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Old 01-23-2019, 08:35 AM
 
23,988 posts, read 15,086,618 times
Reputation: 12957

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Quote:
Originally Posted by moneill View Post
Why do 'we' have to do anything.

Pharmaceuticals make substantial profits. They spend more money on marketing then R & D. Cut the marketing bull and they can charge less. Their R & D is often assisted by public and private research/........

They don't want to be in the business then get out.


I'll vote for that.
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Old 01-23-2019, 08:41 AM
 
Location: OH->FL->NJ
17,005 posts, read 12,597,924 times
Reputation: 8925
Quote:
Originally Posted by J746NEW View Post
Load up their governments with a bunch of pharma lobbyists to purchase politicians like we do in this country.
Not really though.
Winner winner chicken dinner.

Google Billy Tauzin. The US is already corporate owned.

A law that would help would simply read:

The price charged for any medicine shall not be higher than the median charged in UK, canada, Germany, Australia, Netherlands.

This would help for a year or two until the companies slightly reformulated the drug then called it something else.

Big pharma makes the military industrial complex look like choirboys.
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Old 01-23-2019, 08:51 AM
 
45,231 posts, read 26,450,499 times
Reputation: 24988
Quote:
Originally Posted by moneill View Post
Why do 'we' have to do anything.

Pharmaceuticals make substantial profits. They spend more money on marketing then R & D. Cut the marketing bull and they can charge less. Their R & D is often assisted by public and private research/........

They don't want to be in the business then get out.
because "we" are the end user. Wouldn't you rather have firms competing for your dollar than the cronyism that exists now? Who is better at looking out for your dollar, you or your congressman?
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Old 01-23-2019, 08:52 AM
 
Location: Haiku
7,132 posts, read 4,769,652 times
Reputation: 10327
Quote:
Originally Posted by crone View Post
It has been well documented that the drug companies spend more on advertising than they do on R&D.
Just to put the above statement into context. Apple spends less than 3% of its revenue on R&D. Microsoft is the leader of R&D spending in the computer biz, at 13%. The Pharma industry average for R&D is 21%.

The average spent on sales/marketing in computer biz is about 20%, way more than what they spend on R&D. The average spent on sales/marketing in Pharma is close to 30%.

Spending more on marketing than on R&D is not that unusual across all of high tech, and Pharma is spending proportionally more on R&D than is, for instance, Apple.

I personally think direct marketing to consumers by Pharma should end. But the bulk of their advertising budget is aimed at doctors, not consumers, so that wouldn't change the fact that Pharma spends more on marketing than R&D.

As to the issue of tax payers subsidizing drug development - this happens but there are licensing agreements between the US labs and the Pharma companies that turn the work-product of a US lab into a drug. Tax payers are compensated for the R&D done in a US lab, but generally not by much. The fault there is that the labs are not negotiating better terms with Pharma.
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Old 01-23-2019, 08:53 AM
 
45,231 posts, read 26,450,499 times
Reputation: 24988
Quote:
Originally Posted by ottomobeale View Post
Winner winner chicken dinner.

Google Billy Tauzin. The US is already corporate owned.

A law that would help would simply read:

The price charged for any medicine shall not be higher than the median charged in UK, canada, Germany, Australia, Netherlands.

This would help for a year or two until the companies slightly reformulated the drug then called it something else.

Big pharma makes the military industrial complex look like choirboys.
But rather than address why that it is, we can just expect the same players to do an about face and change it to benefit us?
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Old 01-23-2019, 10:04 AM
 
20,955 posts, read 8,678,698 times
Reputation: 14050
Quote:
Originally Posted by TwoByFour View Post
Just to put the above statement into context. Apple spends less than 3% of its revenue on R&D. Microsoft is the leader of R&D spending in the computer biz, at 13%. The Pharma industry average for R&D is 21%.

The average spent on sales/marketing in computer biz is about 20%, way more than what they spend on R&D. The average spent on sales/marketing in Pharma is close to 30%.

Spending more on marketing than on R&D is not that unusual across all of high tech, and Pharma is spending proportionally more on R&D than is, for instance, Apple.
.
Errors of omission - which I assume were intentional.

Apple spends about 7% on Marketing. You lead people to believe AVERAGE is 20%.....

Comparing industries such as this doesn't work out well. It costs Apple almost $400 to make a phone that sells for $1100 or $1200 retail (minus cc fees, wholesale discounts, etc.).

