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Healthy Skepticism Library item: 8607

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

Sotelo J.
Making the prices of new drugs fairer
BMJ 2007 Feb 17; 334:(7589):369
http://www.bmj.com/cgi/content/full/334/7589/369


Abstract:

The prices of novel drugs are spiralling, and the rises seem impossible to contain. Drugs are fast becoming unaffordable for many patients and public healthcare institutions, even in rich countries. This is a huge challenge for medical institutions and governments; the problem is so great nowadays that several countries consider it a matter of national security.

Several chronic diseases (among them epilepsy, arthritis, diabetes, hypertension, and depression) require lifelong treatment, an economic burden that many patients find almost impossible to meet. The impressive success of biomedical research in recent decades in curing and controlling countless diseases is increasingly eclipsed by the rising costs of all new treatments, even those for simple or self limiting disorders.

The cost of biomedical research that eventually results in new drugs is almost entirely supported by public institutions without commercial interests. Only the final steps in the design and testing of a new drug rest . . .

 

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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