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Message

re: Treatment for infant muscle wasting disease to hit market. potential price: $2 million

Posted on 5/7/19 at 8:10 am to
Posted by 50_Tiger
Dallas TX
Member since Jan 2016
39945 posts
Posted on 5/7/19 at 8:10 am to
quote:

We aren't even having this convo with socialism


Yep, and we also better hope the current list of generic drugs can handle whatever new is thrown into society.
Posted by dawgsjw
Member since Dec 2012
2114 posts
Posted on 5/7/19 at 8:17 am to
quote:

Seems cruel but these people don't work for free either

So their reasoning for the price is justified? No one is making them give it out for free (but that is a entirely different subject), but the only reason why the price is so high is based off the potential of that baby and not the actual cost to make the medicine. Also is this where we want medicine to go (it is already down this path for sure), where people produce medicine with their primary goal of not helping/curing people but to maximize their profits. True medicine shouldn't be able making profits but about helping/saving lives.
Posted by 50_Tiger
Dallas TX
Member since Jan 2016
39945 posts
Posted on 5/7/19 at 8:20 am to
quote:

So their reasoning for the price is justified? No one is making them give it out for free (but that is a entirely different subject), but the only reason why the price is so high is based off the potential of that baby and not the actual cost to make the medicine. Also is this where we want medicine to go (it is already down this path for sure), where people produce medicine with their primary goal of not helping/curing people but to maximize their profits. True medicine shouldn't be able making profits but about helping/saving lives.


This train of thought leads to no new products and more people dying than just the very VERY select population.
Posted by TeddyPadillac
Member since Dec 2010
25375 posts
Posted on 5/7/19 at 8:21 am to
quote:

Do you know how much money went into the research for this drug?



What does the specific money for this specific research project have to do with the price tag?
How much money went into research for the 10 other diseases they failed to find a cure for? There's a shite ton of people all over the world researching everything you can think of. It's their job. They all have a budget to work off of and it doesn't include what they think they will make in the future IF they find a cure.

You think this company dumped millions of dollars into this hoping they find a cure, and if they didn't, they go bankrupt b/c they didn't have the money to fund the research and were banking on finding a cure to fund the research?

They know by charging $2M no person is going to pay that much, or if they will, it is very few. They will get their money, and patients will pay nothing near that, and insurance or gov't will pay the rest, and all of our rates go up yet again.

Posted by stapuffmarshy
lower 9
Member since Apr 2010
17507 posts
Posted on 5/7/19 at 8:23 am to
quote:

Even at $2M, most of us would probably be willing to pay for their own children.



Speak for yourself
Posted by el Gaucho
He/They
Member since Dec 2010
52906 posts
Posted on 5/7/19 at 8:27 am to
quote:

So their reasoning for the price is justified? No one is making them give it out for free (but that is a entirely different subject), but the only reason why the price is so high is based off the potential of that baby and not the actual cost to make the medicine. Also is this where we want medicine to go (it is already down this path for sure), where people produce medicine with their primary goal of not helping/curing people but to maximize their profits. True medicine shouldn't be able making profits but about helping/saving lives.


Force doctors to pay for and go to school a long time then work for free: Democrats are happy

Give people a free cruise and clothes, food, and shelter, then politely ask for their help picking some vegetables: the Democrats lose their minds



Posted by 50_Tiger
Dallas TX
Member since Jan 2016
39945 posts
Posted on 5/7/19 at 8:27 am to
quote:

Force doctors to pay for and go to school a long time then work for free: Democrats are happy

Give people a free cruise and clothes, food, and shelter, then politely ask for their help picking some vegetables: the Democrats lose their minds





Wait, is this a real post from Gaucho?
Posted by Ross
Member since Oct 2007
47824 posts
Posted on 5/7/19 at 8:29 am to
quote:

This is exactly why we should socialize medicine.


would this medication even exist with socialized medicine? It’s a small market item they not a lot of people need, would the money really be there to research and test it?
Posted by TeddyPadillac
Member since Dec 2010
25375 posts
Posted on 5/7/19 at 8:38 am to
quote:

This train of thought leads to no new products and more people dying than just the very VERY select population.



