This is a rare piece of good news reflecting the positive impact investigative journalism and public outcry can have. The Food and Drug Administration has partly reversed its horrible decision to grant a drug company an exclusive monopoly over an already commonly used medication, which allowed that company to jack up prices 15,000%. From the Washington Post:
The Food and Drug Administration on Wednesday took the unusual step of announcing that it would allow pharmacies to continue to produce less expensive versions of a drug long used to reduce the risk that women will give birth prematurely.
The move was aimed at defusing a controversy that erupted after the agency approved the drug Makena to prevent preterm births. Makena’s owner, KV Pharmaceutical of St. Louis, is charging $1,500 a dose for the drug. The same compound had been available for years for about $10 to $20 a dose.
[...]
Although the agency usually does not recommend patients use compounded versions of FDA-approved drugs, “in order to support access to this important drug, at this time and under this unique situation, FDA does not intend to take enforcement action against pharmacies that compound” the agent, the statement said.
The public domain drug progesterone became popular when research fully paid for by the government through the National Institutes of Health showed it was very effective at preventing preterm birth. As a result, it was made by compounding pharmacies and sold cheaply to women for several years. The FDA decided to give a company an exclusive monopoly over the medication, and the company did what unregulated monopolies always do, raise prices as high as possible to extort massive profits.
This egregious case is a prefect example of two of the biggest problems with brand name drugs in this country. Government patents and exclusive rights are meant to be a reward to private spending on innovative research, but, like this case, much of the innovative research is actually being paid for directly or indirectly by the taxpayers while private companies reap the rewards.
Then, once the government creates monopolies, it refuse to subject these monopolies to any form of price control. Unlike even a government-created monopoly for, say, a new phone, these drugs are often essential life-saving treatments meaning that, from an economic perspective, there is no price so high people won’t be willing to pay. The drug companies know this, and so they can and do charge outrageous prices.



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This isn’t over yet. If you look at the share price, KV Pharmaceuticals took a big hit, but Wall Street clearly believes that Makena will dominate the market for this drug at a lower price. The usual strategy is to play on patients’ and physicians’ fears of a compounded drug. This may be a harder sell than usual because KV has been plagued with its own manufacturing problems. The orphan drug law needs to be updated. Not just because of Makena but for all the new biologics coming available.
I personally believe all major development patent exclusive right should be for a set level of profit or a set time line.
The point is to encourage innovation not be a lottery or racket.
The government-created monopoly is coming to be the American economic model, and one of the reasons why the distribution of income has become so badly skewed in favor of the CEO’s.
Out of curiosity, when was the monopoly to the St Louis firm granted? I would guess it was under the Bush administration.
So while we were looking at this particular FDA outrage shiny object, what more egregious FDA disaster did it distract us from.
Egg zachery!
The point is ABSOLUTELY to create a racket. Why do you think big pharma spends so much money on
bribeslobbying?Until it is widely understood that the large-scale profit motive creates an irreconcilable conflict of interest when it comes to health-care, stories like this will be the rare exception.
And since there’s a movement underway to have the IRS investigate any miscarriage….what a $$$$ maker!
The Christain Wrong Is really moving this country and world backwards fast.
Take a look at this one:
Indiana Republican’s Disgusting Smear of Rape Victims and Women
& this:
Indiana Charges Suicidal Pregnant Woman With “Feticide” and Homicide
No checks for Japaneses radiation in food now showing up on the West Coast
They are saying that trace amounts of radiation is in milk on the west coast.
Past tense. See this analysis of the “wealth transfer” that took place in 2008 and over the last few years since.
This by the way (from the link in the post) is called price discrimination. It allows the supplier to capture more of the area under the demand curve, thus boosting profits even more. You’ve prolly noticed this in PhRMA ads on TV. That’s what it’s all about.
That’s what college scholarships are all about. Their only deviation from perfect price discrimination would be to raise tuition to $1 billion/ year. That way almost everyone would have to apply for a “scholarship” and with the income statement of every applicant, colleges could determine exactly how much it could charge every student.
Shssssh……….
I found this Noah Chomshy quote at hacker news. It nails this situation perfectly….
Published 1 hour 20 minutes ago: “Low levels of radiation found in milk on U.S. West Coast” (AP feed, Toronto Star, Mar. 31, 2011)
“Samples from Wash. and Calif. show radioactive Iodine-131″ … “Low levels of radiation found in U.S. milk” (msnbc.com, Mar. 31, 2011, 2:04:33 PM ET)
DING!
The real question is what deal was struck between someone at the FDA and KV Pharmaceutical?
Some quid pro quo must have been involved for the FDA to give KV monopoly control over this drug, allowing KV to jack the price through the stratosphere, probably a “revolving door” arrangement in which someone at the FDA expected to be richly rewarded after leaving government “service” for the private sector (they may have even been offered a job at KV?).
Call me cynical, but this was so blatant that there must have been a deal involved. Was it between a hold-over Bush appointee at the FDA and KV? Maybe an Obama appointee? A group of them, making this decision in the dark of night, hoping no one would notice?
There is a common system used by most governments, when a monopoly (patent) is given to make and sell a drug
to prevent this kind of thing.
in every country in the Western world, in exchange for the patent, the manufacturer negotiates the price it can charge, with the government.
the prices for various prescription drugs, for various countries, are easily available on the internet.
I think Italy is the lowest. Canada is lower middle.
Of the western world countries, Only the USA does not use this system.
I would like to have been in on the meeting, when this action to increase the price to fifteen hundred dollars a pill was taken.
cancel the order for the new luxury yacht.