Wednesday, 2 November 2016

Wonkbook: Why treating diabetes keeps getting more expensive

By Carolyn Y. Johnson At first, the researchers who discovered insulin agonized about whether to patent the drug at all. It was 1921, and the team of biochemists and physicians based in Toronto was troubled by the idea of profiting from a medicine that had such widespread human value, one that could transform diabetes from …
 
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Laura Marston holds up a vial of Humalog, a type of insulin she takes for type 1 diabetes at her home in Washington, D.C. When she was first diagnosed at 14, the list price for the drug was $21 per vial. Now it's list price is more than $250 for a vial. (Jorge Ribas, The Washington Post)

Laura Marston holds up a vial of Humalog, a type of insulin she takes for type 1 diabetes at her home in Washington, D.C. When she was first diagnosed at 14, the list price for the drug was $21 per vial. Now it's list price is more than $250 for a vial. (Jorge Ribas, The Washington Post)

By Carolyn Y. Johnson

At first, the researchers who discovered insulin agonized about whether to patent the drug at all. It was 1921, and the team of biochemists and physicians based in Toronto was troubled by the idea of profiting from a medicine that had such widespread human value, one that could transform diabetes from a death sentence into a manageable disease.

Ultimately, they decided to file for a patent — and promptly sold it to the University of Toronto for $3, or $1 for each person listed. It was the best way, they believed, to ensure that no company would have a monopoly and patients would have affordable access to a safe, effective drug.

"Above all, these were discoverers who were trying to do a great humanitarian thing," said historian Michael Bliss, "and they hoped their discovery was a kind of gift to humanity."

But the drug also has become a gift to the pharmaceutical industry. A version of insulin that carried a list price of $17 a vial in 1997 is priced at $138 today. Another that launched two decades ago with a sticker price of $21 a vial has been increased to $255.

Seventy-five years after the original insulin patent expired — a point at which drug prices usually decline — three companies have made incremental improvements to insulin that generate new patents and profits, creating a family of modern insulins worth billions of dollars.

The history of insulin captures one of the mystifying complexities of the pharmaceutical market — how long-standing drugs become more expensive with time and competition fails to hold down prices.

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Read the rest on Wonkblog.


 

Chart of the day

Crime spikes at age 21, likely because it is the age at which young people can legally consume alcohol. Christopher Ingraham has more.

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