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Open Letter from Gilead CEO: Remdesivir Pricing

stories.gilead.com

11–20 of 114 posts

Re: Open Letter from Gilead CEO: Remdesivir Pricing

#11
post #9

What this letter did not address is the fact that the US is hoarding almost all of Gilead's Remdesivir in the upcoming few months. Leaving the rest of the world with almost nothing. Source: https://www.theguardian.com/us-news/2020/jun/30/us-buys-up-w...

not sure if totally accurate but if it is then it serves the rest of the world right for playing nice with the US while the US screws them over anytime it is convenient

Re: Open Letter from Gilead CEO: Remdesivir Pricing

#12
post #6
post #4

> In the U.S., the same government price of $390 per vial will apply. Because of the way the U.S. system is set up and the discounts that government healthcare programs expect, the price for U.S. private insurance companies, will be $520 per vial. Sigh How many years of normalizing and internalizing the utter insanity that is the US medical industrial complex does it take to be able to just say that with a straight f…

> How many years of normalizing and internalizing the utter insanity that is the US medical industrial complex does it take to be able to just say that with a straight face? I hate to tell you, but it's not better in Europe just because the racket is obfuscated by several more layers.

Not sure why they down-vote you, you didn't said anything about 'free' healthcare, and you are absolute right, the 'customer' does not see much of those layers, but ask any Healthcare-worker that has to work with insurance...they can tell you story's!

Re: Open Letter from Gilead CEO: Remdesivir Pricing

#13
American taxpayers contributed at least $70m to the development of this drug[0] and our reward is to be gouged by Gilead. It's the exact same shit they've pulled with Truvada[1] and it's grotesque.

[0]: https://www.citizen.org/article/the-real-story-of-remdesivir... [1]: https://www.nytimes.com/2018/07/16/opinion/prep-hiv-aids-dru...

Re: Open Letter from Gilead CEO: Remdesivir Pricing

#14
post #6
post #4

> In the U.S., the same government price of $390 per vial will apply. Because of the way the U.S. system is set up and the discounts that government healthcare programs expect, the price for U.S. private insurance companies, will be $520 per vial. Sigh How many years of normalizing and internalizing the utter insanity that is the US medical industrial complex does it take to be able to just say that with a straight f…

> How many years of normalizing and internalizing the utter insanity that is the US medical industrial complex does it take to be able to just say that with a straight face? I hate to tell you, but it's not better in Europe just because the racket is obfuscated by several more layers.

What do you mean? One of the points of government funded health care is that you get rid of several layers of needless indirection and profiteering. You basically vertically integrate a big chunk of the industry and have it work together to minimize overall costs instead of maximize profit of each individual component.

Re: Open Letter from Gilead CEO: Remdesivir Pricing

#15
post #7

They say the goal is to help as many people as possible, and that this principle has guided their development and pricing of the drug. How do they reconcile this principle with the huge price difference between the USA and the rest of the world? Or between the developed world and the developing world? I assume they are still making a profit selling doses at low costs to developing countries. If the goal is to help as…

There must be a thousand ways to codify their stated objective 'to help as many people as possible', but I can't imagine why you'd think a completely flat pricing structure would be optimal for any of them.

Re: Open Letter from Gilead CEO: Remdesivir Pricing

#16
post #10

Earlier quoted context omitted.

Do you have a randomized clinical trial comparing the two treatments?

I’m not certain it matters. The hydroxychloroquine paper was retracted: that’s not a great sign for it’s effectiveness as a treatment.

unfortunately facts wont stop the agenda

Re: Open Letter from Gilead CEO: Remdesivir Pricing

#17
post #7

They say the goal is to help as many people as possible, and that this principle has guided their development and pricing of the drug. How do they reconcile this principle with the huge price difference between the USA and the rest of the world? Or between the developed world and the developing world? I assume they are still making a profit selling doses at low costs to developing countries. If the goal is to help as…

> I assume they are still making a profit selling doses at low costs to developing countries.

Why would you assume that, instead of assuming that the high prices in the developed world are subsidizing losses elsewhere? (Or, at least, that they are amortizing R&D costs with the prices in the developed world, and doing so allows them to make a profit selling more of it above the marginal cost of producing more.)

Re: Open Letter from Gilead CEO: Remdesivir Pricing

#18
post #6
post #4

> In the U.S., the same government price of $390 per vial will apply. Because of the way the U.S. system is set up and the discounts that government healthcare programs expect, the price for U.S. private insurance companies, will be $520 per vial. Sigh How many years of normalizing and internalizing the utter insanity that is the US medical industrial complex does it take to be able to just say that with a straight f…

> How many years of normalizing and internalizing the utter insanity that is the US medical industrial complex does it take to be able to just say that with a straight face? I hate to tell you, but it's not better in Europe just because the racket is obfuscated by several more layers.

In the UK we pay a fraction of what companies in the US do. See also, our nightmarish trade negotiations with the US: https://www.theguardian.com/politics/2019/nov/01/nhs-drugs-b...

Not a scholarly article, intentionally. I wanted to give a flavour of the existential (to our health system) nature of the problem of US style drug pricing.

There's also the small matter of pricing varying highly by country. Another more emotive example: https://www.drugwatch.com/featured/us-drug-prices-higher-vs-...

See also: https://www.drugwatch.com/featured/us-drug-prices-higher-vs-...

So actually, it is substantially better in Europe.

Re: Open Letter from Gilead CEO: Remdesivir Pricing

#19
post #7

They say the goal is to help as many people as possible, and that this principle has guided their development and pricing of the drug. How do they reconcile this principle with the huge price difference between the USA and the rest of the world? Or between the developed world and the developing world? I assume they are still making a profit selling doses at low costs to developing countries. If the goal is to help as…

> with the huge price difference between the USA and the rest of the world

That doesn't really matter as the Trump administration has bought essentially the whole production capacity of Remdesivir for July, August and September.

https://www.theguardian.com/us-news/2020/jun/30/us-buys-up-w...

Re: Open Letter from Gilead CEO: Remdesivir Pricing

#20
post #6
post #4

> In the U.S., the same government price of $390 per vial will apply. Because of the way the U.S. system is set up and the discounts that government healthcare programs expect, the price for U.S. private insurance companies, will be $520 per vial. Sigh How many years of normalizing and internalizing the utter insanity that is the US medical industrial complex does it take to be able to just say that with a straight f…

> How many years of normalizing and internalizing the utter insanity that is the US medical industrial complex does it take to be able to just say that with a straight face? I hate to tell you, but it's not better in Europe just because the racket is obfuscated by several more layers.

Please back up such an unlikely sounding claim with several excellent sources.

Here in the UK, there is exactly one layer: the NHS. It negotiates prices directly with drug suppliers, and as the sole buyer (monopsony) is able to get a great deal. It also sets the prices paid by consumers (the prescription price), which is a flat price charged for all drugs (yes really all of them) and is currently £9.15 (about 11 USD) for a prescription (i.e. a full course of multiple tablets of the drug). If you are given drugs in a hospital as part of an inpatient treatment the charge is usually nil.

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