Drug Advertisements on TV
Ever
wonder about the many advertisements for prescription drugs you see on TV? These drugs all have several things in
common. (1) They must be prescribed by a
physician. (2) They are all for serious diseases. (3)
They all, even though they don’t say it, are very, very expensive and
(4) they all include warnings in very small print, or hastily spoken, about the
dangers of possible side effects. Often, the word “fatal” in breezed over in
these caveats.
Absent
from these ads are drugs commonly used for elevated blood pressure or elevated
cholesterol. That’s because most of them
are available in generic versions and are not tremendously expensive. It is inconceivable to me that the folks
these advertisements are aimed at are not already under the care of physicians
and under treatment for their serious illness or condition. The aim of the ads is to get the patient to
suggest to their doctor to perhaps put them on the medication they saw
advertised on television. If only a few
patients do this, and their doctor switches them to the advertised product, the
price of these expensive TV ads is a good investment for the pharmaceutical
company. The most common medical
histories toward which these ads are targeted are cancer, intestinal disorders
(ileitis, Crohn’s Disease), rheumatoid arthritis, psoriasis of rheumatic
origin, diabetes, bladder problems and hepatitis-C, all of which are serious
disorders.
Pharmaceutical
companies have invested millions of dollars into developing these drugs. That’s why they are so expensive. In order to both recoup the cost of the
drug’s development and to create profits for the pharmaceutical company, they
actively try to increase their use. That’s
what the ads are about. The high cost of these drugs is borne by the patient
through their own resources or co-payments and by insurance companies and the
Federal government. (Sometimes, the drug
companies offer them at a more modest cost to those without insurance and below
certain income levels, but they do it through a charitable “foundation”
approach, which provides them with a tax deduction for the full amount of the
drug, so the government really ends up footing the bill.) And of course, nothing is “free” so both
insurance and Medicare premiums and Federal taxes to support paying for
expensive drugs all go up.
All
of this must be accomplished during the first twenty years of a drug’s
availability on the market in the United States. During that period, the drug company can
charge its sky-high price. After that,
when the patent runs out, less expensive generic versions of the drug usually
will become available and its role as a company profit center will end. That is why, during the first twenty years of
an expensive new drug’s availability in the United States, drug companies
advertise furiously to increase its use.
That’s when they make their money.
And of course, they are always busy developing new drugs or modifying
existing ones to create more opportunities to lock in a high price for twenty
years. Here's an example:
Opdivo is a cancer-fighting drug |
Yes,
these drugs come at a price. Here are
the monthly costs of five heavily advertised drugs for those without insurance. You won’t see these prices on the TV ads. Remember that Insurance companies often negotiate for better prices for their insureds, which helps a bit.
Keytruda $8,369
Taltz $6,194
Otezla $3,764
Humira
$5,846
Lyrica $1,070
Xeljan $4,915
Jack Lippman
An Unpublished Letter
Someone
wrote a letter to the Palm Beach Post
last week explaining that the President is legally empowered to keep aliens out
of the country and that justifies his declaring a national emergency to do
so. I disagreed and wrote the following
letter to the Post, which up to
today, they have not published. I think
they are sick of me.
“The President’s
broad authority to exclude aliens based on provisions in the United States
Code, as cited by a recent letter writer (Friday, Feb. 22), does not extend so
far as to give him the ability to take such an action by declaring it to be in
response to what he considers to be a national emergency. There is a difference between what powers the
United States Code gives the President and the much greater power available to
him through his declaring a national emergency.
He chose to take the latter course only because Congress refused to
provide him with the funds to fully carry out the action described in the
U.S.C. citation. According to the
Constitution, that is their job. Sadly,
the President does not fully understand the separation of powers laid out in
the Constitution which he, and members of Congress, have sworn to uphold. Fortunately for America, most members of both
Houses of Congress do understand it.”
JL
Brave New World of Technology Department
I
used to believe I was sufficiently technologically oriented but when I step
outside of the world of retirees, I realize how far behind the times I am. My desktop computer is about as obsolete as
a Princess telephone. I do have an Apple
IPhone, but it’s only a “7” and most younger folks use a “10” now, or its
Android equivalent, or more likely a tablet of some kind, which is probably ten
times as powerful as my desktop. Hey, my
desktop is really an old laptop, discarded by my son, but far more powerful than
the “tower” I used to have. Somehow,
it’s linked to the 24” wide monitor sitting before me right now. But that works for me.
I
played around with Facebook for a while but it was too confusing and
overwhelming for me so I cancelled out of that.
I never got into Twitter but wanted to give Instagram a try. It sounded interesting. But lo and behold, you can’t (or at least, I
can’t) work Instagram from my computer.
It must be used from a mobile phone (my “7” is fine) and is based on
sending pictures taken on that phone (or stored on it) out to whomever
“follows” you on Instagram, possibly with added pithy comments.
People
get to “like” postings and I get to “follow” what posts I like. And there are all sort of gimmicks possible,
using “hashtags,” which are a big thing on Twitter too. I’ve learned that they call a number sign or
a pound sign a hashtag in today’s language. Right now, having posted five
pictures on Instagram, I have eleven followers and follow nineteen people who
post. I have been told to “like” (post a
heart icon) their postings and thereby grow my following. On Instagram, I am “jacobelippman.” (or maybe
“#jacobelippman.” I am not sure.) Check me out.
Oh, yes, to get on Instagram, I had to resurrect my Facebook account
(Facebook owns Instagram) but am assiduously avoiding posting on it again. I don’t trust Zuckerberg … but Instagram
seems harmless enough.
Mobile
phones seem to be everything. Younger
people use them where old folks still use computers. Only professional photographers and really serious
hobbyists own cameras anymore. Young
people don’t even use credit cards much anymore. They just flash their phones and the
bartender or clerk just scans it, and even that isn’t always necessary. Same goes for banking and gas stations. Even I
do it when boarding planes (but I usually have a printed boarding pass in my
pocket just in case). But I still have friends who don’t even have
the skills to use an ATM. If they need a
cab, they “call” one whereas younger generations have Uber or Lyft apps on
their mobile phones. There isn’t much
call for real money any longer. All this electronic spending shows up
eventually on a credit card bill which for many, is available only on their
mobile phone’s screen … payable from one’s bank account, only a click away. I dunno where all this is leading.
Meanwhile,
I am busy preparing a posting for my dusty old blog which sits on the Internet
and to which I alert people by an ancient vehicle known as Email. I am contemplating moving these alerts to
“texting” because that seems to be more the preference of younger people than
Email. First though, I have to figure
out a way to get my “mailing list” from my computer’s “doc” file onto my IPhone.
Oy!
I
will include this screed on the blog.
JLIs this where it's all heading? |
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Jack Lippman