Part I: Healthcare System Problem Identification

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Darwin333

Lifer
Dec 11, 2006
19,946
2,329
126
Originally posted by: Pens1566
I'm glad someone mentioned the advertising of prescription drugs. There's no reason why those companies should be purchasing expensive tv slots so I can ask my doctor if lipitor/viagra/etc. is right for me. There are many problems with this:

1) The amount of money they spend on it
2) Patients shouldn't be telling doctors what they should be taking
3) Doctors are already quite well aware of what drugs are available from the also quite expensive drug rep. effort

I couldn't imagine they would continue to spend that kind of money on advertising if it doesn't generate more revenue than it costs. If it does in fact generate revenue and we make them stop how does that reduce our costs?
 

imported_inspire

Senior member
Jun 29, 2006
986
0
0
Originally posted by: Pens1566
I'm glad someone mentioned the advertising of prescription drugs. There's no reason why those companies should be purchasing expensive tv slots so I can ask my doctor if lipitor/viagra/etc. is right for me. There are many problems with this:

1) The amount of money they spend on it
2) Patients shouldn't be telling doctors what they should be taking
3) Doctors are already quite well aware of what drugs are available from the also quite expensive drug rep. effort

1) It's their money; they should be allowed to promote their products to increase sales and ROI on the products they develop.
2) No, they shouldn't, but if they're recieving 2 different antiquated dyslipidemia treatments every month in the mail, most doctors aren't going to call them up and ask them if they'd like the new medicine that works better without the side-effects.
3) Practitioners don't always have as much time as you'd think, and particularly with saturated market segments, like dyslipidemia, they're not going to be constantly asking patients if they'd like to switch to the newest thing.

Do you think that viagra would have ever created a market had doctors had to tell their patients themselves about it? before this, most patients weren't even aware that ED was a disorder that could be treated, let alone something they should feel comfortable asking their doctor about. And a doctor isn't going to just pry into your sexual practices and shortcomings.

And seriously, if ads aren't allowed to increase sales, what do you honestly think will happen? Pharma companies outlay a significant amount of money for R&D, and they have to make a profit to stay in business and continue making drugs. If the number of a particular drug is sold, its price will be raised in order to compensate. Add that to the money no longer in the economy from ad revenue.

So, I disagree. I think there are much more prudent places to cut back health expenses, especially since Pharma costs only make up a small portion of overall healthcare expenditures.
 

Pens1566

Lifer
Oct 11, 2005
13,819
11,471
136
Originally posted by: Darwin333
Originally posted by: Pens1566
I'm glad someone mentioned the advertising of prescription drugs. There's no reason why those companies should be purchasing expensive tv slots so I can ask my doctor if lipitor/viagra/etc. is right for me. There are many problems with this:

1) The amount of money they spend on it
2) Patients shouldn't be telling doctors what they should be taking
3) Doctors are already quite well aware of what drugs are available from the also quite expensive drug rep. effort

I couldn't imagine they would continue to spend that kind of money on advertising if it doesn't generate more revenue than it costs. If it does in fact generate revenue and we make them stop how does that reduce our costs?

They can't possibly know for sure what % of sales is from direct marketing to the general public. They can guess, but nothing concrete.
 

Pens1566

Lifer
Oct 11, 2005
13,819
11,471
136
Originally posted by: inspire
Originally posted by: Pens1566
I'm glad someone mentioned the advertising of prescription drugs. There's no reason why those companies should be purchasing expensive tv slots so I can ask my doctor if lipitor/viagra/etc. is right for me. There are many problems with this:

1) The amount of money they spend on it
2) Patients shouldn't be telling doctors what they should be taking
3) Doctors are already quite well aware of what drugs are available from the also quite expensive drug rep. effort

1) It's their money; they should be allowed to promote their products to increase sales and ROI on the products they develop.
2) No, they shouldn't, but if they're recieving 2 different antiquated dyslipidemia treatments every month in the mail, most doctors aren't going to call them up and ask them if they'd like the new medicine that works better without the side-effects.
3) Practitioners don't always have as much time as you'd think, and particularly with saturated market segments, like dyslipidemia, they're not going to be constantly asking patients if they'd like to switch to the newest thing.

