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The defining moment

We all have seen it, we all have experienced it, yet what happens, if the definition does not align to what a government or a funded overreaching group likes? I am referring to those small grocery stores like the EU and the WHO, and should you doubt it, then consider the following part that has been published in several papers and online sources.

WHO mission director warns world is ‘simply not ready’ for pandemic, as well as ‘prepare for a potential pandemic‘. This was the news today, yet when we consider “A pandemic is an epidemic of disease that has spread across a large region; for instance multiple continents, or worldwide“, I raised it in the beginning of the month (at https://lawlordtobe.com/2020/02/03/corona-i-never-touch-the-stuff/) with ‘Corona?  I Never touch the stuff!‘. In that piece I wrote “there are now close to two dozen nations with confirmed cases. The one from Sweden is perhaps the most illustrative one. “The patient is a woman in the Jonkoping region of southern Sweden who had visited the Wuhan area of China. She sought medical attention after arriving in Sweden on Jan. 24. “One case doesn’t mean that we have a virus outbreak in Sweden,” said the agency’s Karin Tegmark Wisell, who added that the country’s health-care is well prepared to deal with the virus.” I do not disagree with Karin Tegmark Wisell, yet she was a carrier and passing on the disease before the patient knew she was a carrier, as such she would have been in Arlanda (most likely), then a train or a car with stops and for some time she was unaware that she was sick. There is every chance that she infected 3-50 people” in the meantime the disease has now grown the amount of infected in 20 countries (Italy, Japan, Iran, USA, Bahrain, Germany, Algeria and Australia) that implies a growth of the infected on 6 continents. So when exactly will the WHO (or the EU) decide that this is a pandemic?

All whilst the media is happy to report “prepare for a potential pandemic as the outbreak spreads across Europe“, this is a much larger issue, an issue that is bigger than the media, we are being sold a bag of goods and there are players who are too scared for their value when the ‘pandemic’ becomes official and they are willing to sell the world population down the drain to protect their profits (a personal assumption).

And now (as per 16 seconds ago) the situation is “total number of cases in mainland China to 78,064, and 2,715 dead“, whilst the new deceased numbers include China (the bulk) and South Korea, Italy and Iran. So when will it become a pandemic? I believe it already is and it is not the worst pandemic to face, this part we get from a fatality surpassing 3.4%, these facts are available (at https://www.worldometers.info/coronavirus/), the fact that these numbers also appear in the Guardian (and a few other sources) validates them for me. 

Yet there is one nice epitaph to my consideration of Pandemic, it is found in Wikipedia (at https://en.wikipedia.org/wiki/Pandemic) and gives us “Further, flu pandemics generally exclude recurrences of seasonal flu.” Yet it gives us a much larger setting too. 

With the header ‘Economic consequences of pandemic events‘ it introduces us to “In 2016, the Commission on a Global Health Risk Framework for the Future estimated that pandemic disease events would cost the global economy over $6 trillion in the 21st century – over $60 billion per year. The same report also recommended spending $4.5 billion annually on global prevention and response capabilities to reduce the threat posed by pandemic events

That is an amount that scares Wall Street (and therefore the US administration) to a larger degree. The economic part we get from ‘The Neglected Dimension of Global Security‘, that document gives us a lot more too (added atthe end). Even as the preface introduces us (again) to “After the outbreak was recognized, the international response was slow and uncoordinated. Mechanisms for the establishment of public–private partnerships were lacking. For example, the development of lifesaving medical products was reactive, rather than proactive.” It is seemingly the smallest stab to the Ebola event in West Africa, yet the goods on page 23 gives us “National public health systems are essential components of resilient health systems and the first line of defense against the threat of pandemic disease. Robust public health capabilities and infrastructure at a national level are thus the foundation of a global health risk framework” and here is the first pebble that starts the avalanche, on a global scale the stage was to do as little as possible as there were no budgets, the US, UK, Netherlands, Belgium, France have been showing larger failures for several years. Germany is not far behind, yet still in a slightly better position and the less said over failing Greek healthcare, the better (at present). 

In this environment a pandemic is a larger issue for the people in and connected to Wall Street as they need to be ahead of the curve and not trailing it. As such pushing the statement ‘We have a Pandemic’ back further is for them essential, it is at present more likely than not that the Coronaviirus will be seen as a pandemic AFTER the fact, especially after the greedy people have their profit ducks in a row.

The weird part here is that this is not a new issue, Pandemics were the focal point in writing as early as 1350 (Decamerone), films and TV took the subject as early as 1957 (7th seal) as well as several games on PC, consoles, iOS and Android. Enough people knew of the dangers that this issue brought, it even made it to the comic books, although there the setting was warped massively beyond reality as we know it (the Extinction Parade). 

