© 2010

© 2010
The Journey ahead is about all of us.

Saturday, September 26, 2015

Pharmaceutical Companies and Pricing of Drugs, Among Other Things

Recently, my doctor gave me a couple of samples of time-release Naprosin with an added ingredient to offset stomach upset.  Naprosin has been around for years and is used to treat pain from arthritis and similar conditions.  The drug my doctor prescribed is called Vumovo.

You may recall last week that the media was abuzz with the outrageous pricing of a drug called Daraprim. Its bold, new owner had raised the price from $13 to over $700 dollars a pill.  One of the articles regarding this story included a list of other drugs with a similar histories (but no outright media frenzy).

Yes, you guessed it.  At the bottom of the list was Vumovo.  This drug once retailed for $200/60 pills, until the pharmaceutical company decided to raise it to $1683/60 pills.  Had I not seen the article, I would have asked my doctor to order a prescription.  Of course I would have refused to pay for it at the counter and the pharmacy would be left to restock it.

When I mentioned this situation to a friend, she asked:  "Isn't it illegal?  And I said, no!"  Diabetes, pain meds, tuberculosis, cancer, and antipsychoic meds are but a few of the drugs/treatments that companies overprice.

At its new price, Daraprim would cost about $252,000 a year for 360 pills.  Vumovo, $10,098 for 360 pills. I know of at least one instance when a single Chemo treatment cost $100,000.  Pharmaceutical companies do these things because they can--get away with it.

I have since asked my physician for an alternative to Vumovo and she has provided it, being none-to-pleased with the drug company herself.  I now take two pills instead of one.  A ninety-day supply of both drugs is $20/180 pills.  Over a year that's $80.

What troubles me most is that this travesty of humanity is but one instance of the insanity of greed, and that we, the consumer, often feel no recourse to complain.  Not everyone can switch to another drug.  Not everyone can say "I just won't take it."  For many, the drug is an absolute necessity.  Diabetics, people with cancer, mental illness, and drug resistant TB for instance.

Over the years we humans have lost control of our very lives.  Lost control because we didn't see it happening until it was too late.

Government takes our hard earned money and spends it willy-nilly.  If we refuse to pay taxes in protest, the IRS comes after us.  It's not a pretty scene.  They don't let up and they have a LOT of power to say--freeze your assets or empty your bank account.

Those who attend big sports events are very familiar with "event parking".  Here, price gouging is raised to an art form.  Want to go to the game?  Pay the going rate. The defenders call it the result of "limited" parking. That's nonsense. The same amount of spaces exist event or no event.  It's just a way to make a bundle of money at the expense of the sports fan who needs a place to put his/her car.

Movie theaters have for eons overcharged on snacks and drinks.  We pay.  Our blood pressure may rise twenty points, but we pay.

Recently it cost a relative of mine $30 to have a taillight changed.

A few weeks ago the labor to cut and lay tile down and remove the old tile was quoted at $4,000.  This in a 1500 sq ft house, the area being tiled about 150 sq feet.

And last, but not least, I have gluten intolerance.  A couple of months ago I went out to breakfast and ordered gluten free toast.  When the bill came, the toast was $6/2 slices.

A loaf of gluten free bread is about $6.  It has about 14 slices of bread.  Three dollars times 14 slices equals $42.  Instead of a tip, I left a note protesting the cost.  Here the server got penalized.

I don't always stand up for my rights, but of late I've done more standing and less sitting on my hands.

The world in which we live (a common theme with me) is created by us, you and me.  While we have been hoodwinked by corporations and government, that doesn't mean we have to take it.

In a capitalist society the pocketbook talks.  Speak up, not by shouting or throwing things, or loosing your temper.  Speak boldly, succinctly and proudly, but speak, as much as you can and as often as you can.  Go to places that are fair to their customers and their employees.  Buy products that are fairly priced.  Ask for alternatives to price-gouging drugs whenever possible.  Just because your insurance may pick up the tab doesn't make it right.  Someone else will pay for it down the line.  Eventually your insurance rates will rise.

