Guess where
When I first signed on as a Research Advocate with Fred
Hutch I was astonished to learn that they carried economists on their
staff. And even paid them! My astonishment arose from the fact that, although
an honor student in economics at Stanford, I couldn’t remember ever learning anything
useful. But now maybe I get it.
The NYTimes article (below) deals with a new study of drug
pricing. New drugs cost us (society) a
lot, as is well known. The conventional
defense against charges of price gouging is: drug development is costly,
because costs arising from failed drugs must be included. Critics respond that in fact all the basic
research is handed to Big Pharma gratis,
by publically funded research outfits (NIH, Fred Hutch, Sloan Kettering, U. W.
Medicine, etc.) As the article (which
you should read) makes clear, the case is complicated. How, for instance, do you calculate costs
when a researcher blunders on something patentable, quits to form his or her
own company to exploit it, runs a few
small but encouraging trials, and then is bought out by by Big Pharma for enough
money to fund the North Korean nuclear program?
So read the article and tell me what you think.
The article ends with the following chilling observation:
When it comes to drug prices,
it does not matter what companies spend on research and development, Dr.
Kesselheim said. The price is
based on what the market will bear.
https://www.nytimes.com/2017/09/11/health/cancer-drug-costs.html?em_pos=medium&emc=edit_sc_20170912&nl=science-times&nl_art=2&nlid=69247603&ref=headline&te=1
You know what PARP inhibitors are, right? Well, it appears that they are, or might be, used as maintenance therapy for ovarian cancer patients. Except, says the Institute for Clinical and Economic Review (ICER), an outfit I didn’t know existed -
ReplyDeletethey cost too much. Something should be done about it, they say. But they don’t say what. Bummer!
https://www.thepharmaletter.com/in-brief/parp-inhibitors-too-costly-as-maintenance-therapy-in-ovarian-cancer-says-report