In all this the references make sense, it is seen on that same page when we see “Public health objectives can only be achieved within a highly-functioning and resilient health care system with effective primary care delivery (WHO, 2008)“, a statement seen 12 years ago gives rise to the dangers that nations have brought onto themselves and those remembering that 12 year old statement are now not ready to answer the questions from voters when the ‘pandemic’ is made official, in a more healthy style we could argue that political heads will roll when that news comes out a little too soon to their needs. This is more true when one considers “both sets of capabilities and infrastructure are necessary to prepare and respond to the threat of infectious diseases. A primary health care system without the support of strong public health capabilities will lack the ability to monitor disease patterns and be unable to plan and mobilize the scale of response required to contain an outbreak. A public health system without strong primary care capabilities will lack both the “radar screen” to pick up the initial cases of an outbreak and the delivery system to execute an effective response strategy“, in all this China has shown a decent degree to deal with it, and as such we see in the Guardian ‘Expert tells nations to access the expertise of China and prepare for a potential pandemic as the outbreak spreads across Europe‘. The move makes sense, but the larger issue is not the reactive side, it is the proactive side and most of Western Europe is seemingly not ready. In all this Western Europe is the second stop as International travel is the highest there and what is in one nation could hit a dozen nations a week later, basically one infected person in an international airport could in theory be the global exporter on the spot. If Virgin calls a $130,000,000 loss and a large chunk of that is the Coronavirus, could it be possible that the $60 billion a year seen earlier might be somewhat optimistic? In that consideration look at Virgin and its size, with the fact that this one company is 0.1% of that annual number, and this is not my imagination. 

Only 4 hours ago the New York Times gives us ‘Wall Street Is (Finally) Waking Up to the Damage Coronavirus Could Do‘ (at https://www.nytimes.com/2020/02/25/upshot/coronavirus-wall-street-analysis.html), in all this, all the issues I filed over a month, with connections to reported issues 12 years ago and now we see: “there has been a strange divergence among those trying to predict what coronavirus might mean for financial markets and the world economy“, “People in the trenches of global commerce — supply chain managers, travel industry experts, employers large and small — warned of substantial disruptions to their businesses. And public health authorities feared that the disease could spread far beyond Wuhan in China” with the closing phrase of “financial markets and most economic forecasters projected the virus outbreak wouldn’t do much harm to the economy and corporate profits” where we need to notice that ‘corporate profits‘ was the centre of attention, as such we now get to live with the image “last Wednesday, the S&P is down more than 7 percent. And on Tuesday, yields on 10-year United States Treasury bonds fell to their lowest levels on record“, Wall Street is finally waking up having to reek the shit they shovel. All whilst the New York Times also gives us “if the virus becomes a global pandemic that causes meaningful pullback of commerce across major economies” it is the setting we needed to see, certain influencers do not want the claim of ‘pandemic’ to become reality, they are just not ready to see all their long plays become shorted stocks, the fallout would be massive for some players and they are not ready to adjust their economic game play. In all it seems that all over the world, medical centres are nowhere near ready and even as we admit and should realise that this can never be the case, the spreading of any pandemic is likely to hit all over the place and fighting one is not set to what we can do, but to what we can detect. It requires a larger proactive engine and as we see in the UK (NHS), as well as the US, they are lacking in proactive stages and as such, the statement of pandemic will require two elements the first is to find the real cases (any pandemic is likely to cause a panic in equal measure) and to deal with the real cases, it is there where we see that those running with a panic end up running into a disease spreading cluster (an acceptable speculated situation). 

When we see the facts and the situation where this had been going on for two months, CNN gives us ‘Trump claims coronavirus is ‘going to go away’ despite mounting concerns‘, as well as ‘Spread of coronavirus in U.S. appears inevitable, health officials warn‘ (Washington Post), as such we have a larger issue. The numbers give us that the US only had 57 cases and no additional ones since then, they only show 6 recoveries, so what happened to the 51 others? they might still be sick and more importantly there is no telling who the 57 infected, the lack of reporting there leaves a lot to be desired. That part is seen when we look at the CDC (at https://www.cdc.gov/coronavirus/2019-ncov/cases-in-us.html), here we see only 14 confirmed cases, now that does fit better with the 6 cured ones, yet the discrepancy of 57 and 14 is important, it also gives rise to larger clusters of people unknowingly affected. 

In all this we are still ‘heading towards’ a pandemic? I think the pandemic hit us all in the beginning of the month and too many are eager to hide (or oppose) that part and they hide themselves with numbers. In all this, we can argue left, right and centre, yet the definitions were clearly set and a paper with references to facts 12 years ago make for a larger case that politicians are too much in denial of the hardship hitting their lives, their welfare and their economy. A side that the Guardian reported on a week ago with “The coronavirus could cost the global economy more than $1tn in lost output if it turns into a pandemic“, as such, Samsung might end up seeing its stock shorted sooner rather than later, they did get help though, 1146 people with COVID-19 helped the forecasted need to short the stock, I wonder where those 57 Americans were and how Wall Street is optionally setting a different stage, one that has them seemingly unaffected by a so called optional pandemic that is set in China.

When these defining moments surpass the expectations of the people with stocks against the people with expected sick relatives, at that point will we see a first engagement of what Wall Street states versus the impact of the victims, the victims that could get not be cured in time because the proactive medical needs were numbered away by other means. Consider that against the fact that some of these white papers and warnings have been out for years, at that point reconsider the culling of funds in healthcare. There are too many related factors and they all survive as their test for ‘pandemic’ is not passed.

