people.  But I hate that there are people who blithely benefit in an inappropriate manner from the suffering of other people.

Sep 22 15 02:05 pm Link

Photographer

ontherocks

Posts: 23575

Salem, Oregon, US

i would certainly be upset if one of my low-cost medications suddenly cost me $750. i might have to stop taking that drug and if it were a life-or-death medicine then i might die. but if it's a "free market" economy then shouldn't businesses be entitled to charge whatever they want? and if they manage to make a big profit they can have money for a rainy day or for acquisitions or whatever. it's not criminal to make a profit. in fact most small businesses i know desperately wish they could actually make a profit rather than just getting by hoping that someone will take over their loans when they sell, shut it down or die.

it's an interesting question about how much the government should tinker. seems like maybe too much can be just as bad as not doing anything? should the government subsidize expensive medication (so basically all of us are paying for it with our taxes)? should the government step in and subsidize expensive photographers? or say that photographers can't charge more than $50 for a family shoot because anything higher would be a rip-off?

Sep 22 15 02:18 pm Link

Photographer

Michael Bots

Posts: 8020

Kingston, Ontario, Canada

It's hard to claim there is a free market and at the same time acknowledge a protected monopoly on a simple and inexpensive chemical that has been sold for more than half a century..

Sep 22 15 03:03 pm Link

Photographer

IMAGINERIES

Posts: 2048

New York, New York, US

Anybody in Washington DC?........Maybe they don't care, they are covered......

Sep 22 15 03:52 pm Link

Photographer

Bobby C

Posts: 2696

Bangkok, Bangkok, Thailand

Just because weed is legal does not mean it's all good; the legal stuff is much more expensive than getting it illegally ( so, I have been told ) from independent entrepreneurs that don't have much overhead, don't pay taxes on them and not looking to make big profits.

Sep 23 15 06:43 pm Link

Photographer

Zack Zoll

Posts: 6895

Glens Falls, New York, US

Michael Bots wrote:
It's hard to claim there is a free market and at the same time acknowledge a protected monopoly on a simple and inexpensive chemical that has been sold for more than half a century..

It is both - and the system only works because it is both

Drug companies raise prices because they know you need it. Your insurance(the people they're banking on) have to pay it, even if they fight it, or you will switch to another company that will pay it. So then your rates go up. It's a cycle. But it's a cycle where most of the people get their medication.

If we went to government health care, or a single-payer system closely supervised by the government, this means less competition, which means companies are less likely to pay for drugs that have had their prices hiked. It's not like you can go elsewhere. Which means that in the short term, people will not get their drugs. But then drug companies will see their sales go down, and will stop hiking prices - so in the long term, people get their drugs cheaper.

Where you fall on the health care debate really comes down to whether you're more concerned with the short or the long term, and how long you think 'the short term' is going to be. It's no surprise that younger people tend to support universal health care, since it will be a couple decades before most of them are buying meds every month. If you're 70, now is not the time to go messing with your health care.

Sep 23 15 08:43 pm Link

Photographer

SAND DIAL

Posts: 6688

Santa Monica, California, US

Sep 23 15 09:06 pm Link

Photographer

Michael Bots

Posts: 8020

Kingston, Ontario, Canada

This didn't take long. You can go elsewhere.
A competitor has emerged.  Same active ingredient plus more.     Profitable at $0.99  a pill

"Imprimis Pharmaceuticals, Inc., a specialty pharmaceutical company based in San Diego, announced today that it has made an alternative to Daraprim that costs about a buck a pill—or $99 for a 100-pill supply."

Drug with rage-inducing >5,000% price-hike now has $1/pill competitor
http://www.newsforage.com/2015/10/drug- … -hike.html


"In the news release, the company announced the start of a new program called Imprimis Cares, which will ensure affordable versions of the 7,800 generic FDA-approved drugs."


Imprimis forms Imprimis Cares to help combat the high prices of sole source legacy generic drugs
Oct 22, 2015
http://imprimispharma.investorroom.com/ … o-Daraprim




Drugmaker To Offer $1 Version of $750 Per Pill Medication/
http://www.foxnews.com/health/2015/10/2 … edication/

Oct 23 15 08:16 am Link

Model

Jay Dezelic

Posts: 5029

Seattle, Washington, US

Two problems:

1.) Decreased supply from less competition in the marketplace due to shady monopolistic mergers and accusations that should have been stopped by the FTC.

