Big pharma is taking the NHS to court this week – research is not “nationalised” for a reason..

The reason why research is not Nationalised is the risk. Capital markets have seen the back of numerous research companies over the last 20 years. The National Medical Research Institute, (Now the Crick Institute) does do research, is more into checking that original research. As it should be it does not waste or risk taxpayers money. Patents run out, and the time lag of 12 years seems reasonable in a world where there are so many risks, litigation for side effects, and many failures for every success. Once the patent has expired replacement generic products will compete and the price of the Gilead product will fall. If the product was made by a UK company we might be celebrating the word-wide patent, the jobs created, and the supremacy of UK research. If we need to ration out drugs and vaccines which work, we should think again. It is the low volume high cost products that need to be provided In Place of Fear. (A Free Health Service 1952 Chapter 5 In Place of Fear). The high volume low cost products need to be rationed, equally, for all of us.

Morten Thayson in the Independent reports 12th July 2017: Big pharma is taking the NHS to court this week – people are already dying for profit and it could now get worse

Last year the pharmaceutical giant behind the hepatitis C cure boasted a 45 per cent net profit margin while almost 400,000 around the world people died of the now curable disease. And globally, taxpayers are the biggest funders of early stage medical research which leads to these companies’ profits

The UK drug industry is taking the NHS to court over a new price cap on medicines. The drugs price cap is a disaster for patients, but the solution is not taking the NHS to court – it’s tackling the greed of big pharmaceutical companies.

The pharmaceutical industry has established itself firmly at the top of the Forbes list of the most profitable industries in the world. A significant contribution is made by public health services like the NHS. But seemingly, that’s not enough. The Association of the British Pharmaceutical Industry has applied for a judicial review against the NHS over its attempt to protect its crumbling budgets from corporate rip-off.

The knowledge that the treatment you need exists, but isn’t available to you, is a more common experience in the UK, as the NHS has to resort to rationing and even straight out rejection of new drugs because they’re too expensive.

The NHS now rejects a third of all new cancer drugs over cost-efficiency concerns, leaving many cancer patients unable to access the treatment they need. And because of astronomical costs, the NHS has had to ration a new groundbreaking cure for hepatitis C to only the very worst cases of more than 200,000 people, leaving the vast majority to continue to suffer from the disease.

Many are quick to point the finger at the NHS over lack of access to medicines. But the fact of the matter is that rising drug prices, together with austerity measures, are destroying our health service. The rise in NHS drug costs in the last five years has now hit more than twice the entire NHS deficit of £1.85bn. It’s because of these skyrocketing drug prices that the NHS took the decision to place a price cap on new drugs earlier this year, allowing them to delay the introduction of new drugs that would cost more than £20m pounds a year.

If we want to secure better access to medicines, we must tackle the problem of high drug prices, and this means transforming the whole way new drugs are developed. Pharmaceutical companies argue that high prices are due to research and development costs. But almost all of the biggest pharmaceutical companies spend substantially more money on marketing than they do on research.

Last year Gilead, the American pharmaceutical giant behind the above-mentioned hepatitis C cure, boasted a 45 per cent net profit margin – which would be unheard of in most industries – while almost 400,000 people died of the now curable disease globally.

This gives some idea of the extent of the problem globally. Imagine the impact on people in countries which don’t even have accessible health systems. The pharmaceutical industry has proved time again they cannot be trusted with the control of vital medicines we need. If we want access to new medical treatments, we need to rethink the way they are controlled.
The UK pours huge sums of money into medical research and development. Globally, taxpayers are the biggest funders of early-stage medical research. But because of few or no conditions of our research, pharmaceutical companies can take over that research and market the resulting drugs at considerable profits. The only way to heal the gaping hole drug prices have cut in NHS finances, it to make sure that we at least demand affordable prices from the drugs that are developed with our tax money.
For the sake of our NHS – and for the billions of people globally who cannot access the medicines they need – we must take back control of the health technology that our tax money is paying for. If we’re lucky, we end up paying twice for our medicines. If we’re unlucky, the consequences are even worse.
There are alternatives, which mean that the private corporations don’t gain intellectual property privileges gained through public funding. Our NHS demands a different answer – one that puts people ahead of profit.

While working on an HIV Cure, Gilead gives Europe an HIV Vaccine

Viral Hepatitis | Gilead

PDF]Hepatitis B and C Treatment Expansion – Gilead Sciences, Inc.



This entry was posted in A Personal View, Rationing, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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