Drugs | Medication

Direct-to-Consumer Advertising of Pharmaceuticals

Drug MoneyGuest article by Ray Collins

The FDA has tolerated, regulated, and now seems to favor direct-to-consumer advertising by pharmaceutical companies, apparently as part the the judicial and regulatory trends toward corporate free speech. Susan Schwartz McDonald posts at National Analysts about her company’s view

The very fact that this particular [FDA] survey [of health care professionals] is on the docket speaks volumes about what many FDA-watchers have already concluded: that the agency has morphed from wary and grudging to comfortable and upbeat about the benefit of allowing pharma to converse with patients. After several decades of experience, the FDA seems ready to conclude that direct-to-consumer advertising (DTC) can do more than bring relevant therapies to broader awareness.

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Printing Your Own Medicine… and Organs

Chemist Lee Cronin is working on a 3-D printer that, instead of objects, is able to print molecules. It has exciting long-term potential: printing your own personalized medicine using chemical inks. The 3-minute TED talk below paints a fascinating view of the , but a great many issues remain. Following the video are two related TED talks with more near-term impact.

My reaction

I was amused at the comments on TED.com and had to add my own…

So will the use of illegal narcotics and abuse of prescription drugs explode? Where will we buy the “ink,” and can it be ordered online? Will the cartridges be refillable? Will we need a new constitutional amendment to ensure “the right to bear printers” or the “right to buy ink?” Who will profit from this new industry and lobby for the new laws and regulatory oversight (or lack of it)? As with any disruptive technology, there are many new questions, and there will be many incumbents fighting to preserve the status quo. Read the rest of this entry »

Blood Glucose Meters: Monitoring Diabetes on Your Phone

iBGStar Glucose MeterLiving with Diabetes requires frequent monitoring of blood glucose (blood sugar), an essential measure of your health. The American Diabetes Association can help you better understand Diabetes, select from the latest tools, learn how to manage your blood glucose levels, and prevent serious complications. They provide guidance for selecting a blood glucose meter and list currently available models, many of which are available at local drug stores, but today’s article is inspired by one that’s not listed and you may not have seen yet.

iBGStar blood glucose monitor

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A Disease-Creation Economy

Money, Politics and Health Care: A Disease-Creation Economy

By Mark Hyman, MD, practicing physician (original on Huffington Post)

“There is nothing more difficult to carry out, nor more doubtful of success, nor more dangerous to handle, than to initiate a new order of things. For the reformer has enemies in all those who profit by the old order, and only lukewarm defenders in all those who would profit by the new order.” –Niccolò Machiavelli, The Prince and The Discourses

Medical Economics - follow the MoneyMoney in politics is making our nation sicker, threatening our national security, and ultimately destroying the very economic prosperity the “money in politics” seeks to achieve. It is undermining our capacity to care for our citizens and threatening our global economic competitiveness in invisible, insidious ways. The links, connections and patterns that promote obesity and chronic disease are clear, though. The economic and social impacts are evident. As health care consumes an increasingly large percentage of our federal budget, the negative impacts of money in politics have become too alarming too ignore, and never more obvious than in this election cycle of 2012.

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The End of Illness

The End of Illness - image from Amazon.comToday’s article is adapted from The End of Illness by Dr. David B. Agus and an ABC News story about his book. (video below)

“The end of illness is closer than you might think,” says Agus, a professor of medicine at USC. But to achieve that, people must look at their bodies in a whole new way. He and many others like him are challenging long-held beliefs about what “health” means and are promoting health & wellness as ways to extend life, improve vitality, and lower the cost of medical care.