The cost of living is over the heads of millions.  The great Titanic sank because one too many watertight compartments split open.  America is the richest country in the world  China is next.  The latter is struggling to hold its economy together, but there may not be enough lifeboats, as with the Titanic.  The former is about 18 trillion of dollars in debt and about to raise its debt limit.   Who will pay it back?  Your grandchildren!

There are more part-time and poorly paid jobs in America than ever before and, overall, there are fewer jobs.  Job security it non-existent, even in government.  More than one state teeters on bankruptcy.

We are one watertight compartment from sinking.  If you don't believe me, look at congress and its inability to get anything done.

You and me, folks!  You and me.





Thursday, September 3, 2015

JUST BECAUSE WE CAN ...

Over the past couple of months I have heard comments regarding the future of certain technologies that will deeply impact the world in which we live.  The first are Robots, which can, and already are, replacing or assisting humans in a wide variety of tasks.  The second are driverless cars. Which are in the test mode as we speak.  Thirdly, the ability to clone a sheep is but one step away from cloning Us. Choosing the "perfect" human being without its attendant foibles and predispositions toward lethal or debilitating maladies.

The human mind is infinite in its ability to think up and then figure out how to put each thought into motion.  If it makes a lot of money, all the more reason to move on to development and sale.  Right?

This Blog is about human genius pitted against what is best for humanity today and generations to come.

JUST BECAUSE WE CAN...should we?  JUST BECAUSE WE CAN...must we?

The Robot, it has been predicted, will eventually do the menial jobs.  The lifting and toting, the repetitive jobs, the "labor" jobs.  Millions of Americans make a living at these jobs right now, but in the future, say the "futurists", these same individuals will have to reinvent themselves.  Maybe become  entrepreneurs who "invent two or three jobs" to put bread on the table.  "Entrepreneurs" because there will not be enough jobs to go around.

Driverless cars can enable the blind and disabled to "drive" from point A to point B.  They can deliver packages and food and every other manner of goods to far flung areas.  Thus eliminating the need for long-distance truck drivers.  Of course these driverless semis will be met by Robots at the other end, thus solving the problem of who will unload the freight.

As for cloning, wouldn't the world be better if we could genetically manage it's progeny.  Do away with disease, evil acts, and the undesirable?

I'd  like to think that our first considerations when inventing and then selling a new idea or product would be:  How will they impact my children and my childrens' children?  Will they make life better, safer, happier, more secure?  Will elimination of jobs create more poverty, more dis-ease, more war?  Will driverless cars further overburden our roads and highways, which are falling apart daily from overuse.

Will we ever be able to clone the perfect human?  What is the perfect human anyway?  And who gets to decide?  The cloners?  Do you we really want to live in a Stepford world?

Yes, Robots  might be useful in performing tasks humans no longer want to do, but shouldn't those same humans be the ones to decide, not the one who invents the possibility?

As for driverless cars.  Wouldn't it be better to devise ways to move people from A to B to C in mass transportation instead, and reduce cars and their attendant pollution?

The bottom line is, JUST BECAUSE WE CAN, does not mean it is wise or  humane; it just means we can.  Humans created the Bomb because they couldn't resist doing so.  Then we dropped it on Nagasaki and Hiroshima.  Thousands of innocents died ignominious deaths.  We haven't dropped a bomb since.  We dropped it because we could.  Now we have 16,000 nuclear weapons worldwide--just because we can.

Today's children are growing up in a world that is moving at warp speed.  Immediate gratification is a near reality with I-Phones and the Internet.  Games are played on handheld devices instead of in the backyard.  XBox has replaced outdoor basketball and baseball.

Technology is here to stay.  It arrived with the printing press and has accelerated humankind's ability to do and know beyond any cave dwellers wildest imagination.  In turn, no one can deny that technology has its place, but every invention, no matter how unique, must be approached with caution.

JUST BECAUSE WE CAN does not mean we will, or, more importantly, that we should!