2.) Increased demand due to the proliferation of junk food.  Obese people need more meds.

The Fix:

1.) Reduce regulation to make it easier for competitive products to be sold in the marketplace.

2.) Increase education about what humans are logically meant to eat.  Sugar, grain, and other processed junk foods are slow-acting poisons.


Is it not suspicious that there are so many ties between the food and drug industry?  It is a highly profitable business model with a self perpetuating market.

Oct 23 15 09:47 am Link

Photographer

Kevin Connery

Posts: 17824

El Segundo, California, US

Jay Dezelic wrote:
Two problems:

One problem: discussing something that's not even close to on-topic.

Had you read the OP, you'd have seen something like this: http://www.cbsnews.com/news/generic-dru … overnight/

The rights to Daraprim were purchased in August by a new company, Turing Pharmaceuticals, which promptly increased the price from $13.50 per tablet to $750 per tablet -- a 5,000 percent jump -- the New York Times reported.

Daraprim, the common name for the drug pyrimethamine, is the only medication for treating toxoplasmosis, an infection contracted from cat parasites that can cause birth defects. It is also used as a co-treatment for HIV infections, some cancers and malaria.

Martin Shkreli started Turing, a new pharmaceutical company back in February of this year. (He's currently under investigation for "stock-trading irregularities and other violations of securities rules".) Turing bought the rights to 3 medications. None of them are for conditions relating to obesity, junk food, sugar, grain, or any other topic you chose to introduce, other than being in some way related to 'drugs'.

A few days ago, a competing firm started manufacturing a similar medication, and reportedly will be selling it for a dollar a day -- 1/13th of what it was before Shkreli bought the rights, and 1/750th of what he raised the price to be last month.

tl;dr: if you're gonna rant, start your own thread.

Oct 23 15 08:15 pm Link

Photographer

John Photography

Posts: 13811

Adelaide, South Australia, Australia

And expect more price hikes and monopolies once the TPP is made law..

Oct 25 15 05:19 am Link

Photographer

Michael Bots

Posts: 8020

Kingston, Ontario, Canada

The company has attracted more attention, and not the kind they want.


$750/pill pharma company under investigation by Senate for price gouging
http://www.newsforage.com/2015/11/750pi … under.html

http://www.aging.senate.gov/imo/media/d … equest.pdf

Nov 05 15 07:13 am Link

Photographer

Lightcraft Studio

Posts: 13682

Las Vegas, Nevada, US

"Top administration officials cut backroom deals with the nation’s top drug companies to win support for President Obama’s health care overhaul, threatening them with steeper taxes if they resisted and promising a better financial deal for the industry if they acquiesced, according to internal documents released Thursday by House Republicans."

http://www.washingtontimes.com/news/201 … /?page=all

Nov 05 15 07:54 am Link

Photographer

Click Hamilton

Posts: 36555

San Diego, California, US

Lightcraft Studio wrote:
"Top administration officials cut backroom deals with the nation’s top drug companies to win support for President Obama’s health care overhaul, threatening them with steeper taxes if they resisted and promising a better financial deal for the industry if they acquiesced, according to internal documents released Thursday by House Republicans."

http://www.washingtontimes.com/news/201 … /?page=all

REDACTED: Outstanding, thoughtful, pithy and well-written post that is probably not allowed under the censorship rules at this website.

Have a nice day

smile

Nov 06 15 05:59 am Link

Photographer

Click Hamilton

Posts: 36555

San Diego, California, US

Michael Bots wrote:
$750/pill pharma company under investigation by Senate for price gouging

$750/pill pharma company under investigation by Senate for price gouging shakedown scam.

C'mon guys, it's a lucrative source of funds. They aren't going to let all that filthy lucre go to waste.

Nov 06 15 07:34 am Link

Photographer

MerrillMedia

Posts: 8736

New Orleans, Louisiana, US

Post hidden on Nov 07, 2015 09:16 pm
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Comments:
Soapbox is closed.

Nov 06 15 10:19 am Link

Photographer

Lightcraft Studio

Posts: 13682

Las Vegas, Nevada, US

Post hidden on Nov 07, 2015 09:15 pm
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Comments:
Soapbox is still closed.

