Dr Gawande- 1st, I want to thank you for your work- I am a hospice nurse & your writing is very important in my field. But I disagree about drug prices. The US pays higher prices for many drugs because the pharmaceutical companies are allowed to charge high prices. For years>>
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we have been told it's the cost of research & development. Pharmaceutical companies pay out as much or more for lobbying & advertising as they for R&D. Other countries don't allow that. And lobbying buys them favorable patent laws/decisions so that extensions are given so >>
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generics can't be made. I may be mistaken on this, but I believe Medicare is not allowed to negotiate lower drug prices. That's the government shooting itself in the foot as a favor to pharmaceutical companies. Don't misunderstand- they do outstanding work. They make miracle>>
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drugs. But how many millions does a CEO need every year? Lobbying & advertising needs to stop so that a homeless Hep C pt can get treatment, because at 10k/mo he can't afford to be cured now. Parents with children who are ill & insurance says medicine is experimental don't >>
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have to sell their house, mortgage their future or watch their child die. Yes, drug prices in the US are out of control because the pharmaceutical lobbying industry is out of control
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This argument works if health insurance was guaranteed in this country. It's not. At all. So even with insurance, we face list prices instantly upon any major life change. Not a way to live, in the wealthiest country on earth. Just because I was dxd with Type 1 at age 14.
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This statement has no data! Maybe there were no huge increases LAST YEAR, but the prior 10 years were unacceptable! Maybe people raising hell is helping! Keep up the good work!
#Insulin4all#MedicareForAll
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These are small increases from already very high rates. Also, if you look at some areas, like cancer drugs, the prices really are out of control and some of the patents are ridiculous.
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Drug prices aren't out of control? Please enlighten your audience on prices in comparison to other nations. I can if you would prefer.
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Depends on the drug. One 40ml shot of Humira is approximately $2500. I met my $3k deductible the second week of January.
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And don’t forget all the hoops that insurance companies must make patients and physicians jump through to get their necessary meds covered!
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I think that goes to the prior comment of necessity is the mother of invention. Insurers have to do that since MDs can't easily access any transparent pricing info. So we've invented a very dysfunctional system. http://jrreport.wordandbrown.com/2018/02/01/as-states-target-high-drug-prices-pharma-targets-state-lawmakers/ …
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Before(if ever) liver transplant, Xifaxin is $700.00/month - with insurance. Very hard on this population, only other choice is dreaded Lactulose.
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As long as the supply of capital isn't constrained the HC prices won't come down and waste will not be effectively controlled.
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Necessity is the mother of innovation and if there isn't a bottomless bucket of capital to pay for these drugs and services then society will figure out a more effective and efficient way to solve the problem without stifling medical innovation.
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