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Are some medical treatments too expensive to justify?

24

Comments

  • Registered Users, Registered Users 2 Posts: 829 ✭✭✭forfuxsake


    No,and why should a justification be relevant at all. If it's alleviating the individual's illness, all resources should be invested.

    I quite agree. I suffer from macropenis(which is a bona fide medical condition). This may seem funny but it is very cumbersome and can be embarrassing, not to mention how difficult it is to get the b1tches out of bed the morning after.

    I could have reduction surgery at €1000000 an inch, so for just €25000000 I could lead a normal life.

    I asked social welfare for the dosh but all they did was send me a signed picture of Joan Burton, which somewhat remarkably seems to be doing the business.


  • Closed Accounts Posts: 12,455 ✭✭✭✭Monty Burnz


    Easy to say. How would you feel if you were told you had weeks to live? Or someone you were close to? Believeme, in that instance you would gladly beg, borrow or steal for a couple of more months, regardless of age.
    So how many life-saving treatments for young people should be cancelled to extend the life of a bed-bound 86 year old by a few months?


  • Closed Accounts Posts: 12,455 ✭✭✭✭Monty Burnz


    No,and why should a justification be relevant at all. If it's alleviating the individual's illness, all resources should be invested.
    Because obviously we have unlimited resources and no need to tax anyone or divert the spending from education, law and order, or indeed vital treatments for other people... :rolleyes:


  • Registered Users, Registered Users 2 Posts: 4,212 ✭✭✭3DataModem


    Stiffler2 wrote: »
    We all know they found the cure for cancer a few years ago but that they can make more monies selling you the treatment.

    If they cured you how would they make their monies.



    watched a very cool doc a while ago in relation to cancer.
    Basically all the chemicals they spray on food, additives, mobile phone radiation / masts is where cancer comes from.

    rewind to 100 years ago when this technology did not exist and cancer also did not exist.

    Cancer did exist. It was rarer, because people died younger. A LOT younger.


  • Registered Users, Registered Users 2 Posts: 5,791 ✭✭✭up for anything


    If it doesn't solve the problem and only gives patients a couple of more months, I'd say it isn't worth it, except maybe in exceptional cases eg. keeping a pregnant woman alive long enough to give birth.

    If it had a chance of curing the cancer, that would be a different story.
    But there's no claims that it's anything other than a glorified treatment for the symptoms but not the condition.

    Also a factor in this should be the patients age, where old people near the end of their expected lifespan shouldn't expect expensive treatments.

    There is something really wrong with the thinking behind what you've said there. I can't even begin to express what it is. It could be the cold blooded 'long enough' bit. Once she's served her purpose then to hell with her. :confused:

    Would whether their life was worth extending depend on the usefulness of the person to society? Would it depend on whether they were too young or too old to be of use? What criteria would be used to decide who would live a little longer and who would die?


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  • Moderators, Recreation & Hobbies Moderators, Science, Health & Environment Moderators, Technology & Internet Moderators Posts: 99,563 Mod ✭✭✭✭Capt'n Midnight


    Clareman wrote: »
    Rewind to a time with an average life expectancy of 49.3 for women and compare it to now with an average life expectancy of 82.6.

    Give me some of that wonderful technology people it's killing us slower than not having, the b@stards
    The big change has been in life expectancy from birth.

    Once you survive childhood thanks to better sanitation, food, vaccines, lower accident rate things don't get that much better.

    IIRC life expectancy for a 40 year old has only gone up by 10 years since 1840's (excluding famines and stuff)


  • Registered Users, Registered Users 2 Posts: 829 ✭✭✭forfuxsake


    Only last week my aunt died of consumption.:eek::eek:


  • Moderators, Sports Moderators, Regional Midwest Moderators Posts: 24,074 Mod ✭✭✭✭Clareman


    Hasn't it been that due to the availability of more food/vegetables/vitamins etc. etc. for people (parents and children) mean that children are more likely to survive past childhood? Also the fact that information can be shared easier now than ever before that education, and as a result improvements in medicine

    Averages never show the true reflection of anything, but I was just trying to make the point that all the sprays/mobile phones masts can be a good thing as well.


  • Closed Accounts Posts: 4,916 ✭✭✭shopaholic01


    So how many life-saving treatments for young people should be cancelled to extend the life of a bed-bound 86 year old by a few months?

    In an ideal word a choice wouldn't be necessary. I was simply making the point that it is easy to say non-life saving treatment isn't worth the expense. It's different when you/someone you love is dying. Money becomes irrelevant and you would do anything to buy some more time. It's difficult enough to watch someone die, knowing that there is treatment but it's deemed too expensive would be a very bitter pill to swallow.


  • Closed Accounts Posts: 12,455 ✭✭✭✭Monty Burnz


    Clareman wrote: »
    Averages never show the true reflection of anything, but I was just trying to make the point that all the sprays/mobile phones masts can be a good thing as well.
    There's no proof proof whatsoever that mobile phone masts have any health effects at all, but don't let that get in the way of a good story.


