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Medical Question for the non-Americans here

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  • K Kyle Moyer

    Frankly, this sort of thing should be criminal. $300 for a single EpiPen is just ridiculous. I get that drug companies pay billions in research costs, and that they need to recoup that somehow. But the EpiPen has been around more than long enough to have paid itself off. They should be sold practically at cost now. The FDA and FTC need to start regulating these prices. Drug companies should be required to submit all of their budget documentation for R&D, and the cost of the drug should then be calculated based upon projected market size and a standard number of years (say 5 or 10) to recoup the costs. Past that, there should be a cap on profitability, say 10-15% above material and production/distribution costs. No-one should be getting rich from helping people...

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    Mladen Jankovic
    wrote on last edited by
    #17

    Kyle Moyer wrote:

    No-one should be getting rich from helping people...

    So are you saying that only bad people should be allowed to get rich?

    GeoGame for Windows Phone | The Lounge Explained In 5 Minutes

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    • F Foothill

      Recently the news outlets here have been running stories on the increasing prices of life saving drugs, like the EpiPen[^]. Here in US they are charging $600 for a pack of two. I am curious to what the rest of the world pays for EpiPens.

      if (Object.DividedByZero == true) { Universe.Implode(); } Meus ratio ex fortis machina. Simplicitatis de formae ac munus. -Foothill, 2016

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      Mark_Wallace
      wrote on last edited by
      #18

      Cost of getting someone to look down at you wearing a hockey mask and theatrically brandishing a chainsaw: $0 In fact, that sounds like so much fun that I'd probably pay you a buck or two to let me do it (+ air fare + hotel costs).

      I wanna be a eunuchs developer! Pass me a bread knife!

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      • J Jorgen Andersson

        The yacht?

        Wrong is evil and must be defeated. - Jeff Ello

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        Jeremy Falcon
        wrote on last edited by
        #19

        I wonder if they make pill-shaped yachts. :~

        Jeremy Falcon

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        • P Pete OHanlon

          That's what we pay taxes for.

          This space for rent

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          Jeremy Falcon
          wrote on last edited by
          #20

          What a concept.

          Jeremy Falcon

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          • M Mladen Jankovic

            Kyle Moyer wrote:

            No-one should be getting rich from helping people...

            So are you saying that only bad people should be allowed to get rich?

            GeoGame for Windows Phone | The Lounge Explained In 5 Minutes

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            Kyle Moyer
            wrote on last edited by
            #21

            Haha, I'm not saying they shouldn't get to live comfortably, but when you see how much the executives get paid... That's just crazy. There's an old saying I can't remember precisely, but it basically says that helping people should be its own reward (ie, feeling good about doing good.) Of course, everyone's gotta eat, but being able to eat Filet Mignon and Lobster for dinner every night just because you run a company that helps people with heart disease live longer lives is ridiculous.

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            • N Nish Nishant

              What's sad is that epinephrine itself is not expensive at all. It's the patent on the epipen design that drives up the cost. No other vendor can legally duplicate it.

              Regards, Nish


              Website: www.voidnish.com Blog: voidnish.wordpress.com

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              Lost User
              wrote on last edited by
              #22

              Which is the problem with most medications; since one as a patient has no alternative, one is forced to pay, even if those amounts are rediculous. It is a section that could do well without patents.

              Bastard Programmer from Hell :suss: If you can't read my code, try converting it here[^][](X-Clacks-Overhead: GNU Terry Pratchett)

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              • F Foothill

                Recently the news outlets here have been running stories on the increasing prices of life saving drugs, like the EpiPen[^]. Here in US they are charging $600 for a pack of two. I am curious to what the rest of the world pays for EpiPens.

                if (Object.DividedByZero == true) { Universe.Implode(); } Meus ratio ex fortis machina. Simplicitatis de formae ac munus. -Foothill, 2016

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                Rajesh R Subramanian
                wrote on last edited by
                #23

                Effectively no cost in Australia. As Pete said, that's what we pay taxes for.

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                • P Pete OHanlon

                  That's what we pay taxes for.

                  This space for rent

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                  Slacker007
                  wrote on last edited by
                  #24

                  Pete O'Hanlon wrote:

                  That's what we pay taxes for.

