Big Pharma


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Big Pharma

  1. 1. Big PharmaCandace Emanuel
  2. 2. Pricey, Pricey, PRICEY As the demand for drugs goes up, so do the prices.  The growing use of high tech treatments, diagnoses and medications make the health care grow to an all time high.  More and more specialists are needed instead of regular practicing doctors, but is it for the money?  A high 75% of specialist in the U.S. have a profit motive and work for a profit organization.  Physicians’ income, in the U.S. went up 43.9% in 1984-92 due to the technology boom in our economy.  Technology has increase the cost of everything overtime, but is making the medicines, treatments and diagnoses quicker.
  3. 3. Pricey, Pricey, PRICEY The U.S. has reported more unnecessary procedures, 20-30%, then any other.  This could result in fatality, long-term illnesses, and other complications Our aging population has help Pharma make the majority of its money. 10% of our Health Care cost, $98 Billion, is fraud
  4. 4. “Me Too” Drugs “Me Too” is a term used to describe a drug that in the process of getting patented.  “Me Too” drugs are largely duplicated to the action of the “existing drugs”.  The “Me Too” drug will only have to be tested against saline during the patent process.  There are many controversies over the innovations of the drugs.  Drug patents have very little life, if any at all.  There is an unacceptable amount of risk for the consumers  Since the patent is easily achieved there is much room for unwanted side effects from a certain patent.  They are using more resources then they are worth  Generic drugs may give more benefits to patience than the price competitor.  These “Me Too” forced competitor are using resources that may not be available. Which in term, makes the price rise.
  5. 5. FDA Regulations FDA Regulations are the same for the hundreds of millions of drugs that come out each year. Most of the research is funded by the medical school the doctor went to.
  6. 6. Billions Spent on Marketing Identical Drugs “Me Too” Drugs come “Angell goes on to point out that ofat a cost. It take more all the drugs the FDA approvedmoney, resources and between1993 and 2003, 78% werecapital even to create a similar to already marketed drugs.drug that is basically thesame. Even more shocking was that 68% werent even new compounds but a reformulation (change from capsule to tablet, short to long acting, etc) or a recombination of existing drugs (in psychiatry this is a common ruse to extend a patent on a brand name drug)”
  7. 7. The HARMFUL effects of “Me Too” Drugs “Me Too” drugs are driving “about 35-40% ofHealth Care cost up so high, patients (only slightlyand they are killing us. higher than the placebo While testing either the response) get a positiveplacebo or the “Me Too drugyou aren’t covered by your response to any SSRI,Health insurance either. while 60% fail to improveThough the testing of these or experience horribledrugs are necessary, why are side effects”more than 80% of “Me Too”drugs with a more than 30%response get a patient?
  8. 8. Dr. Perks Pharma’s Top Paid List Pictured, from left to right, top: Amir Sharafkhaneh, Samuel Dagogo-Jack, Stephen Landy. Bottom: Farhad Zangeneh, David Rizzieri, Eliot Brinton.
  9. 9. Dr. Perks These doctors are Pharma’s most successful speakers.  They are featured at big company dinners promoting favored pills to their peers.  Each has earned at least $200,000 since 2009 The ranks of the top earners and their pay are almost certainly much greater, as more than 70 drug firms havent publicly reported all their speakers and consultants.
  10. 10. DR. PERKS?• Are doctors responsible  “In the medical world, theres and paid to promote drugs? much debate about whether•We are supposed to trust physicians should be paid todoctors. For some of us promote the products of drugthey have the chance to firms at all. Critics of suchlive in their very hands. talks say companies areBig Pharma has corrupted using doctors as celebritydoctors to believe they must spokespeople, exploiting theirpromote a drug to make prestige to deliver what ismoney. Big Pharma has essentially a drug sales repsmade doctors look likecelebrities and they will pitch.”fall for such.
  11. 11. Free Samples Pharmaceutical companies often use drug samples as a marketing strategy.  Little is known about how the availability of drug samples affects physicians prescribing practices.  Other than, there are reasons why physicians dispense certain drug samples, and drug samples lead physicians to use medications other than their preferred drug choice. In 2008, drug companies spent only slightly more on promoting new drugs than they did marketing copycat drugs.
  12. 12. Free Samples Free Samples are provided by  “Drug samples may promotebig named drug companies. They poor habits amongare trying to push the more physicians, encouragingexpensive drug, not only on you, but disregard of evidence-basedonto your doctor. guidelines or prescribing of Many of the Free samples will be products not on hospital ordrugs for allergy medication, managed care formularies.antacid, blood pressure an d even Furthermore, whenanti anxiety. physicians dispense drugAll of the side effects need to be samples, patients might notdiscussed with your doctor before have the benefit of pharmacyyou take the Free Sample. counseling about medicationYou may end up sick. Most of use and identification ofthese drugs have harmful side- drug-drug interaction”effects.
  13. 13. Advertisements Drug companies spent approximately $20.5 billion on promotional activities (10.8% of total revenue) in 2008. Drug advertising has been shown to affect physicians prescribing behaviors, with an estimated $12 billion a year spent on drug advertising and marketing.