Neglected-Dimension-of-Global-Security

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Just like in the movies

Steven Soderbergh made an interesting gamble in 2011, he took a collection of all cast stars and wrote about a fictive disease and the issues that the would would have dealing with it. Today less than 10 years later we see ‘death toll jumps to 170 amid evacuation delays for foreign nationals‘, as well as ‘returning Britons could be kept in quarantine for 14 days‘ and many more. This morning I saw a staggering amount of people with face masks. All fearing what could come next. Steven Soderbergh was an optimist. 

Frances Mao (BBC, https://www.bbc.com/news/world-asia-china-51290312) writes “For over a week now, the Australians trapped in Wuhan – many of them children – have been calling on their government to help get them out. But the announcement of a two-week quarantine on Christmas Island have given many pause for thought.” It is a nasty thing, especially for Australians and their view (as well as the UN view) on Christmas Island, a place where you go when you stop believing in any form of Christmas. 

For the UK (the Guardian) we see “Planners earlier looked at holding returnees at a hotel or military base. But, after an emergency Cobra meeting on Wednesday afternoon chaired by the health secretary, Matt Hancock, it is understood that they will be flown into RAF Brize Norton in Oxfordshire and taken to an NHS facility to be monitored and treated if symptoms develop“, the issue is not who gets treated and who gets flagged, the issue is actually all the people who circumvent the flags and who avoid scruples as they claim that they are not sick. In this case it is a much larger issue, most people become spreaders even before they realise that they are sick and that is a decently rare occurrence in medical matters. The fact that we saw Yesterday ‘The death toll from the virus has risen to 170‘ is only part of the problem. The optional fact that we see less than an hour ago the simplified facts that ‘the number of infections jumped by nearly 30 percent‘ as well as ‘China Now Has More Cases Than It Had of SARS‘ (source: NY Times) implies that it will not merely hit healthy people, it will be the foundation of fear mongering, which the movie Contagion showed was counterproductive.

And my case of ‘the people who circumvent the flags‘ was not academic, Japan reported 30 minutes ago that they had 11 cases, so how long until that one person overlooked has infected their whole neighbourhood? The issue is not fear mongering or academic, there is every chance that this is happening and there will be a larger issue following that. CNN gave a link to the Coronavirus map in China and it shows that it is confirmed in 20 locations ALL OVER China. This implies that there are in addition to this at least 5 more locations unconfirmed and optionally a dozen cases on the run (read: travelling) with no indications where to and how many that they will infect. And even as most will herald the Johns Hopkins University’s Center for Systems Science and Engineering for this map, how many are afraid to be on this map? Because their fear will propel the disease to healthy regions. It is hard to continue because of the fear that I become the fearmonger. I also want to be clear that my response is not as a critique on the China’s National Health Commission or the CCDC. the fact that we were seeing 6,000 cases (infected) on Wednesday and that we see a global number that surpasses 7,800 cases one day later gives rise to the thoughts I am having. Now we need to be certain that we also accept that there will be a percentage which are false positives, those with a normal flu, giving rise to a larger boost to the numbers. Even as I accept that this percentage is not to be speculated upon and that we need to be savvy of all cases, there is still a growing chance that people avoided being flagged and flew just before the curtain thinking that they were clear and that they would deal with their flu over the weekend. That is the stage we need to fear and the escalation of thousands of cases. 

Even now as we are told that Tibet has its first case, how many did this person infect? We see countries and numbers, but the truth is that there are cases in Hong Kong, the United States, Taiwan, Australia, Macau, Singapore, South Korea, Malaysia, Japan, France, Germany, Canada, Vietnam, Nepal, Cambodia, Finland, Sri Lanka and the United Arab Emirates. Each country where one person stated ‘Not me, I merely have a cold‘, that person will infect dozens more each day. That is how a pandemic starts. Let’s be clear, the term pandemic means an epidemic of disease that has spread across a large region (including multiple continents). In support we should also see that  a widespread endemic disease that is stable in terms of how many people are getting sick from it is not a pandemic. With the Coronavirus, there is still no vaccine, there is no cure and its growth is almost like wildfire because of panicking people getting away from this disease whilst they spread it, most importantly they were carriers even before they were sick, so fear was not the instigator. In all this there is one additional fact that the New York Times gave us “Taiwan, Germany, Vietnam and Japan had patients that had not been to China“, which gives rise to the fact that unflagged people were involved, or even scarier, as this started with animals, we need to consider that the issue is larger than we thought. It needs to be clear that this Coronavirus is NOT new, it was discovered half a century ago but in all these cases, it was animals that infected humans. In several cases we see the fingers pointed at the Huanan Seafood Wholesale Market, yet Science Magazine published on the 26th (Jon Cohen) that ‘Wuhan seafood market may not be source of novel virus spreading globally‘, there we see “a description of the first clinical cases published in The Lancet on Friday challenges that hypothesis” this comes from a large group of Chinese researchers and here we see “In the earliest case, the patient became ill on 1 December 2019 and had no reported link to the seafood market, the authors report. “No epidemiological link was found between the first patient and later cases,” they state. Their data also show that, in total, 13 of the 41 cases had no link to the marketplace“, and here we see that Daniel Lucey, an infectious disease specialist at Georgetown University seems to agree with the assessment, 13 out of 41 is too large a group to ignore. In my personal view it is not impossible that there is a covariant, if we consider that spreading happened before the personal marie celeste’s realised that they were sick, would it be possible that a busdriver was the link that was missing?

