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A $20 drug in Europe requires a prescription and $800 in the U.S.

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Re: A $20 drug in Europe requires a prescription and $800 in the U.S.

#91
post #73

Earlier quoted context omitted.

Multiply that by the t in ppt. How many trillions of gallons of water do you think an average city uses every year?

Is all the Miebo/Evotears that’s manufactured being dumped directly into the drinking water supply?

How do you think pfas got into the water supply in the first place.

Re: A $20 drug in Europe requires a prescription and $800 in the U.S.

#92

in some part of europe, we have national healthcare so basically people don't think they are paying their medications, like there was some magic money. in that case, you don't care if you drug cost 10€ or 2000€ because you aren't spending a single € from your own wallet, at least if you don't factor in taxes. Contrary to the USA where it's a much more responsible market, people do pay for the medications or they get…

> I would think that americans would be much more vigilant about what medication they take This is why I always check to make sure it's fiscally responsible before I start chemotherapy, or before buying that emergency inhaler for asthma, or before accepting paralytics and anesthesia when undergoing surgery. How fortunate that in America diabetics have the freedom to die rather than take overpriced insulin. Let the fr…

I mean you're joking but there are maybe ~20 brands who produce and sell inhalers. Maybe I need the inhaler but I also have a certain amount of choice, and presumably some are more expensive than others. Insulin is a famous example, because you can buy a vial for ~$30 or a nicer one for $300. They all effectively do the same thing but there is a quality difference between them, usually in regards to release time and how often you'd have to take it.

There are some market pressures in healthcare when multiple companies can compete, although it's so heavily regulated it can be hard to see the market pressures in practice. Consumers often do have some amount of choice though

Re: A $20 drug in Europe requires a prescription and $800 in the U.S.

#93

in some part of europe, we have national healthcare so basically people don't think they are paying their medications, like there was some magic money. in that case, you don't care if you drug cost 10€ or 2000€ because you aren't spending a single € from your own wallet, at least if you don't factor in taxes. Contrary to the USA where it's a much more responsible market, people do pay for the medications or they get…

> Contrary to the USA where it's a much more responsible market,

This is satire? I can’t tell anymore.

I mean the USA is the only country where someone can allegedly murder a healthcare executive for denying treatment and popular culture is engaged in drooling about how well the alleged killer fills out a tailored shirt.

Re: A $20 drug in Europe requires a prescription and $800 in the U.S.

#94
"Before insurance" prices aren't real! The headline is misleading; the first sentence of the article is misleading. It drives me crazy. Most Americans absolutely do not understand how insurance works and journalists do their damnedest to keep it that way by constantly misleading them.

Re: A $20 drug in Europe requires a prescription and $800 in the U.S.

#95
post #65

Earlier quoted context omitted.

so 1 liter of eye drop per 1ppt of km^3

That would be 1 liter of the active ingredient, not 1 liter of the eye drop. Also I don't believe that 1 ppt of this stuff is harmful when people are putting it directly in their eyes without severe harm.

There's only a single ingredient, these eyedrops are 100% pure PFAS

And people put asbestos on their christmas trees back in the day - I don't think "obvious harm" is a high enough standard.

Re: A $20 drug in Europe requires a prescription and $800 in the U.S.

#96
The drug in question is perfluorohexyloctane, which is part of a class of substances known as PFAS or „forever chemical“. I‘m a chemist, I love modern medicine and material technologies based on chemistry, and I don’t hesitate to take vaccines or other meds, and I also happen to have SEVERE dry eyes syndrome - but hell no, I’m not going to put that stuff into nature!

Re: A $20 drug in Europe requires a prescription and $800 in the U.S.

#97
post #73

Earlier quoted context omitted.

Multiply that by the t in ppt. How many trillions of gallons of water do you think an average city uses every year?

Is all the Miebo/Evotears that’s manufactured being dumped directly into the drinking water supply?

Where do you think it goes after it gets to your eyes? The valid choices are:

A. Absorbed into your body forever.

B. Becomes a part of the water cycle.

C. Is broken down.

And even choice A eventually becomes choice B, ideally after significant time though.

Re: A $20 drug in Europe requires a prescription and $800 in the U.S.

#98
post #8

FYI for anyone who isn't familiar with the wacky US insurance situation: Nobody in the US actually pays $800 for the drug. That's the "list price" for insurance companies to pay. Even insurance companies don't pay that price because they negotiate their own rates with the drug companies, which are lower. Then the drug companies come in and offer a "savings card" which you apply at the pharmacy like another layer of i…

> FYI for anyone who isn't familiar with the wacky US insurance situation: Nobody in the US actually pays $800 for the drug. That's the "list price" for insurance companies to pay. Even insurance companies don't pay that price because they negotiate their own rates with the drug companies, which are lower.

Sure, we do not pay $800 at the pharmacy when we go to pick up the prescription, but every cent the insurance company pays, we are paying by proxie with added admin costs.

Re: A $20 drug in Europe requires a prescription and $800 in the U.S.

#99
post #42
post #8

FYI for anyone who isn't familiar with the wacky US insurance situation: Nobody in the US actually pays $800 for the drug. That's the "list price" for insurance companies to pay. Even insurance companies don't pay that price because they negotiate their own rates with the drug companies, which are lower. Then the drug companies come in and offer a "savings card" which you apply at the pharmacy like another layer of i…

what about the poor people? the ones that can't really afford insurance. i've heard multiple times that epipen prices are crazy expensive and that's a really basic drug.

There's undoubtedly a significantly lower cash price if you don't have insurance (GP mentions $225). The before insurance prices are meaningless; they're a negotiating tactic between pharma companies and insurers.

Re: A $20 drug in Europe requires a prescription and $800 in the U.S.

#100

in some part of europe, we have national healthcare so basically people don't think they are paying their medications, like there was some magic money. in that case, you don't care if you drug cost 10€ or 2000€ because you aren't spending a single € from your own wallet, at least if you don't factor in taxes. Contrary to the USA where it's a much more responsible market, people do pay for the medications or they get…

Americans pay multiples more per capita, and receive worse healthcare based on outcomes compared to European nations. The UK on average has better oral health than the USA, but Americans love to joke about British teeth... I think the US believes it's own "free market" propaganda too much. Clearly socialised universal healthcare (which every G20 nation does outside the US) is a better system.
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