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  • Closed Accounts Posts: 12,455 ✭✭✭✭Monty Burnz


    In an ideal word a choice wouldn't be necessary. I was simply making the point that it is easy to say non-life saving treatment isn't worth the expense. It's different when you/someone you love is dying. Money becomes irrelevant and you would do anything to buy some more time. It's difficult enough to watch someone die, knowing that there is treatment but it's deemed too expensive would be a very bitter pill to swallow.
    Ok, that's a fair point. I'd certainly understand people spending their own money on such treatments, as opposed to limited public money.


  • Registered Users, Registered Users 2 Posts: 922 ✭✭✭trishasaffron


    In an ideal word a choice wouldn't be necessary. I was simply making the point that it is easy to say non-life saving treatment isn't worth the expense. It's different when you/someone you love is dying. Money becomes irrelevant and you would do anything to buy some more time. It's difficult enough to watch someone die, knowing that there is treatment but it's deemed too expensive would be a very bitter pill to swallow.

    Perhaps that is how you operate - but adults need to be able to make choices - even very difficult and hard ones.


  • Moderators, Sports Moderators, Regional Midwest Moderators Posts: 24,074 Mod ✭✭✭✭Clareman


    There's no proof proof whatsoever that mobile phone masts have any health effects at all, but don't let that get in the way of a good story.

    I was once asked to support a local group's opposition to a mobile phone mast being erected in the locality, I took a phone, a palm treo and a data card out of my pockets and made it clear that I wanted the mast to be erected and if anyone ever was to prove there was anything wrong with the technology that I'd very interested to read up on it.


  • Closed Accounts Posts: 75 ✭✭Coffeeteasugar


    Because obviously we have unlimited resources and no need to tax anyone or divert the spending from education, law and order, or indeed vital treatments for other people... :rolleyes:

    Well obviously I'm aware of such,but shouldn't health be given a priority over more superficial tax paying considerations?I'm certain you'd be thinking the same subsequent to spending a few nights on a hospital trolley in an overcrowded corridor!


  • Closed Accounts Posts: 4,916 ✭✭✭shopaholic01


    Perhaps that is how you operate - but adults need to be able to make choices - even very difficult and hard ones.

    Not being able to afford treatment isn't a choice, it's a reality.
    I don't understand what you mean when you say 'perhaps that it how you operate'. Do you wish all sick people to die asap?


  • Closed Accounts Posts: 12,455 ✭✭✭✭Monty Burnz


    Well obviously I'm aware of such,but shouldn't health be given a priority over more superficial tax paying considerations?I'm certain you'd be thinking the same subsequent to spending a few nights on a hospital trolley in an overcrowded corridor!
    Like education and stuff?


  • Registered Users, Registered Users 2 Posts: 5,791 ✭✭✭up for anything


    In an ideal word a choice wouldn't be necessary. I was simply making the point that it is easy to say non-life saving treatment isn't worth the expense. It's different when you/someone you love is dying. Money becomes irrelevant and you would do anything to buy some more time. It's difficult enough to watch someone die, knowing that there is treatment but it's deemed too expensive would be a very bitter pill to swallow.
    Perhaps that is how you operate - but adults need to be able to make choices - even very difficult and hard ones.

    No need to be so patronising. :rolleyes: She/he made a very valid point. I, for one, would be doing whatever lay within my power to extend the life of someone I loved and would understand anybody doing so and support them in whatever way I could and I'm an adult who has made very difficult and hard choices when necessary.


  • Registered Users, Registered Users 2 Posts: 922 ✭✭✭trishasaffron


    No need to be so patronising. :rolleyes: She/he made a very valid point. I, for one, would be doing whatever lay within my power to extend the life of someone I loved and would understand anybody doing so and support them in whatever way I could and I'm an adult who has made very difficult and hard choices when necessary.

    Does that mean that you would think it correct to have the state pay for treatment for your loved one utterly regardless to the cost and resultant impact elsewhere ? So for example all funds to be used to secure a few days extra life for your loved one at the cost of closure of more A&Es. Just looking to see if you envisage any limits on the costs to keep your loved one's life extended and if so what might they be? or is it literally the case as you say that you would do "whatever lay within my power to extend the life of someone I loved".


  • Registered Users, Registered Users 2 Posts: 5,791 ✭✭✭up for anything


    Does that mean that you would think it correct to have the state pay for treatment for your loved one utterly regardless to the cost and resultant impact elsewhere ? So for example all funds to be used to secure a few days extra life for your loved one at the cost of closure of more A&Es. Just looking to see if you envisage any limits on the costs to keep your loved one's life extended and if so what might they be? or is it literally the case as you say that you would do "whatever lay within my power to extend the life of someone I loved".

    That's a tough one but yes, I'd see ten A&Es closed down to extend the life of one of my children if they were dying but could be given extra time and I'd sell my house (and my extended life children) to keep my mother alive.


