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#52 Aug 03 2010 at 8:16 PM Rating: Decent
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paulsol wrote:
I was refuting your statement that the 'rest of the world' benefits from the US's largesse resulting from the the industries' massive spending on R&D of new drugs and equipment and procedures and as a result gets to reap the benefits while sitting around taking it easy with their socialised healthcare.


Ok. But so far, other than plaintive insistence, you haven't actually "refuted" the statement.

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Sure, US (and European) based pharmaceutical and medical technology corps spend Zillions of $ on researching new drugs. But a majority of that money is spent on developing and then advertising drugs and treatments that are designed to make a profit from things like male pattern baldness, erectile dysfunction and obesity related disorders.


And the profits they make from that stuff helps fund research in the areas which don't make as much profit, but does win them some PR (and keep regulators off their backs) like new drugs for treating a host of ailments. Take away the profits from the rich men who want everlasting erections and you would lose a significant amount of total funding for treatment of aids, cancer, anti-rejection medications, etc.

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I dont dispute that the big companies are spending the money. I dispute your assertation that the rest of the world is sitting around benefitting from it. In fact those self same companies are the ones who are making every effort to stop the (genuinly) sick people in the 'rest of the world' from benefiting from western technologies with their lobbying to stop the use of locally produced generics for the treatment of things like AIDS, malaria, tuberculosis and other illnesses that actually kill people.


It doesn't matter though. At some point, the drugs they make will be available at lower cost elsewhere in the world. If they don't make them in the first place though, they never will. This is one of the really nutty arguments I see all the time, that somehow by eliminating the patent duration on new drugs (and thus the profits which result) will help everyone. Sure. In the short and simplistic case, everyone will get access to those new drugs faster. But in reality, what will happen is fewer drugs will be developed.

If no one spends the money researching those drugs, where do you suppose they'll come from?

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Just because the companies are spending up large on R&D, doesn't mean that they're doing so out of some sort of efforts towards philanthropy. Its because they are planning on making profits that would make your eyes sting out of treatments that are specifically developed so as to allow the affluent 1st world 'health consumer' to continue consuming and pursuing a lifestyle choice that caused their condition in the first place.


It doesn't matter why they are doing it. As I stated above, eventually those drugs become available relatively cheaply to everyone. If they don't make the drugs in the first place, they *never* will. And if they can't profit on them, they wont make them. Surely you can see how this is a bad thing in the long run?

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Thats what happens when you put the healthcare concerns into the hands of private companies who are beholden to shareholders. Profits come before health.


If the entire world had adopted universal health care in 1950, the entire worlds medical technology would be just a smidge past that present in 1950. There is no incentive in a socialized medical system to actually improve the technology or the drugs used in the system. The profit motive which you so abhor is the only reason why a number of cures and treatments available commonly today exist in the first place.


And yes. Socialized medicine countries (especially western ones) benefit enormously from the US *not* having a socialized medical system. If you live in one of those countries, the last thing you want is for the US to adopt the same sort of system you have. I guess I just don't get when critical thinking skills utterly disappeared from the human race?
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#53 Aug 03 2010 at 8:24 PM Rating: Good
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^^^ This!

When the makers of Neurontin could no longer reap in the profits due to generic gabapentin, they went and created Lyrica (pregabalin). It's the first drug marketed for Fibromyalgia, when doctors began to finally recognize it existence. Only after the advertising campaign was successful, did one begin to see it advertise for o nerve pain from diabetes and other illnesses.

I've tried a few of the generics and found that other then one with red dye in it, they work just as well as Neurontin and settle for the most cost effective dose to fill my prescription.

Sure I could try Lyrica, but why waste taxpayers money when the generic of Neurontin works just fine. My doctor also decided on my input, not to become train in it's use for money. He did have other patients that do take Lyrica at the time.

I expect they are fewer in number now, due to fact that the clinic no longer takes private insurance, They just accepting Medicare and Medicaid was necessary, due to fact that the center was being bleed dry by all the paperwork and red tape of private insurers.

edited due to the elnese was so bad, it made me go nuts trying to follow it.

