Nick Gillespie | May 26, 2005
...and they eventually worked their way up to IVF practitioners.
Glad-handing frequent flier House Majority Leader Tom DeLay (R-Texas), notes the Wash Post, has called embryonic stem cell research "the dismemberment of living, distinct humans beings."
Writes the Post:
It's hard...to be dismembered if one has no limbs--being merely a cluster of a couple of hundred non-differentiated cells. These 5-day-old embryos get created all the time in fertility clinics to help people who otherwise could not have children. In a typical in vitro treatment, several more embryos are created than used, and the extras get frozen....A survey of fertility clinics in 2002 indicated that there were about 400,000 frozen embryos across the country. Many of these will never be implanted in a woman and will never become babies. All of this is commonplace and accepted because few people regard a group of cells that small as the moral equivalent of a human being. Yet, by Mr. DeLay's standards, each and every one of these embryos is a potential murder victim.
If Mr. DeLay really believes this, in vitro fertilization as practiced is legalized torture and murder on a mass scale. If a 5-day-old embryo is "a person," then putting it in a freezer--let alone allowing it to expire in a petri dish or throwing it out--should be no more acceptable for the goal of producing babies for the infertile than it is for discovering therapies that could help dying people. Nor should the issue be just federal funding but the legality of the practice itself. Mr. DeLay said yesterday in a news conference that he wanted to "look at" the issue of discarded embryos...But he stopped short of supporting any federal regulation, let alone the sort of draconian restrictions it would take to stop what he evidently sees as a slaughter of innocents. This makes no sense. A society that accepts the routine destruction of embryos cannot treat as "dismemberment" the one means of destroying those embryos that might produce great breakthroughs in science and health.
Whole thing here.
For the most part, I think the debate over embryonic stem cell research--especially in the political arena--is less about first principles and more about lining up in the culture wars. Both the Dems and Reps, liberals and conservatives, could plausibly be on either side, depending on how the issues are framed (calling Nancy Reagan). What we're seeing mostly is a quick choosing of sides based more of defining yourself against your opponent than anything else (hence, DeLay's philosophical confusion).
Let me add one more weakly developed notion: When it comes to these sorts of breakthroughs (IVF, stem cells), we're first and foremost pragmatists. If these technologies pan out and offer great advances to the living, even hard-core pro-lifers will cook up after-the-fact rationalizations for why they are just no matter what. That's one reason why Bush's biomedical czar, Leon Kass, doesn't talk about IVF anymore, even though he opposed it when it first became viable.
Indeed, you even get a whiff of this pragmatism in the abortion debate, where the issue is (at least for the sake of argument) much clearer: Very few pro-lifers, and certainly no major political figures, argue for putting doctors who peform abortions or women who have them on trial for murder. Even among strident pro-lifers, that's considered a nut job position, even if it is perfectly consistent with the view that abortion is a form of homicide. On the flip side, pro-choicers imply there's something skeevy about abortion when they insist it should be legal, safe, and rare--why "rare" if it is simply a routine medical procedure?
My point is that we quickly learn to live with biomedical technologies that give us what we want, even if we as a society (and yes, kemo sabe, I realize that "who's we?" is an important question) are not fully certain that they are "moral."
A while back, Reason's resident mad science correspondent, the award-winning Ronald Bailey, asked "Are Stem Cells Babies?" His answer: Only if every other human cell is, too.
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"...each and every one of these embryos is a potential murder
victim."
If so, then each is also a potential murderer. I say put 'em all on
death row, just to be safe.
But first we'll have to find a manufacturer of tiny little
nooses...
Bush will veto expanding stem cell research, so there's really no point in getting our hopes up. But at least we can be happy that a majority of people in the House and maybe in the Senate (Orrin Hatch, an icon of the pro-life movement, supports expansion) support it; this might mean individual states will be persuaded to back expansion, as California did late last year.
"If these technologies pan out and offer great advances to the
living, even hard-core pro-lifers will cook up after-the-fact
rationalizations for why they are just no matter what."