Nov 06 15 11:05 am Link

Photographer

Click Hamilton

Posts: 36555

San Diego, California, US

Post hidden on Nov 07, 2015 09:16 pm
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Nov 07 15 07:21 pm Link

Photographer

MN Photography

Posts: 1432

Chicago, Illinois, US

Click Hamilton wrote:
The solution is free market competition and personal choice, not pandering and special interest legislation.

Ha ha, OK.  I guess you aren't familiar with the economic concept of inelastic demand.  A free market solution requires freedom on the supplier side as well as freedom on the consumer side.  When someone is sick and especially dying and double especially if it's an emergency, they are not in a position to exercise free market choices.  Price gouging is inevitable.

Suppose police and fire protection were supplied on a "free market" basis.  You call 911 at 2AM because your house is on fire.  The 911 operator asks for the name of your fire protection insurance provider.  You didn't think your house would ever burn, so you don't have any.  You are then referred to one of your local private fire protection companies who will give you a rough estimate on the cost of putting out your fire.  This doesn't cover the unforeseen costs and your fire putting out bill goes from the estimated $15,000 to $90,000.  Sorry, pay up. 

Oh, and if someone breaks in and murders one of your family members, if you want that crime solved, let's bill you for the cost of the private security company who finds the murderer, the private legal system and the private prison if you want to go with the punishment option.  What's that going to come to?

Why should I or other tax payers pay for your house fire or murder?  That stuff didn't happen to me.

Nov 07 15 09:18 pm Link

Photographer

Lightcraft Studio

Posts: 13682

Las Vegas, Nevada, US

MN Photography wrote:
Suppose police and fire protection were supplied on a "free market" basis.

Much of our police and fire protection IS on a free market basis. We choose from different vendors when it comes to alarm systems for our homes/cars, we can choose to own guns for protection, or to hire private security if we have the resources. We might opt to own a good guard dog. We can choose to have hardwired smoke detectors, monitored by an alarm company. We can have automatic sprinkler systems installed, or at least have working fire extinguishers on hand.  How safe our cars are is more of a function of how we choose to protect them and not the work of the police.

Calling 911 is not protection.. that's something we do when our chosen protections have failed and we need outside help to deal with an emergency. Our actual protection is still largely in our own hands.

Even in the case of police work, often times it requires outside help to solve things... we can hire private investigators, or see if we can get the media involved in catching someone (many suspects have been brought in with the help of TV shows like America's Most Wanted, etc.).  A friend of mine spent 10 years hunting down the killer of her daughter... the police had all but forgotten about the case after a while, and she dedicated her life to finding the guy and bringing justice to him.

Drugs/pharmaceuticals are something that can be worked on by multiple companies. Different firms may work on different approaches to solve the same problem/condition, and the competition to get across the goal line is healthy and good for everyone. Research and development, and ultimately production of drugs, can be done anywhere in the world... but when nations put up barriers to doing so in order to protect their own interests, it stifles progress.

Nov 08 15 10:21 am Link

Photographer

MN Photography

Posts: 1432

Chicago, Illinois, US

That's not really a valid analogy.  Fire alarms, dogs, guns are more analogous to the kind of healthcare precautions people take before they have to get involved in the healthcare system - diet, exercise, cholesterol medication.  Sometimes you have a heart attack or get cancer anyway, just like sometimes someone shoots your dog and breaks into your house and kills a relative when you aren't home to protect them or your house catches fire no matter what precautions you take.  In either case, your demand for emergency services are not elastic and the free market doesn't enter into the equation.  That's the point where the real costs begin. 

And 1970s detective TV shows and America's Most Wanted not withstanding, few people hire private detectives after a crime is committed.

Nov 08 15 01:02 pm Link

Photographer

Lightcraft Studio

Posts: 13682

Las Vegas, Nevada, US

MN Photography wrote:
That's not really a valid analogy.  Fire alarms, dogs, guns are more analogous to the kind of healthcare precautions people take before they have to get involved in the healthcare system

Well, now everyone has to get "involved" in the healthcare system, at great cost... or risk facing heavy financial penalty by our government if they don't. So far they don't make us get alarms and dogs, but perhaps that day may come too.

Nov 08 15 02:35 pm Link

Moderator

Jeremiah Cash Caress

Posts: 533

Salem, Indiana, US

Moderator Warning!
Okay, it would appear that some members have not gotten the hint from the hidden posts that Soapbox is closed.

Nov 08 15 04:14 pm Link