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View Diary: US Health Care Unmasked: A true story (122 comments)

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  •  So long as Big Pharma (17+ / 0-)

    controls health care delivery in this country (and they do), doctors will still get their kickbacks for prescribing expensive medications that have generic or even over the counter alternatives that work as well. For instance, aspirin instead of a thousand-dollar bottle of blood thinners.

    If we were to create a universal single-payer system that negotiates the price of medications to the level of, say, Canada, Big Pharma would not be able to reap tremendous profits off of compounds largely created and tested by public universities and their associated hospitals/clinics, financed by public money.

    Poor babies.

    •  And we should not allow ... (20+ / 0-)

      ... direct to consumer marketing of drugs.  I'd love to know how many of the television commercials we're inundated with in a 24 hour period are for one pharmaceutical or another.  The European Union does not allow this.

    •  The other part of this equation is... (6+ / 0-)

      How drugs are developed, patented and released to the market has to be improved.

      Right now, all a new drug as to do is prove that it is a unique chemical composition and it is better than a sugar pill and it can be patented and marketed to doctors at whatever price they want.  They do not have to prove that it is better than an aspirin or better than the current leading treatment.  Doctors cannot possibly be expected to keep up with the hundreds if not thousands of news drugs put on the market every year so they get trained by the very same drug companies in which drugs to use.  Additionally, most of the watchdogs in the FDA moonlight for the drug companies and you have quite a few conflicts of interest at hand.

      The fix is simple:
      1.) Allow our government to negotiate prices with pharmaceutical companies.
      2.) Make new drug patent applicants test their drugs against the current most popular treatment.
      3.) Create a government "Best Practices" board that makes recommendations and provides training for doctors on advised pharmaceuticals based strictly on performance data.
      4.) Eliminate conflicts of interest in the FDA by outlawing part time jobs with pharmaceutical companies and replacing the revenue by offering bonuses for discovering law violations.

      "Perhaps the sentiments contained in the following pages, are not YET sufficiently fashionable to procure them general favour..."

      by Buckeye Nut Schell on Mon Dec 10, 2012 at 09:14:18 AM PST

      [ Parent ]

    •  Joieau - paying physicians "kickbacks" (0+ / 0-)

      for prescribing a specific drug is a federal crime. The practice of providing incentives for physicians to prescribe specific drugs was outlawed a very long time ago.

      "let's talk about that"

      by VClib on Tue Dec 11, 2012 at 01:36:50 AM PST

      [ Parent ]

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