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Biden launches action on "Big Tech, Big Pharma, and Big Ag" – can it be real?

mattstoller.substack.com

421–430 of 595 posts

Re: Biden launches action on "Big Tech, Big Pharma, and Big Ag" – can it be real?

#421

Earlier quoted context omitted.

There is also a third issue: The high cost of medicines that are low cost to produce, and are sold at low cost elsewhere

This one is particularly prickly because the high cost paid in the US funds medical R&D and extremely expensive clinical trials which other countries are free riding on by imposing price controls. We still need to fund the R&D and clinical trials (unless they could be made less expensive somehow), so the most obvious solution would be to have other countries pay their fair share so the US could stop subsidizing every…

Isn't part of the problem that the US/FDA trial and certification process is designed to be very expensive? And who benefits from a moat created by high cost of R&D if not big pharma? I seriously doubt that pharma lobby would be thrilled if costs of bringing new drugs to market suddenly fell by several orders of magnitude, so it's not going to happen.

Re: Biden launches action on "Big Tech, Big Pharma, and Big Ag" – can it be real?

#422
post #392

Earlier quoted context omitted.

I wonder why we don't fund drug development directly, using tax money and then let companies produce the drugs for a reasonable fee. I feel like drug development shouldn't be prioritized by the estimated amount of profit one can get from the drug.

Is there reason to think that government bureaucrats would do a better job at efficient resource allocation? I expect they would channel funding based on politics with little regard for outcomes.

Is there a reason to think that government bureaucrats would do a worse job? I mean, generally I trust the government to run things like building roads, or taking care of security and education reasonably well. At least as well as a private organization would.

"Efficient" resource allocation strongly depends on your performance measure. I don't think that "maximize shareholder value" is necessarily the best measure to use for healthcare.

Re: Biden launches action on "Big Tech, Big Pharma, and Big Ag" – can it be real?

#423

Earlier quoted context omitted.

Europe does drug R&D and still manages to sell their drugs at a reasonable price to sick people (generally because their governments utilize their buying power for the good of their citizens). It seems to me that US people have been sold FUD by there own pharma companies, if I’m honest.

> Europe does drug R&D and still manages to sell their drugs at a reasonable price to sick people Most novel R&D, in America and Europe, happens in biotech. (“Big” pharma does trials, manufacturing scaling and distribution.) The investment thesis for most of this research does not work without the American market. This doesn’t mean high drug prices are a necessity. Just that the funding needs to be replaced if we wan…

That's fair enough, maybe Europeans should pay more than they do for pharmaceuticals and get away with paying less due to the huge profits Pharma makes out of the US health care system.

That's not really on Europe though. It's for the US to sort out it's horrifically dysfunctional health care system, if it chooses to. Honestly I don't know if what Biden plans to do, particularly in relation to Big Pharma is reasonable. I suspect it's likely to be treating the symptoms with regulation rather than the disease through reform, but maybe that's what you do when treating the disease runs into insurmountable political resistance.

Re: Biden launches action on "Big Tech, Big Pharma, and Big Ag" – can it be real?

#424
post #401

Earlier quoted context omitted.

I would argue Big Pharma free rides its self on research from universities around the world which are mostly publicly funded and not for profit. The US represents less than 34% of global research. https://pubmed.ncbi.nlm.nih.gov/17354441/

> The US represents less than 34% of global research and yet, the US has about 5% of the world's population. So proportionally, they are punching way above their weight.

And 25% of the world's prison population. Do we want to keep this stats dump going or did you have a point?

Re: Biden launches action on "Big Tech, Big Pharma, and Big Ag" – can it be real?

#425

Earlier quoted context omitted.

Are you aware that the US government already spends far more on health care than it does on the military? Half the US defense budget is no where near the amount spent on healthcare in the private sector.

I wasn't, so I went and looked it up and you were right from what I found - Healthcare: The federal government spent nearly $1.2 trillion in fiscal year 2019. In addition, income tax expenditures for health care totaled $234 billion. https://www.taxpolicycenter.org/briefing-book/how-much-does-... Defense: Defense spending amounted to $714 billion in FY 2020—and is expected to increase to $733 billion in FY 2021. http…

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Re: Biden launches action on "Big Tech, Big Pharma, and Big Ag" – can it be real?

#426

Earlier quoted context omitted.

Europe does drug R&D and still manages to sell their drugs at a reasonable price to sick people (generally because their governments utilize their buying power for the good of their citizens). It seems to me that US people have been sold FUD by there own pharma companies, if I’m honest.