Since when is a little thing like scientific fact going to convince
the religious of stupidity of their ways? Just look at the mess
over evolution in Kansas. We have nearly two centuries of data
(biological, geological, paleontological, archeological
astronomical, etc.) that proves Darwin right, and yet we still have
a very large, very vocal, and very well-funded bunch of faithful
who deny it in favor of an ancient Canaanite campfire story.
Try to use science to convince a Jehovah�s Witness that there's
nothing wrong with blood transfusions. It's like trying to teach a
pig to sing.
I think the Stem Cell issue, perhaps especially in light of a
veto, could be another strong case for federalism. I believe this
even more so after
Tuesday's H&R debate.
Let W throw that veto switch. Who knows, maybe he'll like it and be
more inclined in the future. Perhaps an even better result, some
other states will follow California's lead (*shudder*, there's
something I NEVER thought I'd say!) and come up with their own
rules.
Between Schiavo and this debate, the medical sector just might be
the catalyst to start resurrecting much of our lost federalism.
"why "rare" if it is simply a routine medical procedure?"
Treatment of diabetes is also a routine medical procedure, but we
would (if we could) make it more rare by eliminating or greatly
reducing incidence of the disease. Same goes for most other routine
medical procedures.
Preventing unwanted pregnancies is better than abortion. Likewise,
preventing disease is better than trying to cure it later.
Since when is a little thing like scientific fact going to
convince the religious of stupidity of their ways? Just look at the
mess over evolution in Kansas.
And if people realized that much of modern genetics owes its
existence to evolutionary biology, they might be slower to boot it
from their schools.
The point seems to be, people have no problem banning things they
feel don't affect them. But as soon as a procedure becomes
personally useful, they silently change their position.
but we would (if we could) make it more rare by eliminating
or greatly reducing incidence of the disease.
Not to beat the "no federal money" dead horse, but one or two more
lashes won't hurt... =)
Is it just me, or is it not in the best interest of the scientific
community to solve/cure certain things? Wouldn't that succcess lead
to a lack of funding? whereas the promise of success leads to
continued funding? "Oh, you fixed that? Okay, then we don't need to
fund that research any more."
Assuming that's the case, it could be surmised that the medical
community PREFERS routine procedures to cures or prevention.
ranger -
the economics you describe are real - at least when you're talking
about Big Pharma (of course, as created by the FDA). Cures are
money losers. You have to sink the same amount of funds in
research, validation, clinical trials, etc. for cures as you do for
'treatments' (drugs that treat a symptom, but don't 'cure' the
underlying problem). However, cures make far less money - you take
them only briefly, and then you don't need them.
The big money is in heart meds, ulcer meds, and ED meds. Things
that you will continue to take for years - in most cases, for the
rest of your life.
Cures are quite often placed in a category known as "orphan drugs"
that require government subsidization to be made, proving that one
government intervention (the FDA) always leads to the call for more
intervention (subsidization of less profitable cures).
Cures are quite often placed in a category known as "orphan
drugs" that require government subsidization to be made, proving
that one government intervention (the FDA) always leads to the call
for more intervention (subsidization of less profitable
cures).
Why would companies be any more motivated to cure rather than treat
diseases without the FDA? If the profit motive you're arguing
exists, wouldn't it still exist without the FDA?
"Why would companies be any more motivated to cure rather than
treat diseases without the FDA? If the profit motive you're arguing
exists, wouldn't it still exist without the FDA?"
The profit motive would still exist, and surely treatments would
still receive the bulk of funding. But, importantly, cures could
shortcut many of the inefficient, ridiculously high hurdles that
the FDA places in the path of ALL new drugs. Most of these hurdles
have little, if anything, to do with ensuring safety or efficacy -
the main purpose is CYA for bureaucrats. And even the requirements
that are related to safety and efficacy have little common sense in
them, and don't make any attempt to weigh costs vs benefits.
So the FDA artificially increases the cost to market for all new
drugs, which in turn means that only VERY profitable drugs are
likely to be pursued, and ONLY very big pharma companies have the
financial wherewithal to sheperd a drug from discovery to market.
The fact that only big companies can be involved only doubles the
incentive to focus only on big payoffs - such big companies require
big profits to keep going.
Why would companies be any more motivated to cure rather
than treat diseases without the FDA? If the profit motive you're
arguing exists, wouldn't it still exist without the FDA?
