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India firm shakes up cancer drug market with price cuts

84 点作者 deadbea7将近 13 年前

5 条评论

ashishgandhi将近 13 年前
Indian pharmaceuticals are a joke. They have zero inventions to their name. Their "secret" to selling drugs cheap lays in the following line from the article.<p>"In 1972, India made only the process for making drugs patentable, not the drugs themselves."<p>Do you really think this is smart?<p>Heavy R&#38;D costs are involved in coming up with compounds that save lives. If you only have the manufacturing process that's patentable then what happens is you can "reverse engineer" drugs as the article says. I would thought the significant majority of R&#38;D costs is pertained to identifying compounds that cure. The cost of determining the process to manufacture these discoveries was less significant.<p><pre><code> cost to invent drugs = identifying compounds (90%, say) + determining manufacturing process (10%) </code></pre> With no way to recover[1] the 90% of the cost involved in inventing drugs you no only take away the incentive to invent drugs but you disincentivize it.<p>I've lost family members to cancer and I would like my country's legislature to NOT disincentivize research for cancer or any other area. I'm not sure if there have been significant medical inventions here. I tried to look but couldn't find any.<p>[1] You competitors will spend 10% of the cost to determine a different process to manufacture drugs and sell the compounds at tenth of your price and taking the market away from you.<p>Edit: Down vote? Is it because of the dissent or is it because you think I'm wrong? I'm an Indian citizen and have the right (luckily) to dissent. If you think I'm wrong I would love to know what inventions have Cipla et. al been credited with.
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drsim将近 13 年前
The world needs more people like him: in a position of power with the guts to stick it to companies who put money before humanitarianism.
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cdooh将近 13 年前
Why is Cipla able to produce the drug at a fifth the price? Can someone please explain how Western companies price their drugs? How much do they send on R&#38;D, marketing and all that? I mean it doesn't really make them look good does it? P.S. Being from Africa I can testify to how much of a difference Cipla's 1dollar a day AIDS drugs make a huge difference!! Here in Kenya medication is given free of charge under government and NGO subsidies. AIDS is no longer a death sentence if you're poor.
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ajays将近 13 年前
An article that provides more background on the whole Indian drug patent stuff: <a href="http://www.medicusmundi.ch/mms/services/bulletin/bulletin200201/kap02/13gerster.html" rel="nofollow">http://www.medicusmundi.ch/mms/services/bulletin/bulletin200...</a> It's about 10 years old, but still has good information for those interested.
kamaal将近 13 年前
I've lost two People from my Family to Cancer. One a elder cousin sister of mine and another an Uncle. I was in my teens back then when it happened.<p>There are huge obstacles to getting quality affordable health care in India. Costly drugs is one of them. But costly drugs isn't the problem, the problem is health insurance is an unknown aspect here even now to many ordinary middle class crowd.<p>In case of my relatives, despite being in a urban city like Bangalore. We had trouble getting right doctors. Both patients, and relatives like us around them are hugely ignorant of what to do in case of big health problems. And this plays to the doctors advantage.<p>The problem is there is a huge problem of capitation fee here. Students shell out ridiculous sums of money for even entry level MBBS courses. The net result is need to go for higher studies again to get a job in a god hospital or start their own clinic. By the time they do MBBS + Specialization course + Investments on clinics, they only way they can earn back that kind of money is by charging their patients ridiculously.<p>There a lot of doctors who ask patients to undergo needless tests, even for some very simple things like fever these days. Doctors and Test labs both get commissions for tests they do. Doctors and Pharmacy shops get commissions for selling drugs what the Drug companies ask them to sell. Its like a huge nexus which acts as a burden on our contry's medical spending. So you will see a lot of tests and drugs prescribed for no reason.<p>I have seen many Pharmacy Shops sell banned drugs. For example only recently did we know that a drug called Rosicon MF is a banned diabetic drug(<a href="http://en.wikipedia.org/wiki/Rosiglitazone" rel="nofollow">http://en.wikipedia.org/wiki/Rosiglitazone</a>), but my mom was taking it even 6 months after the ban. Blame this both on Ignorant doctors and Pharmacy shops. Although by God's grace nothing has happened so far.<p>Another colleague of mine needs to his wife operated for Avascular Necrosis. It seems doctors here shouted on them when they discovered them doing pre research before the operation. And it turns out the doctors advised them a mode of operation, which requires a lot of post operative expenses, compared to other types which are better. Its things like this. I have myself faced the doctors wrath when they figure I am pre reading something about the disease while trying to help out a relative. Its almost like suffer at our hands or get lost kind of attitude.<p>Healthcare is like a huge business, where doctors look to maximize their profits by hook or crook. Patients are largely very anxious and ignorant of what is happening to them. Drugs are costly, Every one in the business is out there to make money at without much regard to the patient. Pharmacy shops, surgeons, physicians, specialist, Test Labs its all mad rush for money.<p>So drugs aren't really the only problem.