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Healthy Skepticism Library item: 8240

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

Hicks AR, Jackson MW, Barnard JF.
Pharmacoeconomic strategies for treating HIV patients in an indigent clinic
ASHP Midyear Clinical Meeting 1997 Dec; 32:


Abstract:

The cost of providing drug therapy to HIV patients is staggering. Most patients at our institution, who meet compliance guidelines, are on triple antiretroviral therapy at an average cost of $800/month. Many of our patients are also on prophylaxis therapy for MAC, PCP, and Candidiasis which can add an additional $250 or more per month to the cost of therapy. This report explains the methods used to provide prescription assistance to our HIV patients and how we were able to obtain over $84,000 of medications for 58 patients through pharmaceutical manufacturers’ assistance programs. Furthermore, by utilizing these patient assistance programs, we were able to justify the cost of a clinical pharmacist in the Retroviral Disease Clinic to provide these and other clinical services to this patient population.

 

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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