I think, given the trememndous cost of jumping through FDA hurdles,
much of the profit gets sucked up in meeting the (vague, IMHO)
government standards. So in order to recoup research costs, it's in
the best interest of a company to have a short-term product with a
high rate of return from customers. Selling something that masques
the symptoms but doesn't cure the disease (acid reflux comes to
mind).
Whereas, minus the governments regulatory hurdles (outside of the
obvious "can't harm life or liberty"), companies could potentially
invest in new research. Then, a cure wouldn't signal an end to
funding. Ideally, they could recoup those cost and focus on NEW
problems.
That is, assuming I comprehended the Quasibill's post and your
question correctly.
ridiculously high hurdles that the FDA places in the path of
ALL new drugs
Damn, quasibill, get off my brain wave! It's my only one and it
barely functions! ;-)
So, if voodoo Christian bullshit rules the day in the US, the
research will go on full bore elsewhere in the world, where they
don't suffer a pox of these assholes. Sure, the overall pace of
such research--and the consequent alleviation of suffering and
premature death--would be quickened if the US was more actively
engaged, but the Christers fetishize suffering and death, so what's
the surprise?
In the long run, however, despite the best efforts of the flat
earth crowd, these types of biotechnologies will triumph because
they work. If the crucial breakthroughs occur in Korea or China,
well, those nations will prosper through the acquisition of
incredibly valuable intellectual property, while the US will be a
big net loser.
Although I hate the Christers, I've come to believe, despite
appearances to the contrary, the growth of religious k00kism (at
least in the Western world) is kind of a last desperate gasp. We
are on the cusp of decades of incredibly transformative
technological advances (see Ron Bailey's articles), for which these
bullshitters will have no response but "Stop!"--but, alas, the
world, and progress, will not stop. Perhaps this is why they cling
to "end times" mythology and, in many cases, seem eager to bring
about World War 3.
So, Christers, enjoy your final "Great Awakening"--history is about
to bury your sorry asses (for good this time, one can only wish). I
can only hope I live long enough to see it.
It is true that drugs that treat symptoms are generally more profitable than drugs that 'cure' disease. However, it is untrue that big pharma doesn't manufacture such drugs. Substitute 'prevent' for 'cure' and you have entered the realm of vaccines, which are still routinely researched, manufactured and sold by big phamra. (Capitalism being what it is, more resources are generally allocated to more profitable drugs than to less profitable drugs, hence fewer companies are producing vaccines today than historically.)
You know, I'm still trying to wrap my mind around "big [insert
type of company here]" concepts.
Using the words "big pharma" implies that all pharmaceutical
companies have joined together to conspire against the market. That
somehow, they've ALL put aside competitive advantages and
differences in favor of aligning themselves in a big pharma vs.
consumer showdown.
I don't know if that's entirely accurate. I can see how lobbyists
all representing the same special interest would give that
appearance. However, I tend to fault the government, which has
proven that it can be bought, than the industry. Afterall, what
savvy business in his right mind *wouldn't* try to
leverage the rules in their favor?? Better to not have some rules
than to have them constantly be bent.
I now return you to your regularly scheduled topic...
We are on the cusp of decades of incredibly transformative
technological advances (see Ron Bailey's articles), for which these
bullshitters will have no response but "Stop!"
That's what some said about Islamic fundamentalism right before
they started using hijacked airliners as cruise missiles. Don't
think the "Christers" are capable of doing the same? Ask survivor
of a planned parenthood clinic bombing how they feel about the
subject. The bullshiters yelling "Stop" is the least of our
worries.
Potential murder victims...possibly. Potential wage-slave, tax-paying, brain-dead herd animal...absolutlely. It's just job security.
"Big Pharma" does not refer to the whole pharmaceutical
industry, but to a handful of large companies (most of which are in
NJ; I think we can safely blame Nick Gillespie for this).
There are many small pharmaceutical companies, which are usually
based on one technology that some professor invented and a VC
backed him. These companies would love to develop cures for
anything, because they are all desperately trying to stay
afloat.
