Sunday, November 18, 2012

Critical Shortage of Medicines

“When you can’t treat basic things — cardiac arrest, pain management, seizures — you’re in trouble,” said Dr. Carol Cunningham, the state medical director for the Ohio Department of Public Safety’s emergency services division. “When you only have five tools in your toolbox and three of them are gone, what do you do?”

Because of our "progressive" policies, every day USA heads deeper and deeper into third world milieu.  Now we are short of critical medicines.  When a tiny group makes decisions for everyone, they necessarily get it wrong.

Regardless of the cause, the drug shortage has forced the F.D.A. to make some tough choices, including allowing manufacturers to sell drugs that, if it were not for the crisis, most likely would have been recalled. Last year, for example, the agency allowed the manufacturer American Regent to sell a drug used during chemotherapy that was found to contain glass particles. Doctors and nurses were instructed to filter the drug, sodium thiosulfate, before administering it to patients.

Nice.  How is it a tough choice?  No one in the FDA suffers in the slightest by the "choice."  The only tough choice is for a doctor to decide if glass particles were going to make the cure worse than the disease.   The other tough choice is for the person suffering who should think about escaping USA medicine for some place safe, like Thailand or the Georgian Republic.  But of course guess who the New York Times blames?

Caused largely by an array of manufacturing problems, the shortage has prompted Congressional hearings, a presidential order and pledges by generic drug makers to communicate better with federal regulators.

This is not a manufacturing failure, or market failure, it is another government policy failure.  So let's get a couple dozen people together and solve the problem, right?  It cannot happen.  Expect shortages to continue until we have a free market in medicine.

Coffee is a tough product to produce.  It is a mild drug, like opium. The caffeine in it can be abused, these days killing people who overdose on it. It can't grow in the continental USA, it grows in the jungle. It is susceptible to some destructive diseases.  Harvesting and processing is tough, and challenge logistically. It needs to be handled and roasted right to get that cup you enjoy.  A lot can go wrong, but one things that happens, there is never a shortage and never a quality control issue.  When was the last time you saw a rat at Starbucks? Or got sick from drinking their coffee?

Federal drug officials trace much of the drug shortage crisis to delays at plants that make sterile injectable drugs, which account for about 80 percent of the scarce medicines. Nearly a third of the industry’s manufacturing capacity is not running because of plant closings or shutdowns to fix serious quality issues. Other shortages have been caused by supply disruptions of the raw ingredients used to make the drugs, or by manufacturers exiting the market.

The reason coffee does not have these problems is caffeine is not on the FDA drug list, although it is the #2 drug used in USA, behind Tylenol.  How come, if the FDA is there to assure quality, the places that make these drugs had to be shut down, in spite of the fact that the FDA has been intensely supervising them for a decade?  Like the SEC had been intensely watching Madoff for a decade?

And there is more.  Every wino everywhere knows where there is a mission with a free cup of coffee (although many cities are now criminalizing giving free food to the homeless.)  Many businesses offer free coffee.  It's good for business.   How come when government policy fails, they make things worse?

F.D.A. to make some tough choices, including allowing manufacturers to sell drugs that, if it were not for the crisis, most likely would have been recalled.

How come if things are bad, they try freedom, and that works?

The agency also loosened some restrictions on importing drugs, and sped up approvals by other manufacturers to make certain medicines.

It is madness that people are dying while officials make "hard choices" that affect themselves not in the least.  We are far better off when a drug dealer, like Starbucks, has no FDA oversight.  I'd trust Starbucks over any government policy.

Feel free to forward this by email to three of your friends.


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