Healthcare

Home » Economic Liberty » Healthcare

Who’s to Blame for Dangerous Prescription Drugs: The FDA or Big Pharma?

in Healthcare, Liberator Online Archives, Libertarian Answers on Issues, Libertarian Stances on Issues by Mary Ruwart Comments are off

(From the Ask Dr. Ruwart section in Volume 19, No. 10 of the Liberator Online. Subscribe here!)

QUESTION: The pharmaceutical company is sometimes caught pressuring the FDA to approve drugs with dangerous prescription drugsside effects and the FDA does so. Who is the prime mover of aggression here, the FDA or the pharmaceutical cartel?

MY SHORT ANSWER: It’s the karmic circle. The American public allowed the FDA to regulate the pharmaceutical companies under the largely erroneous assumption that they were nefarious. In the beginning, the primary loss to the American public was fewer life-saving drugs, since more money had to be spent on development instead of discovering new drugs.

The regulations reshaped the industry in a way that encouraged graft, as the regulations got more onerous. The industry “fought back” with the Prescription Drug User Fee Act which lets companies pay about $1 million for a faster review. This co-opted the regulators, since about half of their budget now comes from such fees.

In addition to losing many life-saving drugs, the drugs that we get now are less safe. The biggest safety problem with drugs on the market today is that they are meant for long-term use, which amplifies side effects. That’s because only drugs for long-term use can recover the high cost of development that regulations have produced. Even with the high prices of drugs, only 3/10 recover their costs.

This is a lose-lose situation for the American public, the industry itself (which has become close to unsustainable), and even the regulators, who will one day die or watch their loved ones die from diseases that might have been cured without regulations.

LEARN MORE: Suggested additional reading on this topic from Liberator Online editor James W. Harris:

* “Abolishing the FDA: FDA Policies Keep People Sick and Create a False Sense of Security“ by Larry Van Heerden The Freeman, March 1, 2007.

Excerpt: “The Food and Drug Administration (FDA) started out as a bulwark against snake-oil peddling. It has since swung back and forth between hostility and subservience to the drug industry. The FDA seems indifferent to the many deaths its own intransigence has caused and imperious when forced to defend its actions in court, resulting in a system that withholds life-saving drugs from the market, approves dangerous drugs, and denies everyone freedom of choice. The time has come to seriously consider abolishing the FDA.”

Who would make health decisions about children in a libertarian society: parents or medical professionals?

in Children's Rights, Healthcare, Liberator Online Archives, Libertarian Stances on Issues, Marriage and Family by Mary Ruwart Comments are off

(From the Ask Dr. Ruwart section in Volume 19, No. 9 of the Liberator Online. Subscribe here!)

QUESTION: I just read about Boston Children’s Hospital taking children away from their parents if children's health decisions in a libertarian societythey don’t agree to treat their children the way the doctors recommend. Would this happen in a libertarian society?

MY SHORT ANSWER: In a libertarian society, a child’s guardians, normally the parents, would decide whether the treatment was worth the risk. No treatment works for everyone and every treatment has side effects in some people. Parents might not always make the optimal decision for their child, but doctors won’t always either. If the doctor feels strongly about a certain treatment, he or she should take the time to convince the parents of its worth, rather than use aggression to enforce their recommendation.

The article you cited indicated that children are taken from their parents most frequently “when doctors diagnose the child with a psychiatric disease, but the parents think the condition is a physical one.” Mental problems can be caused by physical factors, such as diet, genetic abnormalities, and certain vitamin deficiencies, which blur the distinction between psychiatric and physical. These factors are often downplayed or totally ignored in physician training. Licensing boards determine the medical school curriculum and reinforce the status quo, rather than cutting-edge or “politically incorrect” knowledge. Emphasis is placed on drug treatment instead of prevention or nutritional therapy, primarily due to FDA regulations. Since children often respond more negatively to psychiatric drugs than adults, forcing children to take them can actually be detrimental.

