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 Post subject: Re:
PostPosted: Wed Jan 15, 2014 7:17 pm 
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Müs wrote:
So what happens? They come out with all new inhalers with HFA propellant. That's brand name and NOT generic. So because they change the propellant(not the actual medication), my costs now triple with insurance. (From $10 for a generic inhaler to $30 for a brand name inhaler.)

Same medication, different propellant. 3 times the cost.



In your example, the medical device that delivers the albuterol changed (e.g., different valve technology - see http://www.australianprescriber.com/magazine/22/6/138/9), which meant that the whole thing had to be approved by FDA and other regulatory agencies. As an asthmatic who just had to get a new albuterol inhaler, I feel your pain. I'm sure there was a lot of lobbying by Big Pharma to push the change for inhalers, because they got to generate new patents and new profits. So the research and submission costs paid off.

Anyway, some of the HFA inhalers came off patent in 2009-2010 in the US, but generics have not come out to replace them. It could be that there will not be enough profit in it. (The same reason that some medications have shortages - companies have stopped making them altogether.)

Reformulations of old medications also have to be approved. There are grandfathered medications out there that were never assessed for long-term safety, but these are now getting a new look under current standards to show safety & efficacy. Unfortunately, it sometimes means that we sometimes get crap like this, where a resulting new monopoly means increased prices:

http://www.stltoday.com/business/local/ ... 78c22.html
http://scienceblogs.com/terrasig/2007/0 ... gets-toug/

Lastly, I also found this article in Forbes, which has a link to R&D spending over 10 years: http://www.forbes.com/sites/matthewherp ... -medicine/

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 Post subject: Re: Hepatitis C cured.
PostPosted: Wed Jan 15, 2014 7:33 pm 
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Khross wrote:
I'm aware of all those numbers. I'd still rather live in Georgia: the people are nicer and Coca Cola isn't a niche product down here. Seriously, what the hell is wrong with the Mall of America that you can only buy Pepsi products?


At the risk of derailing the thread, what is wrong with every major fast food chain company (except Yum brands), most major airlines, and many other places that you can only buy Coca Cola products.

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PostPosted: Wed Jan 15, 2014 8:21 pm 
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Müs wrote:
Yeah, our government here hates Sudafed. They make you feel like a criminal every time you have the sniffles now.


I'm okay with them harshly regulating a compound with which anyone can make meth.


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 Post subject: Re: Hepatitis C cured.
PostPosted: Wed Jan 15, 2014 8:27 pm 
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Rori:

Coca Cola is awesome?

Aizle:

All snarkiness aside, my comments were primarily about Minnesota Public Radio and the amount of propaganda is distributes. That said, it has had a demonstrably negative impact on the political thinking in Minnesota.

Here are some big pharma figures: 75% of total big pharma profits are generated in the United States. We're currently subsidizing the entire global pharmaceutical industry. In the majority of the rest of the world, these companies are prohibited from selling their products for anything more than production costs. In some countries, they aren't even allowed to recoup labor or non-materiel costs in their pricing. As such, they have to make the money here or there is no progress to be made.

Don't worry, though, they are corporations and profits are all that matters. They are contractually obligated to provide positive returns for their shareholders, and shareholders by and large don't care about humanitarian endeavors. The process abstracts outcomes too much.

Likewise, the Affordable Care Act and other initiatives in place by our government have very little to do with improving positive outcomes: everything is too focused on the Almighty Dollar, and that Dollar is literally more than an exchange marker for commodified labor. Remember, human beings are fungible goods, but serfdom works just as well.

Complex situations are complex; this topic actually has to do with things like economies of scale, political economy, politics in general, globalist policy agendas, and domestic policy agendas. It's not as cut and dry as I'd really like it to be, but if you want the truth ...

Our government brokers our productivity against the rest of the world, and we're playing the price for it. We subsidize so much of the developed and developing world in non-obvious ways that its staggering. We've born the majority of Europe's defense costs for almost a century now; if we want to quibble, there's a case to be made since shortly before the Spanish-American War on that time frame. We bear the majority of global healthcare costs, and you'd be surprised who our largest ally is on that front (it's Catholic Church, and by you, I mean most people). Europe doesn't help near as much as it pretends to help. And, as much as it scares me, I'm quite afraid that our international obligations, because that's what we have made them, will bankrupt us long before our dysfunctional entitlement and social justice policies bankrupt us on the home-front.

The United States is a toxic country; it is not capable, without serious changes in outlook and behavior, of achieving the delusion it feeds its citizens. It is not a free country in most senses; and, effects it cannot achieve by legal means, it has started to achieve by social and other means. The more time passes, the more we look like Orwell's Burma.

Are pharmatechs giant, greedy, profit driven corporations? Sure. Left, primarily, to their own devices, they're still more effective and more efficient than our government.

