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Healthy Skepticism Library item: 11773

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: news

Plea to regulate medicine prices
The Hindu 2007 Oct 15
http://www.hindu.com/2007/10/15/stories/2007101573930400.htm


Full text:

CHENNAI: Ten tablets of folic acid, a prescribed supplement for pregnant women, cost between Rs. 19 and Rs. 30 in the open market in the State. The same number is procured by the Tamil Nadu Medical Supply Corporation at Rs. 0.59.

The difference in prices between tender rates and over the counter sales does not merely reflect the difference between wholesale and retail prices – they reflect the lack of price control and the enormous profit margins of pharmaceutical companies, representatives of Centre for Consumer Education, Research and Training (CONCERT), said here on Friday.

For instance, the cost of drugs for multi-drug resistant tuberculosis is equivalent to the daily wages of 737 days for a labourer in the country. The cost of drugs for coronary heart disease would equal wages for 209 days.

Lack of price control

Much of the disconnect between pricing of medicines and average income was due to lack of price control, they said. Pharmaceutical major Novartis markets Glivec, medication for treatment of Chronic Myeloid Leukaemia, in the country. The cost of treatment for a month with the drug costs Rs. 1.2 lakh as compared to Rs. 8,000 with Indian drugs.

The actual cost of production is less than Rs. 1,000, CONCERT members said. Similarly, the cost of medication for Rheumatoid Arthritis marketed by Aventis under the name Arava costs Rs. 1, 320 for 10 mg, while those marketed by Ranbaxy, Torrent and Cipla cost about Rs. 80.

The Trust has urged the government to enforce price regulation on all essential drugs, weed out harmful and useless drugs, keep a restricted list of drugs, pool procurement of drugs in all States, control promotional activities of drug companies, provide universal health insurance, increase the health budget and change medical education and public health policy.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909