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EpiPen Price Rise Sparks Concern for Allergy Sufferers

well.blogs.nytimes.com

281–290 of 367 posts

Re: EpiPen Price Rise Sparks Concern for Allergy Sufferers

#281

Earlier quoted context omitted.

It is possible that both can be true. The price for medicine is cheaper because you have a single entity, the NHS, negotiating for a large group of people. On the the other hand, it is possible that we subsidize the development of new medicine to an extent. An epipen would otherwise exist regardless because it is a requirement for many people. More advanced medicine that requires a large capital investment for resear…

> The price for medicine is cheaper because you have a single entity, the NHS, negotiating for a large group of people. Wellpoint and its subsidiaries insure more than 70 million people, which is slightly more than the current population of the UK. https://www.thebalance.com/the-big-five-health-insurance-com...

You can be sure that Wellpoint has also negotiated a good rate on Epi-pens. This price-gouging affects people who don't have prescription drug coverage or those who are enrolled in HSA plans that force you to pay for the first few thousand dollars worth of prescriptions at retail prices. And there are a lot of people being funnelled into HSAs by their employers.

Re: EpiPen Price Rise Sparks Concern for Allergy Sufferers

#282

Someone might reasonably wonder why a federal task force is required to investigate "price gouging" for an item that contains under $10 of materials and is not mechanically complex. Why wouldn't an entrepreneur simply introduce a competing epi-pen design and bring it to market for $300 (for example) and undercut the price being charged by Mylan? We're told to hate the Martin Shkrelis of the world, and to resend the M…

The government has created a moat for the current pen through regulation, particularly the extensive testing needed to bring it to market as a medical device whom people's lives depend on it delivering the right dosage with a low failure rate. This creates something of a small granted monopoly. It makes sense for the government to step in when something goes wrong. There are lots of theoretical arguments for a freer…

Seems to me that less testing is necessary for an established product.

Are there patents involved?

Re: EpiPen Price Rise Sparks Concern for Allergy Sufferers

#283
post #253

Earlier quoted context omitted.

So, we have: - Seizing companies literally run by criminal organizations. - A single time during war when companies were nationalized, and which was then ruled "an unconstitutional abuse of presidential power". - A bailout of the shareholders and creditors of failed companies. The only relevant one seems to be the second, and the outcome in the courts doesn't sound promising.

You misread the WWII example which was considered completely ok. In different war: "In 1952, President Harry Truman seized 88 steel mills across the country, asserting that unyielding owners were determined to provoke an industry-wide strike that would cripple the Korean War effort. That forced nationalization did not last long, since the Supreme Court ruled 6-2 the action an unconstitutional abuse of presidential po…

Consider myself properly chided. Still, I don't think the case was "considered completely ok". From what I can tell from newspapers of the time, the case was dismissed when the governmental occupation ended.

Re: EpiPen Price Rise Sparks Concern for Allergy Sufferers

#284

Someone might reasonably wonder why a federal task force is required to investigate "price gouging" for an item that contains under $10 of materials and is not mechanically complex. Why wouldn't an entrepreneur simply introduce a competing epi-pen design and bring it to market for $300 (for example) and undercut the price being charged by Mylan? We're told to hate the Martin Shkrelis of the world, and to resend the M…

There's a $150 alternative available.

http://www.goodrx.com/adrenaclick

Re: EpiPen Price Rise Sparks Concern for Allergy Sufferers

#285

Earlier quoted context omitted.

The government has created a moat for the current pen through regulation, particularly the extensive testing needed to bring it to market as a medical device whom people's lives depend on it delivering the right dosage with a low failure rate. This creates something of a small granted monopoly. It makes sense for the government to step in when something goes wrong. There are lots of theoretical arguments for a freer…

Seems to me that less testing is necessary for an established product. Are there patents involved?

Sure, any company wishing to enter the market can use the expired patent as a reference.

Re: EpiPen Price Rise Sparks Concern for Allergy Sufferers

#287

Someone might reasonably wonder why a federal task force is required to investigate "price gouging" for an item that contains under $10 of materials and is not mechanically complex. Why wouldn't an entrepreneur simply introduce a competing epi-pen design and bring it to market for $300 (for example) and undercut the price being charged by Mylan? We're told to hate the Martin Shkrelis of the world, and to resend the M…

For anyone as confused as I was, I'm presuming that, Michael Skakels=Martin Shkreli?

My understanding as well, though it took a moment.

Re: EpiPen Price Rise Sparks Concern for Allergy Sufferers

#288

Earlier quoted context omitted.

The government has created a moat for the current pen through regulation, particularly the extensive testing needed to bring it to market as a medical device whom people's lives depend on it delivering the right dosage with a low failure rate. This creates something of a small granted monopoly. It makes sense for the government to step in when something goes wrong. There are lots of theoretical arguments for a freer…

Seems to me that less testing is necessary for an established product. Are there patents involved?

https://www.google.com/patents/US20050273054

Re: EpiPen Price Rise Sparks Concern for Allergy Sufferers

#289

Earlier quoted context omitted.

Well the cheaper and more effective solution would be to carry around a syringe and a small bottle of epinephrine.

That makes too much sence for the FDA, AMA lobby, big pharma, and very entity/persons that makes a killing off health care. As to the simplicity the EpiPen, I once used it, and under stress didn't do it right. When I was younger I was very interested in medicine. In college finished all pre-med courses. Interned at a Coroner's office, etc. Even spent some time in med school. Very familiar with giving a subdermal inje…

It's recommended to seek medical attention immediately after using any epinephrine injection.

There's a pretty fair chance that you driving your living father home from the emergency room is evidence of the injection working.

Re: EpiPen Price Rise Sparks Concern for Allergy Sufferers

#290

Earlier quoted context omitted.

Sure... but then there is the problem of the end user. Is there 3D printer correctly calibrated? will miscalibration effect its end use? how can you test to make sure the printed design is working as intended? Can the printed plastic withstand direct sunlight for days on end? Some printed plastics become brittle over time in sunlight (PLA for instance).

When the difference is $1 vs $600, I think a lot of people would be willing to take that risk, especially for something that is basically an unexpected expense; I doubt any allergic people are getting stung by bees on purpose. Most people I know couldn't handle a sudden $600 expense like a car repair without help from someone like their parents (I'm mid-20s living in JP).

> When the difference is $1 vs $600, I think a lot of people would be willing to take that risk, especially for something that is basically an unexpected expense; I doubt any allergic people are getting stung by bees on purpose.

What probabilities are you assigning to needing the printed epipen to survive, and to it functioning correctly, such that it's worth that risk?

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