blogsNH - Rte. 202 / 9 - Comments

Thanks for letting us know

simondale88 — Wed, 28 Jul 2010 00:46:12 -0400

Thanks for letting us know about this and hope to read more from you.

Curious Submit Page

faignTaix — Thu, 22 Jul 2010 09:23:46 -0400

Generic drugs can Atacand-hctz|
patients and bond companies big costs. The premiere danseuse estimate for the to some degree sparse appraisal of generic medicines is that competition increases among producers when drugs no longer are protected close patents. Companies incur fewer costs in creating the generic upper, and are ergo skilful to keep in repair profitability at a lower cost to consumers. The costs of these generic drugs are so naughty that multifarious developing countries can comfortably yield them. An eye to criterion, Thailand has imported millions of doses of a generic side of the blood-thinning drug Plavix (acclimatized to help slow kindliness attacks), at a bring in of 3 US cents per quantity from India, the paramount manufacturer of generic drugs.[2 -
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the sell for of opiate ascertaining, and as an alternative are able to reverse-engineer known numb compounds to cede to them to manufacture bioequivalent versions. Generic manufacturers also do not hold out the cross of proving the cover and efficacy of the drugs during clinical trials, since these trials deliver already been conducted nearby the brand high regard company. (See the Rubber stamp and balance segment, under the sun, also in behalf of more information beside the countenance process.) It has been estimated that the average Clomid|
to brand-name drug companies of discovering and testing
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a unusual innovative upper (with a late-model chemical entity) may be as much as $800 million.[3 - Duphaston|
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is disputed in Merril Goozner's hard-cover the $800 Million Dollar Pill. Goozner estimates that the constant get of bringing a contemporary benumb to demand is closer to $100–$200 million [4 -
Generic hypnotic companies may also pocket the aid of the prior marketing efforts of the brand-name drug enterprise, including media advertising, presentations on drug representatives, and deployment of relieve samples. Scads of the drugs introduced before generic manufacturers take already been on the peddle for a decade or more, and may already be notable to patients and providers (although commonly impaired their branded high regard).
Quest of as dream of as a pharmaceutical control lasts, a tag name company enjoys a space of “retail exclusivity” or monopoly, in which the comrades is able to cake the price of the drug at a uniform which maximizes profitability. This cost ordinarily greatly exceeds the work costs of the drug, which can entrust the dull following to contrive a impressive profit on their investment in fact-finding and development, thus enabling them to fund the research and increase of creative medicines which most generic companies cannot be able to do. The dominance of generic drugs to consumers comes in the introduction of tournament, which prevents any single flock from dictating the whole market value of the drug. Tournament is also seen between generic and name-brand drugs with be like therapeutic uses when physicians or health plans take policies of preferentially prescribing generic drugs as in not harmonious with therapy. With multiple firms producing the generic version of a drug the profit-maximizing prize by falls to the unbroken fetch of producing the drug, which is commonly much slash than the monopoly price
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Y Canada?

Brad Barbin — Wed, 9 Jun 2010 17:39:25 -0400

Ok, I understand why you, Brian, use Canada's health care system as a potential health care model, it's what you grew up with. However, there are other health care models out there.

England's health care system provides health care to everyone. I was watching an interview on t.v.; the interviewee was a currently-practicing English family doctor (scary that they 'practice', medicine). That doctor explained that all doctors receive a flat-rate pay, for their services. However, they receive 'bonuses', for good health treatment. Does Canada's health care system work in this manner?

One example that the doctor used was that he actually receives 'bonuses', when his patients quit smoking. I am not sure how this is proven (I'm assuming through before/after x-rays). Either way, every time a patient of his measurably benefits from his provided care, gets 'rewarded'. This system could level out some of the increasing health care costs, while still encouraging doctors to provide the best care they possibly can. Also it would still keep up the desire to keep patient flow moving. The more patients, the more money, as long as good care is provided. To me, it seems like the best happy-medium.

I understand that there are many dynamics driving up costs (doctor's pay is not the only factor). However, if we can start 'capping' some of the major factors, than we can start to level things off. If doctors weren't making hundreds of thousands a year, then the cost to get the degree would come down. This would drive down educational costs on many levels, in the medical profession.

Some would claim that potentially good doctors would instead decide to become something else. Well maybe, but I believe that a doctor that is 'in it' because he/she wants to be is more apt to improve further, than someone doing it solely for the money. Maybe it's just me being a 'glass is half-full kind of guy'...

What are you saying?!

Terri Oberg — Wed, 9 Jun 2010 12:58:27 -0400

You mean to tell me that you practice healthier behaviors when you are the one paying the bill? Imagine that!

It is sad how an entire nation has been somehow swayed into believing that "free" health care is a right.

Hasn't anyone learned yet those two age-old adages: You get what you pay for and Nothing is free.

Precisely.

Brian Drummond — Wed, 2 Jun 2010 00:42:32 -0400

Did you know that Lorne Greene was a Canadian Jew?

Interesting, well-written, and informative

Ken Braiterman — Tue, 1 Jun 2010 13:09:55 -0400

Nice post. I think you're describing the Canadian version of a human trait. Jews make every conversation about a Jew: the theory of relativity, Sandy Koufax, all the great American songwriters except Cole Porter, etc. Lest we forget George Burns, Jack Benny, the Marx Brothers, Lorne Green, and Michael Landon. Or Mike Wallace, Paul Newman, Bernie Madoff, and Eliot Spitzer.

I've seen Greek Americans do the same thing. "He's Greek." "That's a Greek word." "The Greek philosophers said that." I wish other small national.ethic groups did it more than they do. It's about being proud of your heritage, But you can take it too far, and appear ethno-centric,.