Edited, Aug 3rd 2010 10:27pm by ElneClare
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#54 Aug 03 2010 at 8:35 PM Rating: Good
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Debalic wrote:
Is that part of the "Treatment pays better than cures" argument? I'm not questioning your comments, I"m just curious...


Absolutely.

Theres a lot of money to be made from treating people who are already well.

There has been some interesting studies looking into how for example, sick people in underdeveloped countries tend to present for treatment far less than well people in developed countries. Probably has a lot to do with personal expectations of health.

There has also been some illuminating studies into the way pharmecuetical companies use fear and uncertainty to push their products. For example a sleeping pill called Lunesta ad an ad that went..

Quote:
I’ve got to remember that appointment tomorrow. Did I send the car payment? What made me volunteer for that assignment?

Introducing Lunesta, a sleep aid that can give you and your restless mind the sleep you need.


The truth is that far more money can be made from selling healthcare interventions for the healthy majority than for the sick minority.



And as an addition to the answer that I gave Gbaji and in relation to his assertations that the US is doing all the heavy lifting in the world of healthcare, I would urge him to look at this wich confirms what I was saying.

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a "re-analysis of data" from of new drugs released between 1982 and 2003 "contradicts the claim that US drug firms overtook European firms in pharmaceutical innovation".


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In terms of productivity, measured by the number of new drugs discovered in proportion to funding, Europe shows "greater and increasing research productivity," whilst overall US productivity has declined. He adds that in America in particular, many of the new drugs brought onto the market had little added medical value over existing medications: "In short, commercial success is often distinct from therapeutic importance.


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#55 Aug 03 2010 at 8:39 PM Rating: Decent
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Did you just agree with me Elne? /shocked! ;)

I'm not saying that the private pharma market is perfect, but it's better than if we didn't have one at all. The generics you are using today would not exist if the company hadn't been able to profit from the brand version of the drug in the first place. It can sometimes seem like a painful process, and even "cruel" when you look at new drugs priced out of reach for those who really need them. But if you eliminate that process, those drugs wont exist at all.

An 8-10 year delay before a drug becomes available cheaply is still better (much better!) than not having the drug ever appear.
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#56 Aug 03 2010 at 9:36 PM Rating: Good
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Gbaji wrote:
The profit motive which you so abhor is the only reason why a number of cures and treatments available commonly today exist in the first place.


Screenshot


Oh good.

Edited, Aug 4th 2010 3:45am by paulsol
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#57 Aug 03 2010 at 10:32 PM Rating: Decent
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To my US way of thinking, a single-payer-system (a.k.a. universal healthcare) is where the government is your insurance company. You pay your "premiums" (taxes) to the government, and they pay the doctors and hospitals directly.


Do you really trust the government that much? Really?
#58 Aug 03 2010 at 10:53 PM Rating: Excellent
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gbaji wrote:
Did you just agree with me Elne? /shocked! ;)


No I disagree with you, maybe you should get your eyes checked?

Quote:

I'm not saying that the private pharma market is perfect, but it's better than if we didn't have one at all. The generics you are using today would not exist if the company hadn't been able to profit from the brand version of the drug in the first place. It can sometimes seem like a painful process, and even "cruel" when you look at new drugs priced out of reach for those who really need them. But if you eliminate that process, those drugs wont exist at all.

An 8-10 year delay before a drug becomes available cheaply is still better (much better!) than not having the drug ever appear.


I'm saying the problem is that the pharma industry do not research new drugs unless they think they can profit from it. Lyrica was develop to take advantage of people who like me suffer from something that is shown to affect a large number of people. Laws that have try to promote the development of Orphan drugs for conditions that only affect a few hasn't worked.