In a libertarian society, medical practice would be more diverse, since doctors would be certified instead of licensed and prevention wouldn’t be hampered by FDA regulations. Consequently, our medical science would be more advanced. In a society accustomed to using persuasion, rather than coercion, parents are likely to become better informed by doctors and make the best decision for their children.

* * *
Short Answers to Tough Questions - Dr. Mary RuwartGot questions?  Dr. Ruwart has answers! If you’d like answers to YOUR tough questions on libertarian issues, email Dr. Ruwart

Due to volume, Dr. Ruwart can’t personally acknowledge all emails. But we’ll run the best questions and answers in upcoming issues.

Dr. Ruwart’s previous Liberator Online answers are archived in searchable form.

Dr. Ruwart’s latest book Short Answers to the Tough Questions, Expanded Edition is available from the Advocates, as is her acclaimed classic Healing Our World.

Video: Hilarious Remy Take on “Working 9 to 5″

in Healthcare, Liberator Online Archives by James W. Harris Comments are off

(From the Intellectual Ammunition section in Volume 19, No. 5 of the Liberator Online. Subscribe here!)

The great liberty-minded comedian Remy sings about working “9 to… hey, wait a minute!”

See how Obamacare shakes up Remy’s employment situation. And he’s not the only one…

Watch it, laugh, then share with friends. PS: Lyrics, with helpful info links, are at the bottom of this page.

The FDA Vs. the Health and Safety of Americans

in Communicating Liberty, Healthcare, Liberator Online Archives by Mary Ruwart Comments are off

QUESTION: Which problem is the greatest: the FDA’s approving unsafe drugs, or the FDA’s delaying the approval of life-saving ones?

MY SHORT ANSWER: In 1992, Congress passed the Prescription Drug User Fee Act (PDUFA), allowing drug companies to voluntarily pay about $100,000 to get a speedier review. The money went to hire new reviewers.

The fee has grown steadily; it’s now over one million dollars per drug. The part of the FDA that reviews drug applications now receives about 50% of its funding from drug companies. FDA employees (e.g., Dr. David Graham, the whistleblower on Vioxx) have reported being told by supervisors that the drug companies — not the American public — are the FDA’s clients. This should be expected, as he who pays the bills makes the rules.

Does this mean that the FDA now approves unsafe drugs? It depends on how you look at it. Withdrawal rates (the percent of approved drugs removed from the market) from 1962-1992 and 1993-2013 are virtually identical at about 3%. As time goes on, however, more drugs approved during 1993-2013 are likely to be withdrawn. The differences may be small, though, as most withdrawals occur quickly. On the other hand, Vioxx, approved post-PDUFA, was by far the biggest drug disaster in history.

Does the FDA still delay approval of life-saving drugs? Yes! It does so by demanding that companies perform studies taking an average of 13-plus years. Prior to 1962, the average time was about 4 years. I suspect that these delays are still more costly, in terms of lives lost, than approvals of unsafe drugs.

* * * * * * * * * *
Buy It Now!Got questions?  Dr. Ruwart has answers! If you’d like answers to YOUR tough questions on libertarian issues, email Dr. Ruwart

Due to volume, Dr. Ruwart can’t personally acknowledge all emails. But we’ll run the best questions and answers in upcoming issues.

Dr. Ruwart’s previous Liberator Online answers are archived in searchable form.

Dr. Ruwart’s latest book Short Answers to the Tough Questions, Expanded Edition is available from the Advocates, as is her acclaimed classic Healing Our World.

THEY SAID IT…

in Drugs, Healthcare, Liberator Online Archives, Victimless Crime by James W. Harris Comments are off


JAY LENO’S LAST STAB AT OBAMACARE:
 “And the worst thing about losing this job, I’m no longer covered by NBC. I have to sign up for Obamacare!” — Jay Leno on his last day as host of The Tonight Show, Feb. 6, 2014.

