Skip to content
By using Twitter’s services you agree to our Cookies Use. We and our partners operate globally and use cookies, including for analytics, personalisation, and ads.

This is the legacy version of twitter.com. We will be shutting it down on June 1, 2020. Please switch to a supported browser, or disable the extension which masks your browser. You can see a list of supported browsers in our Help Center.

  • Home Home Home, current page.
  • About

Saved searches

  • Remove
  • In this conversation
    Verified accountProtected Tweets @
Suggested users
  • Verified accountProtected Tweets @
  • Verified accountProtected Tweets @
  • Language: English
    • Bahasa Indonesia
    • Bahasa Melayu
    • Català
    • Čeština
    • Dansk
    • Deutsch
    • English UK
    • Español
    • Filipino
    • Français
    • Hrvatski
    • Italiano
    • Magyar
    • Nederlands
    • Norsk
    • Polski
    • Português
    • Română
    • Slovenčina
    • Suomi
    • Svenska
    • Tiếng Việt
    • Türkçe
    • Ελληνικά
    • Български език
    • Русский
    • Српски
    • Українська мова
    • עִבְרִית
    • العربية
    • فارسی
    • मराठी
    • हिन्दी
    • বাংলা
    • ગુજરાતી
    • தமிழ்
    • ಕನ್ನಡ
    • ภาษาไทย
    • 한국어
    • 日本語
    • 简体中文
    • 繁體中文
  • Have an account? Log in
    Have an account?
    · Forgot password?

    New to Twitter?
    Sign up
s_r_constantin's profile
Sarah Constantin
Sarah Constantin
Sarah Constantin
@s_r_constantin

Tweets

Sarah Constantin

@s_r_constantin

Math/ML/data-science person now working on solving aging...and helping with COVID19?! Founder, LRI and Daphnia Labs. Married to @oscredwin

Be
srconstantin.posthaven.com
Joined February 2019

Tweets

  • © 2020 Twitter
  • About
  • Help Center
  • Terms
  • Privacy policy
  • Imprint
  • Cookies
  • Ads info
Dismiss
Previous
Next

Go to a person's profile

Saved searches

  • Remove
  • In this conversation
    Verified accountProtected Tweets @
Suggested users
  • Verified accountProtected Tweets @
  • Verified accountProtected Tweets @

Promote this Tweet

Block

  • Tweet with a location

    You can add location information to your Tweets, such as your city or precise location, from the web and via third-party applications. You always have the option to delete your Tweet location history. Learn more

    Your lists

    Create a new list


    Under 100 characters, optional

    Privacy

    Copy link to Tweet

    Embed this Tweet

    Embed this Video

    Add this Tweet to your website by copying the code below. Learn more

    Add this video to your website by copying the code below. Learn more

    Hmm, there was a problem reaching the server.

    By embedding Twitter content in your website or app, you are agreeing to the Twitter Developer Agreement and Developer Policy.

    Preview

    Why you're seeing this ad

    Log in to Twitter

    · Forgot password?
    Don't have an account? Sign up »

    Sign up for Twitter

    Not on Twitter? Sign up, tune into the things you care about, and get updates as they happen.

    Sign up
    Have an account? Log in »

    Two-way (sending and receiving) short codes:

    Country Code For customers of
    United States 40404 (any)
    Canada 21212 (any)
    United Kingdom 86444 Vodafone, Orange, 3, O2
    Brazil 40404 Nextel, TIM
    Haiti 40404 Digicel, Voila
    Ireland 51210 Vodafone, O2
    India 53000 Bharti Airtel, Videocon, Reliance
    Indonesia 89887 AXIS, 3, Telkomsel, Indosat, XL Axiata
    Italy 4880804 Wind
    3424486444 Vodafone
    » See SMS short codes for other countries

    Confirmation

     

    Welcome home!

    This timeline is where you’ll spend most of your time, getting instant updates about what matters to you.

    Tweets not working for you?

    Hover over the profile pic and click the Following button to unfollow any account.

    Say a lot with a little

    When you see a Tweet you love, tap the heart — it lets the person who wrote it know you shared the love.

    Spread the word

    The fastest way to share someone else’s Tweet with your followers is with a Retweet. Tap the icon to send it instantly.

    Join the conversation

    Add your thoughts about any Tweet with a Reply. Find a topic you’re passionate about, and jump right in.

    Learn the latest

    Get instant insight into what people are talking about now.

    Get more of what you love

    Follow more accounts to get instant updates about topics you care about.

    Find what's happening

    See the latest conversations about any topic instantly.

    Never miss a Moment

    Catch up instantly on the best stories happening as they unfold.