See also Paulsol point of generic drug availability for 3th world markets. If it wasn't for the fact that I qualified for SSI, I could never afford the medicines I take now. It's the main reason I am resign to not having a job or getting married to Jonwin.Right now my medicine cost me 14 to 17 dollars a month. Under Jonwin's insurance the same medicines would cost well over $100 on top of over $60 more a month for family plan. His job doesn't pay much more then a living wage for the area, but it's a job he loves and that counts far more then the money he could get working in another field even with his education. Not to mention the cost of classes require to keep a license for teaching or do clinical social work, both which he has degrees in.
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#59 Aug 03 2010 at 11:16 PM Rating: Good
Keylin wrote:
Quote:
To my US way of thinking, a single-payer-system (a.k.a. universal healthcare) is where the government is your insurance company. You pay your "premiums" (taxes) to the government, and they pay the doctors and hospitals directly.


Do you really trust the government that much? Really?


Uh, yes...?

Why wouldn't I? It seems to work everywhere else. We trust the government to provide health care to our veterans. We trust the government to pay it's employees. Why would this be any different...?
#60 Aug 04 2010 at 8:01 AM Rating: Decent
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Quote:

Uh, yes...?

Why wouldn't I? It seems to work everywhere else. We trust the government to provide health care to our veterans. We trust the government to pay it's employees. Why would this be any different...?


Because the government has a rather HORRIBLE record when it comes to doing, well, most anything. There's some truth to the joke that the scariest line anyone can say is, "I'm from the government, and I'm here to help".

#61 Aug 04 2010 at 8:14 AM Rating: Decent
Elne,

Quote:
See also Paulsol point of generic drug availability for 3th world markets. If it wasn't for the fact that I qualified for SSI, I could never afford the medicines I take now.


Because you're f*cking unemployeed you waste of space. It's kind of hard paying for sh*t when you don't work. God I wish liberals understood this.

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It's the main reason I am resign to not having a job or getting married to Jonwin.


Smiley: oyvey

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Right now my medicine cost me 14 to 17 dollars a month. Under Jonwin's insurance the same medicines would cost well over $100 on top of over $60 more a month for family plan.


Only 160$ monthly for medicine. You know that's not a lot of money when you actually have a job.

Quote:
His job doesn't pay much more then a living wage for the area, but it's a job he loves and that counts far more then the money he could get working in another field even with his education. Not to mention the cost of classes require to keep a license for teaching or do clinical social work, both which he has degrees in.



Then he needs to get another job making more money. Pretty f*cking simple if you asked me.

#62 Aug 04 2010 at 8:15 AM Rating: Excellent
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Keylin wrote:
Quote:

Uh, yes...?

Why wouldn't I? It seems to work everywhere else. We trust the government to provide health care to our veterans. We trust the government to pay it's employees. Why would this be any different...?


Because the government has a rather HORRIBLE record when it comes to doing, well, most anything. There's some truth to the joke that the scariest line anyone can say is, "I'm from the government, and I'm here to help".

No difference if it's done through private companies. It just means they fuck you ina different way.
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#63 Aug 04 2010 at 8:25 AM Rating: Decent
Ugly,

There is a difference. We have the power of choice when dealing with private companies.

#64 Aug 04 2010 at 8:29 AM Rating: Excellent
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knoxxsouthy wrote:
Ugly,

There is a difference. We have the power of choice when dealing with private companies.

Holy ****. something sensible from you.

Mind you, that freedom is only there so long as you can afford freedom.
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#65 Aug 04 2010 at 8:38 AM Rating: Good
knoxxsouthy wrote:
Ugly,

There is a difference. We have the power of choice when dealing with private companies.



Not everyone, at least as far as health insurance goes.
#66 Aug 04 2010 at 8:50 AM Rating: Excellent
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knoxxsouthy wrote:
Ugly,

There is a difference. We have the power of choice when dealing with private companies.

Another difference is that in a Private system, each of the following add to the cost by taking their own additional cut of profit:

  • Health Insurance salesmen/brokers
  • Health Insurance Companies
  • Claims Assessors
  • HMOs
  • Hospital providers
  • Pharmacies
  • Pharmaceutical sales force
  • Healthcare Advertising


. . . to name a few.

By the time they've all taken their slice, you've racked up an enormous bill that's disproportionate to the cost of actually treating patients.

