Sorry—I
can’t stop ranting about drug companies. (Look at the Topics menu for more
rants on the subject.) Lately, there’s been a brouhaha about the increase in
the cost of a Daraprim, a 62-year-old infectious disease drug that was recently
acquired by Turing Pharmaceuticals. Turing immediately raised the price from $13.50 a tablet to $750 a tablet. (The CEO,
Martin Shkreli, was arrested December 19th last year on securities fraud
charges—essentially for a Ponzi-like scheme.)
Pharmaceutical
companies want you to think their prices are high because they spend so much on
research and development. That’s hogwash. Their prices are high because they’re
trying to make the biggest profits they can get away with. Like Turing, their strategy is to
buy companies and/or drugs, after which they jack up the drug prices. Here's another example: Valeant Pharmaceuticals International spends just 3 percent of sales on R and D, which they consider to be “inefficient” and “risky”. Valeant bought
the rights to Isuprel, a heart medication, and immediately raised the price of
25 pills from $4,489 to $36,811. Similarly, 100 capsules of Cuprimine, a drug for Wilson’s disease, rose from $888 to $26,189. (In some foreign countries that same drug
sells for $1.00 a capsule.) In all, Valeant has raised the prices of its
brand-name drugs an average of 66 percent.
Executive
pay, by the way, is tied to shareholder returns. Last year, Valeant spent $123
million on the five highest-paid executives. Its president, J. Michael Pearson
has become a billionaire. Although Pearson operates out of an office in New
Jersey, the company has relocated to Canada for its tax advantages.
While
their profits have generated wealth for shareholders, it’s not been so great
for the employees who worked for the companies acquired by Valeant. Many, if
not most, have lost their jobs. For example, after acquiring Bausch & Lomb,
Valeant fired 3,000 of the original 4,103 workers.
Valeant and Turing may be extreme examples, but I think many if not most of these companies are
immoral, if not downright evil. For my part, I just say no to drugs. I’m glad I
can do that.
Next week: Inflammation I: My accident
For an introduction to this blog, see I Just Say No; for a list of blog topics, click the Topics tab.
For an introduction to this blog, see I Just Say No; for a list of blog topics, click the Topics tab.
Strong, good entry. Marcia Angell (20 yr edinchief of NEJM) is also devastating, at greater length, about BigPharm costs in her The Truth About the Drug Companies. She makes the case that you can't be sure about the meaning of and can't trust what they claim about their R&D in financial reports.
ReplyDeleteThanks, Bob. I am a fan of Angell and have used her work in my other rants about drug companies. You can find them in the Topics menu at the top of my blog page.
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