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Τα φάρμακα και τα ψέματα

Ντάνι Βέργου

Μέρος 5ο - Το παράπλευρο σκάνδαλο και οι αυθαίρετες τιμολογήσεις

Το μεγαλύτερο έμμεσο σκάνδαλο και η αποτυχία των μέτρων των μνημονίων είναι ότι δεν μειώθηκε η κατανάλωση σε κουτιά φαρμάκων πρωτότυπων έναντι των γενόσημων.

Η δημόσια φαρμακευτική δαπάνη είναι κουτιά επί μέση τιμή. Και πως να μειωθεί όταν δεν υπάρχει πλαίσιο ελέγχου της συνταγογράφησης. Οταν δεν θωρακίζεται το σύστημα με θεραπευτικά πρωτόκολλα, που διαχρονικά διαφήμιζαν οι προηγούμενες κυβερνήσεις αλλά ποτέ όμως δεν ενσωμάτωσαν στην ηλεκτρονική συνταγογράφηση. Σήμερα το υπουργείο Υγείας έχει κλειδώσει 15 θεραπευτικά πρωτόκολλα από τα συνολικά 25 που έχουν ενσωματωθεί και ετοιμάζονται άλλα 20, όπως δήλωσε πρόσφατα ο υπουργός Υγείας Ανδρέας Ξανθός.

Η έλλειψη ελέγχου σε συνδυασμό με τις αυθαίρετες τιμολογήσεις των πολυεθνικών του φαρμάκου και μη έχοντας διαπραγματευτική ικανότητα είναι ένα μείγμα εκρηκτικό.

Η δημιουργία Επιτροπής των χωρών του Ευρωπαϊκού Νότου για τη διαπραγμάτευση των τιμών των καινοτόμων φαρμάκων και η δημιουργία Επιτροπής Αξιολόγησης και Τεχνολογίας (ΗTA) του Ανδρέα Ξανθού είναι θεσμικές παρεμβάσεις προς την κατεύθυνση της οχύρωσης του συστήματος σε επίπεδο τιμολόγησης και διαπραγμάτευσης τιμών.

Ενδεικτικά αναφέρουμε το παράδειγμα του Sintrom και του Xarelto που αδειοδοτήθηκε επί εποχής Αδωνη.

Η αντιπηκτική θεραπεία χρόνια ολόκληρα σε όλο τον κόσμο ήταν το Sintrom, το οποίο κοστίζει δύο ευρώ, της Ciba-Geigy, της μητέρας εταιρείας, μαζί με τη Sandoz, της Novartis.

To 2013 αδειοδοτείται το Xarelto της Bayer και παίρνει τιμή 68 ευρώ στη χώρα μας. Το Sintrom, «αρχαίο» θαυματουργό φάρμακο, είναι αντιθρομβωτικό. Το Xarelto βγήκε με ένδειξη την αποφυγή θρομβώσεων μετά από χειρουργεία στα οστά. Το ότι είναι για χειρουργεία στα οστά δεν λέει τίποτα. Το προώθησε η φαρμακευτική εταιρεία, το πήραν οι γιατροί και τον επόμενο χρόνο βγήκε πρώτο φάρμακο σε δαπάνες στην Ελλάδα. Το κόστος του, 30 φορές πάνω από την παλιά κλασική συνταγή.

Πρόκειται για τη μεγαλύτερη επιτυχία της Bayer, για την οποία ακόμα χτυπάει το κεφάλι της η Novartis γιατί το ινστιτούτο που το έβγαλε απευθύνθηκε πρώτα σε εκείνη. Με το Xarelto η Bayer έκανε παγκόσμια επιτυχία, με πρωταθλήτρια τη χώρα μας.

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Comments

  1. Unknown27/2/18 19:32

    Mueller's indictments are not "Russia-Gate". This is Russia-Gate; Murder-Gate:
    John Brennan is Murdering, Torturous Thief (amongst this entire “intelligence” community).
    Russia-Gate; Murder-Gate
    These people have tried to kill me multiple times.
    I continue to be tortured and abused.
    They have tried to Frame me as “Crazy” — I am the furthest thing from it and this is the unequivocal truth!
    There are countless murders.
    Children have been exploited; Families have been destroyed.
    Public Funds were stolen.
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    Further your families, their lives, their freedom, and our United States of America depends on Public exposure and your representation.
    I need YOUR LEGAL HELP and/or Representation NOW!!!
    This is life and death and the outcome of our United States and our Earth “The Free World” depends on this.
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    This is the truth; this is “Russia-Gate”.
    I need your help if for any other reason because you care about your children, grandchildren, Democracy, our United States of America, our Earth, and Humanity.
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    Benjamin Allen Sullivan
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    ReplyDelete

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