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Drug Giant Pledges Cheap Medicine For World's Poor

bmsleight writes in with a Guardian piece on the decision of the world's second biggest pharmaceutical company, GlaxoSmithKline, to radically shift its attitude towards providing cheap drugs to millions of people in the developing world. "[The new CEO] said that GSK will... cut its prices for all drugs in the 50 least developed countries to no more than 25% of the levels in the UK and US — and less if possible — and make drugs more affordable in middle-income countries such as Brazil and India; put any chemicals or processes over which it has intellectual property rights that are relevant to finding drugs for neglected diseases into a 'patent pool,' so they can be explored by other researchers; and reinvest 20% of any profits it makes in the least developed countries in hospitals, clinics, and staff."

32 of 317 comments (clear)

  1. It's called market segmentation by wisty · · Score: 4, Insightful

    It's not generous, it's just good sales. Maybe greed is good though.

    1. Re:It's called market segmentation by dkleinsc · · Score: 4, Insightful

      Also, since we're talking about drugs here, the phrase "first hit is free" comes readily to mind.

      Another factor here is that drug companies want Latin America in particular to develop medical systems dependent on their drugs, rather than trying to replicate the Cuban model which doesn't rely on US drug companies and still manages to get pretty good results. It's sort of like what Intel and MS did to the OLPC project.

      --
      I am officially gone from /. Long live http://www.soylentnews.com/
    2. Re:It's called market segmentation by crmarvin42 · · Score: 4, Insightful

      So, their bastards for charging more than people can afford for life saving medicine that now only costs cents to manufacture (having already spent the millions on R&D), but they are also bastards when they reduce the cost, because they'll get everyone hooked on their drugs.

      This strikes me as a Win/Win type situation for BlackHat conspiracy folks.

      --
      Bureaucracy expands to meet the needs of the expanding bureaucracy.-Oscar Wilde
    3. Re:It's called market segmentation by dkleinsc · · Score: 3, Informative

      Does the Cuban model respect the patents on the pills?

      Their health care system is geared towards reducing the need for pills: general practitioners in Cuba focus a lot of their efforts on preventative care, and also receive extensive training in herbal, nutritional, and behavioral solutions to health problems. This was started in large part out of necessity: Cuba simply can't afford a lot of pills, and hasn't had significant access to US goods since 1959.

      So whether they respect the patent isn't really important, because they can't get the pill to copy in the first place. The reason the Cuban system is particularly relevant to discussions of Latin American health care is that many countries (notably Bolivia, Venezuela, and Brazil) have all made efforts to copy Cuba's methods.

      --
      I am officially gone from /. Long live http://www.soylentnews.com/
    4. Re:It's called market segmentation by hairyfeet · · Score: 5, Informative

      Actually many of the drugs are found by universities using federal dollars and THEN the drug companies buy the rights and bend you over. Allow me to introduce you to a drug I am familiar with as I am on it-Remicade, which as you can see on the Wiki was developed at NY school of medicine. Do you know how much they charge for 8 treatments(1 year) of the stuff? $67,898. That's right, you could shoot pure platinum into your veins for cheaper.

      And it isn't like it only treats some super rare condition either. It has been approved and works wonders on psoriasis, Crohn's disease, ankylosing spondylitis, psoriatic arthritis, rheumatoid arthritis, sarcoidosis and ulcerative colitis. Wow, that's a lot of folks. I wonder how many are suffering now because they can't actually get it? I would LOVE to see the profit margins on the drug, because I'm guessing by the tiny little vials they are probably making in the 2000-4000% profit range. Because you certainly don't get much for your $67k.

      but if you look up the numbers the biggest expense of the major drug companies is NOT R&D, it is advertising. All those irritating ads pushing you to tell your doctor you want their pill o' the week. I bet the profit margins on THOSE drugs are beyond insane which is why they push them so hard. But if we don't get a handle on the multi $$$$% profits the drug companies are making we are ALL going to lose, as we simply can't pay for the drugs for ourselves as well as the "charity" they show the third world (and make up the difference with our insurance). The gravy train is coming to an end and the economy ain't going to be getting better anything soon folks. I actually know folks living by candlelight because the choice was paying their rent or their lights. So the drug companies better learn to live on the margins like the rest of us unless they want us to go to nationalized health care.

