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Illinois governor signs law capping insulin costs at $100 per month

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Re: Illinois governor signs law capping insulin costs at $100 per month

#131
post #81
post #76

Earlier quoted context omitted.

It is where I live, so weird visiting the US and seeing "ask your doctor for" adverts. If I asked my GP for a specific medication they'd look at me like an alien.

They do that pretty much no matter what planet you live on :)

Nope, it's only legal in US and New Zealand.

Re: Illinois governor signs law capping insulin costs at $100 per month

#132
post #42

I'm really past the whole "pharma need to charge high prices to fund research" line of argument. Aside from being factually untrue (research funding is dwarfed by marketing for example[0]), it is also arguing for a continued unhealthy relationship with pharmaceutical care. A large amount of research is currently publicly funded. Either via public academic research or directly. When that research bears fruit it is oft…

> research funding is dwarfed by marketing for example i really believe pharma advertising should be banned

Note that the biggest portion of what’s counted as “pharmaceutical advertising” is actually free samples: https://www.insurancejournal.com/news/national/2019/01/11/51...

The TV ads you see for drugs add up to $6 billion, which is a small fraction compared to industry R&D.

Re: Illinois governor signs law capping insulin costs at $100 per month

#133

I'm really past the whole "pharma need to charge high prices to fund research" line of argument. Aside from being factually untrue (research funding is dwarfed by marketing for example[0]), it is also arguing for a continued unhealthy relationship with pharmaceutical care. A large amount of research is currently publicly funded. Either via public academic research or directly. When that research bears fruit it is oft…

Pharma companies are profiting off of your tax dollars No. Pharma companies are paying taxes collectively which are then used to fund basic research they can all benefit from. Another way to do it would be to form a consortium like SEMATECH [1]. If the government didn't tax and regulate companies and people so highly they would have more left over to join voluntary associations and do the same thing. [1] https://en.w…

Wow, you believe companies actually pay taxes? Ok, a bit hyperbolic, but really. A half a century of deregulation and tax breaks isn't making this _worse_ for companies.

Re: Illinois governor signs law capping insulin costs at $100 per month

#134
post #39

It may very well be quite true that the price of insulin is too high but price controls really are not that great. If the price now is to high, $100 probably still is too high. Also, in the more general case (not for insulin, obviously) pharma does need to recover its research costs and who is going to say what is a good price and what not. You know, capitalism actually kind of works and price controls just don't. Th…

You're way overthinking this. What needs to happen is, again and again with health care issues, transparency. Manufacturers should be required to declare and with audits prove how much they're spending to manufacture everything. Then everyone can see the price they're being charged and figure in their head what sort of markup they are being charged. Then we can start to push back on the companies need to recoup prima…

Should anyone buying that insulin have to divulge how much money they make a year and what other things they spend their money on, so that the manufacturer can figure out how much to charge?

Re: Illinois governor signs law capping insulin costs at $100 per month

#136
post #111
post #54

Earlier quoted context omitted.

Ironically, insulin is a great example of why your premise is false: Insulin replacement was developed a century ago, being first discovered by a government entity (U of Toronto). Private companies commercialized the treatments in the 1940s and 1950s, developing long acting forms that could be administered in a single injection per day. Since then, pharmaceutical companies have made continuous improvements with fewer…

So your solution to drug companies jacking up the prices as much as they can is to reward them by removing regulations?

No, his solution is to dial competition back up by reducing regulatory barriers to new entrants, competition being the thing that tends to actually produce durable price decreases in markets, and is, for instance, the reason virtually everyone in the country has a phone in their pocket that only rich people had just 12 years ago.

You can't coherently and simultaneously believe that markets are inefficiently pricing insulin too high and that the government should be imputing gigantic costs on firms that want to introduce new, unencumbered insulin products. The two thoughts aren't compatible.

Re: Illinois governor signs law capping insulin costs at $100 per month

#137
post #76
post #42

Earlier quoted context omitted.

> research funding is dwarfed by marketing for example i really believe pharma advertising should be banned

It is where I live, so weird visiting the US and seeing "ask your doctor for" adverts. If I asked my GP for a specific medication they'd look at me like an alien.

On the other hand, I hate the general attitude of "don't question your doctor or do your own medical research; the doctor knows what's best"

Doctors are mortals too and can only have so much time to draw on info they crammed X years ago. Patients can quickly become more expert than GPs with regards to their own diseases, especially if they have months to research it.

Anecdotal example - my sister had a wierd skin condition in high school. My mom researched skin images and symptoms for hours and hours and concluded it was shingles. My Mom then brought her in and discussed her findings with the GP who scoffed and said she was far too young for it to be shingles. He then admonished my mom for doing her own research. Long story short and one embarrassed GP later, it was shingles.

Re: Illinois governor signs law capping insulin costs at $100 per month

#138
post #14

Earlier quoted context omitted.

If you can only charge $100, but it costs $110, what happens isn't that it gets sold at $100 anyhow. What happens is that it doesn't get sold. Nobody has an obligation to manufacture insulin. I'm not saying the costs are $110. I don't know. I'm just explaining why this can result in lost insulin.

Manufacturers that can't (or won't) sell a month's worth of insulin for $100 will be replaced by those who can.

Except they can't. You have to get FDA approval and jump through regulatory capture hoops. Even for drugs already approved on on the market. See Martin Skrelli's case of a generic medication easily made in science class. Sure it was cheap and easy to make but only his company had the FDA approval to sell it and the cost for a competitor to get approval was significantly higher than any potential profit.

People will die, that's the system we have. The only question is do we relent and give in to what amounts to terrorist demands?

Re: Illinois governor signs law capping insulin costs at $100 per month

#139
post #74

Earlier quoted context omitted.

How will people lose their insulin over this?

Let's say that you write a bill "you can't sell insulin for over $100". If insulin sellers refuse to sell for less than $100, there's no insulin available. However, the bill might also say that insurance companies must keep the out-of-pocket costs under $100 or that the state will make up any amount over $100. In reality, it seems unlikely to harm insulin availability since most jurisdictions have cheap insulin and t…

> Theoretically, price caps can be set low enough that no one will produce and sell an item.

But studies show that the US currently pays as much as 7x what the UK does for insulin[0]. How can insulin be so cheap in some places but so expensive in others to the point that manufacturers stop making it?

0: https://insulinnation.com/treatment/u-s-pays-much-uk-insulin...

Re: Illinois governor signs law capping insulin costs at $100 per month

#140
post #14

Earlier quoted context omitted.

How will people lose their insulin over this?

If you can only charge $100, but it costs $110, what happens isn't that it gets sold at $100 anyhow. What happens is that it doesn't get sold. Nobody has an obligation to manufacture insulin. I'm not saying the costs are $110. I don't know. I'm just explaining why this can result in lost insulin.

Look at what other countries pay for insulin and you’ll see why this argument holds no water. What’s going on in the US is captive market price gouging, plain and simple.
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