The economics of anthrax (or, what Scotto thinks about, reading about antibiotics)

This whole Bayer thing about Cipro is starting to piss me off.

Now, when I was first being indoctrinated with the basics of the American Dream, we were taught all about the “Law” of Supply and Demand. There was even a Warner Bros. cartoon to help with the visuals. A Japanese (Occupation Era) mouse comes to visit an American mouse in New York and is taught all about this basic law of the universe. They skitter about the floor of Macy’s and see construction and get a tutorial from a wise academic mouse. The wheels of industry got the WB soundtrack for construction and mechanical processes.

This law of nature states that when customers buy more, the price goes down. Supply and demand. Because if you don’t lower your price your *competition* will. But that’s OK, because since the demand is so great you’ll more than make up the difference through volume volume volume. Somewhere in there is some stuff about investing in your manufacturing infrastructure to lower production costs.

I would think that a government contract to buy 100,000,000 tablets of an antibiotic that they wouldn’t have bought before would be good news for a pharmaceutical company that owns the patent on the one (1) antibiotic that is prescribed for anthrax. Even the generic version of Cipro pays a royalty to Bayer. Barr (the generic Cipro manufacturer) says that they could sell the tablets for less than $1 a piece if the royalties were removed. Ahem… that’s *sold while still making a profit* for less than $1 a piece. Bayer charges $4.67 a tablet (no royalties) which I’m sure they’ll say is to recover the *enormous costs* of the research that went into the creation of Cipro. Uh huh — and I *believe* you too. Just like a believe you will *lose* money by selling 100,000,000 tablets on top of your normal sales and on top of the sudden boom in sales due to everyone in the US with a health plan scrambling to get their hands on some. Or slipping over the border to get Mexican Cipro. Or pretending they are Canadian or something.

Canada found an interesting way to get everyone to sit down and haggle: they threatened to green light Canadian generics and ignore the patent. Wartime donchaknow. Suddenly Bayer discovered a way to slash the price.

Anyone exposed to anthrax should take 2 Cipro a day for 5 days, then switch to other generic antibiotics for 55 days. So when we read about the government stockpiling treatment for anthrax we’re talking about a lot of pills. Which, incidentally, all have expiration dates. It’s raining soup and the pharmaceutical companies are complaining about the size of their buckets.

Fun FYIs about Bayer (I bet knows all this already):

Bayer are the guys that first produced heroin in order to get rid of their excess production of vinegar (vinegar+morphine=heroin) and then marketed heroin pills as cough reliever.

(Not to mention heroin as a cure for morphine addiction.)

Getting by, thank goodness my sweetie’s been about today.

Feeling better. Still going to follow doc’s orders, and stay home the rest of this week, and polish off the meds.

( I still have a cough, and aches, but the thick stuff in the throat is mostly gone.)

I’m nearly out of Gatorade. Perhaps I can ask Kevin or Karen to bring some by after work tomorrow.

dreams.

Boynton Beach LibraryI dreamt last night that I was working at the library again (or not working, as the case was… goofing off with the old pages) and I saw a lot of the old team there. I wonder what Jane, Charlotte and Pam are all up to these days.

Those were some amazingly fun times. the only downside of that job was the politics involved… There were quite a few little hens there, too. Aside from that, I had a great time. Get paid to reshelve books, and show people where certain things were. Even cataloging wasn’t bad a little bit at a time. I love to see the old books people would donate. You’d invariably find something in a box to make you cringe or laugh. (like a slice of pizza for a bookmark, or old WWII porn…Tijuana bibles.)

Every other Thursday, they’d bring folks from the local mental care ward in to visit… Mr Hanna was a favorite. A stereotypical paranoid, he would laugh at inappropriate times, and spout some of the most weird commentary about stuff I’d ever seen. Very entertaining to a 17 year old boy.

How was *your* day?

2001/10/23 – at about 14:45 – in a meeting explaining functionality for the new up sequence program (now includes 8-up) I have a coughing fit. a bad one. so bad that I have trouble breathing. the guys in the meeting don’t realize the severity until I dial 911, and hand the phone to Paul because I can’t talk clearly to the operator.

~14:50? (fast!! yay!) Ambulance arrives, and hauls my coughing, sick self to the ER. On the trip, they give me oxygen, and I feel 1000% better.

called doc and was told to go to the ER for a chest X-ray

15:05 – arrived at emergency room, filled out paperwork, mentioned bloody, opaque phlegm, difficulty breathing, cough etc, but and sat here for 45 min. (I was stable by the time I got there)

Got a sputum culture done, a chest x-ray, had blood drawn, got my nose swabbed, along with the usual temperature / pulse / blood pressure.