Do you think that viagra would have ever created a market had doctors had to tell their patients themselves about it? before this, most patients weren't even aware that ED was a disorder that could be treated, let alone something they should feel comfortable asking their doctor about. And a doctor isn't going to just pry into your sexual practices and shortcomings.

And seriously, if ads aren't allowed to increase sales, what do you honestly think will happen? Pharma companies outlay a significant amount of money for R&D, and they have to make a profit to stay in business and continue making drugs. If the number of a particular drug is sold, its price will be raised in order to compensate. Add that to the money no longer in the economy from ad revenue.

So, I disagree. I think there are much more prudent places to cut back health expenses, especially since Pharma costs only make up a small portion of overall healthcare expenditures.

I believe that they spend quite a bit more on advertising than they do on R&D ...

So do you think its a good thing they spend extraordinary amounts of money pushing product to people who shouldn't be deciding what they need/take? Maybe that extra money would be better off going to R&D or to just lowering costs for the customer? Nah.
 

Athena

Golden Member
Apr 9, 2001
1,484
0
0
Originally posted by: inspire
And seriously, if ads aren't allowed to increase sales, what do you honestly think will happen? Pharma companies outlay a significant amount of money for R&D, and they have to make a profit to stay in business and continue making drugs. If the number of a particular drug is sold, its price will be raised in order to compensate. Add that to the money no longer in the economy from ad revenue.
I'm sorry but that is not true. It's interesting that so many people seem to have such short memories when it comes to things like this.

Most of the drugs being heavily advertised were developed when companies were not permitted to advertised to patients and those same drugs cost much less in other countries. In addition, many drugs are actually developed on the government's dime, though grands for basic research (much of which is conducted at universities) and not out of company revenue.

Pharmaceutical companies currently spend twice as much on advertising than they do R&D. They are advertising to increase their profit margin, not to fund R&D -- that's why direct to patient advertising has increased by 43% in the past decade.

 

NaughtyGeek

Golden Member
May 3, 2005
1,065
0
71
Pst, anyone in here debating their personal beliefs read the OP? Where this thread has gone in the short period of time it has been active is a large part of why our representatives fail miserably in trying to get anything done that helps the people. Rather than brainstorm and make a target to work towards, everyone has to interject their own personal pet pieves, hang ups, and crusades into the issue before it's even formed.

Anyway, back on target, anyone wishing to actively participate in a constructive way, please take the list as it stands in the OP, narrow it down to 10 items you agree with needing addressed and order them 1-10 with 1 being the most important and 10 being the least.
 

imported_inspire

Senior member
Jun 29, 2006
986
0
0
Originally posted by: Pens1566
Originally posted by: inspire
Originally posted by: Pens1566
I'm glad someone mentioned the advertising of prescription drugs. There's no reason why those companies should be purchasing expensive tv slots so I can ask my doctor if lipitor/viagra/etc. is right for me. There are many problems with this:

1) The amount of money they spend on it
2) Patients shouldn't be telling doctors what they should be taking
3) Doctors are already quite well aware of what drugs are available from the also quite expensive drug rep. effort

1) It's their money; they should be allowed to promote their products to increase sales and ROI on the products they develop.
2) No, they shouldn't, but if they're recieving 2 different antiquated dyslipidemia treatments every month in the mail, most doctors aren't going to call them up and ask them if they'd like the new medicine that works better without the side-effects.
3) Practitioners don't always have as much time as you'd think, and particularly with saturated market segments, like dyslipidemia, they're not going to be constantly asking patients if they'd like to switch to the newest thing.

Do you think that viagra would have ever created a market had doctors had to tell their patients themselves about it? before this, most patients weren't even aware that ED was a disorder that could be treated, let alone something they should feel comfortable asking their doctor about. And a doctor isn't going to just pry into your sexual practices and shortcomings.

