By reforming harmful supranational regulations, Thomas Pogge is developing a complement to the patent system to stimulate pharmaceutical innovations that would be accessible, without delay, to poor and affluent patients alike around the world.
In this talk at TEDxCanberra 2011, ANU and Yale academic and ethicist, Professor Thomas Pogge outlines an idea that could revolutionise health outcomes and distribution of pharmaceuticals in both the developed and developing world.
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In order to lower long term healthcare costs, there must be a relatively free market in healthcare. Socialized healthcare seems to only be a solution for short term problems such as ER visits etc. An example of a free market healthcare system would be the very unregulated market of lasik eye surgery where the price per eye has dropped significantly through the free market. Healthcare should be mainly treated as a commodity.
I think you've misunderstood the idea. He recognises R&D costs greatly, and that's the cost that the HIF reward will provide for, as well as profit and other costs. The drugs can be sold at mere production cost because the R&D cost is already covered, so the worlds poorest consumers can now afford it. They wont make any additional markup based on the consumers income because they only get the reward if poor people use it AND benefit from it.
He does mention a markup based on the affluence of the consumer, because that is also a factor; if a company has rights to sell a product that they didnt pay the R&D for, they will still sell it at a well above production cost price, relative to the demand and affluence of the market they are selling to.
i think his hif idea may be beneficial with some modifications but i doubt it will apply to the pharmaceutical industries in developing countries. There are so many potential hit and lead compounds available from natural sources that can be developed into drugs but due to financial constraints, these companies have no R n D departments and instead focus on generic manufacturing.
I like the idea. The current system doesn't work that's for sure. Perhaps we should just stop making public health based on a capatilist, profit-based system. Perhaps worldwide governments should just create government owned pharma companies with no other shareholders and employ researchers and produce medicines only in the public sector. A bit like they do with power companies in NZ. A government based monopolistic producer if you will. I think until you remove health from a profit based system there will never be equality because health will never be based on income but only on profit which, as we have discovered, is not in the best interest of the majority, only the wealthy minority.
Knowing human nature I feel it would also be of some use to force companies to name the lead researcher involved. Money is appreciated. But fame is sought just as widely. I can't imagine developing a cure for cancer and have it named by some asshole in marketing. Personally i'd rather have 10 million poor people know my name and that i saved their lives over having 100 thousand rich people pissed off at me for how much my pills cost them to save their lives. Not to mention my pills i sweated 10 years on... thanks to that asshole in marketing, are named Absoluepan, which means absolutely fuck all zero to even myself. Can you imagine if Einstein had been working for a corporation in 2015? He'd get almost no mention when their marketing drip came out touting their new E=mc^2. There might be 100 Einsteins out there today, even more brilliant, we can collectively name... Zero!
You can't know organic chemistry to say that. And if they are expensive to develop blame the government regulations, because alone they are cheap as heck to devise as theory and then go on to create in the lab. Think about how many new illegal drugs have come out over the past 10 years... call them designer drugs or whatever... there must be at least 100... nobody spent more than a few thousand bucks on each of those first batches I assure you. No government red tape, straight to market, and overall not too too many people die as a result. yes, people die, but not very often.
This would kill innovation in pharma. There's already huge pressure on the industry to produce more efficacious drugs, which has led to less meds getting to the market, if pharma companies will get less ROI, they'll just supply markets where they're making most money. In the end, it's the patients who will suffer. Think people are forgetting that producing pharmaceuticals is a BUSINESS and although cost of manufacturing "per pill" might be low, research costs are huge.
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Tell me again how you consider 35 years (the life expectancy for cave men) old? I might be prone to approve the concept of the caveman-diet, but claiming that 90% of diseases can be cured with diet and we would have a life expectancy equal to the one today is ridiculous!
Diet will be an improvement on health. But what he is talking about has more to do with things like tuberculosis and malaria which are indirectly cause by conditions of poverty. How much omega-6 and trans fat are in a diet to someone from Haiti is largely irrelevant.
this is a bad idea who is gunna evaluate the health effect how are they not gunna be a waste of money and target of lobbyist how is this gunna stop lobbyist its just gunna create a wasteful beaurcrocy and more companies having a bigger monopoly
The best innovation in healthcare is that medicine become obsolete. 90% of current disease can be cured with a paleolithic diet. Traditional living hunters and gatherers get old without disease common in the western world. You want to eat like a hunter-gatherer.
Remove grains, diary, vegetable oils, sugar and excessive omega-6 and see your autoimmune disease, allergies and inflammation of any form dissapear.
Look up Socialism on wikipedia. It's got nothing to do with health care or public services in general. It's just very convenient for politicians to transfer the bad connotation of socialism to anything social to get rid of it.
@aganon77 Yes, low developed areas do need more condoms, however, did you consider the fact that it's also the poverty, illness, education, culture, and their bad situation in general that influences breeding rate? This is a mechanism of many living organism on Earth - if survival rate drops, the number of offspring grows.
Thomas Pogge is a professor of philosophy. How does he know so much about the pharmaceutical industry? I can guarantee he spent 0 minutes talking to anybody who actually works in the industry, half the shit he says is so unbelievably off the mark it rivals Paris Hilton level thought.
Those of you that want to drink his Kool-Aid, be my guest. You can't be convinced. Those of you with genuine curiosity, I encourage you to research how/why pharma $ are spent the way that they are.
@tracychess While I agree, to a certain extent, with the idea that the first world indeed needs to think of health in this way, the third world is far too hindered by terrible living conditions, sanitation issues, food and water access, mis-education on diseases and their transfer, war, genocide, corruption, slavery, etc. etc. and so on and so forth. No issue this big has a bandaid quick-fix, and unfortunately life-threatening disease is still the primary concern of most of the world.
I was greatly saddened by this presentation. Thomas Pogge consistently uses the word 'health' as if it were 'not sick'. Health is independent of illness and can be measured and improved independent of illness and independent of drugs. Most of the people in the world are not dying from 'illness that should be cured by drug', they are dying from illnesses that should be cured by healthiness. Fixing the drug systems will not improve health. We need a health paradigm, not an illness paradigm.
I enjoyed listening to him speak. I would raise the point though that another hugely effective way to drastically lower disease and illness is to pressure religious institutions into allowing members to use (and furthermore promote) condoms and other forms of protection. This would also to no small degree combat poverty.
@GoldwireIT That is its main problem, people wont switch onto something, that 'might' work, on a dare. Can you provide some links to discussions/details that arent from Zeitgeist movies, youtube vids or the RBE website, cause those are way too simplistic.
Dont get me wrong here, it can be a great idea but atm it seems like "lets live in peace and harmony" - a nice thought but you should show how it would work in the real world with all its complexity and how to get there.
@sweYoda2 I was thinking the exact same thing as soon as I started to watch this. People like him will always get drowned out. Even the idea of a RBE will get drowned out because not enough people will ever know about it and fully understand it and advocate for it. The only solution I have worked out is that things will change the same way they have always changed...Just a slow and steady progression so eventually technology will free us. Watch the documentary Transcendent Man.
Every time there is a video about innovation or environmental problems someone suggests a resource based economy.
Sorry, but it seems like a stupid idea, you have no evidence that it would work, there are some ~10min vids about it that dont explain anything and may get a few teenagers excited. You need a bit more to reasonably propose another system for world economy.
As for this, a few pieces of legislation can make it happen, granted that people will push for it and oppose corporate lobbying
Nothing will change within the monetary system. I think guys like these are great, but they are naive to think that things will actually change. His hearth is in the right place, but his logic is flawed. Rich owners of companies don't care. Resource based economy is the way to go!
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