4 ms·

> It's unclear to me why another drug manufacturer doesn't come in and undercut the price. From the sound of things these diseases were until very recently iso

> It's unclear to me why another drug manufacturer doesn't come in and undercut the price. From the sound of things these diseases were until very recently isolated to poorer countries. Even today, with the increased number of cases, there might not be enough money to be made based on a few sick North Americans to justify tooling up to make a new drug. (Some of that is about FDA regulatory approval, but not much since it's not a new drug. They'd be manufacturing something that has already been tested and approved.) Ideally the drug company making this thing would just stop being boneheads about pricing. Having this in the news will probably help.

jonwachob91 9y ago
>>From the sound of things these diseases were until very recently isolated to poorer countries. Even today, with the increased number of cases, there might not be enough money to be made based on a few sick North Americans to justify tooling up to make a new drug. The article also says albendazole, the drug in question, can be purchased in the UK for $2. Why can I not start a pharma company that A) imports albendazole (and other rare disease drugs) from the UK and other 1st world country at a reasonable markup or B) orders albendazole, and other rare disease drugs, from the same manufacturer that makes it for the UK, and other 1st world countries, at a reasonable markup? I'm genuinely curious about the regulatory landscape of that question.
- test1235 9y ago
  GlaxoSmithKline produce Zentel[1] (manufactured in India), and they already operate in US[2]. 1. https://www.unitedpharmacies-uk.md/Zentel-Albendazole-400mg-1-Tablet-p-1811.html https://www.unitedpharmacies-uk.md/Zentel-Albendazole-400mg-... 2. https://en.wikipedia.org/wiki/GlaxoSmithKline#Facilities https://en.wikipedia.org/wiki/GlaxoSmithKline#Facilities
- rhino369 9y ago
  I think our system is so fundamentally broken, you should be able to do that. But if you could, it would be an end run around the FDA. Might as well shut the FDA down in that case. If you add burdensome regulatory costs to some competitors (domestic pills) but not others (foreign pills), the others will win all business. That is an unfair playing field. So part of the deal with regulating drugs in America is that you can't import drugs from other countries. I think I'd probably allow importation of the exact drug, by the exact manufacturer. Or just set a price control saying you cannot sell a drug for more than 120% of the average price in the EU + Japan + Canada + Australia + NZ etc.
  - justin66 9y ago
    > I think I'd probably allow importation of the exact drug, by the exact manufacturer. Well, right. It's pretty impossible to justify not allowing importation of the drug for any safety-related reasons if it is literally the same product from the same manufacturer.
harryh 9y ago
Ideally the drug company making this thing would just stop being boneheads about pricing. I think this is silly. We don't expect that companies "stop being boneheads" (by which I assume you mean act more ethically) when it comes to the pricing of televisions, or food, or household goods, or practically anything else. Why should we expect it for these pills? That expectation will be doomed to failure in many instances. A more ideal scenario would be to examine the underlying reasons that allow the company to charge so much for something that apparently costs so little to make. If we can understand that problem we should be able to implement fixes that lead to proper pricing without the expectation that profit seeking corporations will magically decide to forgo profit just to be nice.
- justin66 9y ago
  > We don't expect that companies "stop being boneheads" (by which I assume you mean act more ethically) when it comes to the pricing of televisions, or food, or household goods, or practically anything else. Why should we expect it for these pills? Sure we do. Companies react to non-market concerns like ethics, civics, reputation, government and public pressure at the expense of short-term profit all the time, in addition to reacting to market competition. Even if you accept the notion that the corporation (if it were a person) should be considered a sociopath, it is not at all obvious that market factors or regulation will be as effective in any given case at moving a company's leadership to behave ethically as, say, negative PR that will keep the CEO from getting laid. (not that you'd want to base an economic system on that...) > A more ideal scenario would be to examine the underlying reasons that allow the company to charge so much for something that apparently costs so little to make. That is not the important question at all. (do you really want to argue that charging a lot for something that "costs so little to make" is inherently a bad thing?) The important question in this case is why the same company can sell the same thing in two different markets with a 10,000x price difference.
Symmetry 9y ago
That explains it with this drug but wouldn't explain why the US just as EpiPen as our one adrenaline injector (in practice) with a single manufacturer while there are a half dozen competing manufacturers. And if the FDA recognized that Europeans aren't particularly dying off from poor quality medicine and maybe we should allow import of EMA accepted drugs then maybe economies of scale would be less of a problem.

