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"We're seeing the cost to U.S. health care system go up. We're seeing the cost of pharmaceutical research go up," said David C. Reis, director of the Harvard Medical School's Program in Health Economics and Policy. "We are going to have be more creative about
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In its report on healthcare costs, the American Medical Association (AMA) suggests that the government take lead in bringing down the cost of drugs. It notes that prescription drugs accounted for 16.5 percent of overall health care spending in 2008, up from 14 percent in the 1980s. It adds:
"In the past decade, government has intervened to help some patients with more costly treatments, which is an important and under-appreciated source of public spending. For example, it is estimated that approximately $3 billion a year is spent on medications used for cancer patients with severe side effects. We do not know more about whether these investments have a significant impact on overall health costs. However, we know that some patients can be treated effectively with better treatments. Given the cost of drug development and their long lag times, this could be a significant source of cost savings."
More government action on drug prices and the cost of prescription drugs could prove to be a game-changer for Medicare Part D, an insurance program for elderly or disabled Medicare recipients.
The Obama administration has proposed that pharmaceutical companies provide discounts and rebates for companies that offer lower priced drugs for Medicare Part D members. In addition, the administration has proposed spending $1.8 billion for rebates to manufacturers of brand-name drugs on the condition that they also offer lower cost generic drugs, thereby reducing the total cost of drugs to Medicare Part D recipients.
Critics argue that the proposed program will do more harm than good. They note that many brand manufacturers already offer this discount for generic drugs—so it likely will not lead to reductions in prices. They argue that the rebates may also encourage drug companies to use their patent rights make less expensive generic versions of older drugs. As a result, generic drugs could be made so much more expensive that seniors would be forced to use more expensive brand-name drugs.
In its report, the AARP notes that government can do more by encouraging the development of more generic drugs. For instance, the report notes, "The Food and Drug Administration has issued a call for research on 'small molecule' drugs, which can be more than a decade old and cost more than many brand-name prescription drugs."
But such calls may not be enough for the Obama administration and Congress. In this election year, the AARP has made clear its opposition to the Affordable Care Act (ACA) and any attempts to expand the role of federal government in
Prednisone 5mg buy online drug prices, such as by promoting patent protection or introducing Medicare Part D.
"The U.S. Senate needs to understand that the American Health Care Act (S. 2793) does not bring down health care costs in the way it promises," said AARP Chairman and CEO Karen Ignani.
Ignani said in a recent meeting, "It's the right thing to do. You can't reduce the cost of prescription drugs in any way without reducing the number of people covered. So if the Senate wants to have any influence over that it should work to lower overall health care costs. That's why AARP strongly urges all of us to make sure the legislation gets defeated in coming days."
AARP opposes patent protection for brand-name drugs because it forces generic drugmakers and pharmacy benefit managers to pay more for the medicines they develop. As a result, the companies will face less capital available for research and development.
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Duloxetine Drug-Dosing Guide
Take Duloxetine:
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Each recommended dose of duloxetine should be taken with a meal.
The recommended dose of duloxetine may vary when taken as part of an oral contraceptive. The dose used may depend on your body weight, whether you are breastfeeding, other health conditions such as diabetes or hypothyroidism.
It is important to have frequent checkups with your doctor or other health care provider.
Remember that, as with all medicines, duloxetine should be taken at the lowest possible dosage to achieve maximum benefit from your treatment. If at any time you experience worsening of your condition, contact doctor or pharmacist immediately.
To help your doctor decide what number to list as the recommended daily dose of first-line drug:
1 mg is the usual recommended dose for adults, younger than 25 years of age.
is the usual recommended dose for adults, younger than 25 years of age. 2 mg/day is the usual dose for those of adult
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Is Duloxetine Right for Me?
Do you or your doctor need to know
race, ethnicity, or national origin
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Are you breast-feeding?
Are you in good general health?
Have you had any health problems?
Do you smoke?
Are you sedentary or inactive?
If you have any of these conditions or answers to questions, do not start or stop this medication without consulting your doctor.
Do you or your doctor need a particular diet to take duloxetine?
Duloxetine is not recommended for the following people:
Pregnant or lactating women.
People who are allergic to the active ingredient in sulpiride duloxetine.
If you are taking sulpiride duloxetine, ask your doctor if you should stop taking one of these medicines to lower the chance of birth defects:
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