In the U.S. doctors are cutting the price of medicine by reducing the doses 
that 
they offer patients.  This tactic is understandable because some medicines cost 
several hundred thousand dollars per year.

In Thailand, the health ministry is recommending that the government ignore 
patents.

Zamiska, Nicholas. 2008. "Thai Ministry to Recommend Ignoring Patents on Cancer 
Drugs." Wall Street Journal (11 March): p. A 16.
http://online.wsj.com/article/SB120515886199824251.html

"Thailand's new health minister announced that he would urge the Thai 
government to 
continue to ignore patents on several cancer drugs, disappointing big 
pharmaceutical 
companies that had hoped Bangkok might roll back a policy of overriding patents 
in 
the name of public health."

"Ever since a bloodless military coup in Thailand in September 2006, the 
military-installed government had been battling big pharmaceutical companies, 
threatening to sidestep their patents on drugs for AIDS and other diseases if 
they 
didn't drop the price of their medications. The Thai government argued that 
since 
the country's poor population couldn't afford the lifesaving drugs, and the 
government didn't have sufficient funds to cover their cost, drug companies 
should 
put public health before profit and cut the cost of the medications."


Pollack, Andrew. 2008. "Cutting Dosage of Costly Drug Spurs a Debate." New York 
Times (16 
March).http://www.nytimes.com/2008/03/16/business/16gaucher.html?ref=business

"Cerezyme, used to treat a rare inherited enzyme deficiency called Gaucher 
disease, 
costs $300,000 a year.  Sales of Cerezyme totaled $1.1 billion last year, 
making it 
a blockbuster by industry standards."

"Shauna Mangum, of Farmington, N.M., began treatment in 2000, at a cost of more 
than 
$400,000 a year.  The next year, the premiums for everyone in her insurance 
pool 
went up by $180 a month."

Doctors are considering cutting the dosage to save money, setting off a strong 
debate about the practice.

-- 
Michael Perelman
Economics Department
California State University
Chico, CA 95929

Tel. 530-898-5321
E-Mail michael at ecst.csuchico.edu
michaelperelman.wordpress.com
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