New Drug Bill passed House

dawgball

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Drug Bill passes House

This only makes sense to me. American pharmaceutical companies have preyed on the sick for too long. If we put in place a checks and balance with approved vendors, then I think the safety net would be there.

I have several friends that are pharm. reps, and that job seems odd to me to have so many of them. Our whole system could use improvement, but the pharm companies are the ones making out like bandits!

I am no expert on this subject. I would like others opinions.
 

djv

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Im very happy for folks like my 85 year old mother. Between this and the Program for seniors in state of Wisconsin. Big time saveing.
 

acehistr8

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I agree the drug industry needs reforms but I dont think this is the way to go about it. I talked to my brother in the Senate this morning and he says this bill has no hope of passing the Senate FWIW. There are two issues I see here for this paticular bill (that being allowing people to purchase medicine abroad), one of cost and one of safety.

On the safety front, there are some genuine concerns about where these drugs are actually being manufactured. If the drug in Canada is being reverse engineered and put back together in some factory in India, is that as safe as one overseen by the FDA here? I dont really know, I guess its a personal choice at that point. If you cant afford the US version and you are willing to take the risk, thats fine with me. The problem as I see it is lets say as this article points out a certain cancer drug was less than what it should be. A patient goes to their doctor who is now in the position of needing to know where and when the bought the drug. Instead of needing to know all there is about Cancer Drug A, they need to know all about that, plus what happens if you buy it in India, plus issues if you buy it in Mexico. Seems like you open docs up to a lot of liability.

The cost thing is the one that pisses me off the most. I know most drugs shouldnt cost as much as they should, I am not going to argue that with anyone. But nor should they be given away. I CANT STAND to hear people say things like "Why are drugs so expensive, its costs them a penny to make." What they forget or ignore is that yes Pill #2 - #1,000,000,000 cost a penny to make but Pill #1 cost $5 billion in R+D and factory work and production costs. Drug companies support armies of research scientists and labs to make these drugs and to research drugs in the future. If lowering the cost of todays drugs meant it would take longer to develop future medicines, I'm not sure thats a win for us.

No doubt this is a tough issue.
 

Stuman

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What they forget or ignore is that yes Pill #2 - #1,000,000,000 cost a penny to make but Pill #1 cost $5 billion in R+D and factory work and production costs.

Ace don't forget about the lawsuits that these drug companies have to endure. That will drive the price of anything up. Hmmm, lets see...Let's compile a list of things that cost too much because of the over-the-top legal costs.

1. Prescription medication
2. Malpractice insurance
3. Tabacco (No, I don't smoke)
4. Aircraft parts

I'm sure there are plenty of others, please help me out. Is fast food next? :shrug: We need to put a cap on these "get rich quick" lawsuits.

Stuman
 

dawgball

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Good points.

My problem with the drug industry is how many reps that they have in the field. Doctors basically have to fight them off every day because it is so saturated. Reps have 6-7 other reps in the same company working the exact same geography (not large, btw). This is a huge waste of money in my opinion.

They now have "regulations" on what reps can spend on doctors. This works really well (sarcasm inserted).

On the safety issue. Why can there not be an approved vendor list with heavy checks on those companies. When certain rules are violated, they are taken off the list. I think if this was the case, there would be no companies willing to be stripped of their right to sell to the American market. Maybe I'm wrong on this, but it seems that the FDA could approve/not approve companies that apply for US permits.:shrug:

Like I stated before, I don't know a ton about this, but I think the almighty campaign dollar will win in the end and this bill rejected solely on that premise. $20 million is hard to recoup when trying to get re-elected!:rolleyes:
 

acehistr8

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dawgball said:
Maybe I'm wrong on this, but it seems that the FDA could approve/not approve companies that apply for US permits.
I think the problem is the sheer number of companies that can produce generic drugs, there must be hundreds maybe thousands between Canada, Mexico and all over Asia. Then you would get to the point of well does the US and FDA have a right to dictate how another company is going to run its factories, what standars of living/airquality/safety do they live up to? It opens up a big can of worms that the FDA wont get into.
 

dawgball

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I think if the FDA is looking out for the US citizens then they would perform this function.

And yes, if a company wants to gain by selling to US markets, then they would have to follow the rules that the FDA sets forth.

I guess I am thinking too simply on this subject. I know it's tougher than this to make something work well.
 

acehistr8

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The FDA is certainly looking out for us, but this just isnt something within their scope of charge. Well then they couldnt stop with drug companies, it would have to be all food and drug producers all over the world, which is 10s of thousands of companies. The FDA would need a hundred thousand new employees and an enormous budget to start doing this.
 

dawgball

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First, it's hard to take your posts seriously with Cartman dancing like that!:D

Second, why does it have to take in everything at that point. If drug companies want to sell here, they must pass certain tests setup. Once again, I know it's not that simple, but I think the idea that the FDA would have to start checking all food is the mentality that always keeps programs not working properly. Legislation tries to have catch-alls when they're not always necessary.

