Wednesday, April 3, 2019

Golden Goose Economics


Golden Goose Economics, in this rant referred to as GGE, is fast becoming the prominent economic theory in The United States of America.  It would best be described as an unsustainable business theory, which only considers short term profits, not long term results.  I am presently a casualty/participant in GGE.  That is, I have sold my soul in order to live. 
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I will give you a short back story.  In 2009 I was diagnosed with chronic lymphocytic leukemia (CLL).  It stayed in the “wait and watch” stage, with little or no symptoms, until late 2018, when the White Nationalist Lymphocytes decided to kill off the other blood cells, both red and the other whites.  This was a good short term decision for the lymphocytes, for they did greatly multiply their number, but at the long term cost of killing their host (me).  Leukemia will do that to you.
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Along comes the cavalry, sort of.  Abbvie (a GGE company) sells a drug known as Ibrutinib for twelve to fourteen thousand dollars a month.  The insurance co-pay on a drug of this price is about three thousand dollars a month.  I am using it.  Why so high?  Stay with me.  We need some history here.  Celera researched and developed the drug.  They sold it a couple of years later to Pharmacyclics for three million dollars*.  A nice profit and well deserved for the R&D given.  In 2011 Johnson & Johnson, after Phase II FDA trials, bought into the GGE program for $975 million dollars*.  Most recently Abbvie saw that J&J and Pharmacyclics had a good GGE program going and in March of 2015 paid them 21 Billion Dollars* for the scam.  Why do I call it a GGE scam?  Because, the developer, Celera, could have sold the drug for $50 a month and made money.
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Now you are asking yourself, “How can this retired guy, a blog writer, living on Social Security pay a three thousand dollar, a month, co-pay?”  I can’t.  A foundation pays the co-pay.  After I turn down the program, the drug supplier calls me and asks, “What is your monthly income?”  I answer the question, with no verification required, and I am told that you qualify for the foundation’s program.  I have no co-pay.  This seemed both easy and fishy to me, so I asked the obvious question, “Who finances this foundation?”  Answer given, “The Pharmaceutical Companies.”  How would the CEO or CFO or a drug company analyze this transaction?  Price a lifesaving drug so that less than 10% of the market can afford it.  Fund a foundation to pay the co-pay.  Get the co-pay back when you sell the drug, plus get the benefit of a “charitable” contribution.  Now your market is 100% of CLL patients.  Who pays for this GGE scam?  Medicare.  Who pays for Medicare?  You, the tax payer, pays for Medicare.  How long can Medicare pay for this program?  Great question.  Put it to a Republican Congress.
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So, I sold my soul to the Devil for the possibility for a slightly longer life.  This is the mother chimp philosophy.  I, long ago, read about an experiment involving a mother chimp and her baby being placed in a large water tank.  As the water in the tank slowly rose, the mother held her baby high.  When the level rose over her nose, she stood on the baby.  Before this incident, she had hoped to be reincarnated as a Trump Train Rider or a Big Pharma CEO (the lowest form of human), but when it was her life, she stood on her baby.  She will be lucky to be reborn as a chimp.  Before I joined the Golden Goose Economics scam, I had hoped to be reincarnated as an ACLU Lawyer.  By joining the Big Pharma program, I think it will be chimp in the next life for me.  I will be demoted from a blog writing, retired motorcycle dealer.  Not much of a step down, but a step down just the same.
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Cheers, Old Buz
Born an agnostic and with God’s help will remain one.

*Source: Wikipedia > ibrutinib > history