    1. Sarah Constantin‏ @s_r_constantin 16 Oct 2019
      • Report Tweet
      • Report NetzDG Violation

      Sarah Constantin Retweeted Andrew Clough

      This article gives an average fee of $1M and wait time of 40 months for a manufacturer to be approved to sell a generic drug. And that's just the fee to the FDA -- it doesn't include the cost of running human studies (which can cost tens of millions) or other compliance costs.https://twitter.com/aclough/status/1184486748321189888 …

      Sarah Constantin added,

      Andrew Clough @aclough
      Replying to @s_r_constantin
      It looks like another example of the side effects of the GDUFA, which I wish more people would talk about. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5912081/ … Charging everyone the same fee for being able to produce a drug drove a lot of consolidation and single points of failure.
      1 reply 3 retweets 15 likes
      Show this thread
    2. Sarah Constantin‏ @s_r_constantin 16 Oct 2019
      • Report Tweet
      • Report NetzDG Violation

      The fees, study costs, and fixed costs of compliance (having lawyers and compliance experts on staff, extra documentation, etc) don't scale with the size of the business; a small factory has to pay as much as a large one. So incumbents are favored.

      1 reply 0 retweets 5 likes
      Show this thread
    3. Sarah Constantin‏ @s_r_constantin 16 Oct 2019
      • Report Tweet
      • Report NetzDG Violation

      But the biggest incumbents are pharma companies, which make most of their money on patented blockbuster drugs, and are prone to discontinue production of generics, as Teva just did for vincristine. Without new generics companies to pick up the slack, patients are screwed.

      1 reply 0 retweets 6 likes
      Show this thread
    4. Sarah Constantin‏ @s_r_constantin 16 Oct 2019
      • Report Tweet
      • Report NetzDG Violation

      Honestly, this is an opportunity for some company to pull an Uber and just flagrantly violate the law while rapidly becoming so popular with consumers that the FDA can't afford the public outcry of shutting you down.

      2 replies 1 retweet 12 likes
      Show this thread
    5. halvorz ¯\_(ツ)_/¯‏ @halvorz 16 Oct 2019
      • Report Tweet
      • Report NetzDG Violation
      Replying to @s_r_constantin

      highly doubt people are gonna be willing to buy non-FDA approved generic drugs direct from a supplier en masse; certainly not prescription drugs which are presumably the main issue and pharmacies won't touch that with a 100 foot pole

      1 reply 0 retweets 2 likes
    6. Sarah Constantin‏ @s_r_constantin 16 Oct 2019
      • Report Tweet
      • Report NetzDG Violation
      Replying to @halvorz

      No, I was thinking something like PillPack (or maybe literally PillPack, I dunno!) @The_Lagrangian can neither confirm nor deny, I'm sure.

      1 reply 0 retweets 2 likes
    7. halvorz ¯\_(ツ)_/¯‏ @halvorz 16 Oct 2019
      • Report Tweet
      • Report NetzDG Violation
      Replying to @s_r_constantin @The_Lagrangian

      but PillPack doesn't make drugs? maybe I'm misreading your proposal

      1 reply 0 retweets 0 likes
    8. Sarah Constantin‏ @s_r_constantin 16 Oct 2019
      • Report Tweet
      • Report NetzDG Violation
      Replying to @halvorz @The_Lagrangian

      No, PillPack is the pharmacy that sells the drugs. There are plenty of cheap generic drug manufacturers in China and India; the reason people don't all use them is a.) low trust (they might sell you adulterated drugs), and b.) poor distribution channels

      1 reply 0 retweets 3 likes
      Sarah Constantin‏ @s_r_constantin 16 Oct 2019
      • Report Tweet
      • Report NetzDG Violation
      Replying to @s_r_constantin @halvorz @The_Lagrangian

      (Grandma's not on the Dark Web, she doesn't know how to get shady off-brand meds.) An online pharmacy that invests heavily enough in customer acquisition that health plans have it as a default, can do both the quality control and distribution. And improve customer experience!

      9:15 AM - 16 Oct 2019
      • 2 Likes
      • ian hines halvorz ¯\_(ツ)_/¯
      2 replies 0 retweets 2 likes
        1. New conversation
        2. Sarah Constantin‏ @s_r_constantin 16 Oct 2019
          • Report Tweet
          • Report NetzDG Violation
          Replying to @s_r_constantin @halvorz @The_Lagrangian

          https://www.cnbc.com/2019/05/10/why-amazon-bought-pillpack-for-753-million-and-what-happens-next.html … PillPack sounds like it might be in a position to replace pharmacy benefit managers -- the handful of middlemen between the pharmacies & insurers -- by building its own billing software. Not sure how this plays in but it could be helpful.

          1 reply 0 retweets 2 likes
        3. Adam Strandberg‏ @The_Lagrangian 16 Oct 2019
          • Report Tweet
          • Report NetzDG Violation
          Replying to @s_r_constantin @halvorz

          the hilarious thing about PBMs was that they were originally introduced as a price control measure, and immediately became a purely evil bureaucratic layer

          0 replies 0 retweets 4 likes
        4. End of conversation
        1. halvorz ¯\_(ツ)_/¯‏ @halvorz 16 Oct 2019
          • Report Tweet
          • Report NetzDG Violation
          Replying to @s_r_constantin @The_Lagrangian

          ahh, I see, a generic import service still don't see that flying with prescription drugs

          0 replies 0 retweets 1 like
          Thanks. Twitter will use this to make your timeline better. Undo
          Undo

      Loading seems to be taking a while.

      Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.

        Promoted Tweet

        false

        • © 2020 Twitter
        • About
        • Help Center
        • Terms
        • Privacy policy
        • Imprint
        • Cookies
        • Ads info