When speaking of drug companies looking for approval, it should only pertain to drug companies. Maybe I don't understand this.
 

acehistr8

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I think the problem is one of size. There is a Canadian drug clearinghouse of sorts that advertises in the Wall Street Journal occasionally. It orders drugs from hundreds of generic plants all over the world and re-sells them. I just dont see how its possible for the FDA to monitor something like this, its just too big. You would need hundreds of teams of ten or more people flying all over the world inspecting these plants. It doesnt seem cost or time effective to me at all. I mean this is just one company. The approval process for drugs produced by US companies takes years. I just cant wrap my mind around how this would be possible. Its not as easy as one guy flying to one plant and saying ok looks good.

To say nothing of the fact that said Canadian company doesnt have to tell us shit about where they get the drugs. We cant ban them from selling in the US, people already take buses to Canada to buy from them or buy them online. They are under no obligation to tell us where in India, Malaysia or Hong Kong their suppliers are located.

And even then, these plants are under no obligation to let us in, because they arent selling to the US market! They are selling to Canada and Mexico and Germany. So if I run one of those plants and the FDA comes to my door saying "Let me in to inspect your plant and fix everything I tell you to", I tell him to piss off, I dont sell to his country anyway!
 
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SixFive

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where's dogface, he's a pharm. rep?

I have a friend who just started with Pfizer. One of her products is Viagra. She is 22 and very attractive. She's doing very well. Think about it, how many ugly pharmaceutical reps have u ever seen? I can think of 1, and I'm in the healthcare field.

I was listening to the Jim Bohanan show 3 nights ago, and this issue was raised. However, they were referring to Africa where so man have AIDS and no antiretrovirals and other drugs to treat. The drugs are cost prohibitive for these people UNLESS they get the generics from India which are 16 TIMES CHEAPER :eek: :eek: Still, the average worker there makes 2 bucks a day, and the medicine costs 1 buck a day. Still cost prohibitive for them, but a whole lot cheaper.
 

djv

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If these drugs are bad. Well we should have found that out from Canada and Europe long time ago. I never herd of any big panic coming from those places about bad drugs. Only recall I remember happen here in USA. Yes Senate will block this bill. I believe they should be voted out of office each one that does. They are not helping all Americans by that vote. If nothing else it will put alittle pressure on the drug companies to compete. The scare of these drugs would be bad is nuts. I heard some countries mentioned. Well folks we have many drugs coming right now from some mention above. India, Porto Rico, Portugal, Ireland to mention some.
 

dogface

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SixFive- Iam here, I just saw this thread now, but I think in the prior ddebate/conversation I outlined a few points that are being discussed here.

But before I get to the qoute below, let me also first reiterate how many $$$ from the Pharmaceutical companies are spent on the issuing of samples to clinics. Some Doctors will even prescribe different meds even if a lesser quality becasue they didn't have samples. Then throw in the sample abusing Doc's that like to give out a 6 months supply to each patient that comes in of whatever drug...and you also see a raise in cost. Unless it is a long term drug, sometimes the pharma companies never even see a prescription, so there is a loss in profit there as well. Remember how I mentioned the 12% markup on the pharma drugs form my company, it is not much higher or loew amongst the big three.

Let's also not forget the price gouging off the pharmacies on said products, and the intra industry lawsuits you may not hear much about from generic companies suing the larger pharma companies for rights to shorten a patent and make the generic version. One of my drugs in particular has a 19 year patent, (normal for the most part) the CEO of one of the generic companies cmes out in print and mentions that he will pursue lawsuits to shorten the patent, and even if he sues and loses for the next 14 years, it would still all be worth because of the profit they would make in the last 3-5 years. Now that is what I call screwed up!!!!

Now onto the quote:

dawgball said:
Good points.

My problem with the drug industry is how many reps that they have in the field. Doctors basically have to fight them off every day because it is so saturated. Reps have 6-7 other reps in the same company working the exact same geography (not large, btw). This is a huge waste of money in my opinion.

They now have "regulations" on what reps can spend on doctors. This works really well (sarcasm inserted).

This really depends on the type of docs being called on, and what the reps are selling. FAmily Practice docs see virtually every kind of rep, from consumer pharma, to Rx pharma. (Consumer pharma being Tylenol w/out Codeine, Aleve, etc.) and yes they sometimes do have to fight them off. But very rarely if ever is the same doc being seen for the same exact products. There may be some overlap, but it really depends on what position the products they are sellling are in.

If you go to specialty docs, such as Uro/gyn's or OBGYN's form which I call on about 65% of the time. I am warmly received and welcomed. ANd the atmosphere about generics is terrible, simply because they see immediate responses from patients about problems they have with generics. FP doc's typically don't seet hat because they will prescribe a generic Tylenol or something and not get a devastating or bothersome adverse event.

Als to put it into perspetive: I am responsible for around 100-120 clinics. I have around 475-535 Doctpr's and Registered NP's, and PA, that i am strictly repsonsible for thei prescribing habits. ot too mention Sally and Sue at the front, that I have to schmooze to get in the back, hence any HIPAA guidleness that are in affect prohibiting my visit, even if it's a clinic I can't get in to , I am still paid off of or damaged from their habits, even thought I have no way to discuss product with them.

