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re: Goldman Sachs: Curing disease is bad for the Medical-Industrial Complex

Posted on 4/17/18 at 11:31 am to
Posted by chRxis
None of your fricking business
Member since Feb 2008
23600 posts
Posted on 4/17/18 at 11:31 am to
quote:

it’s a good argument for making medical R&D more of a public sector thing and less of a private sector one.

The public sector actually has a strong incentive for saving lives (larger tax base) where, as we can see, the private sector doesn’t.

you really think your average taxpayer would be ok with having more taxes taken out to fund R&D of new medicines/treatments, as expensive as it is? and furthermore, with all the distrust of the government, as it is and as it becomes even worse on the daily, you think people would trust those new medicines/treatments, knowing it was made by the government/public sector?

there are so, so many variables, and no easy fix to healthcare costs, and i'm all for a single payer method, but it takes money to R&D new treatment options, and you either pay for it up front (public) or on the backend (private)...
Posted by chRxis
None of your fricking business
Member since Feb 2008
23600 posts
Posted on 4/17/18 at 11:35 am to
quote:

Big pet peeve of mine. People talk about a cure for cancer like it’s sitting in a CIA warehouse somewhere


exactly...

here, some of y'all need to read this....
Posted by Bruco
Charlotte, NC
Member since Aug 2016
2792 posts
Posted on 4/17/18 at 12:22 pm to
quote:

He’s a research analyst. He has a certain amount of companies to watch within a specific subgroup and decide which of those are good deals. It’s not a surprise he doesn’t find this a “good” deal for clients and investors.


Someone actually gets the purpose of this report. Reading any more into it is stupid.
This post was edited on 4/17/18 at 12:23 pm
Posted by Big_Slim
Mogadishu
Member since Apr 2016
3977 posts
Posted on 4/17/18 at 12:39 pm to
quote:

Big pet peeve of mine. People talk about a cure for cancer like it’s sitting in a CIA warehouse somewhere. It’d like saying finding a cure for diseases caused by viruses. There’s a lot of ignorance influencing public opinion when it comes to med research


^This. I mean if Steve Jobs couldn't pay to get his cured then there's no way it's sitting on a shelf somewhere.
Posted by AbuTheMonkey
Chicago, IL
Member since May 2014
8002 posts
Posted on 4/17/18 at 1:29 pm to
quote:

I know this isn’t a popular opinion on this board, it it’s a good argument for making medical R&D more of a public sector thing and less of a private sector one.

The public sector actually has a strong incentive for saving lives (larger tax base) where, as we can see, the private sector doesn’t.


Much of the early stage research - I want to say at least half and maybe as much as two-thirds - is "public" in that it is federal and state dollars directly spent on research (much of it at universities).

Where the pharma firms really add value is taking the early stage research through trials. The public sector would be absolutely terrible at that, and I want them as far away from that as possible other than setting standards and verifying trials. You have to think of big pharmaceutical companies as calculated risk portfolio managers using advanced portfolio theory to bring products to market: Product A has X% change of working and will bring in Y dollars; Product B has W% change of working and will be in Z dollars; etc., etc. Something like only 1 in 70 molecules that hit stage two trials will eventually get to market.

To the OP, the Goldman analyst was stating something in a very narrow context. If firms come up with a true cure for a chronic or malignant disease, they can charge a price that will make up for whatever losses they have by losing a future customer. The economics of Sovaldi were such that Gilead has easily made more from it than it would have with other products that just treat symptoms. IIRC, they acquired it for $11B and have made (in real dollars) about $15+B so far - that's not taking into account distribution, marketing, insurance, etc., etc.
This post was edited on 4/17/18 at 1:33 pm
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