I agree with you to an extent, but there are tons of people that would love to put their name next to "cure for cancer" and could care less about how much money it makes them.

There's nothing wrong with people making money, or making a lot of money. No one is saying just b/c you cured a terminal disease that you have to give it away for free.

It just seems unethical to put a market value on saving lives. You invent something tangible, like a way to actually use all that damn gypsum that piles up by the plants around here, then make your money based on what the market can dictate.
Just seems like you'd have an ethical obligation to find a way to save peoples lives when you can, not see what the market value is of that cure knowing some people are going to die b/c of the price tag you put on this cure.
Posted by jimbeam
University of LSU
Member since Oct 2011
75703 posts
Posted on 5/7/19 at 8:42 am to
:(
Posted by lsuson
Metairie
Member since Oct 2013
12116 posts
Posted on 5/7/19 at 8:44 am to
Screw big pharma and their inflated prices
Posted by 50_Tiger
Dallas TX
Member since Jan 2016
39945 posts
Posted on 5/7/19 at 8:45 am to
quote:

It just seems unethical to put a market value on saving lives. You invent something tangible, like a way to actually use all that damn gypsum that piles up by the plants around here, then make your money based on what the market can dictate.
Just seems like you'd have an ethical obligation to find a way to save peoples lives when you can, not see what the market value is of that cure knowing some people are going to die b/c of the price tag you put on this cure.


I dont want to come across like I don't understand your position because I do and I 100% understand why you feel the way you do.

Companies invest millions if not billions into R&D for this select population drug.

If you have a population size of 50 million people with this disease and an OPEX/CAPEX expenditure in the billions, you have a fiduciary responsibility to your stakeholders to recoup their investment before anything or anyone else.
Posted by brass2mouth
NOLA
Member since Jul 2007
19671 posts
Posted on 5/7/19 at 8:48 am to
quote:

potential to cure spinal muscular atrophy, an inherited disease that typically kills babies before they turn two



I understand they are there to make money but that is a fricked up was to rationalize and price something.

This guy admitted that the price is almost solely because you either pay it or watch your kid die before they’re 2.

I don’t understand why you come out and say that publicly.
Posted by Jim Rockford
Member since May 2011
98111 posts
Posted on 5/7/19 at 8:49 am to
quote:

The market will take care of that then


Lke insulin?
Posted by TeddyPadillac
Member since Dec 2010
25375 posts
Posted on 5/7/19 at 8:54 am to
quote:

If you have a population size of 50 million people with this disease and an OPEX/CAPEX expenditure in the billions, you have a fiduciary responsibility to your stakeholders to recoup their investment before anything or anyone else.



I get that without a doubt. But what if they didn't find a cure?
Like i said they all have a budget they work off of and it's something that doesn't take into the affect the hope of find a cure. Of course that's the goal, but from a financial standpoint, they aren't saying, we'll budget $100M for this research for the next 5 years and hope we find a cure to pay for that. The money they are using for this research is already funded.
Yes they need to get results off the research, and increase their revenue so they can do more research, but the research they do today, is based on a revenue stream they already have, not one they will have if a cure is found. The money they will make off this cure will help fund research for future research.

These are huge corporations, they aren't investing money they don't have into research.
How much money has gone into cancer research? if we have to pay all those people back when a cure is found, then the price tag for the cure is going to be hundreds of millions of dollars a pop.
Posted by 50_Tiger
Dallas TX
Member since Jan 2016
39945 posts
Posted on 5/7/19 at 8:57 am to
quote:

I get that without a doubt. But what if they didn't find a cure?
Like i said they all have a budget they work off of and it's something that doesn't take into the affect the hope of find a cure. Of course that's the goal, but from a financial standpoint, they aren't saying, we'll budget $100M for this research for the next 5 years and hope we find a cure to pay for that. The money they are using for this research is already funded.
Yes they need to get results off the research, and increase their revenue so they can do more research, but the research they do today, is based on a revenue stream they already have, not one they will have if a cure is found. The money they will make off this cure will help fund research for future research.

