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Fix health costs by banning drug ads
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Let's hope that new blood in the office of Health and Human Services leads
to progressive thinking to provide the most essential need of our time
-- adequate and affordable health care for all Americans.
As the new director of HHS, Michael Leavitt, the former Utah governor,
will have a plateful. Some of his most important questions have already
been answered by one of the agencies that will soon report to him, the
Food and Drug Administration.
In an article published in the FDA Consumer magazine last August, the
agency points out that direct-to-consumer pharmaceutical spending went
from $1.07 billion in 1997 to $2.64 billion in 2002, the most recent year
for which data is available.
That's just in the advertising you see on television, in magazines, in
the newspaper or hear on the radio. Multiply that at least tenfold and
you have the annual cost of marketing for the pharmaceutical industry.
There is a quick and sensible solution to eliminating those outrageous
costs -- the banning of all prescription drug advertisement.
It's not as radical an idea as you would think. Only the United States
and New Zealand allow full-out prescription drug ad campaigns. Other nations
either restrict or ban the practice. Forget tort reform. This is, without
question, one of the prime reasons why prescription medications are so
much cheaper in Canada and Mexico.
The drug companies will argue that their ad programs help with education
and awareness.
Well, I've heard enough about Nexium, Cialis, Viagra, Zocor and the rest
of the big-name prescription medications. The problem is, I don't think
I have the medical training to demand any of these from my doctor. And
if I had a problem with erectile dysfunction, arthritis, my cholesterol
levels or anything else, I would count on my doctor to diagnose it, prescribe
treatment and, hopefully, fix things.
The FDA should also look deeply into the length and breadth of its research
requirements. In Europe, medicines are placed, safely, on the market in
about half the time it takes here. This extended testing period adds billions
more to the cost which, my friend, you, me and our insurance companies
-- if we are lucky enough to have coverage -- must pay.
We should be careful, of course, but Vioxx and Celebrex were two of how
many drugs that went through an extensive research period and still were
found to cause health problems?
The third prong of the HHS attack should deal with the patent issue.
Because the monolithic pharmaceutical companies can hold onto their patents
for years, competitors spend another pile of money to fill the marketplace
with copycat drugs that are similar in nature, but different enough to
allow for a new patent.
It would be a bold, gutsy move, but one that must be taken to ensure
the health and economic welfare of our country.
Contact Senior Writer Ed Kociela at 865-4522, or e-mail at ekociela@
thespectrum.com.
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Originally published Saturday, December 18, 2004
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