      --
      ACs don't waste your time replying, your posts are never seen by me.
    5. Re:It's called market segmentation by Daemonik · · Score: 3, Informative

      (Also, can you provide a citation for the allegation that Marketing outweighs R&D? Although I agree with your sentiment, most marketing is directed at physicians in the form of educational materials, rather than patients)

      http://www.sciencedaily.com/releases/2008/01/080105140107.htm

      Marketing is double the cost of research. That probably does not also include lobbying fees

      http://en.wikipedia.org/wiki/Pharmaceutical_lobby

      The top twenty pharmaceutical companies and their two trade groups, Pharmaceutical Research and Manufacturers of America (PhRMA) and Biotechnology Industry Organization, lobbied on at least 1,600 pieces of legislation between 1998 and 2004. According to the non-partisan Center for Responsive Politics, pharmaceutical companies spent $900 million on lobbying between 1998 and 2005, more than any other industry. During the same period, they donated $89.9 million to federal candidates and political parties, giving approximately three times as much to Republicans as to Democrats.[1] According to the Center for Public Integrity, from January 2005 through June 2006 alone, the pharmaceutical industry spent approximately $182 million on Federal lobbying.[2] The industry has 1,274 registered lobbyists in Washington D.C. [3]

  2. Dude. What about the World's rich? by BadAnalogyGuy · · Score: 3, Interesting

    Consider that just because a nation's average income is relatively high, it does not follow that everyone in that country is able to buy the products at the higher price. Why should people who had the dumb luck to be born in some shithole country be blessed with lower-priced medicine?

    That's not social justice. It's social prejudice.

    1. Re:Dude. What about the World's rich? by jellomizer · · Score: 4, Informative

      It is a case of supply vs. demand. It is just business. Each country or area has a different supply vs. demand curve. If the average population makes 30k a year there will be a different curve then people living on 10k a year. Getting the right balance will maximize profits and matching pricing for the right areas is more profitable.

      This happens in all sectors, say you are traveling around the world and you give the bell boy a 5 dollar tip. In the US that will like $5 for them (Deli-Meat for a week). In the country where the average is about $10k that is a $15 (Good cuts for meat for dinner about 2 days and the deli-meat) for the really poor countries where people make $1k a year. That would be close to a $150 tip (Food for a family for a week or 2).

      --
      If something is so important that you feel the need to post it on the internet... It probably isn't that important.
    2. Re:Dude. What about the World's rich? by MadMidnightBomber · · Score: 5, Insightful

      Well, in the UK we have evil socialised medicine, so we don't have to pay the full cost of our medically necessary drugs. (There is a small, flat charge per prescription)

      --
      "It doesn't cost enough, and it makes too much sense."
    3. Re:Dude. What about the World's rich? by Anonymous Coward · · Score: 5, Insightful

      Of course it's much better to pay twice as much for private healthcare, then die anyway because your uninsured neighbour infects you with a nasty disease they left untreated. Or the uninsured bus driver with the untreated dodgy knee wipes out your car.
      News: You pay for other people's ill health one way or another. If they're too ill to work, they're not paying taxes - so you're paying more.

      Still, no point in trying to explain civilization to retards eh?

    4. Re:Dude. What about the World's rich? by Ginger+Unicorn · · Score: 3, Insightful

      yeah, along with all those people born with or stricken down with ailments over which they have no control are just parasitic scum that should be left to die in a ditch lest they put too much of a strain on the taxpayer.

      --
      (1.21 gigawatts) / (88 miles per hour) = 30 757 874 newtons
    5. Re:Dude. What about the World's rich? by penix1 · · Score: 3, Insightful

      That would be all well and good but they aren't atoning for shit here. Let me count the ways for you:

      1. Richer countries like the US and UK are subsidizing this drug program. You don't honestly think GSK is going to give up its profits now do you...

      2. They are putting some of their patents in a "patent pool", whatever that means, instead of doing the real "right thing" and releasing those patents to the public domain. Torpedo patents anyone...

      3. This isn't an attempt to "do good" more than it is an attempt to stop countries from ignoring their patents and developing generics on their own. A little profit is better than no profit in their eyes. Besides, as 1 above suggests, they will make it up off the richer countries.

      This is a multi-billion dollar a year industry we are talking about here. They have no conscience and no morals. Profit is their only motivator. No company does anything out of the goodness of their heart unless it will lead to greater profits and/or market dominance. This is doubly so with the drug industry.