And it is here that we see the part where I went for and Science Magazine (at https://www.sciencemag.org/news/2020/01/wuhan-seafood-market-may-not-be-source-novel-virus-spreading-globally) gives us “the virus possibly spread silently between people in Wuhan—and perhaps elsewhere—before the cluster of cases from the city’s now-infamous Huanan Seafood Wholesale Market was discovered in late December“. A silent interference on data. When we realise this we need to consider and agree that this is not fear mongering, it is almost hard chiseled facts that lead us here and as such watching the movie Contagion a little late is not the worst idea to have. 

And it is that same magazine that gives us another part “Earlier reports from Chinese health authorities and the World Health Organization had said the first patient had onset of symptoms on 8 December 2019—and those reports simply said “most” cases had links to the seafood market, which was closed on 1 January” a situation that slowly took hold all over the world and this is the stage we now have and whilst officials are all about positive influence and flying home the ‘healthy’ people, they will optionally be the group spreading a much larger foundation of the disease. I say optionally, because there are clear foundations for testing, yet it is Bin Cao of Capital Medical University,a pulmonary specialist, wrote ““Now It seems clear that [the] seafood market is not the only origin of the virus,” he wrote. “But to be honest, we still do not know where the virus came from now.”” and there is the killer in all this ‘we still do not know‘ in a stage where we are given ‘a common source—as early as 1 October 2019‘ that is the foundation that eludes many of us and in hindsight when we consider the international infected, how many escaped a flagged view and how many did they infect? That is the question that officials need to have (and they might), yet we do not know and whilst we are all about ‘How can UK citizens leave Wuhan amid the coronavirus outbreak‘ yet the damage is optionally already done.

I do believe that there is no solution in fearing and burning at the stake anyone who has a cold (I have a cold at the present) yet the foundation of fear must be stopped in any way we can. For the simple reason that ‘My anxiety is increasing day by day‘ is not merely a Wuhanian expression, it is soon optionally to be a global one until we can give rise to clarity on where the disease is and until the vaccine is ready, the bulk of all people will be gripped by fear, just like in the movies.

 

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The foundation of a blame game

It was the Independent that gave the headline ‘Tens of thousands of operations cancelled because of staff shortages and faulty equipment, NHS figures show‘ by Vincent Wood about 13 minutes ago, and the by-line gives us ‘Labour blames ‘Tory cutbacks running our NHS into the ground’‘ did anyone catch that? Did anyone catch the issues that were given over the last 5 years, not eventual new issues bu the Conservatives, but the destructive path of Labour? “The Labour party bungled the option to get part of the technological solution implemented that could have helped the NHS (perhaps you remember the loss of roughly £11.2 billion in NHS IT restructuring)” did you think that a loss of £11.2 billion is easy to wipe away? That loss hit out into every corner of the NHS, £11.2 billion in IT, in Systems never delivered and the need to do something, so as Labour make some claim as we see printed: “The simple truth is under the Tories, patients wait longer and longer for vital care. This general election is about the future of the NHS and ensuring quality care for all. Labour will fully fund our NHS, recruit the doctors and nurses we need and safeguard our NHS from a Trump deal sell off that could cost the NHS £500 million a week” my question becomes: ‘Will any Labour MP connected to the initial NHS spending disaster be removed from politics?‘ it is a fair demand, is it not? And as I see “The figures were compiled by the Labour party, is based on responses from 82 per cent of hospital trusts” I wonder what else they wrote up and connected down, now we cannot keep on bringing up the £11.2 billion, but it had to come from somewhere, did it not?

And how did we get to “staff vacancies continue to put the health service under strain, with the NHS reporting last year it was short of 100,000 staff including 10,000 doctors and 35,000 nurses“, shall we take a look at the state of things in 1997 – 2010? Then we also need to look into the state of things from 2010-2019. Shall we take a look on the changes required in 1997-2010 and the impact of the Economic meltdown? Now the second part is not on the heads of labour, but there was a definite impact, it is so easy for Labour to make a definite push to ignore that and in the years when it mattered Labour squandered £11.2 billion, that is a whole boatload of systems and thousands of nurses and doctors. Interesting how they ignore that part of the equation.

So as Labour hides behind “the statistics obtained via a Freedom of Information (FOI) request” shall we ask to include the amount they squandered? And whilst were at it, let’s take a look at the squandered part compared to that nutshell trust charity requiring ‘the amount needed to repair faulty equipment across the service provider at £6bn‘ let’s see what is left when we compare one to the other, it seems that Labour is all about forgetting one element in this equation.