  14. 14. AdvertisementsAds like Cialis get criticized for  “Cialis: Yes, the onebeing over the top, but they with the make-outreach the intended audience. music in theFurthermore, the ads do not background and theinclude all of side possible effects. couple sitting side-by- side in the bathtubs out in a meadow or something. Why is it so difficult for these folks to find a tub big enough to fit them both?” -Anti-Big Pharma Advocate
  15. 15. Commercializing ‘Ask your doctor if ____ is right for you’  So, advertisements are effective at getting the word out about certain drugs, but they educate consumers and present them with misguided information.  Drugcommercialization is misleading.  Ultimately leading to the issue of over mediated patients.
  16. 16. Is this SAFE advertising?  What is more unknown is why drug ads that show hypochondria, raise health fears and "sell" diseases are often the most common--and effective--even when theADHD Medicines  drugs themselves are of questionable safety.
  17. 17. How the “BIG P” is getting everyone Youre sicker than you think  "Lady, your anxiety is showing (over a  coexisting depression)"  The ad, both sexist and ageist, suggests the woman needs the antidepressant  If you are "talking too fast," "spending out of control," "sleeping less," "flying off the handle" and "buying things you dont need," you could be suffering from bipolar disorder said the ads, which appeared in magazines like People.  And here you thought it was the coffee.
  18. 18. How the “BIG P” is getting everyone Your kid is sick.  Ads dont just convince people theyre in need of new drugs, but also that their kids may be, too.  And its been going on for decades.  “In 2009, researchers reported that kids are more likely to die sudden deaths while taking them and the American Heart Association recommends electrocardiograms (ECGs) before kids take them. And yet, combined sales of ADHD drugs continue to grow from $4.05 billion to $7.42 billion in 2010.  It shows kids were being overmedicated, thirdy years ago, kids were given the antipsychotic Thorazine for their "hyperactivity," "hostility," sleep problems and even for vomiting. Picky eaters and kids who wet the bed were given tranquillizers. Kids with tics, stuttering and school phobia were given the tranquillizer Miltown.
  19. 19. How the “BIG P” is getting everyone Be like me, and can your beer do this?  "Can Your Beer Do This?" Miller Lite campaign of the 1990s, came back to life to sell the antidepressant Wellbutrin XR. In a glossy, color magazine ad, a young man rows his girlfriend on a scenic lake and lists the benefits of his Wellbutrin XR. "Can your medicine do all that?" he asks.  Are advertisements, Wellbutrin XR, in competition with Beer companies? This is ridiculous, just look at what Big Pharma has done to society.
  20. 20. How the “BIG P” is getting everyone One kind of ad you wont see anymore  “More than a decade of animal research  on various animal species has  suggested that Librium  (chlordiazepozxide HCI) exerts its  principal effects on certain key areas of  the limbic system”  In drug development, millions of animals die to prove a drugs "safety."  Today’s consumers wouldnt tolerate ads like these. (Or the experiments behind them.)
  21. 21. More $$ for Pharma? Pharma is investing more money on promotions each year. These promotions make “Big Pharma” the increase in money flow.
  22. 22. Promotion v. ResearchUnited States is the only  “The researchers’ estimate iscountry in which information is based on the systematicavailable for all of the major collection of data directly frompromotion categories, and it is the industry and doctorsalso the largest market for during 2004, which shows thepharmaceuticals in the world, U.S. pharmaceutical industryrepresenting approximately spent 24.4% of the sales43% of global sales and global dollar on promotion, versuspromotion expenditures. 13.4% for research and development, as a percentage of US domestic sales of US$235.4 billion”
  23. 23. Regulate the price of drugs Not letting a “Me Too” drug price go up  The pricing of the “Me Too” drugs goes up annual because of the research and the promotion of the drug.  If we regulate the price of the “Me Too” drugs then it would bring the price of all drugs down.  It will force the price of drugs to go down.  Pharma will then be force to regulate its prices.
  24. 24. People advocate for YOURselves! No “Free Lunches”  Find a medical doctor who has taken a “The Pledge” in your area.  This pledge show that the doctor will only would at a drug-free company and take nothing free from the drug companies.  Signing this pledge insures that your doctor isn’t falling for the Big Pharma advertisements.  By prescribing why they think is souly best for you. 
  25. 25. PEOPLE ADVOCATE for YOURSELFS! Finding out REAL drug facts  IF you don’t know anything about a drug, research and go to a couple of doctors. Don’t always take your doctors opinion!  Never take a “Me Too” drug!  Without correct research and understanding of the medicine you are about to take. It can be life treating and your health insurance will not cover you if you become ill from it. DON’T fall for drug advertisements  The drug commercials can mislead the consumers to think they have issues they never have had.  Don’t fall for these advertisements, you can become over prescribed and turn into a zombie.  You could also have permit side effects that can change your life forever. DON’T let a doctor over prescribe you!
  26. 26. Works Cited
  27. 27. Works Cited