These are huge corporations, they aren't investing money they don't have into research.
How much money has gone into cancer research? if we have to pay all those people back when a cure is found, then the price tag for the cure is going to be hundreds of millions of dollars a pop.


Well from the article I linked they purchased the company that started the drug for 8.7bn.

So we can probably start there

Cancer research has private and charitable donations in the millions every year.
Posted by Tulane_STEM_ALUM
Member since Apr 2019
153 posts
Posted on 5/7/19 at 9:00 am to
Novartis R&D spending

Looks like Novartis spends 16.7% on R&D.

That's a lot. However, let's stop pretending it's biggest reason drugs cost what they do. Lots of douchebag employees outside R&D. Lots of money spent on sales etc.

I understand drug development isn't free. However, we can improve the existing model.
Posted by LSUFanHouston
NOLA
Member since Jul 2009
36987 posts
Posted on 5/7/19 at 9:03 am to
quote:

Even at $2M, most of us would probably be willing to pay for their own children.


Willing, yes.

Able? I don't know.

If it was really 2 million, even if you could borrow the money interest free, the repayment is going to be $50,000 a year for 40 years. There aren't too many people that could afford that.

Also, it's not a pill, it's a treatment. Does that cost include all the costs of administering the treatment, facility costs, follow-up, etc?

Obviously they have to recoup their costs and make a profit. I'd like to see how they arrived at their 2 million price tag, what were their total costs, what is their profit margin, etc?

Also, is this one of those situations where the insurance company is going to take a 95 percent discount, so the actual cost to the insurer is $100K, which will be split between the insurer and the patient via deductibles and co-pays?

If the no-shite cost really is 2 million, I don't see insurance companies covering this. Why?

quote:

but executives say the drug’s potential to cure spinal muscular atrophy, an inherited disease that typically kills babies before they turn two,


Unless these babies are costing insurers well in excess of 2 million between birth and death before age two, it just doesn't make financial sense for the insurer to pay it.

Reality is, our current risk / payment systems don't really mesh with these situations. If we really want to help these babies, it's going to take some sort of new financing ideas, that probably involve the parent, the insurer, and the government serving as some sort of backstop.
Posted by LSUFanHouston
NOLA
Member since Jul 2009
36987 posts
Posted on 5/7/19 at 9:09 am to
quote:

If you have a population size of 50 million people with this disease and an OPEX/CAPEX expenditure in the billions, you have a fiduciary responsibility to your stakeholders to recoup their investment before anything or anyone else.


I understand that.

If one wanted to increase the gap between the wealthy and everyone else, one way to do that is to price medicine at a point that only the wealthy can afford. Thus, killing off the babies in the lower and middle classes.

I'm not saying that is the intent, but it is the reality. If only the wealthy can afford this treatment, then you are just increasing the class division in this country.

So now, a question that I am sure will be very, very controversial, but we are all adults here, so let's ask it:

"If a medicine can only be afforded by the select wealthy, should we even bother with the research/creation of it"?

In other words, if 100 people have a disease but only 1 person can afford the cure, then 99 people will die. Should we just not worry about the cure and let 100 people die?

R&D dollars are limited. Should companies instead focus their R&D dollars on research, that when completed, will help/serve a larger market?
Posted by nola000
Lacombe, LA
Member since Dec 2014
13139 posts
Posted on 5/7/19 at 9:10 am to
quote:

So they’ll sell drugs so babies can get swole but it’s still illegal for a doctor to give medicine to help a man build muscle?











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