Ah, a classic correlation is not causation situation. Thanks!

So would you say that vaccines are still needed for all, or just for people like me who are immunosuppressed?

Of course, if you’re not getting an actual pay rise. Then you strike until you get a better deal or start making money without exchanging it for units of time.

Ok just going to make the counter argument if that’s ok?

They are new compared to traditional vaccines like polio and smallpox

Their view is that vaccines are now unnecessary because of herd immunity, (I’ve got them to concede that hospitals or the economy would have collapsed without vaccines), and that they are just being used up because govts signed contracts.

Their view is that the side effects risk is now higher than the benefit.

Unfortunately I’m at the age where more friends are dying than I’m making new ones lol

Thanks, that’s what I thought. They always point to the recorded side effects and I always counter with the fact that the disease is a lot lot worse than the cure, and that it’s a classic trolley problem. If the equation is kill one to save a million, you always kill one.

Or am I missing something?

Inflation means money is worth less than before and inflation is actually money creation. Higher supply means lower demand. Record profits are only records because the nominal value is higher, but the real value isn’t.

Companies operate on gross margin, so 30% margin is always 30% of the total price. The actual value is irrelevant.

Doubt

Apparently, people creating new accounts seem to assume the word (password) in the box in light gray font is a suggestion rather than a label.

lol

Doctors in the UK could write me an RX and I could take it to Germany to fill.

So, just a £500 round trip to get a script filled?. The number of people doing that must be minuscule

Was a common thing for many who often had to work cross borders

So not common at all then.

But the extra work of filling forms and providing data evidence to support those forms is something that has to come from somewhere

Yep. But forms can be automated and policy can be written to make the UK more attractive for pharma

While at the same time we gain no ability to buy from out of EU nations that we did not have before brexit

Other than things like Project Orbis?

https://www.gov.uk/guidance/guidance-on-project-orbis

But you are still forgetting the main point. EMA allows the nations under it to move drugs around

Not during shortages, the Single Market doesn’t force anyone to share anything

If ou need a drug in one nation. That your helth service dosent want to provide. You can buy it yourself and import from another EU nation. As we could in 2019.

Without a prescription?

Now you cabnnot unless MHRA also covers it. So any drug created since 2020. Requires 2x the paperwork to even give you the option to buy.

The MHRA did the vast majority of the certification for the EMA…and the UK is still using the EU law and EMA to approve most medications

But, while the UK still relies on ema decisions, it has approved new cancer drugs more quickly

Brexit was also hailed as an opportunity for the UK to innovate alongside international partners, and here the UK has made progress. A number of schemes to fast-track promising drugs have borne fruit: in 2021, four innovative new cancer drugs were approved in the UK via an international scheme, Project Orbis, coordinated in the US with other non-EU partners. Additionally, the national Early Access to Medicines Scheme, which allows UK medics to prescribe before formal MHRA approval, saw another four medicines fast tracked for patients.

https://www.imperial.ac.uk/business-school/ib-knowledge/health/post-brexit-medicine-approvals-what-we-know

And the UK has the 7th largest share of the global pharma market. Do pharma suppliers not bother with approvals in Japan or Canada either?

The population of the EU is approx 448m (jan 1 23) the UK 67.7+m (23 no date) so the simple fact is where companies have a choice to sell. They have 6.5x the potential customers for exactly the same amount of documentation as the UK.

It’s not that simple though, the supposed panacea that is the single market is just that. You can’t just sell into the single market, you need sales and ops for each country.

In Germany, around 90% of medicines that obtain marketing authorisation from the European Medicines Agency (EMA) are available to citizens while in Lithuania, for example, it is only 20% of the approved drugs.

Another major problem is the length of time it takes for a drug to appear on the national market after EU registration.

Germany is again the leader in this respect, with a waiting time of around 100 days. At the other end of the spectrum is Romania, where the procedure can take up to 900 days, or 2.5 years. In the Czech Republic, the average time for the whole process is around 1.5 years.

https://www.euractiv.com/section/health-consumers/news/a-single-market-for-medicines-would-be-no-panacea-pharma-companies-warn/

Doubt. Brexit ‘red tape’ is just an import form. They aren’t that hard to figure out, especially as the majority of drugs are generics and are supplied from outside the EU anyway. Brexit just created a level playing field for all the pharma suppliers. I thought the EU wanted a LPF?

I think drug companies are quite keen to remain supplying one of the world’s biggest drug buyers 👇

https://www.theguardian.com/business/2023/jul/08/revealed-pharma-giants-pour-millions-of-pounds-into-nhs-to-boost-drug-sales

UK should up it’s manufacturing and broaden its supply chain to ensure supply. Especially as it’s a Europe wide shortage and not brexit related. Kind of hard to import a drug if it’s not available

Yes but. Spreadsheets used to be done by hand, yet we still have bookkeepers

Thanks for posting, I’ve been looking for a no code option

The whole industry is toxic, mentally and environmentally.

Cruella Braverman

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