The problems with our government have nothing to do with Right or Left, Red or Blue, Republican or Democrat, Moderate or Centrist or Fringe ...

Our government is stupid and the rest of the world laughs all the way to the bank.

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PostPosted: Wed Jan 15, 2014 8:27 pm 
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Lenas wrote:
Müs wrote:
Yeah, our government here hates Sudafed. They make you feel like a criminal every time you have the sniffles now.
I'm okay with them harshly regulating a compound with which anyone can make meth.
The amounts needed to effectively make any amount of meth are prohibitively large.

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 Post subject: Re: Re:
PostPosted: Wed Jan 15, 2014 10:13 pm 
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Lenas wrote:
Müs wrote:
Yeah, our government here hates Sudafed. They make you feel like a criminal every time you have the sniffles now.


I'm okay with them harshly regulating a compound with which anyone can make meth.


Then keep it behind the counter. That's fine. Requiring me to enter my ID into a database because I might buy more than a 2 week supply like a criminal is a bit ridiculous. Its not like its stopped the influx of meth or usage thereof.

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Nevada state law limits the daily purchase to 3 grams/day or 9 grams a month.

Technically, I can buy 12.5 24hr Claritin D's at a single purchase (they're 240mg). I am committing a felony if I attempt to purchase a month's supply for my allergies.

And yet... there's still a ton of meth around. Go figure. Another ineffectual law causing problems for legit consumers? Yeah.

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PostPosted: Thu Jan 16, 2014 10:01 am 
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Elmarnieh wrote:
Because he is ideologically bound to the belief that regulations of business are an inherent good because of (IMAGINE BAD THINGS POSSIBLE).


Actually not. I'm of the opinion that regulation of business is required because businesses have proven, over and over and over and over for centuries that they are completely incapable of regulating themselves.

There is no imagination necessary Elmo. All that is required is the smallest amount of historical review.


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 Post subject: Re: Hepatitis C cured.
PostPosted: Thu Jan 16, 2014 11:47 am 
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Government is a business, Aizle. I find it sad that you don't apply your historical review to government or progressive politics, because progressive politics have always proven harmful to humanity; in fact, it's American progressive politics and propaganda that tells the world that social democrats are conservatives.

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PostPosted: Thu Jan 16, 2014 1:27 pm 
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Aww Khross sprung the trap before I could.

*sulks and kicks the can down the road.*

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 Post subject: Re: Hepatitis C cured.
PostPosted: Thu Jan 16, 2014 1:35 pm 
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Khross wrote:
Government is a business, Aizle. I find it sad that you don't apply your historical review to government or progressive politics, because progressive politics have always proven harmful to humanity; in fact, it's American progressive politics and propaganda that tells the world that social democrats are conservatives.


The difference is that government here has regulation. It's called voters. The fact that many voters don't or are uneducated is a separate problem.


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PostPosted: Thu Jan 16, 2014 1:44 pm 
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And people vote with their pocketbook and are only forced to by something from supposed evil corps when the Democrats make them

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 Post subject: Re: Re:
PostPosted: Thu Jan 16, 2014 2:09 pm 
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Khross wrote:
The amounts needed to effectively make any amount of meth are prohibitively large.


Well, so much for that business venture :/


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PostPosted: Thu Jan 16, 2014 2:19 pm 
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We're terrified of meth, but it's a problem that solves itself if we'd let it.

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PostPosted: Thu Jan 16, 2014 2:23 pm 
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With a cure, we can finally kill and eat Pamela Anderson!
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 Post subject: Re: Hepatitis C cured.
PostPosted: Thu Jan 16, 2014 3:16 pm 
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Aizle wrote:
Khross wrote:
Government is a business, Aizle. I find it sad that you don't apply your historical review to government or progressive politics, because progressive politics have always proven harmful to humanity; in fact, it's American progressive politics and propaganda that tells the world that social democrats are conservatives.
The difference is that government here has regulation. It's called voters. The fact that many voters don't or are uneducated is a separate problem.
I can disprove your assertion in 3 words: Affordable Care Act.

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PostPosted: Thu Jan 16, 2014 4:26 pm 
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You're going to need to show your work on that one Khross.


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PostPosted: Thu Jan 16, 2014 4:45 pm 
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Aizle wrote:
You're going to need to show your work on that one Khross.
The ACA was passed using the budget reconciliation process, not an actual vote. So, kindly tell me how we hold those who did not have to risk their seats to the fire for it? There's no accountability for our elected officials. Never mind all the public outcry right? Never mind all the glorious grassroots resistance to its implementation and passage by citizens of the United States.

We're saddled with a bill no one asked for and that Congress didn't read, and the House didn't actually hold a binding legislative vote on the bill we actually got.

So ...

I showed my word, the Affordable Care Act.

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PostPosted: Fri Jan 17, 2014 9:47 am 
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We hold them accountable during the election process. The fact is that we the people have received exactly the people that we voted for. If you don't like it, vote for (and convince enough other people to vote for) a better candidate.