                  Exactly.

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                  • F Foothill

                    Recently the news outlets here have been running stories on the increasing prices of life saving drugs, like the EpiPen[^]. Here in US they are charging $600 for a pack of two. I am curious to what the rest of the world pays for EpiPens.

                    if (Object.DividedByZero == true) { Universe.Implode(); } Meus ratio ex fortis machina. Simplicitatis de formae ac munus. -Foothill, 2016

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                    Slacker007
                    wrote on last edited by
                    #25

                    I also heard today on the news that it only costs approx. $1 US, to produce the chemical in the pen, which adds to the controversy.

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                    • R Rajesh R Subramanian

                      Effectively no cost in Australia. As Pete said, that's what we pay taxes for.

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                      Lost User
                      wrote on last edited by
                      #26

                      Depends what you call no-cost. Your post is misleading. The current over the counter price in Australia is about $120 per pen. As it is included in the Pharmaceutical Benefits Scheme[^] the cost to an Australian resident is $38.30 or $6.20 if you are entitled to a health care card PBS Epipen[^]. The PBS costs taxpayers $10 billion per year in total. Now that isn't all. To get a PBS entitlement a prescription is required which entails a visit to the doctor. This will cost nothing for a pensioner but about $70-$37 = $33 for the average person (Medicare rebate). This means the cost of the Epipen is $38.30 + $33 = $71.30 for the normal taxpayer. The pen lasts for a year as does a prescription so this will require an annual renewal even if the pen is unused.

                      Peter Wasser "The whole problem with the world is that fools and fanatics are always so certain of themselves, and wiser people so full of doubts." - Bertrand Russell

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                      • N Nish Nishant

                        Also, they expire every 12 months, which I think is a scam. Surely it would be effective for longer than that? :|

                        Regards, Nish


                        Website: www.voidnish.com Blog: voidnish.wordpress.com

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                        RTek23
                        wrote on last edited by
                        #27

                        Nish Nishant wrote:

                        they expire every 12 months, which I think is a scam.

                        Are you willing to bet your life on that..... Just asking?:cool: Ken

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                        • R Ravi Bhavnani

                          It may be.  My reply was based on the price I found at a Canadian distributor on the web. /ravi

                          My new year resolution: 2048 x 1536 Home | Articles | My .NET bits | Freeware ravib(at)ravib(dot)com

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                          RTek23
                          wrote on last edited by
                          #28

                          Ravi Bhavnani wrote:

                          It may be.

                          It would be if prescribed by a Dr., minus of course the fees the pharmacy charge for dispensing a boxed product. I have a few friends that have them for their kids for peanuts, seafood, bees, etc. Ken

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                          • R RTek23

                            Ravi Bhavnani wrote:

                            It may be.

                            It would be if prescribed by a Dr., minus of course the fees the pharmacy charge for dispensing a boxed product. I have a few friends that have them for their kids for peanuts, seafood, bees, etc. Ken

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                            Ravi Bhavnani
                            wrote on last edited by
                            #29

                            Thanks! /ravi

                            My new year resolution: 2048 x 1536 Home | Articles | My .NET bits | Freeware ravib(at)ravib(dot)com

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                            • L Lost User

                              Depends what you call no-cost. Your post is misleading. The current over the counter price in Australia is about $120 per pen. As it is included in the Pharmaceutical Benefits Scheme[^] the cost to an Australian resident is $38.30 or $6.20 if you are entitled to a health care card PBS Epipen[^]. The PBS costs taxpayers $10 billion per year in total. Now that isn't all. To get a PBS entitlement a prescription is required which entails a visit to the doctor. This will cost nothing for a pensioner but about $70-$37 = $33 for the average person (Medicare rebate). This means the cost of the Epipen is $38.30 + $33 = $71.30 for the normal taxpayer. The pen lasts for a year as does a prescription so this will require an annual renewal even if the pen is unused.

                              Peter Wasser "The whole problem with the world is that fools and fanatics are always so certain of themselves, and wiser people so full of doubts." - Bertrand Russell

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                              Rajesh R Subramanian
                              wrote on last edited by
                              #30

                              Wow, I stand corrected. I was told recently that most life-saving drugs are to be given at no cost, but it appears that it's applicable only if it were administered in a public hospital while an eligible (medicare) patient is admitted.