Also, even Big Pharma only has an interest in ignoring cures for
pathogen-based diseases. No one in Big Pharma would turn down a
cure for cancer, for instance, because the profit would be
phenomenal, and people are still going to get cancer. Same thing
for heart disease, autoimmune disorders, genetic defects, etc.
MDH -
Yes, they make cures, as well - but usually only through subsidies
and other give-aways.
Vaccines are another creature all together, such that they are
entirely regulated by their own federal statute. And, just to
demonstrate how pervasively government mucks with the market, the
demand for vaccines is far from where it would be in a free market.
To enter public schools, for example, one is required to have a
whole multitude of vaccines. Further, the government pays for all
kinds of 'clinics' for vaccines like varicella (chicken pox) -
which creates a greater demand for subsequent boosters (the safest
time to come down with varicella is when you are young, so if you
are immunized as a youth and miss it, and then get it when older,
you're much worse off) and clinics to scare the bejesus out of
people regarding other diseases so that they will get vaccinated -
that is essentially the one major function of the CDC.
None of this is meant to be a direct criticism of big pharma - they
are businesses after all, whose purpose is to make profit for their
owners. But if you don't understand the economics, you can't
understand the effects our regulatory state has on the market.
I use the term "big pharma" as slang for the large corporations
that are the long term players in the highly regulated industry.
Most forecasts in the industry predict that it will stabilize at
somewhere between 3-6 large multinationals (well, at least the
forecasts from several years ago).
This is to distinguish from venture capital firms which generally
pop out one good product in research, sell it to big pharma for
development and marketing, and then generally fold. They are
basically forced to sell the product to big pharma because only big
pharma is capable of sheperding a project through the byzantine
regulatory process.
Akira, I agree the hardcore Chriatian loonies may lash out violently as things become progressively more "dire" for them--as these technologies progress, the social and cultural changes they cause may become unbearable for many of these types ("Surely Jesus must rapture us out of here soon!"). But, unless we let these creeps blow up the world during this interim, mankind is going to move forward nonetheless. Somebody has to play God, because he's done a shitty job of it Himself.
And, just to demonstrate how pervasively government mucks
with the market, the demand for vaccines is far from where it would
be in a free market. To enter public schools, for example, one is
required to have a whole multitude of vaccines.
You may not like it, but universal vaccinations have actually been
one of the HUGE successes of the 20th century. Yes, it has created
more demand than there would otherwise be, but it has also
eliminated many diseases that were serious, horrible, constant
dangers.
"Surely Jesus must rapture us out of here soon!"
You've been listening to Micheal Savage too, huh?
The phrase "potential murder victim" implies that the dividing
line between what government protects and what it does not should
be placed at fertilization. I've read a lot of snark in comments
but not any sort of alternative of where libertarians should place
that line. Placing it too far out (animal rights, plant rihts, etc)
is egregious as is putting the lines too close in (serial killers,
Nazis, and Communists are examples).
The lines need to be drawn somewhere but this crowd seems (so far)
to be uninterested in making a better line. Pity.
The idea that all cells are potential humans and thus no one cell
should be advanced over another is simply foolish. Taken to its
ultimate conclusion, the collection of chemicals that make up the
human body should be given rights because they potentially could be
combined to form a new human being. Again, this is a problem of
line drawing. Who is for mineral rights?
You may not like it, but universal vaccinations have
actually been one of the HUGE successes of the 20th
century.
Was this necessarily b/c of the government mandate? Are you
implying that given the choice people would rather be sick? There's
no doubt the vaccines are successful, but to attribute that success
to a government mandate is misguided. If nothing else, the only
"success" would be successfully establishing a dependancy on
government for personal healthcare.
quasibill,
Are Amgen and Genentech part of Big Pharma? What about Biogen-Idec?
What about Millenium? What about Teva? There are more than six
companies in the world capable of getting a drug approved. There is
no reason to think that as the industry explodes in sales and
products, it will contract in the number of firms involved. Many
companies develop and market their own products; the pharmaceutical
industry is no different.
Quoth Henry:
Religion is a powerful force in America. The U.S. may eventually
become like Saudi Arabia -- a shadow of its former glory -- because
of it.
But faith is an unassailable opiate. One would think that despite
all the empirical evidence, it would crumble under its own weight.
