“This was an unexpected victory in a long fight against an illegal cartel of three corporations who have raised their insulin prices in lockstep.”

The Biden Administration pleasantly stunned health care reform advocates Tuesday by including short-acting insulin in its list of 10 drugs for which Medicare will negotiate lower prices, power vested in the White House by the Inflation Reduction Act.

The IRA was passed in the face of one of the heftiest barrages of lobbying in congressional history, with the pharmaceutical industry spending more than $700 million over 2021 and 2022 — several times more than the second- and third-ranking industries — much of it aimed at stopping the legislation, watering it down, or undermining its implementation.

196 points

They need to find a way to negotiate the price down for everyone, not just retirees. Kids need insulin.

And after that, epi pens.

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131 points
*

Here’s some good news about that with California making its own insulins:

The state-label insulins will cost no more than $30 per 10 milliliter vial, and no more than $55 for a box of five pre-filled pen cartridges — for both insured and uninsured patients. The medicines will be available nationwide, the governor’s office said.

https://www.npr.org/2023/03/19/1164572757/california-contract-cheap-insulin-calrx

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29 points

That is really great news. Thanks!

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17 points

I wish the process would be repeated by the federal government, for every similar drug that could be produced with their patent’s expiration.

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30 points
*
Deleted by creator
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5 points

I’ve always wondered why those that might need an epinephrine shot don’t keep a vial and needle on hand. A vial of epinephrine goes for about $35. No judgement, just genuinely curious.

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47 points

You ever try to draw from a syringe while you’re hypotensive, gasping for breath, and panicking as you’re about to pass out? That’s the primary innovation of the epi-pen. Remove cap, stab through clothes, press button.

Granted, syringe and vial would be better than not having epinephrine though.

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17 points

Where are all of the “think of the children” folk? Not important now that they’re born.

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28 points

“If you’re pre-born, you’re fine. If you’re preschool, you’re fucked.” – George Carlin

Except even that isn’t true, because those “choose life” assholes don’t give two fucks about poor women without insurance being unable to afford pre-natal care. If your fetus dies from something preventable, fuck you lady.

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4 points

Don’t worry, they’re too busy actively using children as pawns to fuck over the Internet, labor laws and trans people.

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2 points

Children also make good target practice for guns in schools.

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1 point

DARK BRANDON HAS ARRIVED

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9 points

The problem is the government can’t set the price of goods in a private contract between two non-government entities, which is what would need to happen. The various bills you see in states setting co-pay caps is about as close as we can get, and that only happens because the government CAN regulate insurance companies and the policies they offer. While that might, eventually, put pressure on the insurance companies to demand lower prices from the manufacturers, it’s a long way disconnected from the price paid by the patient.

And regulating copays doesn’t help people without insurance at all.

That’s why this is such an important step. When prescription coverage was added to Medicare, the ability of the government to negotiate drug prices was specifically striped from the bill. The Inflation Reduction Act added it back, finally. And it’s a huge win. Medicare and Medicaid are enormous programs, and when they throw their weight around, they can affect the markets they’re in dramatically. It’s why the drug companies are already filing suit.

But the real solution isn’t trying to force private insurance companies to play ball, or make drug manufacturers sell at a low price, it’s to leverage that giant market pressure and expand Medicare eligibility to everyone. And if you’re worried about funding? Don’t be. Unlike social security, Medicare’s tax has no maximum wage.

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1 point

Yup. Everything i hear about health care cost is leverage. I’m glad to see this.

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1 point

government can’t set the price of goods in a private contract between two non-government entities

What about IRS? I mean they should report taxes. So if they refuse money they report they are getting paid, then it is low-hanging tax fraud. Probably. At least in Europe it would be.

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-14 points

Laws aren’t real. The government isn’t real. Money isn’t real.

You’re not listing good reasons. Just trite bullshit.

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6 points
*

Laws are absolutely real, and this is a testable theory. Go break a law and put in no effort to hide what you’ve done. See what happens.

What you mean to say is that we can change laws, and that’s true. To do that, you’d need to elect more representatives, nationally, who agree with you - because the government is also very real.

You live in the real world, whether you like it or not.

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6 points

What did @evatronic@lemm.ee specifically say that’s not factually true?

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4 points

Uh… What?

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2 points

There was fringe on the flag!

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152 points

The pharmaceutical industry spent $700 million lobbying against this? What a bunch of assholes.

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96 points

And they’ve already filed lawsuits:

The suits make similar and overlapping claims that Medicare negotiations are unconstitutional.

The companies argue that the talks would force drugmakers to sell their medicines at huge discounts, below market rates. They assert this violates the Fifth Amendment, which requires the government to pay reasonable compensation for private property taken for public use.

The suits also argue that the process violates drugmakers’ free speech rights under the First Amendment, essentially forcing companies to agree that Medicare is negotiating a fair price.

They also contend that the talks violate the Eighth Amendment by levying an excessive fine if drugmakers refuse to engage in the process.

Just ridiculous.

https://www.cnbc.com/2023/08/29/10-drugs-to-face-medicare-price-negotiations-see-the-list.html

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75 points
*

A great way to tell that a business is making way too much money is when they can afford to hire monkey cages full of lawyers to fling every terrible legal argument they can think of at you in the hope that one of them somehow sticks.