> Europe does drug R&D and still manages to sell their drugs at a reasonable price to sick people Most novel R&D, in America and Europe, happens in biotech. (“Big” pharma does trials, manufacturing scaling and distribution.) The investment thesis for most of this research does not work without the American market. This doesn’t mean high drug prices are a necessity. Just that the funding needs to be replaced if we wan…

China, and Russia, and other countries, are making big breakthroughs in biotech, but we are hesitant on believing their results--now.

They have the advantage of pushing through Clinical trials without much oversight.

I am all for strict Clinical trial protocols, but our biotech companies are testing their drugs in countries that don't have strict protocols on safety.

I don't get the price increase argument anymore. The biotech companies are multinational. It's just Americans give them the most money.

I'm getting afraid of the whole, "American biotech will cure anything because of the financial perks they get" mantra too.

I pay out of pocket for my needs at Costco. Their prices are a bit above wholesale. That said, I pay way to much for certain drugs. I guarantee their are shinagigans going on in the pricing if certain drugs.

Bupenorpine us a generic drug. Why gave I been paying $70 for a decade?

(This drug is America's answer to the opioid crisis. I was prescribed this drug off label for another condition. It's the price that has me scratching my head. It's been the same price for too long. Other pharmacy's price it higher.)

I won't get started on the drugs (new--not genetic) prescribed for depression. And then reading Irving Kirsch's research. His paper can be found, but you need to hunt for it. I'll offer this interview.

https://www.aarp.org/health/drugs-supplements/info-05-2010/d...

I am proud of Biden's promise to lower prices. I am so glad he's at the helm. I'm not being overly political. I just am just at bit hopeful now. Something I haven't been in 4 plus years.

Re: Biden launches action on "Big Tech, Big Pharma, and Big Ag" – can it be real?

#427
post #401

Earlier quoted context omitted.

I would argue Big Pharma free rides its self on research from universities around the world which are mostly publicly funded and not for profit. The US represents less than 34% of global research. https://pubmed.ncbi.nlm.nih.gov/17354441/

> The US represents less than 34% of global research and yet, the US has about 5% of the world's population. So proportionally, they are punching way above their weight.

It would be fairer to compare by wealth, where the USA is at 30.2%

https://en.wikipedia.org/wiki/List_of_countries_by_total_wea...

Re: Biden launches action on "Big Tech, Big Pharma, and Big Ag" – can it be real?

#428
post #291
post #272

Earlier quoted context omitted.

Are you kidding? https://www.rand.org/news/press/2021/01/28.html > Prescription Drug Prices in the United States Are 2.56 Times Those in Other Countries

So are the nannies and the landscapers. Are these also a racket?

Maybe I'm weird but I don't have a nanny or landscaper and neither does anyone I know or any of their relatives that I'm aware of. But I pay a flat €5 for most prescription drugs (the rest are free) and my public health insurance costs are capped at about €700 per month (and I get to keep it for free if I become unemployed).

Re: Biden launches action on "Big Tech, Big Pharma, and Big Ag" – can it be real?

#429

Earlier quoted context omitted.

I think the idea is that the doctor is actively intervening in your medical treatment, so they have a responsibility to make sure they're getting it right. This person is free to stop taking their meds and die alone whenever they like. Visits to the doctor should be cheaper and more efficient, but people shouldn't stop going to the doctor.

I find it fascinating that the HN crowd complains about doctors being too expensive. I mean what is the comparative value that software developers add to society compared to doctors that justify their salaries (which are often on the same level or higher)?

False equivalence. Software developers "charge" companies (that are very much able to pay) for their services. Doctors charge everyone, from the rich to the poor, for their services. The poor (and even not-so-poor) get screwed by this, more often than not. I haven't heard of a bunch of software developers bankrupting people in exchange for their health...

Re: Biden launches action on "Big Tech, Big Pharma, and Big Ag" – can it be real?

#430
post #392

Earlier quoted context omitted.

I wonder why we don't fund drug development directly, using tax money and then let companies produce the drugs for a reasonable fee. I feel like drug development shouldn't be prioritized by the estimated amount of profit one can get from the drug.

Is there reason to think that government bureaucrats would do a better job at efficient resource allocation? I expect they would channel funding based on politics with little regard for outcomes.

> Is there reason to think that government bureaucrats would do a better job at efficient resource allocation?

Yes. Government institutions (academia, DARPA, CERN, etc.) created the original internet!

And then companies messed it up.

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