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Healthcare system essay
Healthcare system essay
Health care system essay example
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Richard Epstein, a senior fellow at Hoover Institution writes, “The Cost of Prescription Drugs Is Justified"(2009), which defends the high cost of pharmaceutical drugs that are seen in today’s market. To start, Epstein acknowledges the widespread belief in America that pharmaceutical drugs cost too much. He discusses the rise of profits in drug companies in comparison to their success on Wall Street citing that companies such as Pfizer have had to cut-costs due to a lack of success in stocks. Then, Epstein focuses on four key ideas that help to explain the high cost. The first idea Epstein explores is the economics involved with drug-making. Drug companies earn most of their profits from one or two highly profitable drugs. The author claims that when generics or …show more content…
over-regulation are allowed, the money for the pharmaceutical companies runs out, hurting the ability to develop new drugs. Then, Epstein focuses on the clinical trials and the cost related to them.
The time and cost it takes to put a drug through the trials as well as the FDA’s regulations make the rarely successful process a huge commitment for these drug companies. Next, the author compares the cost of drugs to the amount of lawsuits the companies receive. There are many risks to mass-producing drugs and with the FDA siding with Public Safety, the author states that drug companies can lose a lot of money. This is because the FDA is not willing to take any risks in approving drugs due to the repercussions being so severe, The final idea the author discusses is the process of research itself. The drug companies revenue is put towards developing new drugs that will help the public. This can be a very costly process which is why a lot of money is needed to support the research. Epstein’s purpose in writing this article is to defend the rising costs of pharmaceutical drugs in order to get people to understand the drug companies point of view and contributions to society. This article can be considered credible because it comes from Opposing Viewpoints in Context. This is a very reliable database for gathering
articles. Also, the author is a member of Hoover Institution, a Stanford affiliated research institution. This makes him a very reliable source as studies from Stanford University are considered to be some of the more thorough and respected in the world. The article also supports its key points with factual evidence that proves each problem hurts drug companies. This is important as it helps to support the author’s point of view that the cost for these drugs makes sense. Although the source is very credible, a possible limitation to this source is that it is written in 2009. While this may seem like an outdated article, it takes a while for FDA regulations to change so the problems described in this article are still prominent today. This allows articles involving the drug approval process to be relevant for a long period of time. I will use this source to show a point of view that supports the cost of these drugs. When talking about the science that explains the cost of drugs, this will be a valuable source as it explains the cost of the drug approval and manufacturing process. The perspective will help to contradict the common belief that drug costs are too high, which will also strengthen my research and paper.
In Melody Peterson’s “Our Daily Meds” , the history of marketing and advertising in the pharmaceutical industry is explored. The first chapter of the book, entitled “Creating disease”, focuses on how major pharmaceutical companies successfully create new ailments that members of the public believe exist. According to Peterson, the success that these drug manufacturers have experienced can be attributed to the malleability of disease, the use of influencial people to promote new drugs, the marketing behind pills, and the use of media outlets.
Dr. John Abramson’s book Overdosed America debunks the myths about the excellence of American medicine. Abramson backs up this claim by closely examining research about medicine, closely examining the unpublished details submitted by drug manufacturers to the FDA, and discovering that the unpublished data does not coincide with the claims made about the safety and effectiveness of commonly used medicines. Abramsons purpose is to point out the flaws of the pharmaceutical industry in order to warn the readers about the credibility of the drugs they are buying. Given the critical yet technical language of the book, Abramson is writing to an audience that may include academic physicians as well as those who want to learn about the corruption of the pharmaceutical industry.
"In the past two decades or so, health care has been commercialized as never before, and professionalism in medicine seems to be giving way to entrepreneurialism," commented Arnold S. Relman, professor of medicine and social medicine at Harvard Medical School (Wekesser 66). This statement may have a great deal of bearing on reality. The tangled knot of insurers, physicians, drug companies, and hospitals that we call our health system are not as unselfish and focused on the patients' needs as people would like to think. Pharmaceutical companies are particularly ruthless, many of them spending millions of dollars per year to convince doctors to prescribe their drugs and to convince consumers that their specific brand of drug is needed in order to cure their ailments. For instance, they may present symptoms that are perfectly harmless, and lead potential citizens to believe that, because of these symptoms, they are "sick" and in need of medication. In some instances, the pharmaceutical industry in the United States misleads both the public and medical professionals by participating in acts of both deceptive marketing practices and bribery, and therefore does not act within the best interests of the consumers.
Direct-to-consumer prescription drug ads are dangerous and can have serious effects on the health of the general public. In the article “Pros & Cons Arguments: ‘Should prescription drugs be advertised directly to consumers?’”, the pros and cons of the advertising of prescription drugs are compared. The negative aspects of these ads outweigh that of the positives. DTC prescription drug ads misinform patients, promote over-usage, and pressure medical providers. The counter side argues that these ads inform patients, create a positive impact on patient compliance with medication, and cause patients to confront their doctors.