This, and the fact that the US healthcare model has double the management costs (as a proportion of total cost) of other 1st world healthcare systems, explains why you pay twice as much money for half as much healthcare.
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#67 Aug 04 2010 at 9:10 AM Rating: Good
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Medical device billings are also pretty hilarious to look at.
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#68 Aug 04 2010 at 9:11 AM Rating: Excellent
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Keylin wrote:
Because the government has a rather HORRIBLE record when it comes to doing, well, most anything.

You really believe this? Or are you thinking of a few select "great examples" and ignoring thousands of things that quietly go along pretty smoothly every day?
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#69 Aug 04 2010 at 9:20 AM Rating: Decent
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I missed the part where Universal Health care had anything at all to do with drugs. We still pay for our drugs up here, private companies still make/sell them here.
#70 Aug 04 2010 at 9:27 AM Rating: Good
ElneClare wrote:
^^^ This!

When the makers of Neurontin could no longer reap in the profits due to generic gabapentin, they went and created Lyrica (pregabalin). It's the first drug marketed for Fibromyalgia, when doctors began to finally recognize it existence. Only after the advertising campaign was successful, did one begin to see it advertise for o nerve pain from diabetes and other illnesses.

I've tried a few of the generics and found that other then one with red dye in it, they work just as well as Neurontin and settle for the most cost effective dose to fill my prescription.

Sure I could try Lyrica, but why waste taxpayers money when the generic of Neurontin works just fine. My doctor also decided on my input, not to become train in it's use for money. He did have other patients that do take Lyrica at the time.

I expect they are fewer in number now, due to fact that the clinic no longer takes private insurance, They just accepting Medicare and Medicaid was necessary, due to fact that the center was being bleed dry by all the paperwork and red tape of private insurers.

edited due to the elnese was so bad, it made me go nuts trying to follow it.

Edited, Aug 3rd 2010 10:27pm by ElneClare


Seems to have some pretty horrific side effects.
#71 Aug 04 2010 at 9:28 AM Rating: Good
Yodabunny wrote:
I missed the part where Universal Health care had anything at all to do with drugs. We still pay for our drugs up here, private companies still make/sell them here.


How does that work...? Down here, there's usually some sort of prescription coverage, and we only pay a co-pay. Generics are usually cheapest, name brand more expensive, and "specialty drugs" even more expensive.

(For example, my plan is generic = $7, name brand = $35, specialty = $50 or something.)
#72 Aug 04 2010 at 9:45 AM Rating: Decent
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Our health care is covered for services (doctors, hospitals, MRIs and any drugs required during said visit), but we still pay for prescription drugs.

It doesn't cover things like massages, or psychologists.

Most companies provide a drug plan, usually opt-in. I pay $5.65 a week to cover all of my prescriptions (I pay absolutely nothing for prescriptions regardless of how many I fill, not even dispensing fee), and all dental work (up to $2500/yr/person for dental). I have a pretty good plan though, most people pay at least the dispensing fee.

#73 Aug 04 2010 at 9:48 AM Rating: Decent
Nobby,

All of those factors combined don't even come close to the cost of forcing healthcare on the populace.


I'd love to see some stats on the number of liberals on pills compared with conservatives. Our liberal govn would never fund this sort of study.

Edited, Aug 4th 2010 11:49am by knoxxsouthy
#74 Aug 04 2010 at 9:49 AM Rating: Good
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There are cases where the government will cover some or all of the cost of the drug, it depends on a lot of factors, including condition, type of drug, how much you make etc.
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#75 Aug 04 2010 at 9:50 AM Rating: Decent
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To add:

Our health care system isn't about paying for Joe to get his tattoo removed, or Jenny's laser eye surgery. It's strictly about keeping people healthy and alive. You can go to the doctor to make sure that cold isn't pneumonia without having to worry about a $200 doctors bill. Jenny can live just fine without 20/20 vision. If you want unnecessary things you pay for them yourself.
#76 Aug 04 2010 at 9:52 AM Rating: Decent
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Sir Xsarus wrote:
There are cases where the government will cover some or all of the cost of the drug, it depends on a lot of factors, including condition, type of drug, how much you make etc.


Yes, in the case of life saving drugs specifically, we don't let people die because they're broke.
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