But many a philosopher over the last few centuries has announced
the demise of religion, only to be proven wrong. I would caution
against gleefully awaiting the end of religious influence.
Superstitious leanings may be an evolutionary vestigial.
We may or may not become a third world country soon because of
religion. But it's better to let social changes happen slowly, and
allow each generation to shed another layer of religion, rather
than do it quickly, and incite a violent backlash.
All public schools teach evolution, even if they also present
bullshit "alternatives." Those intelligent enough to see the world
as it really is will be just fine. Those that aren't will be
construction workers. Evolution at work!
I believe that it sounds reasonable to destroy a "cluster of cells" in order to harvest embryonic stem cells to assist in curing someone. But I don't know how I can intellectually distinguish that action from the similar action of taking that cluster of cells and implanting it in a womb, allowing it to divide for several months and thereafter aborting the fetus in order to harvest cells, or perhaps an organ, from the now-more-mature "collection of cells." In other words, I don't have a problem with destroying an embryo to harvest stem cells, but I do have a problem with destroying a fetus for similar or identical purposes, and I don't have a good explanation why one would be okay but not the other. Why is it that "few people regard a group of cells that small as the moral equivalent of a human being," but many -- maybe a majority of people -- would regard a fetus in its seventh month as the moral equivalent of a human being? Where is an intellectually honest point to draw the line?
I submit that it might be helpful for those writing from the
pro-stem cell side to use the word "blastocyst" instead of "embryo"
to keep reminding people that we're talking about extremely tiny
collections of cells, LONG before they are in any way viable (or
even recognizable) human life.
There are people to whom I've spoken that were on the fence, and
not really cognizant of this simple fact. Unfortunately, the dark
side has managed to make "embryo" invoke "baby" for many
people.
jbk -
you named two companies that I worked for :)
Yes, there are some outside of big pharma that have lasted beyond
the short term. However, by and large, they "farm out" their
products for running through the regulatory maze. Just because
TEVA's on the label, for example, doesn't mean that TEVA hasn't
licensed the product to big pharma, and that the big pharma company
is reaping the majority of the profit. In many cases, the marketing
value of the brand name is all that the innovator retains in the
final product. The licensing arrangements are complex enough that
most people involved in the companies aren't even aware of the
relationship.
As for the 6 company number, that was a prediction regarding
innovative companies. And it has generally borne itself out - check
out all the mergers and proposed mergers of the big companies. In
fact, some of the "non-big pharma" companies you cite are really
under a big pharma umbrella. And Teva, well, you need to know about
how the Isreali market works to understand how Teva functions
(hint, think monopoly) and where its profit centers are. Teva is an
anomoly in the international market place (but still very well run,
for that).
The problem with your analysis is that the market is exploding in
products. It isn't. And that's the result of several factors, not
the least of which is the regulatory costs imposed in getting to
market. Add in the fact that most ailments have fairly successful
treatments that you have to best in order to market a successful
product, and pipelines are dreary, especially compared with 10
years ago. Just ask someone involved in the generic market - what
are the exciting patents coming up? Then ask someone at the
innovatives about their pipelines. You'll find that
pharmaceuticals, yes even big pharma, are staring into the abyss
right now...
jbk,
From my friends in the industry, there is a lot of consolidation in
the Pharma industry. This is true in most industries as the mature.
All GM lines, Chrysler, Caddy, Buick were all individual car
companies at one point. A lot of new drugs are developed by "small
pharma" and these companies get purchased by "Big Pharma" and the
marketing and production is done from there. Now a lot of times,
the professors and researchers cash out and buy a place on an
island or start the process anew developing new drugs. However, I'm
hard pressed to think of many industries where the number of total
players didn't contract (except by government mandate) as they
matured, due to economies of scale.
Re: Big Pharma,
Since drugs enjoy patent protection, each company has a government
enforced temporary monopoly on its stable of drugs. Often there are
substitutes to contend with, but in many cases, monopolistic
pricing prevails. I think the negative connotation comes from
some people believing that price gouging on life saving medicine is
wrong. I don't think some people have really considered the
alternatives.