RAND PAUL TAKES ON NSA: “The Fourth Amendment states that warrants issued must be specific to a person, place or task and this provision of the Bill of Rights exists explicitly to guard against the notion of a general warrant,where government can plunder through anyone’s privacy at will. The NSA’s metadata collection program is a general warrant for the modern age, reflecting the same kind of tyranny our nation’s founders fought a revolution to make sure would never happen again. … It’s time to trash the NSA’s mass surveillance of Americans, for good.” — Sen. Rand Paul (R-KY), “The NSA is still violating our rights,” The Guardian, Feb. 20, 2014.

THE UNCONSTITUTIONAL WAR ON MARIJUANA: “The truth is that the federal ban on marijuana — unlike the federal ban on alcohol, which began and ended with constitutional amendments — has no basis in the powers granted by the Constitution, at least insofar as it purports to reach purely intrastate activities.” — syndicated columnist Jacob Sullum, “Let 50 Cannabis Flowers Bloom,” Jan. 29, 2014.

YES, THE GOV’T CAN KILL AMERICAN SUSPECTS ON AMERICAN SOIL: “The truth emerged only in 2013 when Senator Rand Paul asked point-blank whether the president could authorize lethal force, such as a drone strike, against an American citizen in the United States. Attorney General Eric Holder fired back that while the question was ‘hypothetical,’ the real-world answer was yes. Holder said he could imagine ‘an extraordinary circumstance in which it would be necessary and appropriate under the Constitution and applicable laws of the United States for the president to authorize the military to use lethal force within the territory of the United States.’ … They’ve thought about it. They’ve set up the legal manipulations necessary to justify it. The broad, open-ended criteria the president laid out for killing suspected terrorists exposes the post-Constitutional stance our government has already prepared for. All that’s left to do is pull the trigger.” — journalist Peter Van Buren, “How to Build a Post-Constitutional America One Killing at a Time,” February 17, 2014.

WHY TRUST THE GOV’T: “The United States has been lying to its people for more than 50 years, and such lies extend from falsifying the reasons for going to war with Vietnam and Iraq to selling arms to Iran in order to fund the reactionary Nicaraguan Contras. Why should anyone trust a government that has condoned torture, spied on at least 35 world leaders, supports indefinite detention, places bugs in thousands of computers all over the world, kills innocent people with drone attacks, promotes the Post Office to log mail for law enforcement agencies and arbitrarily authorizes targeted assassinations?” — Prof. Henry A. Giroux, “Totalitarian Paranoia in the Post-Orwellian Surveillance State,” Truthout, Feb. 10, 2014.

THE FOUNDERS BETRAYED: “The bottom line is that we’ve betrayed much of the moral vision of our Founding Fathers. In 1794, when Congress appropriated $15,000 for relief of French refugees who had fled from insurrection in San Domingo to Baltimore and Philadelphia, James Madison rose on the floor of the House of Representatives to object, saying, ‘I cannot undertake to lay my finger on that article of the Constitution which granted a right to Congress of expending, on objects of benevolence, the money of their constituents.’ Tragically, today’s Americans — Democrat or Republican, liberal or conservative — would hold such a position in contempt and run a politician like Madison out of town on a rail.” — syndicated columnist and economist Walter Williams, “Concealing Evil,” Feb. 19, 2014.

Video: Coffeecare —The Affordable Coffee Act

in Healthcare, Liberator Online Archives by James W. Harris Comments are off

You know how you buy a cup of coffee. You just go into the store, ask for what you want, and pay. End of story.

But… What if we had to buy our coffee like the government is now forcing us to buy health insurance? What if, like Obamacare, we had… Coffeecare?

This scathing and very funny animated video by RealityAlwaysWins show us. The result is a lot of laughs and a thorough indictment of the bitter brew that is Obamacare. All in just three and a half short and funny minutes.

Share it online with friends. It will open their eyes and let them smell… the Coffeecare.