The article (at https://www.independent.co.uk/news/uk/politics/nhs-operations-cancelled-tens-of-thousands-official-figures-tories-damage-labour-a9183636.html) has a few more idle hands in all this and I am not stating that the Tories are entirely innocent here, but the joke that is regarded to be Labour’s shadow health secretary seemingly decided to ignore the heart ship that £11.2 billion squandered had on the services of the NHS, in addition the loaded debt on the government corporate credit card did not help any, in that regard the Tories are not innocent, i am not claiming that, but the ignoranus that is Labour better get their part right, because the people should be aware of that £11.2 billion fuck up called Labour IT plan, and the issues from there were widespread because that amount had to come from somewhere. And when we start looking at the surplus that the Labour party should have created but did not we will get to an amount that is a lot less representative of what actually should be the consequence of the NHS, amounts and numbers of staff that has been too low for almost 2 decades. When we look a NHS Digital we get that (at https://files.digital.nhs.uk/publicationimport/pub00xxx/pub00912/nhs-staf-over-1996-2006-rep1.pdf) we might think that a good job was achieved with “The number of staff in the NHS has grown every year to 2005 with a small fall in 2006. The workforce is now 27% larger than in 1996“, yet how many SHOULD have been added? When we look at ‘Total staff employed 1,338,000‘ this includes ‘professionally qualified clinical staff 675,000‘ is that not a low number? Remember the earlier ‘the NHS reporting last year it was short of 100,000 staff including 10,000 doctors and 35,000 nurses‘ how come that this number is so divergent from the initial numbers that at the end of Labour was given? How many positions got fired? Yes, there is something wrong and a place like the NHS is dependent of what the government has available and that part is also missing from the equation, so when we start drilling down the numbers Labour comes off as insincere and the usual yokes that they are. All yellow, icky and not really to any point are they?

Oh, and the numbers also calls into question that training places are lacking in a few corners and degrees, so as we are looking at that part too, how did Labour address that in their term? It is important, not because it stops Tories being responsible, it does not, but it does show a systemic problem in the matter and that goes beyond the political element here, there was a shortage for funds and the so called British professional medical degrees should have made a larger and louder complaint in all; this, perhaps it was done, perhaps it was not, but the article does not give light to any of this and it relates to a direct quote that Vincent Wood relies on. And it all related back to the failings that Labour introduced in their term from 1997-2010, so this issue is a lot larger than anyone realises and leave it to the Labour party to add their own failures onto the Tories back, it merely makes no sense to do so, the numbers are out there and it is time to hit Labour with the long term damage that they pushed onto at least half a dozen directions, or did you think that tapping the £11.2 billion NHS vein was the only bloodletting they allowed for? I also believe that certain questions need to be asked towards British Medical Association chair Dr Chaand Nagpaul. He was a topic of investigation in my article ‘As a Puppet‘ in May 2017 (at https://lawlordtobe.com/2017/05/18/as-a-puppet/) when I also had a go at the Labour manifesto, I also wrote at that point: It states: “The people of Britain are rightly proud of the NHS and we will invest £12 billion over the next five years to keep it working for them“, so we get a little over £6 million a day, or slightly more than £200 million a month, so where does this £350 a week ‘pledge’ come from? The independent (at http://www.independent.co.uk/news/uk/politics/conservatives-must-make-manifesto-commitment-of-350m-a-week-for-the-nhs-say-doctors-a7739401.html) shows us: “Doctors, academics and public health officials have called on the Conservative Party to include in its general election manifesto a commitment to spend £350m a week on the NHS, in keeping with the notorious posters of the Vote Leave campaign“, which makes me wonder where the actual pledge comes from. So it seems that Dr Chand Nagpaul and Norman Lamb are both missing a few parts here (I am happy to be proven wrong)“, so not only is the claim debatable, yet I wonder what the numbers then and now represent, yes a 2017 number in this day and age will show a total lack of change towards today, is that the case? From my point of view Dr. Chand Nagpaul has a few explanations to make and I get it, he is watching his own turf and what he’s in value, there is nothing wrong with that, but how much has he achieved in spreading the love of budget? And all this is also linked to the January 2017 article where we see: ““Coventry and Warwickshire NHS chiefs fork out £340,000 for advice on how to SAVE money” (at https://lawlordtobe.com/2017/01/15/the-views-we-question/)“, so how much money was forked out by NHS chiefs on how to save money and how much did they safe in the end?

There are a few issues that are open all over the NHS and the Labour party, but in case you were not aware, I am happy to inform you.

Have a great Monday! #Justsaying

 

 

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Mental health or Medication

We have seen the premise in a few stages in the last decade and for the most people lean towards one or the other and that is fine, it is a hard choice to make and there is no real evidence which of the two is better in the long run. Mental health needs treatment, medication is at times not a cure, merely a way to create a timeline for treatment, or to minimise the impact of the situation. Yet there is also a medial state that is not mental health based, for example treating people with cystic fibrosis who have two copies of the F508del mutation, for them there is Orkambi. Yet, what is the status when this involves a politician? How delusional is a public speaker allowed to become before he is considered unhealthy and unable to perform his function?

That question came up when the Guardian gave me ‘Labour pledges to break patents and offer latest drugs on NHS‘ (at https://www.theguardian.com/politics/2019/sep/24/labour-pledges-to-break-patents-and-offer-latest-drugs-on-nhs). So not only is he making claims, he is basically pronouncing war on the World Trade Organisation, abolishing the TRIPS agreement and throwing it all overboard. As we realise that the World Health Organisation gives us: “As of February 2005, 148 countries are Members of the WTO. In becoming Members of the WTO, countries undertake to adhere to the 18 specific agreements annexed to the Agreement establishing the WTO. They cannot choose to be party to some agreements but not others“, the UK and the EU are both signatories, so Jeremy Corbyn is stupid enough to set a stage of war that endangers millions. To give a little consideration to the metrics, we get the numbers on Cystic Fibrosis, not merely those with these two mutations (a specific subset), we see that more than 70,000 people worldwide are living with cystic fibrosis. Approximately 1,000 new cases of CF are diagnosed each year. More than 75 percent of people with CF are diagnosed by age 2. More than half of the CF population is age 18 or older. Now this is not a good thing, we admit, yet we are looking to a population that is less than 0.001% of the entire population, more important the people that need Orkambi are a mere subset of that. And for the UK it would linearly mean that it affects only 0.1% of the 0.001% that optionally have it. That is his ‘limelight’; can someone please kick this idiot out of the Labour party (preferably out of UK politics altogether)?