  • Moderators, Recreation & Hobbies Moderators, Science, Health & Environment Moderators, Technology & Internet Moderators Posts: 99,563 Mod ✭✭✭✭Capt'n Midnight


    That's a tough one but yes, I'd see ten A&Es closed down to extend the life of one of my children if they were dying but could be given extra time and I'd sell my house (and my extended life children) to keep my mother alive.
    Considering the "Golden Hour" where the sooner you get treatment the more likely you are to live or have lower risks of permanent damage you'd kill a lot of people if you closed any more A&E's


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  • Closed Accounts Posts: 12,455 ✭✭✭✭Monty Burnz


    That's a tough one but yes, I'd see ten A&Es closed down to extend the life of one of my children if they were dying but could be given extra time and I'd sell my house (and my extended life children) to keep my mother alive.
    Fortunately for all the other people's loved ones your choice would kill, you're not in a position to close our A&Es...


  • Registered Users, Registered Users 2 Posts: 5,791 ✭✭✭up for anything


    I was asked a question and answered it! I'm sad for all the people that might die because of my decision but that's life or rather death.


  • Closed Accounts Posts: 1,654 ✭✭✭Noreen1


    Fortunately for all the other people's loved ones your choice would kill, you're not in a position to close our A&Es...

    Why do you assume that closing A&Es is the only option in obtaining funds?
    Don't you believe that any other cost savings can be achieved?


  • Closed Accounts Posts: 13,029 ✭✭✭✭Chuck Stone


    Although modern pharmaceuticals are supposed to represent the practical payoff of basic research, the R&D to discover a promising new compound now costs about 100 times more (in inflation-adjusted dollars) than it did in 1950. (It also takes nearly three times as long.) This trend shows no sign of letting up: Industry forecasts suggest that once failures are taken into account, the average cost per approved molecule will top $3.8 billion by 2015. What’s worse, even these “successful” compounds don’t seem to be worth the investment. According to one internal estimate, approximately 85 percent of new prescription drugs approved by European regulators provide little to no new benefit. We are witnessing Moore’s law in reverse.

    http://www.wired.com/magazine/2011/12/ff_causation/all/1

    Maybe the estimate that '85 percent of new prescription drugs approved by European regulators provide little to no new benefit' is the reason the pharmaceutical companies spend so much on sales and advertising.


  • Closed Accounts Posts: 1,127 ✭✭✭yore


    Although modern pharmaceuticals are supposed to represent the practical payoff of basic research, the R&D to discover a promising new compound now costs about 100 times more (in inflation-adjusted dollars) than it did in 1950. (It also takes nearly three times as long.) This trend shows no sign of letting up: Industry forecasts suggest that once failures are taken into account, the average cost per approved molecule will top $3.8 billion by 2015. What’s worse, even these “successful” compounds don’t seem to be worth the investment. According to one internal estimate, approximately 85 percent of new prescription drugs approved by European regulators provide little to no new benefit. We are witnessing Moore’s law in reverse.

    http://www.wired.com/magazine/2011/1...ausation/all/1
    Maybe the estimate that '85 percent of new prescription drugs approved by European regulators provide little to no new benefit' is the reason the pharmaceutical companies spend so much on sales and advertising.

    Yeah.....I'd reckon the lack of cheap victims clinicial trial subjects from our now over-zealous orphanages have pushed up those costs. God be with the days when the companies could simply walk into the orphanage, inject all the kids with various cocktails and then come back in a week and see which ones didn't have adverse reactions.


  • Closed Accounts Posts: 12,455 ✭✭✭✭Monty Burnz


    Noreen1 wrote: »
    Why do you assume that closing A&Es is the only option in obtaining funds?
    Don't you believe that any other cost savings can be achieved?
    I'm replying to a statement made by another poster that they would happily kill others to save their loved one, or extend their life for a bit.


  • Closed Accounts Posts: 4,301 ✭✭✭Daveysil15


    Yes they are. Scientists in Canada found a cure for cancer but they won't produce it because the pharmaceutical companies won't make a profit on it.


  • Closed Accounts Posts: 5,550 ✭✭✭Min


    We can bail out sick banks but not sick people?


  • Registered Users, Registered Users 2 Posts: 5,638 ✭✭✭Teyla Emmagan


    Daveysil15 wrote: »
    Yes they are. Scientists in Canada found a cure for cancer but they won't produce it because the pharmaceutical companies won't make a profit on it.

    Proof?

    The state must make realistic decisions as to how it spends our limited funds. 85k to potentially extend the life of one person is just not justifiable. If you want the treatment, raise the funds yourself. Harsh, but fair, IMO.


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  • Closed Accounts Posts: 12,455 ✭✭✭✭Monty Burnz


    Daveysil15 wrote: »
    Yes they are. Scientists in Canada found a cure for cancer but they won't produce it because the pharmaceutical companies won't make a profit on it.
    Conspiracy theories board, tbh. Total nonsense.


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