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Healthy Skepticism Library item: 16356

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

Staton T
Drugs discounted to boost compliance
Fierce Pharma 2009 Aug 28
http://www.fiercepharma.com/story/drugs-discounted-boost-compliance/2009-08-28


Full text:

Drugmakers have come up with all sorts of ways to get folks to take their drugs as directed: mailouts, e-mails, phone calls, even gadget giveaways. But still, people with chronic health problems fail to follow through. Now, a big insurer and several drugmakers are appealing to patients where it really counts: the pocketbook.
UnitedHealth Group is offering $20 discounts off monthly copays for certain asthma meds and antidepressants—provided patients stick to their regimens, the Wall Street Journal reports. The price break only works when members refill their scrips on time. Qualifying antidepressants include Eli Lilly’s Cymbalta, and Wyeth’s Effexor XR and Pristiq; asthma meds include GlaxoSmithKline’s Advair and AstraZeneca’s Symbicort. These branded drugs have $50 co-pays on some UnitedHealth plans, so a $20 discount would take the co-pay down to $30.
To make the program work, drugmakers had to play ball, considering the discounts in their rebate deals with UnitedHealth. The idea being, of course, that the price cut would not only encourage patients to keep refilling their scrips, but also to stick with the branded version of the drug rather than switching to a generic. No details on the financial terms, but they must be favorable enough; GlaxoSmithKline, for one, said that it’s working other insurers on “this kind of innovative program.”

 

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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