*grumble*
The link above is supposed to go here:
http://en.wikipedia.org/wiki/Monopoly#Monopolistic_pricing
kmw said:
"We may or may not become a third world country soon because of
religion. But it's better to let social changes happen slowly, and
allow each generation to shed another layer of religion, rather
than do it quickly, and incite a violent backlash."
All of that is fine, if you presume the rate of change is
manageable--which it isn't. What we are talking about is massive
social and cultural change that will be driven advances in science
and technology--and genies don't stay in bottles very long,
especially when there are other societies who have no interest in
such bottles to begin with.
You don't have to be a "transhumanist", or "extropian", to see,
generally, where things are headed (absent some act of
self-extinction or really bad cosmic luck)--and you can shitcan
"The Singularity", too, if you like. Regardless, only a nitwit
denies we are on the cusp of massive change in a relatively short
period of time (less than 50 years, possibly much less). These
changes will dwarf in scope and speed those wrought in any
comparable period of the 20th century (or any history, for that
matter).
I admit these ancient belief systems have the evolutionary
resilience of the cockroach (existential dread is a powerful force
indeed), but unless they have some mighty presto/change-o
attributes that even I don't suspect, they are going to be
hard-pressed to account for the world of 50 years of now. Surely,
the branches of these religious systems that can accommodate
modernity will survive, and maybe prosper (fine with me, BTW), but
the fundamentalist k00ks are in their glorious twilight. The only
trick, I think, is to prevent them from incinerating all of us as
part of some self-fulfilling "end of the world" delusion, a
delusion that gives them an obvious knot in their pants.
The rhetorical gymnastics required to come to the Reasonably correct position that the Democrats aren't any better than the Republicans on this issue were truly impressive. My hat's off to you, man.
Henry,
I should point out that I agree with everything you have written so
far, and I'm extremely frustrated by the "christers" too. But they
just don't seem to go away.
You are completely right that science and knowledge will advance
rapidly, especially in the next 50 years. It just probably won't be
in the US of A.
Between copyright/patent law and fundamentalism, we'll probably
fall behind the tech curve in a hurry. Maybe our new Chinese
overlords will be more successful at limiting religion.
You may not like it, but universal vaccinations have
actually been one of the HUGE successes of the 20th century.
Was this necessarily b/c of the government mandate?
YES. The problem of vaccination cannot be solved by
laissez-faire.
knw said:
"Maybe our new Chinese overlords will be more successful at
limiting religion."
Ah, but they have tried. "Limiting" is not going to work, nor
should it (and I'm not ascribing to you the totalitarian impulses
of the Chinese Communists). On the other hand, at some point you
might just have to go to the barricades--sometimes the True
Believers of any ilk (religious or secular) leave you no other
choice. This, essentially, is what the US decided (rightly, I
think, although manifested through a horribly, horribly implemented
and just plain wrongheaded set of policy decions) concening a
virulent strain of Islamic fundamentalism right after 9/11. Whether
such a fate befalls apocalyptic strains of Christianity 20 years
hence (or whenever) remains to be seen. I hope not, and think
not---but keep these fuckers away from the buttons that matter,
just in case.
"Maybe our new Chinese overlords will be more successful at
limiting religion."
The more you tighten your grip, the more they shall slip through
your fingers. Neener!
How's this for size?
[tongue-in-cheek]
Maybe our new Chinese overlords will be more successful at limiting
religion.
[/tongue-in-cheek]
Maybe I should have used a ;-) ?
Cuz you know, damnit, the Soviets rid the world of the Russian
orthodox church.
Heh, the article Nick links to at the end of this post gave
birth to the infamous Unborn Angel incident in its comment thread.
Good timez.
And of course, Bailey is right in concluding that each individual
stem cell in a blastocyst is not a baby (or even a person).
However, since the stem cells can only be harvested by destroying
the blastocyst, the question that needs to be asked is whether the
entire blastocyst, not a single stem cell thereof, constitutes a
person.
And this of course is a question on which honest intelligent folks
can disagree.