Took a *long time*. Thank goodness for the palm… between tests, I read the entire onion, and yahoo news, plus some of the books I had packed on there. Also doodled a bit, and made my LJ/palm synch icon. 🙂 I finally got out of there about 19:00 or so, and went to CVS. They’re new to Florida, so don’t support my insurance yet, even though my insurance said they did. Ok, fine, off to Eckerds. They make me wait 45 minutes, and then tell me that they don’t have the antibiotics in stock (they give me everything else), but the store up the road does… I go there, and the tech is having supper behind the counter, and I get to wait another half hour for that medicine. *note to self* Go to Walgreens next time…They’re tons faster, and have my insurance info on file.

Finally got home about 20:45, where I promptly told my poor worried sweetheart where I’d been most of the day.

Home or self-care includes rest and a high-protein diet with adequate fluids, and I’m supplementing that with kung fu movies, cartoons, gabbing with my sweetie, and kitty-snuggles. Maybe a little writing, too. Whatever I can do to fend off malaise.

Yum, Orange Gatorade!

idyll & gadfly Yes, I’m awake. :)

idyll (EYE-dl), noun:
1. A simple descriptive work, either in poetry or prose, dealing with simple, rustic life; pastoral scenes; and the like.

2. A narrative poem treating an epic, romantic, or tragic theme.

3. A lighthearted carefree episode or experience.

4. A romantic interlude.

Idyll ultimately derives from Greek eidullion, “a short descriptive poem (usually on pastoral subjects); an idyll,” from eidos, “that which is seen; form; shape; figure.” The adjective form is idyllic.

gadfly (GAD-fly) noun

1. One who persistently annoys.

2. Any of the various types of flies that bite livestock.

[From gad (a goad for cattle), from Middle English, from Old Norse gaddr.]

sickness getting worse
called doc and was told to go to the ER for a chest X-ray

2001/10/23 15:04:16 – arrived at emergency room, filled out paperwork, mentioned bloody, opaque phlegm, difficulty breathing, cough etc, and sat here for 45 min.

about 8 people ahead of me, most not looking terribly severe, save for an older lady with a damaged hand. Some sort of cut, 2 fingers immobilized in bloody gauze. Also here are a few drunks (or stoned?) good mix of ages… ER is filling up now. Estimated count at maybe 30ish people. Cute kids playing quietly near a mom who stepped on a bit of glass. I’m alternating between reading the onion and writing character sketches on the palm. (I picked the wrong day to leave lappie at home! Craving AOK scripting or a keyboard to write on.) tagged 15:49:50 then returned to waiting. A doppelganger of gina moog just came in, clenching her jaw… I wonder what’s hurting… I hate the ER, so much pain here…limping, moaning, hurt. I wish my doc had an x-ray in his office. Lots of folks in need of repair. The girl next to me was regaling earlier about burning urine. (I can be approachable at times, after all!) I hope that I get out of here and home before sundown… So tired. It’s now 16:20:10 maybe 5 people here now, many more serious injuries got priority over mine, understandably so. 17:50:30…still sitting here. Severe headache from coughing, making me a little fidgety, hard to make myself comfortable. Met the RN 18:06:21 and am now in a room awaiting some radiation… They took even more info about me, I’m embarrassed to say that I didn’t know some of the answers (Like the last time I had pneumonia.) taken to the rad-room at 18:41:28 was finally photogged at 18:54:16. While waiting, I met a nice little boy who is going to have a heart series done. His name’s Marcus, and is a total sweetie. He’s 7, and has had 2 heart attacks already. Now back in room 1 again, playing the waiting game. Got a prescription for antibiotics and bed rest. Released and waiting for cab at 19:20:17 on my 3rd pharmacy, none take my new insurance. I’ve given up on them, paying cash for meds instead. Now stuck here for an estimated 45 minutes. It’s now 20:04:53 home at 20:47:10

I’m a little perturbed with my chatty proggies lately. I wonder if it means all of their servers are getting too big.

AIM – been pretty good, lately. falls down now and then, but gets right back up again.

Yahoo – Weird stuff. folks visible to others but not me, or vice versa. (makes creating a nice group chat testy)

ICQ – the most pesky offender. I was sending messages back and forth to my sweetheart yesterday, when they suddenly stopped. it turns out we kept sending, but neither of us were receiving! not even in our history, just one ways. I did, however see when she logged off to drive home.

I’ve grown very dependant on gabbing with my sweetheart during the day. Pesky when our ‘telephone’ is spotty, but I guess I can’t complain too much… it’s free to use.

Thank goodness for e-mail. 🙂