Why doesn’t my doctor prescribe generics?

A letter in the L.A. Times today from a man in Oceanside, California stated the following: “I read with great interest [“Under the Influence“] in the Aug. 6 Health section because I, at one time, would only use brand-name medications.  Even though I belong to a Medicare HMO, the co-pays sometimes were quite substantial.  I…

Drugs, Drugs and more Drugs

“Why is there so much controversy about drug testing? I know plenty of guys who would be willing to test any drug they could come up with”– George Carlin The New York Times published two articles this week about prescription drugs. The first deals with generic drugs (“More Generics Slow Rise in Drug Prices“); the…

Randomized Controlled Trials and Adverse Effects

Most health care scholars–whether they are scientists, doctors or economists–believe that randomized controlled trials (RCTs) are the best means by which one can test whether or not a drug is efficacious. Despite its high cost, RCTs are able to abstract from confounding factors by randomly assigning similar patients to both a treatment and a placebo-controlled…

Anti-Depressants

There is an interesting article in the NYT Magazine (“Self-Nonmedication“) about the anti-depressant drugs pharmaceuticals.  The author stops taking Effexor and experiences anti-depressant withdrawl discontinuation syndrome.

Senate to back Drug Reimportation

The Washington Post (“Senate likely to Back…“) reports that the Senate will support a plan to remove the legislative barriers against the importation of pharmaceuticals from other countries.   According to the article: “The provision would allow consumers to buy prescription drugs from Canada and permit commercial distributors to obtain them from Canada, Japan, Austria, Switzerland…

Me too drugs

There is a very interesting series of blog posts at the Economist’s Free Exchange blog. Part I: Me too! Me too! Part II: More on me-toos Part III: We talk back Here’s a quotation from part I: “In what other industry does anyone under the age of sixty still believe that each product category should…

Increase copays and increase medical spending?

Most economists believe that increasing the price of an item will decrease demand for the item. Health care is no different from any other good. If you increase the copayment or coinsurance rate, people will consume fewer medical services. The famous RAND Health Insurance Experiment (HIE) demonstrated that higher coinsurance rates discourage medical care consumption.…

Manhattan Institute

The Manhattan Institute’s Center for Medical Progress has some interesting articles on health care policy.  The Center “…is dedicated to articulating the importance of medical progress and the connection between free-market institutions…” One paper of note is by Vernon, Santerre and Giaccotto (“Are Drug Price Controls good for your Health“).  The authors examine the Medicare…