And in the second part, no political party has any business being in the pharmaceutical industry, there is a reason why industrials should never have any political power (well, we lost that one ages ago, but still). His voice giving us: ‘party will create company to make cheap versions of drugs‘, whilst the metrics give us that it will be a population less than a 100 that have this version of Cystic Fibrosis that is what he is fighting for? He cannot even properly represent his constituency and now he is starting patent wars as well as a war with the World Trade Organisation on abolishing or severely changing The Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS)? Not only does it not make sense, the impact could be devastating for the UK. This is a person screaming ‘election’ and then spinning silent when it was offered.

It is my personal view that UK labour is better off getting the clown Ronald McDonald to do the Labour party bidding, and it will do a better job than Jeremy Corbyn ever could. His promises are no longer empty, they are now right-out dangerous.

Pharmaceuticals

There is a larger pharmaceutical issue and it has been going on for well over a decade, the issue that patents are reapplied well over 30 years after date, often in a slightly changed form, only barely passing the innovation line is the largest concern for generic medication, yet there are dozens of examples and Orkambi is nowhere near the top 10 in this. Lyrica (Pfizer), Rituxan (roche), Cialis (Eli Lilly), Xolair (Roche/Novartis), Restatis (Allergan) are 5 of the top 10 expiring patents with a value of a little over $16 billion in total, and those owners would like a little longer exclusivity, because the expiration will hit their bottom line in a real hard way. In that list Orkambi does not even stack up to any decent degree and we have larger issues gaining patents with a generic option and Corbyn’s need to make war with TRIPS, whilst the NHS has larger issues, especially as it was Labour who botched the NHS IT project losing £11 billion and small change to the degree of several millions is not one who should be casting voices on ending patents.

The sentiment is not wrong, but the chosen field is a little beyond stupid, making us wonder whether the man is personally dealing with mental health issues. We all have had that moment where we wanted to stand in front of Dwayne Johnson calling him Tinkerbell, not really wise, but we all have those inflated moments of self, to do what Jeremy Corbyn does worse hiding behind one 9 year old with: “Luis is denied the medicine he needs because its American manufacturer refuses to sell the drug to the NHS for an affordable price“, so this is not some Cystic Fibrosis case, this is a very specific case and the medication required many millions to create and pass FDA approval. A medication for CF patients with a rare mutation. With two specific mutations in a disease that knows more than 1,700 mutations that had been found in the CFTR gene. Orkambi works for patients with the F508del mutation in both copies the CFTR gene, the most common mutation in people with cystic fibrosis worldwide. So even if it is the most common, there are 1700 mutations meaning that his war on one medication to a specific subset that comes down to a lot less than 100 patients in the UK. So this idiot (read: Jeremy Corbyn) goes to war, promising to abolish TRIPS and leaving the WTO, all for a subset of people, too small to fill a village? Now consider that the UK has Pharmaceutical interests as well, the top two players in the UK are GlaxoSmithKline and AstraZeneca representing almost £132 billion pounds, because if he does what he does, then those two will vacate as well, this is how stupid Jeremy Corbyn is, but he is hoping that you will not notice this as he is in feigned tears for one nine year old child. I only mentioned the top two, the field is larger than that, but Jeremy Corbyn is willing to throw it all in the air.

Can you please explain to me how the government budget will be met when two companies representing a taxable £100,000,000,000 leave the UK? This is the kind of short-sighted, BS carrying ventures that Jeremy Corbyn is handing its constituents. His claim is ‘In England about 5,000 young patients could benefit, but the NHS said it could not afford to pay the bill‘, if there are worldwide 70,000 Cystic Fibrosis (CF) patients the UK cannot have that many, the claim of “US drugs company Vertex priced Orkambi at over £100,000 per patient per year” might be true and for 100 patients that is still serious money, but we need to recognise that we cannot hand every working person a Ferrari, we do not have the money, and it is that extreme. We are in a position where until a patent ends, the maker gets to set the price, or not sell the product. In light of the numbers I see, I want Jeremy Corbyn to give us an exact list of these 5,000 patients and what medication they need. I reckon that the picture shifts a lot faster at that point. And we agree that larger changes are required, yet making a direct case to the WTO that patents cannot be extended above the 35 years is a lot better than abolishing the WTO. Yet Jeremy Corbyn has no options to do that, so he comes with a delusional plan to start a company that ‘create company to make cheap versions of drugs‘, whilst there are plenty of companies doing that, the case remains that patents hand exclusivity until they expire, this year 26 drugs are facing patent expiration and yet, Orkambi is not among them, but 26 patents will become generic, before 2022 42 patents will expire and that is good for a lot of people, yet this system is already in place, we do not need some delusional politician to add his need to become a rich pharmaceutical cat as well.

