When I started this sporadic blog, people said I should do so because I was always ranting about things and they thought, I suppose, that this would be a better place for me to do it so that they wouldn’t have to listen to my criticisms. I don’t think there have been that many rants here, but then I always thought the accusations of my supposed ranting somewhat exaggerated.
That doesn’t mean there shouldn’t be any at all though, so here is one.
Last week, I had a very run of the mill operation on my left knee. Just a cartilage clean-up, a bit of keyhole surgery that the surgeon has performed well over a thousand times in his career. As far as I can tell, it seems to have gone swimmingly.
Before leaving hospital, I was given a prescription for a cocktail of drugs that I am to take for a week or so to ensure that everything heals up properly. These are:
- a painkiller, that I’m not taking because there is no real pain to speak of
- an analgesic that is supposed to reduce swelling
- a drug to combat the nefarious effects on my stomach of the analgesic
- an anticoagulant that ensures that I won’t develop a thrombosis in my leg as a result of the operation
I imagined that this little lot would amount to about CHF 50, say £30. Imagine my delight when I was presented with a bill for CHF 340 - that’s £240.
The breakdown of the bill is interesting:
- 2 boxes of Dafalgan painkillers, which I haven’t even opened, are a miserable CHF 3 a box: CHF 6
- 10 tablets of a generic Ponstan replacement, made by Sandoz all the same, are also CHF 6
- A tub of 50 Omezol gastric-secretion inhibitors are CHF 27 – most of which will get returned to the pharmacy
- 30 tablets of Xarelto anticoagulants (of which I actually only need to take 15) are a whopping CHF 300. That’s £208! £7 a tiny tablet.
I am wondering whether I couldn’t have just taken aspirin to replace the Xarelto. Having no knowledge of, or interest in, drugs, I imagine the answer is no, but I’ll ask my surgeon next week nonetheless.
I shall be intrigued to know just what is in the Xarelto wonder-drug, which as far as I can see, is only supposed to make my blood thinner, rather than cure cancer or AIDS. Right at the moment, until I am the wiser, this is looking like a typical pharma stitch-up. 200 quid is still a sizeable amount of cash and you can buy any amount of interesting things with it. Ending up with a small white cardboard box, half the contents of which are of no use to me, is just faintly irritating.
Naturally, I’m not really going to end up paying for much of this; my insurance company is. But this is beside the point. I have to cough up CHF 360 a month, every month, for my compulsory health insurance premiums. The insurance company is a private company that of course seeks to make a profit, and in the current economic zeitgeist, an increasing profit, every year. So you can be certain that whatever it is shelling out to the pharma companies in exchange for overpriced drugs is being passed on to us, the insured. At the end of the day, the multibillion £ or franc profits of the pharma companies are being generated by us, the ageing population.
I appreciate the old adage that pharma requires huge amounts of time and investment in blind alleys that produce nothing, in return for every single successful drug that produces a profit. And I’m not against companies making money. Maybe I am being unfair to Bayer, the makers of Xarelto. After all, last year they only turned over €36.5bn and produced a miserable €2.5bn of profit, 6.8%. Hardly enough to set the stock market alight.
But still, 200 quid for a couple of pills? Thank God I only need to have thin blood for two weeks.