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Thank you for keeping this website, I will be visiting it. It should come as no surprise to anyone familiar with the state of psychiatry that it is the second most-prescribed antidepressant in the USA , with three million prescriptions per month.

Why would this happen? It shows that doctors who often eat drug-company-sponsored free lunches are more than twice as likely to prescribe Pristiq as doctors who rarely eat such lunches.

This matches my observations perfectly. If this surprises you, be more cynical. Pristiq is far from alone in this. So one of the best ways to deal with expensive brand-name drugs is to stop using expensive brand name drugs for no reason.

There are probably lots of other ways to improve medical education and medical economics so that doctors are less easily bamboozled into prescribing these, but those can wait for other blog posts. What about the genuinely novel brand-name drugs, the ones like Harvoni that really are better than anything that came before? This would include the cost of research and licensing, and so still be pretty high, but as long as research is a real unavoidable cost it would probably be the best we can hope for.

And I know this is terrible, especially if someone has a disease with only one cure and it was invented after But think of it this way. This objection, rephrased, is that has more drugs available than , and we want to maximize the number of new drugs available to the poorest patients. But if we try to do that by instituting price controls which decreases the rate of drug innovation long-term, then we end up decreasing the number of new drugs available to the poorest patients, exactly the opposite of what we thought we were doing.

Let me give an example. According to study 9 above, price controls would have caused about fewer drugs to be approved over the period from — In fact about drugs were approved during that period. So we have more drugs available just as generics than Hypothetical Price Control World has as generics and brand-names combined.

And as time goes on, our advantage over their world will only get bigger. Maybe there are better ways to do this. Some people say we should fund it publicly through the NIH or something, which we already sort of do to a degree. While eating, the toddler may dislike the taste of a especial rations or experience a susceptibilities of fullness but at one's desire chat with that notion through screaming or throwing food.

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