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PostPosted: Fri Jan 17, 2014 10:01 am 
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Aizle wrote:
We hold them accountable during the election process. The fact is that we the people have received exactly the people that we voted for. If you don't like it, vote for (and convince enough other people to vote for) a better candidate.
There was a midterm election since the ACA was signed into law using a fraudulent mechanism. The ACA was upheld by a Supreme Court that allowed the DOJ Solicitor who presented arguments to the court to vote on her arguments as a Justice. And you lived in the state wherein Michelle Bachmann's approval rating is between 33% and 40% in her own districts, and yet she keeps getting re-elected. So, please, show me proof that elections hold our government accountable for actions.

Your tautologies won't win you this argument, because history have proven that elections do not check government. Should we start with some social democracy movements in the rest of the world, or are you going to continue to insist that elections substantively affect government behavior? They don't; after all, we went through 4 years of 3 Monkey Republicanism and 6 years of 3 Monkey Democrats only to find ...

Government is continuing along the same trajectory no matter how we vote. Elections are not a check on government, or the ACA would have been repealed.

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Last edited by Khross on Fri Jan 17, 2014 12:32 pm, edited 1 time in total.

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PostPosted: Fri Jan 17, 2014 10:14 am 
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Aizle wrote:
We hold them accountable during the election process. The fact is that we the people have received exactly the people that we voted for. If you don't like it, vote for (and convince enough other people to vote for) a better candidate.



That is not holding them accountable.

If a person who is on a 1 year contract at a job steals from company holding them accountable is not not renewing their contract for another year.

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 Post subject: Re: Re:
PostPosted: Fri Jan 17, 2014 10:53 am 
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Khross wrote:
Elections are not a check on government, or the ACA would have been repealed.

If McCain had won in '08, do you think the ACA would have passed in the first place?

*ETA: I'm not denying that there's a democratic deficit in our system of government. Some of that is by design and some of it is the result of party polarization, gerrymandering, anti-majoritarian legislative procedures, and a political culture shift toward a more imperial presidency. However, I think it's a huge overreach to claim that elections are irrelevant to the course of government. I would say that elections usually have an incremental effect on the course of government which adds up over time.


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PostPosted: Fri Jan 17, 2014 11:01 am 
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RangerDave wrote:
Khross wrote:
Elections are not a check on government, or the ACA would have been repealed.

If McCain had won in '08, do you think the ACA would have passed in the first place?

*ETA: I'm not denying that there's a democratic deficit in our system of government. Some of that is by design and some of it is the result of party polarization, gerrymandering, anti-majoritarian legislative procedures, and a political culture shift toward a more imperial presidency. However, I think it's a huge overreach to claim that elections are irrelevant to the course of government. I would say that elections usually have an incremental effect on the course of government which adds up over time.
McCain didn't win, couldn't win, and wasn't going to win, mostly because the GOP didn't want to win. That said, of course it would have passed.

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PostPosted: Fri Jan 17, 2014 3:24 pm 
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Elmarnieh wrote:
Aizle wrote:
We hold them accountable during the election process. The fact is that we the people have received exactly the people that we voted for. If you don't like it, vote for (and convince enough other people to vote for) a better candidate.



That is not holding them accountable.

If a person who is on a 1 year contract at a job steals from company holding them accountable is not not renewing their contract for another year.


You're conflating doing something illegal with doing something you don't like.


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 Post subject: Re: Hepatitis C cured.
PostPosted: Sat Jan 18, 2014 9:45 am 
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Aizle:

He's really not. Replacing a legislator or executive does nothing to change the course of our government's plans or behavior. They government is an entity unto itself, regardless of the individuals that constitute its agents. The Bureaucracies that directly affect every day life are rarely affected in any mechanical or operating sense by a change in ruling party, change in representatives or senators, or president. When they are, it is because of individual actors increasing the fractious nature of the apparent political dilemma. The truth is, however, that the first legitimate shot in almost 150 years of changing how our elected officials behave is universally reviled ... the Tea Party populists.

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 Post subject: Re: Hepatitis C cured.
PostPosted: Mon Jan 20, 2014 11:40 am 
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Khross wrote:
Aizle:

He's really not. Replacing a legislator or executive does nothing to change the course of our government's plans or behavior. They government is an entity unto itself, regardless of the individuals that constitute its agents. The Bureaucracies that directly affect every day life are rarely affected in any mechanical or operating sense by a change in ruling party, change in representatives or senators, or president. When they are, it is because of individual actors increasing the fractious nature of the apparent political dilemma. The truth is, however, that the first legitimate shot in almost 150 years of changing how our elected officials behave is universally reviled ... the Tea Party populists.


Either the first part is complete bullshit, or the last sentence is utterly trivial. Fortunately, it's the former. Replacing legislators and executives changes government behavior on a regular basis.

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