Biden administration adds insulin to drug price negotiation list in major blow to big pharma
theintercept.com
“This was an unexpected victory in a long fight against an illegal cartel of three corporations who have raised their insulin prices in lockstep.”
The Biden Administration pleasantly stunned health care reform advocates Tuesday by including short-acting insulin in its list of 10 drugs for which Medicare will negotiate lower prices, power vested in the White House by the Inflation Reduction Act.
The IRA was passed in the face of one of the heftiest barrages of lobbying in congressional history, with the pharmaceutical industry spending more than $700 million over 2021 and 2022 — several times more than the second- and third-ranking industries — much of it aimed at stopping the legislation, watering it down, or undermining its implementation.
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I've always wondered why those that might need an epinephrine shot don't keep a vial and needle on hand. A vial of epinephrine goes for about $35. No judgement, just genuinely curious.
You ever try to draw from a syringe while you're hypotensive, gasping for breath, and panicking as you're about to pass out? That's the primary innovation of the epi-pen. Remove cap, stab through clothes, press button.
Granted, syringe and vial would be better than not having epinephrine though.
You can prefill the needle and keep it in a pencil case. Syringes work fine through clothes, although not ideal.
I'm an insulin dependent (T1) diabetic. I keep a glucagon kit on hand in case of an emergency. It's a syringe and vial that needs to be mixed. The idea is that if you're unconscious, someone that is close can administer. If I were severely hypoglycemic I'd have problems, but my partner wouldn't. I could pull it off if it were prefilled, but you can't prefill glucagon.
Edit: I totally get it and agree though. Life saving medicine shouldn't have any barriers.
You have to be careful about what tissue you put the epinephrine in. If you don’t hit the right tissue, it can not function or cause you to go into tachycardia. When your brain is also potentially not working super great due to low blood pressure (the shock part of anaphylactic shock), it’s best to have a point and click interface.