To be honest, I have never had such a low regard of UK Labour ever before, the fact that I have twice the regard towards LibDems than towards Labour at present is something I never thought possible in the age of Ed Miliband, whomever thought that Corbyn would be a worthy successor deserved the title ‘Joker of the Year‘, as I personally see it, it is actually that bad at present.

So whomever is happy that this optional mental health case is running the UK labour party is in desperate need of some medication (generic NHS funded options will be available).

 

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Marketing Deceptive Concepts

We are all in the lane of what is coming; the problem is that what is coming is set on the E40, the longest European highway going from Calais all the way to Kazakhstan (Ridder). So as we depart from Ridder, trying to get to Calais on this AI highway, we need to consider that at present we only got past the first 100 kilometres of a trip that will be 8,000 kilometres long and we are not driving a Aston Martin, not even a Lada, we are traversing this in a 1908 Model T, giving a much clearer indication that this trip will take years (read: a decade at the very least) at best. To be quite honest, as technology goes, we are nowhere near AI, true AI. It will take the largest players (Google & IBM) decades to get to the real AI part, and only when computers become more technically savvy and a lot faster. As such I do not see the reason for people and companies like RACGP to give us: ‘AI is coming to healthcare – and it’s here to help‘, with the quote: “real promise – of artificial intelligence in healthcare“, yet we remain fair. Dr Martin Seneviratne stays faithful when he gives us: “we’re far away from that, to be honest” and he is correct. Yet the stage is there where we see: “In this article we are listing top 15 artificial intelligence apps for android and iOS users“, as well as “an Indian start-up claiming to have built an artificial intelligence-assisted app development platform, is not in fact using AI“. It is all BS (read: Hogwash), there is no such thing as AI, it is theoretical, conceptual at best, the real deal is at least a decade away. It reminds me of some Sales Dumbo I had to deal with on how cloud computing was it bees knees. When I mentioned that there is no thing like a cloud, it is merely someone else’s computer, I was the one who did not comprehend it (in the end I was right, and he (read: it) was not). Yes, I am aware of the ZDNet article (at https://www.zdnet.com/article/stop-saying-the-cloud-is-just-someone-elses-computer-because-its-not/). We get it, it is about scalability and the scale of the cloud is huge, but still, it is a server center that is owned by someone else, and the location of that server is equally important in the data laws we see today. Because the moment China launches its own commercial cloud system, the Americans will ‘suddenly’ come with issues like cloud locations and how the Chinese government can look into every cloud account. I was not belittling anything, merely making sure that we keep focus on terms used (and awareness is often larger than anyone considers). It is the monitoring, hacked data and more important lost data. The cloud comes with all kinds of marketing hypes, but informing on the scope and warning of the dangers that poor passwords bring is often not seen.

So when we get to the Verge where we see: “The company was sued earlier this year by its chief business officer, Robert Holdheim, who claims the company is exaggerating its AI abilities to get the funding it needed to actually work on the technology. According to Holdheim, Duggal “was telling investors that Engineer.ai was 80% done with developing a product that, in truth, he had barely even begun to develop“, we see the larger deception and we also see a lack of actions by governments to a much larger degree, apparently white collar deception is OK in their books.

So when we get back to the RACG (at https://www1.racgp.org.au/newsgp/professional/ai-is-coming-to-healthcare-and-it-s-here-to-help) where we see: “‘Documentation is a constant issue, and so is having a computer separating you and the patient,’ Dr Seneviratne said. ‘The dream of this AI revolution is that it helps with the parts of medicine doctors and patients don’t like, creates a safety net for ensuring quality across the board, and gives clinicians more time to be with their patients.’“, my mind goes back 47 months, 12 days and 14.1 hours (roughly) when I designed the concept of what could be the Google Tome (I concluded that the iTome could never become a reality in an technological iterative pushed corporation), a device that would take case of part of it and help the UK NHS to get a handle on their paper mess and red tape. The device would also be a great solution for places like Scandinavia where the rural population is all over the place. There was one tiny setback, it required 5G, it was the only way to get it to work to the degree it did and 5G was nowhere near ready to the stage that places like the NHS, GP’s and clinics could be upgraded. We are still 1-2 years away, but the Google Tome would be a game changer as it worked on a very different IP. Apple would take a decently large hit as I remembered some original parts from before the PowerMac and Apple actually had the inside track, with today’s iPad they could have ruled, but in the last two years they became a mere iterative needy toddler, taking them out of the game. both IBM and Huawei are not ready for this leap giving Google an actual first position with no chance of any number two catching up for close to half a decade. My solution was not AI based, it was based on the realistic foundation of NHS administrations and to see where the obstructions were. Instead of making some political never working one system (UK Parliament spend £11.2 billion learning that it did not work), my path was to upgrade all the elements and give a new definition to speed, not the one that is founded, for downloading, but a new on access protocol that emphasises on security and data safety. In fact, the results would in theory get to the right physician 30%-60% faster. Anyone who waited for results in an NHS location can tell you what a game changer that is.

And none of this touches the 5G IP I created three years later.

