Since its inception in 1885, the medicinal industry has always been
around to provide people with the treatment they need, eventually
leading to the development of several large companies that
specialize in pharmaceutical formulation and distribution across the
world.
While pharmaceuticals have become the core of a booming commercial
enterprise, the profit-led nature of this industry has proven to
clash with the wholesome intentions of medicine. In more ways than
one, the modern state of the pharmaceutical industry has prioritized
monetary gain over consumer needs. This can be concluded when
exploring overpriced medicines, the impact of television and
internet advertisements, as well as the gap in access to certain
medications due to shortages and off-label prescribing.
Overpricing
Over the past several years, prescription drugs have only become
more expensive. While these continuously increasing prices are often
presented by large manufacturers as valid due to medical advancement
or costly formulation, these prices are inflated in an attempt to
maximize profits and gains for these corporations. This
prioritization of business growth over customer access has been
detrimental, with about 25% of Americans claiming that they struggle
to afford prescription medicines as of 2023.
Additionally, the global rates of expenditure on drugs are estimated
to increase by 3-6% yearly. An extreme example of this phenomenon
can be seen in insulin, particularly in America. An investigation
published by Yale University in 2022 found that 14% of Americans
were reported to be spending over 40% of their incomes solely on
insulin, a concerning amount considering how important the drug is
for people with diabetes. This issue has become so prevalent that
many people opt to leave the U.S. and purchase their insulin in
neighboring countries like Canada and Mexico.
The difference in pricing is likely due to the impact of
governmental pricing controls, which can be key in tackling
corporate greed and maintaining fair prices for customers.
Advertising
If you live in the U.S. or New Zealand, then you are likely to have
seen advertisements for prescription drugs on television or online,
while elsewhere, this type of advertising is banned. Advertisements
are a means for pharmaceutical companies to present their products
directly to consumers, often with a tagline encouraging viewers to
ask their doctors about the advertised medication.
This advertising, however, has hurt consumers due to the price that
comes with marketing, which both increases the cost of the drugs as
well as their popularity, resulting in increased spending on drugs
that could potentially have more affordable alternatives. Research
has also shown that this type of advertising has resulted in
misguided prescriptions of certain drugs due to patient requests.
This represents another case of the pharmaceutical industry favoring
monetary profit over customer care.
Depression
While overpricing creates a clear gap in access to certain drugs
based on privilege, there is also another way in which the nature of
this industry has impacted consumers, and that is the response to
drug shortages.
A direct example of this is seen in the recently infamous
medication: Ozempic. While Ozempic has become a topic of worldwide
discussion in recent years due to its acclaimed weight-loss effects,
it is a drug intended for use by people with type two diabetes.
Semaglutide, the key component of Ozempic, can also be found in a
weight-loss drug called Wegovy, which has been scarce in recent
years, thus resulting in patients being prescribed Ozempic as an
alternative. The issue here is not that people are using the drug
for weight-loss, but rather that the extent of off-label
prescriptions has resulted in a shortage of the drug and, in turn,
significant health consequences for the people who depend on it to
maintain their blood glucose levels. Given that Ozempic is not a
simple drug to manufacture, along with the lack of rules in place to
ensure that those who need a certain drug for its primary purpose
are prioritized, this has allowed for a shortage to occur.
Though this may not be a fault of the industry itself, but rather a
consequence of lacking regulations surrounding the prescription of
certain drugs, it still represents a way in which the current nature
of the medicinal industry can inadvertently disadvantage consumers.
In summary, there are a range of ways in which the current state of
the pharmaceutical industry has negatively affected consumers, with
some being due to its focus on financial gain while others are due
to a lack of regulations being put in place. Overall, there needs to
be more light shed on this issue to ensure that people are receiving
access to the medicines they need, regardless of their location or
financial state.
Sources
https://doi.org/10.1080/13814788.2024.2308006
https://doi.org/10.1038/s41408-020-0338-x
https://news.yale.edu/2022/07/05/insulin-extreme-financial-burden-over-14-americans-who-use-it
https://doi.org/10.1016/s2213-8587(22)00251-0
https://doi.org/10.2337/diaspect.29.3.130
https://www.health.harvard.edu/blog/why-do-your-prescription-drugs-cost-so-much-202401183007