Generic Medicine prices in India - who cares?

[Guest guest]

Hi,

Actually pharmaceuticals come forward and give them good lunch, cocktails, nice bags etc etc.

Conducting a CME is not very expensive. All government agencies give money to conduct CMEs, e.g., UGC, ICMR, DST, DBT etc. We do not require pharma companies to sponsor anything. Do we really require those bags that we get during CMEs or conference? We can easily do CMEs or conferences withour pharmaceutical companies.

Cheers,

Anita Kotwani

netrum From: anilvarshney@...Date: Fri, 14 Dec 2007 07:02:14 +0000Subject: RE: Re: Generic Medicine prices in India - who cares?

Dear All

The reality is far from the dream

Doctores are KANJOOS they want commissions and free servcies

so rarely some onw will like to pay for CMEs and hence CMEs aresposnsored by comapnaies

anil varshney

anita kotwani <anitakotwanimsn> wrote:

Dear all, Please share your dreams or realities like Rakesh has expressed. Private pharmaceutical companies will make generics under their name. The group is not very active...may be I am not moderating the way they are used to. Best, Anita Kotwani

netrum From: rakesh7biswasgmailDate: Thu, 13 Dec 2007 13:51:35 +0800Subject: Re: Re: Generic Medicine prices in India - who cares?

If all the medicines are available by generic name there is no problem or if doctors prescribe by generic name (practiced in many countries) and pharmacist dispense the generic medicine in India we will have affordable medicines for all! India is a big manufacturer for all the generic medicines but 65% of population does not have access to essential medicines.

How I wish this dream would come true...

To add to the advantages of generic prescribing from a clinician's point of view, imagine the time saved for a clinician who doesn't have to spend 5-10 minutes with each and every major comany med rep (which s/he actually does out of courtesy not for their silly presents as discussed before on this list). Also as previously discussed and demonstrated by Dr Vijay clinicians need not depend on pharma companies to have their CMEs and conferences which means more time saved.

With all this time saved (once clinicians become free of this present unnecessary grip of the pharma companies) a clinician could focus on more meaningful pursuits like improving patient care, learning etc (which ultimately improves patient care).

Finally the biggest advantage of all as Dr Anita has so very well emphasized would be reduction in medicine prices that would follow as soon as we shift to generics. Only one may have to figure out how to make all these presently private independent manufacturing units to work under one generic umbrella. If we are thinking of shifting all the manufacturing burden on to the government how does one finance those and what effect would that have on the prices? Forgive my ignorance on economic issues that I am attempting to think out on (aloud).

rakesh

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[Guest guest]

Dear All, In developing countries just and upright health system can only be acquired through groundbreaking measures.In

connection to the rising cost of drugs in developing countries access and affordability is a debatable issue. In context to rich cultural heritage, poverty, and changing dynamics of the politics one can easily compare Brazil and India. Brazil exhibits tenacious commitment to public health issues. Brazilians successfully retained this steadfast fixity of purpose of defending their health system despite all odds from IMF. In 1999 Brazil instituted its generic medicine policy and therefore generics instantaneously gripped the Brazilian pharmaceutical market. Promulgation of the legislation and sensitization of the public by means of mass media coverage as well as active participation of the government were underlying components of its

success. Thus Brazilians purchase medicines at more affordable prices. The idea of generic medicine policy is a pre-requisite to tackle the issues of access and affordability where the discrepancies are identified between the current scenario and goal state and decisions are required to absolve the problem by proposing, adopting, and implementing best means. Regards to all Shazia Jamshed PhD Scholar Social and Administrative Pharmacy Universiti Sains Malaysia

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[Guest guest]

Dear all,

Insurance is another big issue as regard to the access to medicines. We will not iscuss in detail now because it requires detail discussion.

In India we do not have the type of social or private insurance as it is available in developed countries.

Best,

Anita

netrum From: anupama_acad@...Date: Fri, 14 Dec 2007 15:08:33 +0000Subject: Re: Generic Medicine prices in India - who cares?

Dear all,

In India, I think it is not permitted but in Australia substitution is permitted.

When it comes paying out of pocket for medical costs, everyone cares.

Only when things are covered by insurance, people don't care.

Anupama.kunda gharpure <gharpurekunda (DOT) co.in> wrote:

hello,

our friend Shazia has given a good example of Brazil which is not hard to emulate- provided there is political will.

we have yet to discuss generic dispensing.

Given the fact that generic sale has a huge profit margin, we should see more substitution at the pharmacy level. I do not have stasts to say whether it is prevalent and if yes to what extent in our country.

As far as my notion goes,- the pharmacists are not permitted by law , to substitute an alternative medicine. Any comments from the moderator?

kunda shazia jamshed <shazia_12 > wrote:

Dear All,

In developing countries just and upright health system can only be acquired through

groundbreaking measures.In connection to the rising cost of drugs in developing

countries access and affordability is a debatable issue.

In context to rich cultural heritage, poverty, and changing dynamics of the politics one

can easily compare Brazil and India.

Brazil exhibits tenacious commitment to public health issues. Brazilians successfully retained this steadfast fixity of purpose of defending their health system despite all odds from IMF. In 1999 Brazil instituted its generic medicine policy and therefore generics instantaneously gripped the Brazilian pharmaceutical market. Promulgation of the legislation and sensitization of the public by means of mass media coverage as well as active participation of the government were underlying components of its success. Thus Brazilians purchase medicines at more affordable prices.

The idea of generic medicine policy is a pre-requisite to tackle the issues of access and affordability where the discrepancies are identified between the current scenario and goal state and decisions are required to absolve the problem by proposing, adopting, and implementing best means.

Regards to all

Shazia Jamshed

PhD Scholar

Social and Administrative Pharmacy

Universiti Sains Malaysia

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