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US doctors forced to ration as cancer drug shortages hit nationwide

cesces profile image
15 Replies

US doctors forced to ration as cancer drug shortages hit nationwide - BBC NewsHttps://bbc.com/news/world-us-canad...

(1) To what extent is this affecting prostate cancer treatment drugs?

(2) To what extent is this limited to the USA vs an international phenomena?

(3) If just the USA, why? What is the causative mechanism?

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cesces profile image
cesces
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15 Replies
StePeteMN profile image
StePeteMN

Carboplatin is used along with Cabazataxel for treatment of PC. I don't know about other countries. Has to do with new price controls of certain generic drugs. There are good articles in the national papers such as NYT & WSJ.

cesces profile image
cesces in reply toStePeteMN

Even with the price controls USA prices are probably higher than in most other countries. Maybe all other countries.

I bet if you go get medical care in Canada or Germany you can get what you need.

StePeteMN profile image
StePeteMN in reply tocesces

"Even with the price controls USA prices are probably higher than in most other countries. Maybe all other countries."

Tell us more if you have more info. And are you talking about price to the patient? Or cost to the Healthcare provider?

cesces profile image
cesces in reply toStePeteMN

Simple question. Complex answer.

Depends on the healthcare system.

USA is I think a small part of the world. 5%?

But pays over 50% of Pharma revenues.

Mostly because our political system allows pharma to directly bribe our lawmakers. Legally.

Europe is materialy larger than the USA. But pays way way less.

Nothing is free. And ultimately patients pay the entire cost, one way or another.

In the USA patients pay more directly. In the UK and Scandinavian countries the pay less directly.

But we all pay.

But USA patients not only pay for themselves, but also in part for EU patients as well.

Justfor_ profile image
Justfor_

Drop that stupid Maximum Tolerable Dosage and adopt the Minimum Effective one. Everybody will be happy, but the pharma industry that will see their turnover plummeting and docs that they must spend more time with each individual patient's case.

cesces profile image
cesces in reply toJustfor_

I don't think that would affect pharma pricing power. They would just charge more for smaller doses.

Their pricing is unrelated to their costs.

The quickest way to fix it in the USA would be to add 4 more non-ideological justices to the Supreme Court.

lowT163 profile image
lowT163

bad part is it’s the Chinese that are making them in the first place. You trust them?

cesces profile image
cesces in reply tolowT163

Even the proprietary drugs have been outsourced to Chinese and Indians, as well as all the feed stocks.

lowT163 profile image
lowT163 in reply tocesces

worries me. Pretty sure they killed millions of people without a thought. Mixing drugs wrong for someone you hate won’t be a stretch.

cesces profile image
cesces in reply tolowT163

I am pretty sure it is just business.

They will cut corners wherever they can do so without getting caught.

Some will be used locally. Some in other countries.

They don't care.

lowT163 profile image
lowT163 in reply tocesces

I think it’s very important to get production back here

cesanon profile image
cesanon in reply tolowT163

The only route to that I see to that outcome is to both

(A) pack the Federalist Society staffed "Corporations are People" Supreme Court, and

(B) replace about 40-50 Pro-Pharma Pro-Business (mostly Repub) congressmen who are on the Pharma / Business lobbyist dole.

Re-introducing market place competition back into US oligopolistic markets will reduce many other costs in addition to drug costs.

dhccpa profile image
dhccpa

This is one of the most uplifting threads I've seen recently!

Can we talk about mass murder instead? Or was that the point? LOL

cesces profile image
cesces in reply todhccpa

Folks, please don't feed this off topic troll.

Thank you

dhccpa profile image
dhccpa in reply tocesces

Amen

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