I forgot to add that I hate you fuckers for making me defend the religious! :->
My personal interest is in finding a cure for Type 1 Juvenile
Diabetes. My now 15 year old daughter was diagnosed almost 5 years
ago. So far, she has pricked her fingers approximately 11,000
times, and has taken about 7,500 insulin injections. If she had
cancer, she could hope to be cured � or at least to go into
remission so she wouldn't need 4 or 5 or 6 insulin shots every day
just to stay alive. Right now, all we can hope for is that she
doesn't have a heart attack or a stroke, that she doesn't go blind,
that her kidneys keep working and that her feet and legs don't have
to be amputated.
Now, let me tell you about the economics of diabetes. Diabetics
test their blood sugar levels at least four times a day � children
with type 1 juvenile diabetes test more like 6 to 8 times a day.
These little test strips that are used to measure blood glucose
levels cost, conservatively and on average, 70 cents per strip.
Diabetics who test their blood glucose level just 4 times per day
(breakfast, lunch, dinner, bedtime) are spending Two Dollars and
Eighty Cents per day, or a little over a thousand dollars a year,
minimum, on these strips. That's over a billion dollars per year
for every 1 million diabetics, and there are an estimated 17
million people suffering from diabetes in the US alone.
Next, I am going to review the financials from the 2003 and 2004
Annual Reports of Eli Lilly & Company, one of the major
producers of insulin. Before I do, I want to remind you that
insulin will never cure diabetes. It is what my 15-year-old refers
to as her 'lifeline'. It keeps a diabetic alive, but does not
prevent the catastrophic side effects. And it will never cure
anyone!
2003: "Our worldwide sales�increased 14%, to 12.58 billion
dollars." Sources of revenue: "Diabetes care products, composed
primarily of Humulin�Humalog�and Actos�had aggregate worldwide
revenues of 2.57 billion dollars." Ladies and gentlemen, 20% of the
worldwide sales were from 3 products, 2 of which (Humulin and
Humalog) are for 'maintenance' of type 1 diabetics. In 2003,
Humulin sales in the US were 507.5 million dollars, and were 658.6
million dollars for Humalog.
The 2004 numbers are equally staggering. The same three products
had aggregate worldwide revenues of 2.61 billion dollars. Humulin
sales in the US were only 422.7 million, but Humalog sales in the
US were up to 685.4 million dollars. An explanation offered by Eli
Lilly is (and this is a direct quote!) "Humalog sales in the US
increased 3 percent as increased prices offset slight volume
declines."
That's 5.18 billion dollars in a two-year period � to treat
patients who will not get better. That's a whole lot of insurance
and medicare dollars going to two drugs to maintain a condition for
which there actually might be a cure.
Breakthroughs using stem cell therapies have been announced all
over the world, and involving many conditions, such as reversing
the side effects of diabetes, curing type 1 juvenile diabetes,
restoration of immune systems in cancer patients, improvement of a
Parkinson's patient's motor skills by 83%, reversal of heart tissue
damage in a heart attack victim, the list goes on and on. Stem
cells work, and more research is needed.
This is not a religious issue. This is a health issue. This is a
"where are my Medicare dollars going?" issue � a quality of life
issue. Even though the dollars are huge, let's not forget that the
main benefits from stem cell research and therapies are to improve
the health and to save the lives of millions who suffer, or who may
in the future suffer from diseases that could be treated or cured
with new stem cell therapies. We are talking about improvement of
the quality of a human life!
Reading the blatant anti-religious bigotry in these comments
reminds me why I've never joined the Libertarian Party.
Incidentally, for those of you who think the Christian/religious
world will eventually fade away, consider this: Census data show
that we're the ones having children. You're not.
Or to put it more simply, my wife and I have four children. How
many do each of you have?
Who do you think will have more influence at the ballot box in
2020, my family or yours?
Darwinism in action, folks.
I would suggest not being quite so adamant about labeling the
Libertarian Party as anti-religious. Particularly here in Indiana,
our candidate for governor in 2004 was Kenn Gividen, a fine
preacher man. Our Marion county (ie Indianapolis) chair is also a
personally conservative Christian minister.
Other than that, I apologize for the occasionally uncivil attitudes
displayed by some of our members.
Wow, feel the hate.