Stan Frinkelstein and Peter Temin believes that one solution is to eliminate the link between drug prices and drug discovery. This will help ease the fear of losing research funding for new medicine and by doing so, drug prices should be a lot more reasonable. The next solution they have is to undo the blockbuster mentality and this is closely linked to eliminating the link between drug prices and drug discovery. Blockbuster refers to pharmaceutical companies that achieve an annual worldwide sale of $1 billion or more. They can achieve this because the drugs are used by many patients and/or used for a long period of time. This will solve the drug price crisis because by doing so, researchers can focus more on society’s needs instead of focusing on how to generate more revenue. Their solutions will help researchers develop drugs that society truly
Yu, Winnie and Joel Hay. 1999. “Drug Patents and Prices: Can we Achieve Better Outcomes?” Measuring the Prices of Medical Treatments. Pages 27-28.
Medicare is a social policy many of our seniors look to for their stability when they reach 65
Government factors into the equation of the argument. Critics of the drug industry say that there is not enough regulation, while supporters of the pharmaceutical companies argue that there is too much regulation and that that is one...
There is no doubt that healthcare cost are rising out of control. No one likes the
Martinez, Barbara “Firms Paid to Trim Drug Costs Also Toil for Drug Makers” The Wall Street
With prescription drug prices continually on the rise, especially in recent years, many have posed the question of how to control them. In their article “Why Don’t We Enforce Existing Drug Price Controls? The Unrecognized and Unenforced Reasonable Pricing Requirements Imposed upon Patents Deriving in Whole or in Part from Federally Funded Research,” Peter Arno and Michael Davis address and pose a solution to this long standing and hotly debated issue. The piece is an article published in 2001 as part of a student edited journal from Tulane Law University titled “The Tulane Law Review.” Although written in 2001, the problems addressed in this article hold the same, if not more merit than they did when the article
The rate of death due to prescription drug abuse in the U.S. has escalated 313 percent over the past decade. According to the Congressional Quarterly Transcription’s article "Rep. Joe Pitt Holds a Hearing on Prescription Drug Abuse," opioid prescription drugs were involved in 16,650 overdose-caused deaths in 2010, accounting for more deaths than from overdoses of heroin and cocaine. Prescribed drugs or painkillers sometimes "condemn a patient to lifelong addiction," according to Dr. Tom Frieden, director of the U.S. Centers for Disease Control and Prevention. This problem not only affects the lives of those who overdose but it affects the communities as well due to the convenience of being able to find these items in drug stores and such. Not to mention the fact that the doctors who prescribe these opioids often tend to misuse them as well. Abusing these prescribed drugs can “destroy dreams and abort great destinies," and end the possibility of the abuser to have a positive impact in the community.
Prices continue to increase with no end in sight. Although there are a number of reasons for this trend direct to consumer drug advertising is partially to blame. The American Medical Association has spoken out against drug advertising. Stating that the ads are driving up drug costs by convincing the consumer that the brand name drug is the one they need the most. Doctors feel pressured by patient into prescribing brand name drugs instead of their cheaper counterparts. Brand name drugs cost more than generic drugs. On average brand name drugs cost 80% more than their generic counterparts. Yet patients will often come in and request the band name drug. Insisting that the drug they saw on television is the one they need. Most doctors will give in to the patient’s requests. Patients are needlessly increasing their own medical costs because they incorrectly believe that the drug they saw on TV is safer and more effective. This is not the case. The United States Food and Drug Administration (FDA) require all generic drugs to prove they are identical to their brand name counterparts, even going as far as to have both generic and brand name drugs have the same active ingredients, strength, dosage form, and route of administration. Generic drugs are just as safe and effective as brand name drugs and cost considerably less. Yet patients continue to request overpriced brand name
With the United States being the only country allowing a free market to determine drug prices, it has the potential for some companies to take advantage of it. Other European countries such as Germany, Sweden, France, and the United Kingdom have set government regulations on the prices of drugs and expenditures (Gross, D. J., Ratner, J., Perez, J., & Glavin, S. L.,1994). This set regulation prevents companies from price gouging, and these regulations are also due to their universal prescription drug benefits.“ A recent study by the U.S. Department of Commerce reviewed pricing in 11 OECD (Organization for Economic Cooperation and Development) countries and found that, for patented drugs that were best sellers in the United States, the prices in other OECD countries were 18 to 67 percent less than U.S. prices, depending on the country.”(Sood, N., De Vries, H., Gutierrez, I., Lakdawalla, D., & Goldman, D., 2009). With the United States being the world’s leader is drug development, they are also the world’s leader in drug prices with their free market system (Gross, D. J., Ratner, J., Perez, J., & Glavin, S. L., 1994).
The prices of specialty drugs would be lowered because there would not be several different companies making a drug for a condition that is already being effectively treated. Specialty drug prices are so high, that even doctors and hospitals have a hard time justifying the cost of them to patients, and some are even rejecting drugs. “Sloan-Kettering is not alone in rejecting drugs whose value doesn’t justify their cost. In Arizona, Banner Health last year added an economic review to its clinical appraisal of formulary drugs” (Melanie Evans). Specialty drug prices have become so ridiculous, that Banner Health, “which owns and operates 22 hospitals across seven states,” (Evans) felt it was necessary to add an economic review for specialty drugs. “The system’s economic review uses drug industry and other models as well as internal data to project the economic benefit for a drug, which includes the price and other factors such as potential savings from a medication that prevents hospitalization” (Evans). By using their economic review standards, Banner is able to justify if a specialty drug is worth the cost to the