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Healthy Skepticism Library item: 18986

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: Journal Article

Stafford N
Proportion of spending on brand name drugs continues to rise in Germany
BMJ 2010 Sep 22; 341:
http://www.bmj.com/content/341/bmj.c5185.extract


Abstract:

Brand name drugs accounted for more than 40% of Germany’s public insurance drug budget in 2009, up from 10% in 1993, a new report has shown.

The report says that patent protected drugs accounted for €13.2bn (£11.2bn, $17.3bn) (41%) of the €32bn drug budget in Germany in 2009. In 1993 they accounted for €1.6bn (10%) of the €16bn budget.

Ulrich Schwabe, co-editor of the report and professor emeritus of pharmacology at the University of Heidelberg, has called on politicians to take legislative action to break the upward trend in German drug costs, which he says are the highest in Europe.

Speaking at a press briefing in Berlin on 14 September to launch the report, he said that €9.4bn of the total €32.4bn spent on drugs in 2009 could have been avoided if German prices fell to Swedish levels.

Professor Schwabe told the BMJ that he compared German prices with those in Sweden because Swedish prices, which are in the lower third of …

 

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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