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re: Trump to Big Pharma - "We are going to end Global Free-Loading" - BOOM!

Posted on 1/31/17 at 11:49 am to
Posted by Roger Klarvin
DFW
Member since Nov 2012
46671 posts
Posted on 1/31/17 at 11:49 am to
quote:

The process of approval from a physician perspective has been cut to 60 minutes.


That's an interesting claim
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
138874 posts
Posted on 1/31/17 at 11:50 am to
quote:

I have experience on both sides of a compassionate care application.
Mine is one-sided.

So please by all means, enlighten us.
Posted by the808bass
The Lou
Member since Oct 2012
128778 posts
Posted on 1/31/17 at 11:50 am to
Pharma already does that.
Posted by LSUGrrrl
Frisco, TX
Member since Jul 2007
46368 posts
Posted on 1/31/17 at 11:54 am to
quote:

Pharma already does that.


Not enough
Posted by the808bass
The Lou
Member since Oct 2012
128778 posts
Posted on 1/31/17 at 11:54 am to
Posted by the808bass
The Lou
Member since Oct 2012
128778 posts
Posted on 1/31/17 at 11:54 am to
quote:

Not enough


I'm going to guess you have no idea what you're talking about.
Posted by uagrad97
Member since Dec 2010
84 posts
Posted on 1/31/17 at 11:56 am to
quote:

Not Enough.


What more do you think should be done?
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
138874 posts
Posted on 1/31/17 at 11:57 am to
quote:

Because 1) most drugs for dying patients simply prolong life (at best) and 2) if they haven't been approved through all phases of FDA testing, they usually don't "work" at even doing that.
quote:

Zero documented patients have received access to life-saving treatments
Oh my.

So you weren't claiming patients aren't receiving access to drugs.
You were actually claiming patients may have enjoyed significantly extended life, improved quality of life, or both, but none had access access to perfect results?

The latter is so silly I guess I read right by it.

Posted by baldona
Florida
Member since Feb 2016
24206 posts
Posted on 1/31/17 at 12:01 pm to
I'm not reading 9 pages but thought I'd post this.

When we lived in Texas my grandparents would come visit us and we've go to mexico for a day. My grandparents stopped by a pharmacy the first time and they found a drug they had a prescription for for something like 1/10th the cost after their insurance in the USA. I don't know all the details, I know it may not be that simple.

But stuff like this happens routinely. Why drugs cost way more in the USA than they do elsewhere is BS. I can see a markup for tort and liability BS, but that's like 10-20% at most not exponential.
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
138874 posts
Posted on 1/31/17 at 12:05 pm to
quote:

they found a drug they had a prescription for for something like 1/10th the cost after their insurance in the USA.
There may be quality/reliability differentials at play in that instance. But that's the gist of the problem.
Posted by the808bass
The Lou
Member since Oct 2012
128778 posts
Posted on 1/31/17 at 12:07 pm to
quote:

So you weren't claiming patients aren't receiving access to drugs. You were actually claiming patients may have enjoyed significantly extended life, improved quality of life, or both, but none had access access to perfect results?


Name a life-saving drug approved in the last 3 years.
Posted by LSUGrrrl
Frisco, TX
Member since Jul 2007
46368 posts
Posted on 1/31/17 at 12:10 pm to
quote:

I'm going to guess you have no idea what you're talking about.


Definitely not from the provider standpoint. I see interesting trends from the patient end.
Posted by uagrad97
Member since Dec 2010
84 posts
Posted on 1/31/17 at 12:17 pm to
quote:




Definitely not from the provider standpoint. I see interesting trends from the patient end


Like what? What do you think needs to be done differently?
This post was edited on 1/31/17 at 12:19 pm
Posted by LSUGrrrl
Frisco, TX
Member since Jul 2007
46368 posts
Posted on 1/31/17 at 12:23 pm to
quote:

Like what? What do you think needs to be done differently?


I don't have enough knowledge to make a suggestion for changes. However, it's interesting to see the trends in Rxs, particularly for anti-anxiety, OCD and others drugs to treat mental issues.

Maybe doctors don't stay up on newly released drugs and continue to prescribe older drugs due to feeling comfortable with them due to past experience. Or maybe the drs who continue to prescribe drugs that are known to have frequent side effects think it's worth it.

But I'd like to KNOW that's the case and not wonder if the dr is prescribing something due to a sales relationship or a recent sales visit. Walking out the door with a purse full of samples always makes me wonder.
Posted by uagrad97
Member since Dec 2010
84 posts
Posted on 1/31/17 at 12:30 pm to
LSUGrrrl

Ok, you said you'd like to see less benefits provided to docs from pharma reps. I assumed you knew what benefits were being given currently and had an opinion on which ones were inappropriate.

Are free samples the only (patient) benefit you're aware of?
Posted by LSURussian
Member since Feb 2005
134886 posts
Posted on 1/31/17 at 12:35 pm to
quote:

Name a life-saving drug approved in the last 3 years.
Halaven for inoperable liposarcoma, approved by the FDA in January, 2016.

Cyramza for lung cancer approved by the FDA in December, 2014.
Posted by LSUGrrrl
Frisco, TX
Member since Jul 2007
46368 posts
Posted on 1/31/17 at 12:41 pm to
(no message)
This post was edited on 1/31/17 at 1:01 pm
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 1/31/17 at 12:43 pm to
Entresto for heart failure is a pretty big deal for the moment, too.
Posted by Dr RC
The Money Pit
Member since Aug 2011
61475 posts
Posted on 1/31/17 at 12:45 pm to
quote:

Expedited review is like 6 months. It should be 6 months regular review and 3 months expedited. I don't know what takes so much time but there is bound to be red tape throughout. The clinical data is the most important par


You have no idea what goes into the process but you're 100% sure it can be twice as fast?
Posted by TroyTider
Florida Panhandle
Member since Oct 2009
4036 posts
Posted on 1/31/17 at 12:47 pm to
quote:

Trump to Big Pharma - "We are going to end Global Free-Loading" - BOOM! quote: Let's start with removing Big Pharma from TV ads. Yup. This will help us lowwe their cost so we can put in some pricing rules


Big Pharm could spend less advertising $ with media and promote more with the individual physicians. This would create jobs and enrich the Drs. It would really be an income boost to those practicing in rural areas.
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