You might think that those who are brilliant and perceptive enough
to see that Big Pharma has combined forces with the FDA,
Halliburton, the Carlyle Group, the Vatican, and the Freemasons to
keep Americans sick so they can sell them more drugs would also be
wise enough to realize that one generally does not achieve his
long-goals by insulting large numbers of his natural allies. You'd
be reasonable to think that, but you'd be wrong.
Seriously, do all nutjobs (Libertoid, left-wing, right-wing,
Islamazoid) go to the Institute for the Advanced Study of
Impossibly Convoluted Conspiracies? You all sound exactly the same.
The only difference is the proposed solution.
The irony here is delicious. Apparently the "Christers" are the
greatest threat to western civilization since [insert paranoid
Libertoid bogeyman here], as evidenced by the constant abortion
clinic bombings and shooting that you can't get past page one of
any newspaper without seeing. And now that they're on this whole
"Rapture" kick, watch out! They're going to kill you and everyone
else at the Ayn Rand Circle Jerk and get their Rapture on before
the cops show up.
Of course, we all know that the Rapture isn't right around the
corner. But we all know that our Glorious Transhumanist Future is,
and best of all, we have a date: within the next fifty years!
Within the next fifty years, all religion will fall away, crushed
under the foot of the Goddess Reason! In the next fifty years, all
diseases will be cured by rubbing some embryonic stems cells on the
sick! Within the next fifty years, Leviathan will be overthrown and
the world will be governed with absolute Libertarian purity! Within
the next fifty years, you'll move out of your parents' basement,
step out into the sunlight, and get laid!
It's funny - I called myself a libertarian until I started reading
Reason. It was at that point that I realized what a
detatched-from-reality wank the whole thing was. I'll close by
enthusiastically seconding the comments of Captain Holly. You might
want to rethink your approach to pop evolutionary biology if you
think that partaking of abortion on demand and the aggressive
satiation of base impulses is going to result in more libertarians
than Christians in fifty years.
If you people ever want to be taken seriously, you're going to have
to make libertarianism stand for something other than a big
thumbs-up to anonymous butt-sex and drug abuse, sneering at all
religion, and a general "fuck you" to anyone who those who suffer
misfortune. Until then, enjoy your secular fundamentalist
delusions.
"On the flip side, pro-choicers imply there's something skeevy
about abortion when they insist it should be legal, safe, and
rare--why "rare" if it is simply a routine medical
procedure?"
Pumping out a stomach after excessive alcohol consumption is a
fairly straightforward medical procedure. But most people would
agree that it should be a "rare" procedure. That is, it's far
preferable to not have anyone drink that much in the first
place.
I can't imagine anyone who thinks that abortions are preferable to
people not having unwanted pregnancies in the first place.
My personal interest is in finding a cure for Type 1 Juvenile
Diabetes. My
now 15 year old daughter was diagnosed almost 5 years ago. So far,
she has
pricked her fingers approximately 11,000 times, and has taken about
7,500
insulin injections. If she had cancer, she could hope to be cured �
or at
least to go into remission so she wouldn''t need 4 or 5 or 6
insulin shots
every day just to stay alive. Right now, all we can hope for is
that she
doesn't have a heart attack or a stroke, that she doesn't go blind,
that
her kidneys keep working and that her feet and legs don't have to
be amputated.
Now, let me tell you about the economics of diabetes. Diabetics
test their
blood sugar levels at least four times a day � children with type
1
juvenile diabetes test more like 6 to 8 times a day. These little
test
strips that are used to measure blood glucose levels cost,
conservatively
and on average, 70 cents per strip. Diabetics who test their blood
glucose
level just 4 times per day (breakfast, lunch, dinner, bedtime) are
spending
Two Dollars and Eighty Cents per day, or a little over a thousand
dollars a
year, minimum, on these strips. That's over a billion dollars per
year for
every 1 million diabetics, and there are an estimated 17 million
people
suffering from diabetes in the US alone.
Next, I am going to review the financials from the 2003 and 2004
Annual
Reports of Eli Lilly & Company, one of the major producers of
insulin.
Before I do, I want to remind you that insulin will never cure
diabetes. It
is what my 15-year-old refers to as her 'lifeline'. It keeps a
diabetic
alive, but does not prevent the catastrophic side effects. And it
will
never cure anyone!
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