Ken B.

Scott Here...

Scott Ives — Thu, 18 Jun 2009 14:42:21 -0400

Hi Brian,

Loved the post..it was funny and well written!

Hi Ken,

I am sorry to hear you are going through some difficult times. I will mention you in my prayers and hope for better news!

I'm sorry for going too far

Ken Braiterman — Sun, 7 Jun 2009 10:03:08 -0400

I'm sorry for going too far and over the top.

I was not completely in my right mind this past week. I've been sweating out the possibility of kidney caner since Monday when something unexpected turned up on an x-ray. Two docs told me to see a specialist ASAP, and that turns out to be tomorrow afternoon. They both think it's cancer, but want a specialist to say for sure.

I've been trying to keep my mind off my mind as much as I can, but it's hard. Que sera sera, and Let It Be are not really in my vocabulary, and I don't do well in situations that require that attitude.

I'll leave you alone from now on, and I'm very sorry. You're an excellent writer, and I enjoy your blogs.

Ken

A Chill Pill For Ken And Another Sorry You Have To Read This...

Brian Drummond — Sat, 6 Jun 2009 11:25:06 -0400

I'm beginning to worry about your state of mind Ken.

You're focusing on one definition of the word "borderline" of which there are four offered in Merrium-Webster.

You've also lost focus of the content of my blog, so that you can "educate" me in some wierd Janeane Garofalo manner.

I work in Healthcare, Ken. I think I know about BPD.

If you think my bad Janet joke was tasteless, I can only imagine what you think of Denis Miller's sense of humor.

I joke about Alz every day. Why? Because there is a history of Alzheimers, dementia, mental illness, and brain cancer in my family.

5 a.m. Not enough coffee. Attempting to put a wallet in the toaster instead of my back pocket. I'll blame the Alzheimer's.

It's a matter of common sense and context and it's funny.

So, if you must continue, may I provide some fresh subjects for future assaults and tirades. This one has become redundant.

I'm a Christian who rarely goes to church and I don't believe in flag burning, abortion, gay marriage, illegal immigration, or blaming George Bush for all of my inadequacies.

I'm sorry that my attempts to apologize haven't measured up to your standards.

Forgive me for turning my other cheek and ignoring future criticism.

I still can't tell if you've learned why you're apologizing

Ken Braiterman — Fri, 5 Jun 2009 20:15:43 -0400

You trivialized gut-wrenching pain that can be fatal, and turned it into a joke. You turned people who have BPD into a joke. You still haven't apologiized for that, only for hurting my feelings.

I need to know you finally understand what a terrible disease BPD is: that it's not the fault of the victim or his family, that it's not something anyone would choose, that it has nothing to do with a victim's intelligence -- and indicate that you've learned it is nothing to joke about.

You mentioned your parents with Alzheimer's. I'm very sorry you and they went through that. I did with my father too. Know any good jokes about Alzheimer's, and how would you feel if you heard one? Would you object and risk being seen as a hypersensitive humorless guy, or just let it go unchallenged?

And what if the person who cracked the joke said, "No offense. Sorry if I offended you." What would constitute an acceptable apology to you and everyone else who suffered as you have.

?????????????

Brian Drummond — Wed, 3 Jun 2009 14:55:12 -0400

New title for you Ken.

I apoogicize.

Janet Napolitano does not

Ken Braiterman — Wed, 3 Jun 2009 13:21:26 -0400

Janet Napolitano does not have borderline personality diesorder, and BPD has nothing to do with ignorance. I know peple wih BPD who know a lot more than I do. Don't apologize for offending people, You used a life-threatiing disease to crack a mean, insensitive, sarcastic joke. Do you also crack jokes abut cancer? It's not that you offended someone. When you give some indication that you now understand what was really wrong, then I'll accept your apoogy. Borderline personality disorder is a lot more serious than a bad pun.

Well...Ummmm...Errr....

Brian Drummond — Mon, 1 Jun 2009 18:08:46 -0400

I was kind of taking a shot at our Head of the Bureau of Homeland Security, and the double standards that take place at our borders to the north and south.

Her ignorance of the facts to the north and inability to act on issues regarding the south.

It was a sarcastic statement and a play on words.

As for metal illness. My wife and I spent years dealing with my mother and her father living with Alzheimer's until they both passed away in 2005.

I apologize if my "reach" for a wordy hook in my title offends anyone.

Regards,

Brian.

Borderlines

Ken Braiterman — Mon, 1 Jun 2009 17:08:31 -0400

Excellent column: well written, funny, useful, and informative.

I'm sure you were not aware that "Borderlines," the way you used it in your headline, is extremely offensive to some people with mental illness and their families. It trivializes the excrutiating pain and fear these people and their loved ones live with every day.

Borderline personality disorder is a terrifying, life-threatening illness. Nobody chooses to have it, and it does not respond to psychiatric medication. Borderline personality is something some people have, that they must work extremely hard to live with. Calling someone "a borderline" denies the fact that he is a person first, not an illness.

Even among people with mental illness and the clinicians who treat them, people with borderline personality disorder -- the "borderlines" -- are the most stigmatized group. They can be impulsive, bad-tempered, and sometimes dangerous to themselves and others until they develop coping skills. There are programs that do a lot of good for a lot of these unfortunate people, but they take a long time.

We should not insult or marginalize them by calling them "borderlines," because they are not that way because they want to be.

Bobcaygeon

JonathanG — Wed, 11 Mar 2009 13:45:29 -0400

Hey, House of Blues in Boston on May 9! Be there, or remain out of touch with one of the greatest bands of the last 20 years. It's a wonder The Hip do not sell out the big arenas south of the border. And, thankfully, they do not.