Monday, December 30, 2019

Beyond Price

The American Constitution is, as far as I can see, the most wonderful work ever struck off at any given time by the brain and purpose of man---Gladstone

Arrived in Key West. Slept through the Ohio State game. And the Steeler game was not broadcast yesterday.

Travel can be clarifying for a culture. Sleepless, jangled by coffee, everyone fends for themselves with even the elderly and cripples lugging luggage along. The only people for whom there is any consideration are service personnel and nursing mothers. And outliers. The ticket counters are slanted for some unsaid benefit to the handicapped so the unwary place their coffee there and it slides onto him and the floor.. You are then issued a ticket with a lot of information but landing time conspicuously absent. Then through the obnoxious screening; I was selected for specific bomb evaluation. As we sat in the waiting area the urgent announcement came that there was a passenger with a peanut allergy in the area. We were then issued appropriate instructions on our behavior. We all looked about anxiously, like a 2 a.m. Amber Alert.

That said, it's really beautiful here. 

And the activist Pope Francis said something profound. He said the Christchild was not born in a hotel or a manger, He was born in a family. It makes the inclusion of Joseph more important than on first impression. 

A lot of coaches look to be in trouble in the NFL but their failures correlate well with disappointing quarterbacks. The Press really looks  stupid asking the poor guys about it, though.




                         Beyond Price


A recent WSJ article commented on a dichotomy between price and value. Infection is a common health problem and it’s important that antibiotics are affordable. Amoxicillin, azithromycin, ciprofloxacin and doxycycline cost a few dollars and treat a wide array of nasty infections. But Western manufacturers make little profit, if any, from making most antibiotics because of low prices. As a result, they either do not make the products at all or outsource production to companies in emerging countries with the lowest costs, notably China and India.
But quality does not necessarily follow. Typically cheap medicines are formulated in India, often with slipshod production, with Chinese ingredients, often made in even worse conditions. The products are sold under a myriad of banners (some western, some Asian), which do not always work. When the antibiotics don’t function as expected they endanger the receiving patient and can drive population-level resistance to even properly made versions. Ironically, the savings on “cheaper” antibiotics result in patients using more expensive products, sometimes with more side effects.
So, while many drugs are hugely overpriced, some are too cheap.  

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