Canadians pay 16 to 40 per cent more for drugs than the average of industrialized countries. A national Pharmacare program, as a half-dozen countries already have, would save Canada over $10 billion a year on its $25-billion drug bill. Even other reforms short of a full national program would save billions in administration costs, drug costs (through bulk buying) and eliminated tax subsidies.
This claim is the argument of a report released by the Canadian Centre for Policy Alternatives. Since rising drug prices are one of the main drivers of a health care system said to be headed for unsustainability, shouldn’t we be curious about checking this out?
...
(I)f we can’t even talk about it, we might at least admit the ultimate reason why reasonable drug prices, however delivered, seem so impossible: the control exercised by the pharmaceutical companies that have parlayed a handful of "miracle" drugs into a suffocating — and spectacularly profitable — influence on the economics of medicine.
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It costs less than $100 million (to develop a drug, compared to the $1 billion figure used by big pharma) — the rest is for promotion. Plus, of that $100 million, up to 80 per cent is in fact publicly funded "pure" research. The drug companies take that research and develop the pill. The public pays twice.
Further, up to 80 per cent of new drugs are a long way from miracles. They’re in fact knockoffs of existing drugs — a molecule changed, a new name, and a marketing campaign in the hundreds of millions. Since these knockoffs are tested against placebos, and not against each other, their relative value is really unknown and some may even be harmful. One of the money-saving recommendations of the CCPA report is a national assessment procedure for drugs, so we don’t pay a fortune for glorified Aspirin.
All for ourselves, and nothing for other people, seems, in every age of the world, to have been the vile maxim of the masters of mankind.
Saturday, September 18, 2010
Well said
Ralph Surette points out that the fact that we're paying billions more than we need to for prescription drugs is far from an accident:
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