And seriously, if ads aren't allowed to increase sales, what do you honestly think will happen? Pharma companies outlay a significant amount of money for R&D, and they have to make a profit to stay in business and continue making drugs. If the number of a particular drug is sold, its price will be raised in order to compensate. Add that to the money no longer in the economy from ad revenue.

So, I disagree. I think there are much more prudent places to cut back health expenses, especially since Pharma costs only make up a small portion of overall healthcare expenditures.

I believe that they spend quite a bit more on advertising than they do on R&D ...

So do you think its a good thing they spend extraordinary amounts of money pushing product to people who shouldn't be deciding what they need/take? Maybe that extra money would be better off going to R&D or to just lowering costs for the customer? Nah.


You believe wrong, dude. Where are you getting this? Did you read any of what I posted? No, you didn't, because you didn't address any of my points, you simply regurgitated the same stuff - so my response stays the same. For the sake of bandwidth refer to the post above yours.
 

imported_inspire

Senior member
Jun 29, 2006
986
0
0
Originally posted by: Athena
Originally posted by: inspire
And seriously, if ads aren't allowed to increase sales, what do you honestly think will happen? Pharma companies outlay a significant amount of money for R&D, and they have to make a profit to stay in business and continue making drugs. If the number of a particular drug is sold, its price will be raised in order to compensate. Add that to the money no longer in the economy from ad revenue.
I'm sorry but that is not true. It's interesting that so many people seem to have such short memories when it comes to things like this.

Most of the drugs being heavily advertised were developed when companies were not permitted to advertised to patients and those same drugs cost much less in other countries. In addition, many drugs are actually developed on the government's dime, though grands for basic research (much of which is conducted at universities) and not out of company revenue.

Pharmaceutical companies currently spend twice as much on advertising than they do R&D. They are advertising to increase their profit margin, not to fund R&D -- that's why direct to patient advertising has increased by 43% in the past decade.

Sources, please. While you're at it, how about addressing my example of sildenafil, rather than thinking you can simply get away with taking on whatever you think my weakest point is.

 

NaughtyGeek

Golden Member
May 3, 2005
1,065
0
71
STOP DEBATING IN THIS THREAD!!!!!!!!! Read the friggen OP. If you want to debate, there are about 500 other damn UHC threads on this board to do it in.

My list:

1) Rising Costs
2) The denial of treatments, or removal from a plan altogether, at times when such treatments are critical to the survival of a patient -- this is simply unacceptable.
3) Lack of coverage or loss of coverage for individuals with preexisting conditions
a.)Claim denial for seemingly unrelated clerical or informational errors.
4) Health care being tied to employment
5) lack of medical record accessibility / transferrability / online-y goodness
6) don't need full-on doctors for "simple" things (strep throat, etc.)
7) People using the ER for routine medical care
8) rare/non-existent after-hours care for things such as Xrays / labs / etc... (outside of
the emergency room, which should be reserved for people who are severely injured).
9) Lack of uniformity in pricing
10) 18% Uninsured rate (or therabouts)
 

Athena

Golden Member
Apr 9, 2001
1,484
0
0
Originally posted by: inspire
A) I don't need a table - I want a level field, too. I thought even individuals had access to HSAs with tax benefits?
Whether you have a conventional plan or an HSA you don't a deduction for the premium. An HSA is just an account of before tax money that you can use for actual expenses. And you implied assumption that an High Deductible plan with an HSA is the most reasonable choice for an individual is ...well mistaken.

Then adjust the model; don't tear it down. I'm not saying we should do nothing. We should isolate the problems, target them, and deal with them. I don't think throwing everything out is the best course here.

What can I say? We disagee. The model is faulty. What did I hear this morning? ... "It's like trying to build a couple of extra stories on a building with a sinking foundation" (or something similar).

I won't argue the relative importance of food & housing vs. healthcare, but I thought the average cost of housing alone was over 20% - even more for lots of people. That's what got us into this ungodly recession.
I think some of those figures were based on people with those ungodly mortgages, people in foreclosure, etc. And no it wasn't the percentage of household expenditure on housing that generated the mess, it was that banks failed in their fiduciary responsibiity to properly assess the risk of lending to people who could not afford their houses.