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29 points

It is more cynical than that. They want to out spend the resources available to fight them, not win a legal case.

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18 points
Deleted by creator
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3 points

One thing that bothers me about the law. This kinda thing. There should be some sorta limit on how many arguments you can present. Multiple bad arguments does not equal a solid one.

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35 points

And yet in every other country where they have to bargain against a centralized healthcare system, they are able to provide a decent price.

The US needs to take decisive action against these sociopaths.

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15 points

Preferably with guillotines.

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13 points
*

The companies argue that the talks would force drugmakers to sell their medicines at huge discounts, below market rates. They assert this violates the Fifth Amendment, which requires the government to pay reasonable compensation for private property taken for public use.

It will be interesting to watch this shake out, because this decision could have a lot of knock-off effects when it comes to further price negotiations by the government across a wide array of sectors.

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12 points

“Below market rate”

If only looking at the USA where pharmaceutical companies are free to do as they please, but probably still higher than in any other rich countries in the world.

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3 points

They likely are subsidized by the federal government anyway. As far as I’m concerned, any time the government gives money to a corporation, they’re no longer a private company until they pay it back.

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9 points

Just reading this it looks like they had this in their back pocket for a while lol

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2 points

Oh yeah, lawyers start preparing these lawsuits as soon as an announcement is made (in this case the legislation being announced). They just don’t file them until absolutely necessary.

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9 points

Market rates aren’t reasonable compensation.

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6 points

At this point the first amendment is just their catchall for any time they want to stop the government doing something, isnt it? Selling drugs isnt speech, making cakes or websites isn’t speech, you fucking monsters don’t have to like it and you don’t have to pretend to like it, you just have to stop destroying people for money.

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4 points

The suits also argue that the process violates drugmakers’ free speech rights under the First Amendment, essentially forcing companies to agree that Medicare is negotiating a fair price.

Sure Jan. 🙄

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1 point

But doesn’t medicare already negotiate prescription drug prices? Or am I thinking of something else?

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3 points

" Wealthy residents raise $60,000 to stop homeless shelter being built in San Francisco", was a headline last week.

It’s not just an 'industry" thing. It’s a "people"thing

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96 points
*

When your reaction to poor, sick human beings getting the medicine they need without losing everything else in their lives is disappointment, you’re a bad person.

Fuck market capitalism and the sociopaths it creates.

Edit: and of course they’re actively suing from their steel towers for the right to continue to gouge sick, poor people deeper into poverty. What a humane economic system, amirite?

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8 points

Watching the anime called “The Great Cleric”. It’s pretty accurately describes this in a fantasy setting.

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8 points

Both parties have let them do just that for 43 years. Of course they’re gonna sue. Honestly wouldn’t be surprised if a lawsuit becomes an excuse for Democrats to throw out exceedingly beneficial legislation like this.

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4 points

They don’t let them do it, both parties are fully in the tank for the owners.

Americans mistake are going after our politician middle managers in Washington. Our oppressors operate out of Wall Street. The RNC and the DNC don’t promote you to federal level races unless you’ve proven to be a good “fundraiser” aka bribe taker, making the only potentially not purchased Congress people spoilers that jumped the line and succeeded like AOC.

Our system, imho is fucked beyond any hope of repair.

Either Collapse or revolution is inevitable though Collapse is far more likely as we’re a cowardly people.

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-7 points

That’s exactly what’s going to happen. This is being done so that Biden has something to talk about during his campaign stops. Very typical politician behavior. And completely insincere.

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7 points

Biden Admin til now

  • 27% of campaign promises kept so far.
  • 5% comprised on.
  • 1% broken.
  • 31% stalled.
  • 34% in the works.

Source

Previous Admin

  • 23% of campaign promises kept.
  • 22% comprised on.

Source

So far the “something to talk about” has been better than the last admin though.

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2 points

I always expect the other shoe to drop whenever Democrats pretend to be progressive.

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50 points

Meanwhile, those same companies sell for a fraction of the price all around the world.

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67 points

You’re not kidding. Somebody did a survey in 2018 of insulin prices around the world, and here are the top ten most expensive:

  • United States — $98.70
  • Chile — $21.48
  • Mexico — $16.48
  • Japan — $14.40
  • Switzerland — $12.46
  • Canada — $12.00
  • Germany — $11.00
  • Korea — $10.30
  • Luxembourg — $10.15
  • Italy — $10.03

The study revealed that the manufacturer price for any given type of insulin averaged five to ten times higher in the U.S. ($98.70 USD) than in all other OECD countries ($8.81 on average).

Source: https://worldpopulationreview.com/country-rankings/cost-of-insulin-by-country

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16 points

Holy shit, the drop from the US to Chile is insane.

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3 points

Where’s the antitrust suit when you need it, and how long before the the three mentioned companies start merging?

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2 points

In before the “quality product” argument gets brought up, like the US is the gold standard in medicine and no other country can produce it at an equivalent level. Every other country can produce it but it’s 5-10x the price in the US, it’s straight greed

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50 points

Won’t somebody think about the pharma shareholders!

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