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                              • F Foothill

                                Forogar wrote:

                                In the UK, effectively zero.

                                :omg:

                                if (Object.DividedByZero == true) { Universe.Implode(); } Meus ratio ex fortis machina. Simplicitatis de formae ac munus. -Foothill, 2016

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                                TheGreatAndPowerfulOz
                                wrote on last edited by
                                #31

                                Not really true if you include the taxes and premiums they have to pay to fund their medical system.

                                #SupportHeForShe Government can give you nothing but what it takes from somebody else. A government big enough to give you everything you want is big enough to take everything you've got, including your freedom.-Ezra Taft Benson You must accept 1 of 2 basic premises: Either we are alone in the universe or we are not alone. Either way, the implications are staggering!-Wernher von Braun

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                                • R Rajesh R Subramanian

                                  Wow, I stand corrected. I was told recently that most life-saving drugs are to be given at no cost, but it appears that it's applicable only if it were administered in a public hospital while an eligible (medicare) patient is admitted.

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                                  Lost User
                                  wrote on last edited by
                                  #32

                                  Indeed, most patients (who are covered by Medicare only) admitted to a public hospital do not pay anything for their entire stay. In fact they are not even allowed to bring their own medications or self administer while in hospital. It is all provided by the public health system.

                                  Peter Wasser "The whole problem with the world is that fools and fanatics are always so certain of themselves, and wiser people so full of doubts." - Bertrand Russell

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                                  • F Foothill

                                    Recently the news outlets here have been running stories on the increasing prices of life saving drugs, like the EpiPen[^]. Here in US they are charging $600 for a pack of two. I am curious to what the rest of the world pays for EpiPens.

                                    if (Object.DividedByZero == true) { Universe.Implode(); } Meus ratio ex fortis machina. Simplicitatis de formae ac munus. -Foothill, 2016

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                                    Mark H2
                                    wrote on last edited by
                                    #33

                                    In Hobbitland, NZ$120 per pen. But if it's used by a patient as treatment for an anaphylactic reaction caused by an injury covered by ACC (our taxpayer funded universal accident insurance scheme) they'll cover the cost. And if you have private health cover your provider may reimburse the cost. So varies from sort-of-free to not-free-at-all...

                                    If your neighbours don't listen to The Ramones, turn it up real loud so they can. “We didn't have a positive song until we wrote 'Now I Wanna Sniff Some Glue!'” ― Dee Dee Ramone "The Democrats want my guns and the Republicans want my porno mags and I ain't giving up either" - Joey Ramone

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                                    • S Slacker007

                                      I also heard today on the news that it only costs approx. $1 US, to produce the chemical in the pen, which adds to the controversy.

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                                      Mycroft Holmes
                                      wrote on last edited by
                                      #34

                                      I don't think there is any relationship between the cost of manufacture and the retail price of drugs, seems to be whatever they can get away with. There is an astonishingly large variation between countries for some drugs.

                                      Never underestimate the power of human stupidity RAH

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                                      • F Forogar

                                        In the UK, effectively zero.

                                        - I would love to change the world, but they won’t give me the source code.

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                                        Mycroft Holmes
                                        wrote on last edited by
                                        #35

                                        Twood be interesting to know what the NHS actually pays. We have the PBS system in Oz that is similar, the cost to the PBS is not transparent.

                                        Never underestimate the power of human stupidity RAH

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                                        • F Foothill

                                          Recently the news outlets here have been running stories on the increasing prices of life saving drugs, like the EpiPen[^]. Here in US they are charging $600 for a pack of two. I am curious to what the rest of the world pays for EpiPens.

                                          if (Object.DividedByZero == true) { Universe.Implode(); } Meus ratio ex fortis machina. Simplicitatis de formae ac munus. -Foothill, 2016

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                                          Super Lloyd
                                          wrote on last edited by
                                          #36

                                          I wonder why it is so cheap? Since drug company in the US can charge whatever price they want and some have no competition and the US health department is forbidden by law to bargain...

                                          A new .NET Serializer All in one Menu-Ribbon Bar Taking over the world since 1371!

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