I got sidetracked for a minute, but out of all of those docs and others that I see, how many times will i see them in a year do you think. )ALso depends on what type of Rx vlume they do in your class of drugs...to put it simoly on average I may see each doc around 5-6 times a year. (That's an average, some docs I will see 24x a year) Each of those times average out, comes to an average of around 10 minutes. So each doc on average gets about and our of sales and face time with me, and other reps for the year. Don't forget vacation, baby deliveries, days off, too busy, etc, also are reaosn I may not see a doc more. Using this realistic scenario you can see why there is overcoverage in certain areas but I dare to be they each are carrying somewhat different drugsin their bag, and talk about them in an entirely different and specific order depending on the doc. Add in the fact also that docs, usually switch too a couple different buildings a day or week, and you also will miss them.

I hope this sheds a light, and remember we are the Doc's first line of information for the most part, and we are well versed in good scientific studies, and our own products as well as our competitors. Remember, we are not a wasted $$$ sucking commodity, docs and patients want samples, (they are in the feel good business you know) and they need us to deliver, at that same point it is much easer learning from is, then their pother methods and reviews!


Have a great weekend!
 

dogface

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SixFive....

SixFive....

You mentioned the looks of reps..you have no idea! NAtional and regional conventions are definitely eye candy fests! I mean these people are beautiful!!!

Your friend that just got hire, unusual to be so young and in, but definitely not hear of. Average age of a new pharma rep is between (29-35). I also will mention that there are some of the most intelligent people I have ever met, and their knowledge sometimes amazes me! Keep in mind I have a M.Ed and thought I was smart....wow intelligence sometimes is a wonderful thing!!! Especially when accompanied by looks!!!
 

SixFive

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u got that right, dogface, and beauty and a sweet personality is even better, and this girl has that too.

Locally, a lady in our church who works at the free clinic gathers together thousands of samples that have expired. We have a night at church where will "pill pop". This gets rid of all that packaging, and we label bottles and put the pills in. We do this about quarterly (otherwise, the meds get thrown away). Then, we ship them to a mission in Haiti we are involved in. I've been to Haiti twice, and I have seen the drugs down there, so I know they are getting used. They might be expired, but they still work, and they've helped a TON of people in Haiti who in no way, shape, or form could have ever afforded them.

I have another friend who has worked for Pfizer for about 10 years or so who has done really well. He has had Viagra from the get-go. What company do you work for, and what are some of your products?

Lastly, HIPPA SUCKS!!!!!!!!!!
banghead.gif
 

dr. freeze

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something needs to be done...but this is definitely not it...

most people pay a set price for their drugs anyway...as i stated before, the power of the dollar has to go back into place for drug prices to come down

dollar has no power...so drugs cost ridiculous prices...

Joe Consumer pays 20$ for his 280$ paxil in US and 20$ for his 140$ paxil in Canada...

plus as stated before drug companie endure more costs in US because of the screwed up jackpot legal system..

Here's one for you....research came out a couple weeks ago that silicone breast implants do NOT cause cancer -- contrary to a study that came out years ago which said there was a correlation...as a result these companies go sued -- on bad science...now good science has proven that the silicone does not incure any more breast cancer risk....

BUT...lawsuits and settlements have already taken place....

just total bullsht

Now, with the introduction of foreign marketed drugs -- some of which can be toyed with -- who knows how, what, or when -- lawsuits will again prosper with stupid law.....

this is a very dumb idea
 

djv

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Doc that is why I dont always blame the legal system. The reserch and Science was bad. With no other info to go on. Well we know the rest of the story. But our drug prices have to be way out of line. Canada 20 bucks in USA 60 bucks. Same as Europe. We have folks travel to Europe get a years supply of drugs and pay for there trip with the savings.
As for law suites. In 1960 average reward was around 75 to 100 grand. New auto was 3 grand. Cigs 20 cents a pack gas 22 cents a gallon. When we look at what all those cost now days. Average law suite now 250 grand. That's not out of line at all. We only here about the million dollar ones. But many get zero or dam little. In cases where some get big bucks. We see those Doc's have screwed up real good. Or again the reserch or science played apart. Heres another one. My first child 1964 Doc and hospital bill togeather 812 dollars. How many Thousands today.
Believe in the 50/70 grand area. Hey someones doing ok. All I see is new hospital or clinic buildings going up in ever town.
Theres a lot more to these high cost then law suites.
 

dawgball

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dr. freeze said:
most people pay a set price for their drugs anyway...as i stated before, the power of the dollar has to go back into place for drug prices to come down

Joe Consumer pays 20$ for his 280$ paxil in US and 20$ for his 140$ paxil in Canada...

This is not necessarily true. You may pay the same out of pocket, but our insurance premiums are ridiculous because of our prices.

Mostly good points made by all here. Good to hear several views on this from people that actually have experience.
 
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