Live data from Hacker News

Lung Cancer Patients Live Longer with Immune Therapy

nytimes.com

21–30 of 79 posts

Re: Lung Cancer Patients Live Longer with Immune Therapy

#21
post #20

>They cost more than $100,000 a year, can have serious side effects and help only some patients, generally fewer than half. Fuck you and the fuck the US healthcare system. Daddy or mama gets to live a few more years, but it will put the family into lifelong debt. I'll say it again, fuck you.

...and your solution is what?

Re: Lung Cancer Patients Live Longer with Immune Therapy

#22
post #20

>They cost more than $100,000 a year, can have serious side effects and help only some patients, generally fewer than half. Fuck you and the fuck the US healthcare system. Daddy or mama gets to live a few more years, but it will put the family into lifelong debt. I'll say it again, fuck you.

Could it become cheaper in the future?

Re: Lung Cancer Patients Live Longer with Immune Therapy

#23
post #17

The prohibitively expensive nature of any immunotherapy leaves me profoundly skeptical of its practical usefulness. $100,000/year? That's more than twice the median income in this country. Is it simply that expensive to get mabs from animals, is drug development disgustingly expensive, or is there unbounded greed in pharmaceutical companies?

PhDs that have dedicated their lives to specializing in specific cancers, failed drugs, research that leads nowhere, failed clinical trials because of XYZ. It's all highly specialized. And if done with a rigorous protocol, it's all expensive. You're not doing a lifetime of cancer research in hopes that you earn an average salary. For the company, if you finally get somewhere with a drug that is affective, you have to…

Most US medical research is highly dependent of public funding. Company's are only interested once the risks drop enough and the rewards are very near.

Looking at just research and eliminating patent dogging efforts, Drug companies don't pay for nearly as much research as you might think.

Re: Lung Cancer Patients Live Longer with Immune Therapy

#24

The prohibitively expensive nature of any immunotherapy leaves me profoundly skeptical of its practical usefulness. $100,000/year? That's more than twice the median income in this country. Is it simply that expensive to get mabs from animals, is drug development disgustingly expensive, or is there unbounded greed in pharmaceutical companies?

nothing is “prohibitively expensive” in healthcare unless you can’t afford your out of pocket costs, which is perhaps increasingly the case for a lot of people, but even conventional cancer treatment is still way over out of pocket costs, so I don’t see how the cost of this treatment really makes much of a difference.

if you don’t have health insurance, your floor for “prohibitively expensive” is probably way lower than this already.

Re: Lung Cancer Patients Live Longer with Immune Therapy

#25
post #20

>They cost more than $100,000 a year, can have serious side effects and help only some patients, generally fewer than half. Fuck you and the fuck the US healthcare system. Daddy or mama gets to live a few more years, but it will put the family into lifelong debt. I'll say it again, fuck you.

Could it become cheaper in the future?

Highly doubtful in this country.

Re: Lung Cancer Patients Live Longer with Immune Therapy

#26
post #17

The prohibitively expensive nature of any immunotherapy leaves me profoundly skeptical of its practical usefulness. $100,000/year? That's more than twice the median income in this country. Is it simply that expensive to get mabs from animals, is drug development disgustingly expensive, or is there unbounded greed in pharmaceutical companies?

PhDs that have dedicated their lives to specializing in specific cancers, failed drugs, research that leads nowhere, failed clinical trials because of XYZ. It's all highly specialized. And if done with a rigorous protocol, it's all expensive. You're not doing a lifetime of cancer research in hopes that you earn an average salary. For the company, if you finally get somewhere with a drug that is affective, you have to…

> How else do you fund future research?

Taxes?

Re: Lung Cancer Patients Live Longer with Immune Therapy

#27
post #20

>They cost more than $100,000 a year, can have serious side effects and help only some patients, generally fewer than half. Fuck you and the fuck the US healthcare system. Daddy or mama gets to live a few more years, but it will put the family into lifelong debt. I'll say it again, fuck you.

...and your solution is what?

Government needs to subsidize research and put price caps on resulting drugs. Fair market isn't possible with inelastic demand. That's where the fuck you comes from.

Someone has cancer and their kids are wanting the treatment (of course, it's false hope, we don't want daddy to die) without realizing what they are asking for (lifelong debt). So in addition to cancer, the patient has to grapple with that shit. Anyone with a little financial sense would probably take death, but now they have to explain that to their families why they are denying the treatment (daddy doesn't want to be with us / daddy wants to die?).

Disgusting what this country has become.

Re: Lung Cancer Patients Live Longer with Immune Therapy

#28

I’m now 5.5 years post-treatment with immunotherapy for Stage IV melanoma and have had no evidence of disease for over four years. When immunotherapy works, it can be impressive. For me, my treatment (adoptive cell therapy using tumor infiltrating lymphocytes) used my own white blood cells (130 billion in lab-selected and expanded form) to overwhelm the mutated cancer cells. It was a one-time treatment (over 3-4 week…

What was the treatment like? I've heard it's similar to having the worst flu of your life * 1000.

Re: Lung Cancer Patients Live Longer with Immune Therapy

#29
This is truly exciting and only just the beginning.

There is a host of bio-tech startups following this initial wave - with two main goals:

1., Improve the treatments to become 100% cures

2., Lower the price

This is very similar to tech and, say, the storage space. Went from 100k for a few GBs to peanuts for TBs on AWS pretty quickly. That's what momentum in a crowded space will do.

Healthcare systems around the globe will have to figure out the effects of this, similar to autonomous driving. And it is not just simple cost of treatment.

What if cancer becomes curable? What to do with all the cancer wards? Specialists in Oncology? Chemo/Radio/Surgery? The spider-web effect here is gigantic.

Sticker price for the drug vs. long term treatment (multiple chemo rounds, surgery, palliative care) if its 100k is NOTHING.

Re: Lung Cancer Patients Live Longer with Immune Therapy

#30

The prohibitively expensive nature of any immunotherapy leaves me profoundly skeptical of its practical usefulness. $100,000/year? That's more than twice the median income in this country. Is it simply that expensive to get mabs from animals, is drug development disgustingly expensive, or is there unbounded greed in pharmaceutical companies?

I've been in and out of the hospital a bit lately (broken back). That seems downright cheap. I average about $4,000 an hour when I'm in. The most recent "study" took an hour with one low paid tech using one ultrasound machine and it cost over $2,000. CT Scan? 15 minutes $7K. Heck, they charged nearly $800 to "start an IV" when they didn't even start it, it was the ambulance EMT that put it in (billed separately) they just injected morphine into it. If you don't have good insurance you are one small slip away from bankruptcy.
Post reply on HN