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    6. Re:Dude. What about the World's rich? by Nazlfrag · · Score: 4, Insightful

      I'm not from the UK, there they have a comprehensive national insurance policy. Still, when I look at the USA who tax their citizens at a rate of 2.9% for medical cover that covers only the disabled and elderly (>65), and compare that to the 1.5% we pay here in Australia that gets comprehensive health cover for every citizen, I just cannot comprehend the mentality that a state run hospital service is somehow less necessary to a modern functioning society than a state run fire service or police service. They are all vital to a functional stable society, and it is in the best interests of every citizen to have full coverage for all.

    7. Re:Dude. What about the World's rich? by D+Ninja · · Score: 4, Insightful

      Why should people who had the dumb luck to be born in some shithole country be blessed with lower-priced medicine?

      This statement boggles my mind.

      Sure, the people born in the war-torn, poverty-ridden, disease-ridden, crime-laden hell hole of a country is getting cheaper medicine. Of course, then they're also dealing with war, heavy poverty, disease and crime.

      What Americans fail to understand is that, even the most poor off and worst person in America is (many times) still doing better than some of "rich" people in other countries.

      Of course, if you want to go live in said countries so you can get cheaper medicine, be my guest. You might learn a thing or two.

    8. Re:Dude. What about the World's rich? by nbates · · Score: 4, Insightful

      But... you don't understand...

      If it is against the free market rules, then it is evil, and we must find an oversimplified reason to dismiss it.

      So instead of saying "poor people in rich countries should get simmilar treatment" we say "let those who can't pay die, maybe that will teach them not to be poor"

    9. Re:Dude. What about the World's rich? by Marble68 · · Score: 3, Insightful

      Score 5 for Interesting as in as interesting as a train wreck. That has to be the most short sighted,ignorant statement I've read on /. in a while. Do you *seriously* think that the rich, who you obviously consider evil, wouldn't love the fact they didn't have to provide benefits in order to be competitive in the job market? Your argument only holds water if the individuals in question have no individual freedoms.

      --
      /me sips his coffee and ponders a new sig...
  3. So, instead of 4x overpriced... by Guspaz · · Score: 4, Insightful

    Aren't drugs already like 50% in Canada? So wouldn't a more meaningful gesture be to sell drugs for 25% of the price in Canada?

    Three-quarters-off a $200 prescription is still $50. Not something that people living on a dollar or two a day can afford.

  4. obvious why ... by tyroneking · · Score: 5, Informative

    from the article: "although they worry that it may undermine the generics industry which currently supplies the cheapest drugs in poor countries"

  5. Re:Mail order by johnsie · · Score: 5, Funny

    The Nigerians are already working on it. In the next few days you should receive an email telling you how to transfer the money.

  6. Re:Note the double standard by Anonymous Coward · · Score: 4, Insightful

    Medicine isn't some impulse buy of a newfangled gadget. People live and die by their ability to acquire it.

  7. Re:Note the double standard by Anonymous Coward · · Score: 4, Informative
    That is utter nonsense. A large number of drugs created now days are simply older drugs that are slightly changed near the end of their patent life so the drug companies can basically get a new patent on an old drug.

    I think a good example of this is Nexium. http://en.wikipedia.org/wiki/Esomeprazole#Controversy

    Another good example is the antidepressant Lexapro which is just the active isomer of Celexa.

    Yes, some drugs do cost an absolutely massive amount of money to develop but most drug companies are heading towards the cheaper option of extending their patents rather then creating anything new that could benefit society.

  8. Hold the plaudits, self-interest is driving this by Bearhouse · · Score: 3, Interesting

    FTA: "Campaigners privately say the move is remarkable, although they worry that it may undermine the generics industry which currently supplies the cheapest drugs in poor countries."

    Exactly. Big pharma is in big trouble - blockbuster drugs going off patent, no new ones coming online, Govs. getting more aggressive in fixing prices. So, this is a smart move. While they still can, they can use the one advantage they still have - their size - to buy/crush the small 'generics' producers out.

    Still, whatever the underlying motivation, it's encouraging to see big pharma at last getting more involved with the poorer nations of the world, which have been scandalously ignored.

  9. Re:Note the double standard by jellie · · Score: 5, Insightful

    Yes, R&D costs are very high. But a significant portion of the research is sponsored by governments, not necessarily by drug manufacturers. Plus, it's hard to be sympathetic when drug manufacturers spend more money on marketing than on R&D. They also have one of the largest profit margins.