It often costs Pharma $2 to make an off-patent month supply that sells for $20-$1000+

As far as R&D, there are other factors at work. A company like Apple is mostly engaged in continued evolution of the same basic products. They don't "throw away" most of their R&D like Pharma has to. In other words, Pharma is mostly in the business of selling "R&D". whereas Apple sells hardware and services. The Generic drug biz is really more like the vitamin or supplement business - whoever has the faster machines for producing and packing and whoever has the best sales force will probably get a lot of the sale.

But back to the OP. In general Americans pay about double the cost of health care....with the same or more negative results. This is 100% PROFIT driven and has nothing to do with us paying for anyone else.

This talking point mirrors the "we defend the world" one....both are injected into our thought stream by the forces (companies) that make TRILLIONS off of the services provided.

Would anyone ever expect Boeing to inject a talking point saying "We've proven that all of our war machines have cost the American taxpayers vastly more than even they are paying due to destablization of most of the world"? Nope!

They spread "We are paying for defending those dang Germans"....
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Old 01-23-2019, 10:26 AM
 
Location: London
12,275 posts, read 7,142,126 times
Reputation: 13661
What would go a long way is banning the advertising of prescription drugs directly to the consumer. Among the entire world, only the US and New Zealand allow direct-to-consumer advertising, which is an enormous part of the pharma industry's costs.

And the government of New Zealand actually negotiates affordable drug prices for their people, leaving Americans as the only ones stuck signing drug companies blank cheques.
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Old 01-23-2019, 10:32 AM
 
Location: OH->FL->NJ
17,005 posts, read 12,597,924 times
Reputation: 8925
Quote:
Originally Posted by Frank DeForrest View Post
But rather than address why that it is, we can just expect the same players to do an about face and change it to benefit us?
Of course not. Big Pharma is as Crony as it gets. Add in a large dose of monopolistic practices.

As I said. They would just reformulate slightly and pull the old, likely increasing the price for their bother of having to reformulate.
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Old 01-23-2019, 01:53 PM
 
Location: Texas
37,949 posts, read 17,875,145 times
Reputation: 10371
Quote:
Originally Posted by craigiri View Post
Errors of omission - which I assume were intentional.

Apple spends about 7% on Marketing. You lead people to believe AVERAGE is 20%.....

Comparing industries such as this doesn't work out well. It costs Apple almost $400 to make a phone that sells for $1100 or $1200 retail (minus cc fees, wholesale discounts, etc.).

It often costs Pharma $2 to make an off-patent month supply that sells for $20-$1000+

As far as R&D, there are other factors at work. A company like Apple is mostly engaged in continued evolution of the same basic products. They don't "throw away" most of their R&D like Pharma has to. In other words, Pharma is mostly in the business of selling "R&D". whereas Apple sells hardware and services. The Generic drug biz is really more like the vitamin or supplement business - whoever has the faster machines for producing and packing and whoever has the best sales force will probably get a lot of the sale.

But back to the OP. In general Americans pay about double the cost of health care....with the same or more negative results. This is 100% PROFIT driven and has nothing to do with us paying for anyone else.

This talking point mirrors the "we defend the world" one....both are injected into our thought stream by the forces (companies) that make TRILLIONS off of the services provided.

Would anyone ever expect Boeing to inject a talking point saying "We've proven that all of our war machines have cost the American taxpayers vastly more than even they are paying due to destablization of most of the world"? Nope!

They spread "We are paying for defending those dang Germans"....
25-30% of hospital costs are administrative.

A widely cited study published in The New England Journal of Medicine used data from 1999 to estimate that about 30 percent of American health care expenditures were the result of administration, about twice what it is in Canada. If the figures hold today, they mean that out of the average of about $19,000 that U.S. workers and their employers pay for family coverage each year, $5,700 goes toward administrative costs.

By one estimate, for every 10 physicians providing care, almost seven additional people are engaged in billing-related activities.

It is no surprise then that a majority of American doctors say that generating bills and collecting payments is a major problem. Canadian practices spend only 27 percent of what U.S. ones do on dealing with payers like Medicare or private insurers.


https://www.nytimes.com/2018/07/16/u...h-care-us.html
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Old 01-23-2019, 02:15 PM
 
Location: Barrington
63,919 posts, read 46,758,281 times
Reputation: 20674
Quote:
Originally Posted by Toyman at Jewel Lake View Post

Now, the question is-how do we get the rest of the world to help bear the costs of developing these lifesaving treatments?
Who is “we”?

Seems to me medications cost whatever a market will pay.

With the exception of NZ, no other countries allow medications to be marketed directly to consumers.

No other country prescribes medications to the extent that occurs in the US, especially opioids.
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