Affordable Care Act Scene 2 - Insurance Premiums

<p>I just don’t see why we have to pay $30K more than Canadians. If GILD can make money selling it to Canadians, they can make money selling at the same price to Americans. There’s a difference between legitimate profit and highway robbery.</p>

<p>“There’s a difference between legitimate profit and highway robbery.” :)</p>

<p>This is one of my favorite all time quotes …</p>

<p>"
TED BAXTER
I tell you, this is a great country. You know what makes it great? Because you don’t have to be witty or clever as long as you can hire someone who is."</p>

<p><a href=“http://aprildryan.com/2014/03/15/a-presidential-pep-talk-to-the-company-fixing-the-aca-web-site/”>http://aprildryan.com/2014/03/15/a-presidential-pep-talk-to-the-company-fixing-the-aca-web-site/&lt;/a&gt;&lt;/p&gt;

<p>Can I just point out here that drug companies spend more on marketing than on research? And also, that a lot of that research goes into copycat drugs for drugs that are about to go off patent, and erectile dysfunction drugs and the like?</p>

<p>

Studies abound and being what studies usually are, one can find whatever justification the study authors leaned towards while they were writing the results up, but…</p>

<p>I think one way of looking at is that they can make money precisely because they are selling it to Americans for what they are. Conversely, they can’t make money selling to Canadians unless some one else is covering the subsidy.</p>

<p>(Eventually we’ll all be just as thin and rich as the cool girl.)</p>

<p>CF, because govt is so great why don’t we let them invent and manufacture all drugs from now on. We could put all those greedy, stinking drug companies out of business. Wouldn’t that be fun</p>

<p>The govt is a big buyer of these drugs. If the govt wasnt a buyer of these drugs. If the govt pulled out, there is a good chance Gild’s drug would not exist. This is a complicated issue.</p>

<p>How about Medicare and Medicaid have a most favored nation agreement? They could say they won’t pay more for any drug than the cheapest price paid by any European country or Canada. We should not be subsidizing those hockey-stick wielding Canadians.*</p>

<p>*Unless they are Sharks. Joe Thornton, Patrick Marleau, Marc-Edouard Vlasic… it’s fine if we subsidize them. But no other Canadians, and certainly not any LA Kings like Drew Doughty or any Ducks, particularly Ryan “Rogaine” Getzlaf.</p>

<p>Solvaldi-- I’m pretty sure that most potential Solvaldi users would be on Medicaid or Medicare. As someone (I think TatinG) pointed out, Hep C is a drug mostly spread by IV drug use. Are most IV drug users or former IV drug users on private insurance? I kind of think, no.</p>

<p>I have never gone to a hockey game… And I like hockey. .)</p>

<p>Dstark, you should go! Go see the Sharks. It’s way fun.</p>

<p>My son’s a goalie. I’ve been to a lot of games. I actually took up playing hockey when I turned 40, but I only played for five years because I was terrible. </p>

<p>If Gild announces tomorrow they are not going to sell their drug to medicare or medicaid patients, the stock would crack. Tens of billions of dollars would evaporate.</p>

<p>Exactly. That’s why Medicare and Medicaid have a ton of leverage, if only they’d be legally allowed to use it.</p>

<p>Ice hockey in person is amazing, ds. Go for it
If the drug doesn’t appear in formularies, will it be the fault of ACA?</p>

<p>"THe EC has given an accelrated approval to the new hepatitis C drug from Gilead on 16 January. The high cost of the drug at $1000 per tablet will make it a golden pill/blockbuster drug for Gilead. With the cost in the 60,000 euro per treatment cycle/patient, the UK National Institute for health and Clinical Excellence (NICE) and German Institute for Quality and Efficiency in Healthcare (IQWIG) not likely to accept this drug for reimbursement unless price is reduced? "</p>

<p>"Gilead has set different prices for Solvadi in different countries</p>

<p>Drug supplies for 12 weeks treatment $</p>

<p>USA 84000
UK 57000
Germany 66000
India 1250"</p>

<p>Another source says: "Gilead charges different prices for drugs in different countries. It says it may sell Solvadi in India for $2,000 for the 12-week regimen. ‘Gilead’s global pricing model is based on a country’s ability to pay,” Alton (EVP) said. </p>

<p>This sort of thing does make me mad.</p>

<p>Developing new drugs costs a ton of money and can take up to 10 years to bring to market. When you take into account that most drugs fail in the development stage or are not successful, the average cost for a single drug is around $ 4 billion</p>

<p><a href=“The Truly Staggering Cost Of Inventing New Drugs”>http://www.forbes.com/sites/matthewherper/2012/02/10/the-truly-staggering-cost-of-inventing-new-drugs/&lt;/a&gt;&lt;/p&gt;

<p><a href=“Drug development - Wikipedia”>http://en.wikipedia.org/wiki/Drug_development&lt;/a&gt;&lt;/p&gt;

<p>As a shareholder, I WANT GILD TO SELL to MEDICARE and MEDICAID PAtIENTS. I want the govt to pick up the tab. I want the price to be reasonable. It is not going to be $15,000. $80,000 plus looks excessive because other treatments and costs are lower. This drug seems to work best. So, it can be priced high. We have to look at what is affordable for taxpayers, what works for the patients and what works for the drug company.</p>

<p>If the cost of treatment without the drug is $150, 000 and the cost of the drug is $100,000 we should pay the price for this drug. We save money and the drug works betfer. From the original link, that does not appear to be the case.</p>

<p>I think the original link says the drug is not cost effective after 20 years. So … Now things get complicated.</p>

<p>I know this is just semantics, but the govt isn’t buying drugs for Medicare recipients. They are subsidizing the costs by underfunding the program through premiums which don’t recover all the expenses of the medical care received by beneficiaries.</p>

<p>Rich folks who are on Medicare should pay higher premiums.</p>

<p>I cant believe I have never gone to a hockey game. Even my wife has gone. :)</p>

<p>I do have to go. </p>

<p>Wow! You ride your bike everywhere and you played hockey?</p>

<p>Awesome!</p>

<p>What was your position?</p>

<p>What’s the projected demand for liver transplants for drug abusers?
Adn, weren’t some previously griping about high proced drugs being kept off formularies??</p>

<p>Sounds like the choir is arguing for the benefits of volume pricing… maybe even low cost production. Not explicitly, maybe but implied. Hey, I’m all for it too but count on me dropping out of the pack when some hourly wage slave sneezes into the drug pot. Don’t want to be around when all the lawyers show up.:)</p>

<p>(Pretty sure we, unlike the economies paying cut-rate, still have 'em.)</p>