jonwachob91 9y ago

>>From the sound of things these diseases were until very recently isolated to poorer countries. Even today, with the increased number of cases, there might not be enough money to be made based on a few sick North Americans to justify tooling up to make a new drug. The article also says albendazole, the drug in question, can be purchased in the UK for $2. Why can I not start a pharma company that A) imports albendazole (and other rare disease drugs) from the UK and other 1st world country at a reasonable markup or B) orders albendazole, and other rare disease drugs, from the same manufacturer that makes it for the UK, and other 1st world countries, at a reasonable markup? I'm genuinely curious about the regulatory landscape of that question.

test1235 9y ago
GlaxoSmithKline produce Zentel[1] (manufactured in India), and they already operate in US[2]. 1. https://www.unitedpharmacies-uk.md/Zentel-Albendazole-400mg-1-Tablet-p-1811.html https://www.unitedpharmacies-uk.md/Zentel-Albendazole-400mg-... 2. https://en.wikipedia.org/wiki/GlaxoSmithKline#Facilities https://en.wikipedia.org/wiki/GlaxoSmithKline#Facilities
rhino369 9y ago
I think our system is so fundamentally broken, you should be able to do that. But if you could, it would be an end run around the FDA. Might as well shut the FDA down in that case. If you add burdensome regulatory costs to some competitors (domestic pills) but not others (foreign pills), the others will win all business. That is an unfair playing field. So part of the deal with regulating drugs in America is that you can't import drugs from other countries. I think I'd probably allow importation of the exact drug, by the exact manufacturer. Or just set a price control saying you cannot sell a drug for more than 120% of the average price in the EU + Japan + Canada + Australia + NZ etc.
- justin66 9y ago
  > I think I'd probably allow importation of the exact drug, by the exact manufacturer. Well, right. It's pretty impossible to justify not allowing importation of the drug for any safety-related reasons if it is literally the same product from the same manufacturer.

harryh 9y ago

Ideally the drug company making this thing would just stop being boneheads about pricing. I think this is silly. We don't expect that companies "stop being boneheads" (by which I assume you mean act more ethically) when it comes to the pricing of televisions, or food, or household goods, or practically anything else. Why should we expect it for these pills? That expectation will be doomed to failure in many instances. A more ideal scenario would be to examine the underlying reasons that allow the company to charge so much for something that apparently costs so little to make. If we can understand that problem we should be able to implement fixes that lead to proper pricing without the expectation that profit seeking corporations will magically decide to forgo profit just to be nice.

justin66 9y ago
> We don't expect that companies "stop being boneheads" (by which I assume you mean act more ethically) when it comes to the pricing of televisions, or food, or household goods, or practically anything else. Why should we expect it for these pills? Sure we do. Companies react to non-market concerns like ethics, civics, reputation, government and public pressure at the expense of short-term profit all the time, in addition to reacting to market competition. Even if you accept the notion that the corporation (if it were a person) should be considered a sociopath, it is not at all obvious that market factors or regulation will be as effective in any given case at moving a company's leadership to behave ethically as, say, negative PR that will keep the CEO from getting laid. (not that you'd want to base an economic system on that...) > A more ideal scenario would be to examine the underlying reasons that allow the company to charge so much for something that apparently costs so little to make. That is not the important question at all. (do you really want to argue that charging a lot for something that "costs so little to make" is inherently a bad thing?) The important question in this case is why the same company can sell the same thing in two different markets with a 10,000x price difference.

Symmetry 9y ago

That explains it with this drug but wouldn't explain why the US just as EpiPen as our one adrenaline injector (in practice) with a single manufacturer while there are a half dozen competing manufacturers. And if the FDA recognized that Europeans aren't particularly dying off from poor quality medicine and maybe we should allow import of EMA accepted drugs then maybe economies of scale would be less of a problem.