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By curious2 following x   2018 Mar 12, 1:49am 1,318 views   8 comments   watch   sfw   quote     share    

"CNN and researchers at Harvard University found that opioid manufacturers are paying physicians huge sums of money -- and the more opioids a doctor prescribes, the more money he or she makes.

In 2014 and 2015, opioid manufacturers paid hundreds of doctors across the country six-figure sums for speaking, consulting and other services. Thousands of other doctors were paid over $25,000 during that time.

"the use of opioid vs nonopioid medication therapy did not result in significantly better pain-related function over 12 months (3.4 vs 3.3 points on an 11-point scale at 12 months, respectively)."

Bottom line: drug companies tipped out part of the infinite subsidies they get from mandatory insurance to doctors to prescribe more opioids, which had no functional advantage for chronic pain compared to cheap OTC drugs not covered by insurance. Americans pay the highest prices in the world for Rx drugs, and the lowest prices in the world for OTC drugs. The Rx and insurance markup system finances a web of corruption and documented distortions in prescribing patterns, pushing more expensive Rx drugs even where they have no functional advantage (and significant disadvantages) compared to OTC drugs. The mandatory Rx and insurance system protects industry markups, not patients.

#economics #health #politics
4   dr6B   ignore (1)   2018 Mar 12, 9:28am   ↑ like (1)   ↓ dislike (0)   quote   flag        

Fighting opioids with prohibitions is a losing game, a fight with symptoms. Perhaps having sufficient number of blue-collar jobs in the affected areas would help - people would have something better to do rather than sit at home, collect unemployment, and pop pills.
5   curious2   ignore (0)   2018 Mar 12, 10:29am   ↑ like (1)   ↓ dislike (0)   quote   flag        

drB6 says
Fighting opioids with prohibitions is a losing game, a fight with symptoms.

So is subsidizing them. Federal policy does both, because it is designed to maximize power (including in the form of revenue). The policies make no sense from a public health perspective, but they persist because they accomplish the deeper goal of consolidating power.
7   CBOEtrader   ignore (2)   2018 Mar 12, 10:37am   ↑ like (0)   ↓ dislike (0)   quote   flag        

bob2356 says

Is this a joke somehow? Someone making 250-300k a year getting $455 is huge sums of money?

Per prescription? Absolutely it's a lot of money.

I am on pace to make about that in 2018, and all i do is get paid $300 to $3k dollars per policy I write. I actively look for extra $450 opportunuties all day. It adds up. Even 2 extra prescriptions/week will be an extra $100k for the year.

That's a huge incentive.
8   dr6B   ignore (1)   2018 Mar 12, 10:51am   ↑ like (0)   ↓ dislike (0)   quote   flag        

curious2 says
The policies make no sense from a public health perspective

Very true; drug companies make off like bandits - production of these drugs cost pennies.

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