I was looking at the graph accompanying this article when I wrote that. Other sources estimate it much higher (note West Virginia with almost 30%) but I decided to use the more conservative numbers. The more important thing to remember here, is these are estimates for families with employer paid coverage. If we continue with the same model and costs continue to rise at the same rate as they have over the past decade (which is more or less inevitable if you retain the same model), the projection is that those same families will be spending 44% of their after tax income 10 years from now.

Edit: Sorry I answered before the OP asked to stop using the thread for discussion :eek:
 

Athena

Golden Member
Apr 9, 2001
1,484
0
0
11. Affordability. It's not enough to have insurance, you have to be able to take advantage of it and get care without bankrupting your family.
 

Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,268
126
Originally posted by: Athena
Originally posted by: ebaycj
I had a simple sinus infection a couple months back. Got a prescription for antibiotics (nothing really exotic). Looked on the bill, would have cost me over $300 for 2 weeks worth if I didn't have insurance. and that's on top of the doctor's fee of at least $100 (more likely $200). That's $400-500 for a simple, very routine thing. There are many who could not afford this.
That's not as uncommon as most of us would like to believe. A friend of mine developed a skin infection on her leg last month and ended up being hospitalized. It turned out that she had one a "used to be rare but more prevalent now" MRS infection. Upon release from the hospital, she was given a prescription for a 3-week course of antibiotics. When she picked up the prescription, the pharmacist warned her that her insurance company would not pay for a replacement or refill -- if she lost the pills she would have to pay the full $80/capsule price.

Just what do you think the government does when this happens?

PS I know, and I don't have to speculate.
 

Pens1566

Lifer
Oct 11, 2005
13,819
11,471
136
Originally posted by: inspire
Originally posted by: Pens1566
Originally posted by: inspire
Originally posted by: Pens1566
I'm glad someone mentioned the advertising of prescription drugs. There's no reason why those companies should be purchasing expensive tv slots so I can ask my doctor if lipitor/viagra/etc. is right for me. There are many problems with this:

1) The amount of money they spend on it
2) Patients shouldn't be telling doctors what they should be taking
3) Doctors are already quite well aware of what drugs are available from the also quite expensive drug rep. effort

1) It's their money; they should be allowed to promote their products to increase sales and ROI on the products they develop.
2) No, they shouldn't, but if they're recieving 2 different antiquated dyslipidemia treatments every month in the mail, most doctors aren't going to call them up and ask them if they'd like the new medicine that works better without the side-effects.
3) Practitioners don't always have as much time as you'd think, and particularly with saturated market segments, like dyslipidemia, they're not going to be constantly asking patients if they'd like to switch to the newest thing.

Do you think that viagra would have ever created a market had doctors had to tell their patients themselves about it? before this, most patients weren't even aware that ED was a disorder that could be treated, let alone something they should feel comfortable asking their doctor about. And a doctor isn't going to just pry into your sexual practices and shortcomings.

And seriously, if ads aren't allowed to increase sales, what do you honestly think will happen? Pharma companies outlay a significant amount of money for R&D, and they have to make a profit to stay in business and continue making drugs. If the number of a particular drug is sold, its price will be raised in order to compensate. Add that to the money no longer in the economy from ad revenue.

So, I disagree. I think there are much more prudent places to cut back health expenses, especially since Pharma costs only make up a small portion of overall healthcare expenditures.

I believe that they spend quite a bit more on advertising than they do on R&D ...

So do you think its a good thing they spend extraordinary amounts of money pushing product to people who shouldn't be deciding what they need/take? Maybe that extra money would be better off going to R&D or to just lowering costs for the customer? Nah.


You believe wrong, dude. Where are you getting this? Did you read any of what I posted? No, you didn't, because you didn't address any of my points, you simply regurgitated the same stuff - so my response stays the same. For the sake of bandwidth refer to the post above yours.

I'm actually right