As a cancer doctor and researcher on the front lines, Dr. Agus became infuriated by the statistics and lack of progress within the medical profession, and that got him thinking about alternative approaches. He likens it to “having to go to war to understand peace,” since the goal should be to avoid war in the first place. And shouldn’t the same apply to health – striving for ways to eliminate illness rather than just treat its symptoms? Read the rest of this entry »

Do We Need Doctors Or Algorithms?

robot medic

Image credit: Shutterstock/koya979

By Vinod Khosla, founder of Khosla Ventures
(original on TechCrunch.com)

I was asked about a year ago at a talk about energy what I was doing about the other large social problems, namely health care and education. Surprised, I flippantly responded that the best solution was to get rid of doctors and teachers and let your computers do the work, 24/7 and with consistent quality.

Later, I got to cogitating about what I had said and why, and how embarrassingly wrong that might be. But the more I think about it the more I feel my gut reaction was probably right. The beginnings of “Doctor Algorithm” or Dr. A for short, most likely (and that does not mean “certainly” or “maybe”) will be much criticized. We’ll see all sorts of press wisdom decrying “they don’t work” or “look at all the silly things they come up with.” But Dr A. will get better and better and will go from providing “bionic assistance” to second opinions to assisting doctors to providing first opinions and as referral computers (with complete and accurate synopses and all possible hypotheses of the hardest cases) to the best 20% of the human breed doctors. And who knows what will happen beyond that?

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Innovator’s Prescription: Disruptive Healthcare Solution

book cover of The Innovator's PrescriptionHarvard Business School’s Clayton M. Christensen — whose bestselling book, The Innovator’s Dilemma, revolutionized the business world — now presents The Innovator’s Prescription, a comprehensive analysis of the strategies that will improve health care and make it affordable.

In this meaty 87-min lecture at MIT, Professor Christensen explains how you can’t believe everything you learn in business school and reveals insights into such socially significant and complex industries as health care. “It’s the principles of good management that can cause successful companies to fail,” he says.

The lecture introduced concepts from his latest book, where Christensen applies his principles of disruptive innovation to the broken health care system. With collaboration from two pioneers in the field — Dr. Jerome Grossman and Dr. Jason Hwang — he examines a range of symptoms and offers proven solutions.

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Walt Mossberg blasts medical consumer products

In his TEDMED2010 talk, Walt Mossberg, Technology Journalist for the Wall Street Journal, shares his thoughts about medical consumer products. He’s clearly a fan of Apple’s iPad and iPhone but laments the lack of really useful consumer medical products like blood good glucose monitors. Thankfully, we’ve seen lots of innovation in 2011, but I wonder if it’s enough to change Walt’s mind. Watch the video and let us know what YOU think with a Reply below.

Flying with Medical Devices and Supplies

Image of Wheelchair and Airport SecurityGuest article by Marlo Sollitto, AgingCare.com

Recent reports allege that security officials at a Florida airport forced a 95-year-old woman with cancer to remove her adult diaper as part of a security pat-down.

While this is an extreme example, some medical equipment and assistive devices– such as pacemakers, wheelchairs and oxygen tanks – can hinder airport security screening procedures.

In response to the incident involving the adult diaper, Transportation Security Administration (TSA) officials released this statement: “While every person and item must be screened before entering the secure boarding area, the TSA works with passengers to resolve security alarms in a respectful and sensitive manner.”

How can caregivers ensure their elderly relatives are treated with dignity, yet expedite the process of getting an elderly loved one through airport security safely? AgingCare.com asked Sarah Horowitz, spokesperson for the TSA’s Office of Public Affairs, to weigh in on how certain assistive devices may affect airport security:

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Why Americans pay so much for Prescription Drugs

As a colleague participant in a Linkedin discussion said, The entire medical system only gets paid when they can convert a non-patient into a patient. Moreover, it is in the best interest of the system, to keep the patient a patient, so as to continue getting paid.

That perspective even extends to prescription drugs and why so many Americans seek lower cost solutions from Canada even when their health plans include discounts on generics ordered online. It also reminds me of Eat Your Medicine, which views food as pharmacology and promotes changes in diet and lifestyle rather than the quick fix of a pill.

INFOGRAPHIC: Why Americans pay so much for drugs, and Canadians don’t.

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