    It's a little unfair to be comparing the costs of drugs and of graphics cards. One is possibly a matter of life and death. And, in an economy in which every major industry is suffering, healthcare costs continue to rise.

  10. They actually don't have any option by agoliveira · · Score: 4, Insightful

    Of course they are not doing it from the kindness of their hearts. It's a matter of damage control. A country (any country) can break the patents and start producing any drug in case of need if a commercial arrangement can't be reached with the patent holder so, if they don't provide cheaper drugs, they will lose the whole deal.

    --
    Scientia est Potentia
  11. The Plan by BTWR · · Score: 3, Interesting

    Step 1. Go to so-called "poor country."
    Step 2. Buy 10,000 units of drug X at 25% of its cost in the US/Canada/Europe.
    Step 3. Sell drug X in US/Canada/Europe at 50% of its normal Drug X cost (i.e. at twice the price you paid), advertising your pharmacy as having the best prices in the country.
    Step 4. (Just do step 3 a lot)
    Step 5. Profit!

  12. Re:Note the double standard by db32 · · Score: 5, Insightful

    Yeah! This is only possible because Starbucks has been lowering its coffee prices. The 40-60% they spend on marketing has dropped significantly since the truckloads of crap they buy docs has gotten cheaper in the failing economy. I will be a little sympathetic when their research costs more than the bribery they engage in. I will be a little sympathetic when they quit "modifying" drugs to get an extra 2% effectiveness on some minimal behavior of a drug to get a new patent for it so they can charge exhorbant prices over the previous version that can now be made in generic form for pennies. I will be a little sympathetic when they quit buying political figures to push for mandatory vaccinations of school girls at $360 a pop when even one of they key researches of the vaccine says it is not meant for girls that young and could actually be harmful.

    I mean seriously...let's all feel sorry for the serial killer that has to dig yet another hole...digging holes is hard work after all. Right now these companies are facing big problems in these countries because those governments are invalidating their patents right now. These companies want so much money that the peopel cannot afford that the people's governments have said "Fuck off, we will make our own generics". I suspect this "generous" price drop has more to do with putting political/economic pressure on these countries to enforce patents than it does some generous streak.

    --
    The only change I can believe in is what I find in my couch cushions.
  13. Re:the first tablet by OeLeWaPpErKe · · Score: 3, Interesting

    Of course, such an arrangement is only possible if people respect the "licence" (contract that is a prerequisite of the sale) of the pills.

    That contract is going to specify that export to richer countries is not permitted.

    Suppose this after-sale contract were to be ruled void (which is quite possibly the correct way for a judge to rule given current law), and import allowed, the pharma "giant" will be competing against itself, resulting in massive losses.

    Those massive losses, that stem from not respecting the "licence" of the pills, will either prevent the pharma company from offering those pills, or they will kill the company.

    Great initiative ! I truly hope it will last, but I fear for it's viability.

  14. Johnson != Johnson by tepples · · Score: 3, Informative

    My current favorite for that B.S. is Johnson&Johnson, "a family [owned] company".

    I've never heard JNJ referred to as a family company. Are you confusing it with SC Johnson, the company that makes Ziploc, Windex, and Scrubbing Bubbles products?

  15. Black Market Opportunity by genoese · · Score: 3, Insightful

    Human nature being what it is, this is an excellent opportunity for black market corruption -- drug company sells to developing country. Corrupt elements in developing country sell back to corrupt black marketeers who then resell in 'rich' countries to corrupt vendors for reduced prices and still make huge profits.
    And still the people who need the drugs don't get them, but maybe some actually will, and that's a good thing.

  16. Re:TOTAL BS by Magnus+Pym · · Score: 3, Informative

    Not that I am a fan of outsourcing, but India's Rupee is not fixed, its value changes all the time against the dollar. The Chinese Yuan is, however, fixed.

    Magnus

  17. Re:You change your health system first by Guspaz · · Score: 3, Informative

    Drugs are not sold by hospitals. Drugs in hospitals are free. For prescriptions, people buy their drugs from a pharmacist. The province isn't the one purchasing those. Pricing has nothing to do with the province.

    In fact, prices in Canada are controlled by a federal Government entity, the Patented Medicine Prices Review Board:

    http://www.pmprb-cepmb.gc.ca/

    They set pricing limits. This has nothing to do with "huge bulk orders".

  18. Re:So... by Rycross · · Score: 3, Insightful

    Well this case its a company, not a government, deciding to force charity, but don't let that get in the way of your libertarian rage.