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Pay to Delay

by: Blue Girl

Thu Dec 03, 2009 at 13:13:54 PM CST

| More


Those who oppose reforming our healthcare system frequently extol the virtues of the free market as the real path to comprehensive healthcare reform. Anything else, they insist, is 'socialism' and an affront to 'liberty' and 'freedom' - or something.

I have to wonder, though, if these free lovers of freedom and illiberal lovers of liberty are aware of this?

Over the last few years, drug-makers have embraced a startlingly simple tactic for fending off competition from generic brands: paying them off. In a nutshell, the company that holds the patent on a profitable drug strikes a deal with the maker of the cheaper generic brand: you hold off on marketing your generic for several years, and in return, we'll give you a share of our profits on the drug.

So common have these deals become lately that they've been given a name: pay-for-delay. The approach -- a textbook anti-competitive tactic -- is worth billions to drug-makers, because it essentially allows them to buy more protection than their patent confers.

That was made more or less explicit by Frank Balsino, the CEO of Cephalon, which makes the sleep-disorder drug Provigil. In a 2006 interview, Baldino trumpeted recent deals with four generic drug-makers that kept generic versions of Provigil off the market until 2012, declaring: "We were able to get six more years of patent protection. That's $4 billion in sales that no one expected."

Now...what was that the anti-reform crowd was saying about letting the free market work and we would all benefit? Cuz I'm not seeing it, but I am pretty sure that Adam Smith didn't say word one about the invisible hand fisting the little guy. But that is pretty much what is happening.  

Drug companies, run by scoundrels who wrapped themselves in the flag to gull the rubes into doing their dirty work for them by squawking and shrieking about liberty and freedom and socialists and the magic of competition and the free market, while they undermine to free market by paying off their competitors to get them to not compete.  

Blue Girl :: Pay to Delay
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Pay to Delay | 2 comments
And, (0.00 / 0)
Another pathway to retain the lucrative high-dollar income from out-of-patent meds is to have the former patent holder open a "generic house" to produce their own product in generic form.  They price it below a reasonable generic price so that it gets selected in all of the insurance formularies as an approved substitution for the branded/original med.  Then, without violating any law, they mangle the cheap generic.

Say you have a pill - compressed medication and binder - and the press only needs 250Kg/Cm^2 to make a solid pill - now the cheap generic has all of the active meds in it - but, it is made into a pill with a die pressure of 250,00Kg/Cm^2 making it pretty much a ROCK that won't disperse properly when taken.

When you buy the cheap generic and it doesn't function like the original - consider that you may well be buying a product designed not to deliver the medication in the same manner as the original.  

People continue to buy the original - and ask their doctors to write no substitutions on the 'script when these effects are noticed.

Poof, no competitors and you own the top and bottom of the market...

"In the part of this universe that we know there is great injustice, and often the good suffer, and often the wicked prosper, and one hardly knows which of those is the more annoying."

- Bertrand Russell -


Why isn't pay-to-delay (0.00 / 0)
exactly the same as price fixing, market collusion, anti-competitive practices?

I don't get it. Where is the the benefit to society? Where is the law when you need it?

This had been going on for years now and nothing done.

And, of course, we have no clue why our representatives and senators sit on their hands, do we?

Makes me puke.


Pay to Delay | 2 comments
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