@paulg Chris Rock'99:"Ain't no money in the cure, the money's in the medicine.that's how a drug dealer makes his money, on the comeback."
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@paulg@JonathanGiorgis Because we pay healthcare on a service, not outcome basis. No mechanism to value life expectancy gains right now.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@paulg You may find#opensourcepharma.net interesting then. Attempting to launch alternative drug dev pipeline to Big Pharma.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@paulg Just a small piece of a larger problem: Treatment over prevention. Many chronic conditions are highly preventable.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@paulg also in the medical realm, encouraging longevity rather than quality of lifeThanks. Twitter will use this to make your timeline better. UndoUndo
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@paulg that is, if it costs millions and billions to simply pass FDA, you really need to sell it well.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@paulg New vaccines are not protected enough by patents for a real market to exist.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@paulg There are vaccines and treatments in any segment. Good design is a vaccine; customer support is a treatment.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@paulg Though if you're a biotech startup with nothing to lose, finding a successful vaccine is pretty sweet too...Thanks. Twitter will use this to make your timeline better. UndoUndo
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@paulg that's because drug and healthcare markets are overregulated and they simply need to find ways to make more money.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@paulg And thus the challenge of Sovaldi—they get hammered for developing and pricing a cure versus a perpetual treatment.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@paulg On the buy side, also why health ins. is a mess: "Profit" and "Health" not necessarily aligned. If cheaper to deny a claim...well... - 1 more reply
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@paulg a typical pattern: regulate something, get an undesired side effect, blame the free market - 1 more reply
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@paulg do you think this would be different if the barriers to entry for medicine were lower? -
@jbackus3 pretty sure he's using that as an analogy -
@jbackus3 though maybe you were also using medicine as an analogy -
@jbackus3 ha, I take that back, my bad -
@chrisbarber No problem. To be honest, I wasn't even sure if it was an analogy.
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