But that is not what it is about, it is about the marketing ploys we are confronted with and for the most, the media greedily uses that hyped term to get traction with people, clicks and awareness, the information is less and less a concern to the larger group of media (or so it seems). The one that I got confronted with yesterday is the one that set it off. A friend (Tom Breur) wrote an excellent piece regarding Data Democracy (at https://tombreur.wordpress.com/2019/08/13/what-does-data-democracy-stand-for/). Yet in data, as I personally see it, there is no real democracy, it can be dictatorial, it can be feudal, it can even be tyrannical, but it is never democratic, you do not get a vote in that hierarchy, that is the way with data and it is the researcher who can redefine you through giving you a weight of 1 (or lower) or disregard you as inconsequential as grouping you with other user missing points of non interest. The respondent never had a voice in the matter negating the entire democracy part.

This setting was most likely started by media with their claims of “Big data’s threat to democracy becoming global problem“, and there the delusion started. Big data is never about democracy and democracy is not about data, it is about applied wisdom, they do not correlate and are even less likely one and the same. It becomes even more entertaining when we (at https://morningstaronline.co.uk/article/labour-will-ban-big-money-buying-democracy) see: “Labour will ban big money from ‘buying up democracy’“, it is entertaining and hilarious as this has been happening well over a century, long before there was a silicon based economy (not talking about boobies here). When we get: “Last November Mr Johnson was flown to New York and was paid £94,507.85 for a two-hour speech at the multibillion-dollar hedge fund company Golden Tree Asset Management“, we can argue that he was merely doing a job he was allowed to do, and that is not impeding democracy, is it? And when we see: “We are funded by workers through their trade unions and small donations, averaging just £22 in the last general election“, how much support did you give the people who voted for UK Labour without a donation? And when we see the Washington Post give us: “Data shows that an overwhelming majority of Africans believe that democracy remains the best form of government“, I might not disagree with that, yet the issue is not agreeing and disagreeing, it is the deceptive model of awareness creation that big business allows for when they buy the identities on Facebook by millions and target them with political advertisement. Even as Senators like Ron Wyden are calling to ban that, he knows he is fighting a lost war. Also, as a member of the Senate Intelligence Committee, he is watching proven CIA tactics being deployed via Facebook and he knows how efficient those can be, it is a game only the rich can play. He even hides behind “I’d rather have them do it voluntarily than requiring a law“, because there is no way that they can pass that law in time and even then there will be a dozen loopholes to circumvent the law passed via the first amendment.

It is all due to the marketing we allowed from the very beginning. there was no stop to the media, the hold on awareness versus deceptive is sketchy at best and now that there is a whole slew of iterations coming forward we see more and more deceptive conduct, yet nothing is done, there are attempts, but they are feeble at best. That evidence is seen when we consider Engineer.ai and its founder & CEO, Sachin Dev Duggal. We see the news in the Wall Street Journal as well as the Verge, yet less than 3 days ago that person won the Serial Entrepreneur award, so it seems that the players are all OK with deceptive conduct. Yet I remain optimistic, I merely have to wait to see this blow up in the faces of those sales driven CEO’s and VP’s to see that their failure gave them months of reprieve and every documented event merely sets the stage for my IP in a much more powerful way.

We need to consider that when it comes to creating awareness, the media is still accountable to shareholders, stake holders and advertisers, as such there are a lot of issues in the IT field, personally in light of recent events the do’s and don’ts of Sachin Dev Duggal take the cake. Don’t take my word for it, merely look at the Wall Street Journal (at https://www.wsj.com/articles/ai-startup-boom-raises-questions-of-exaggerated-tech-savvy-11565775004) and consider how the award two days later was still handed to Sachin Dev Duggal. Even as the man ‘hides’ behind ‘human-assisted AI‘, and when we look at the quote: “it uses artificial-intelligence technology to largely automate the development of mobile apps, but several current and former employees say the company exaggerates its AI capabilities to attract customers and investors“, we need to ask a whole range of questions, none of those are found anywhere. I am not raining on the man’s parade, but clearly no one else is either. I wonder how many righteous participators at that entrepreneurial award feel left out in the cold, a fair question if I say so.

I merely look at the marketing part of it all, when I look into the direct impact, that some marketing hypes are giving us, I tend to wonder if the need was really awareness, or confusion that was behind the creation of the hype. It is sad but that is more and more often the need to wonder when any form of media gets involved.

It is a sad evolution in the age of information as it has been for some time now.

 

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When they are merely numbers

What if lives are not set in souls, but in numbers, simple numbers? That is the setting we see ourselves in today. A special shout out to Karl Stefanovic who rightfully backed the police and launched a scathing attack on their “timid” critics. Although I would rephrase from ‘timid critics‘ and merely categorise them as ‘fear mongering scaredy cats with a lack of knowledge‘, yet that would be merely my personal choice in the freedom of classification.

Karl is correct in a few ways, yet to see that. We need to look at the other side. My training comes from NATO and I mastered several weapons, to give you a specific setting here, which with the Remington Model 700 is really simple. The drift on 300 meters is optionally no more than 1.1936″ in a nominal setting, so if I aim for the head the brain is gone, if I aim for the chest the damage is worse as that person will not be instantly dead, but they will feel the pinch of a .308 slug and at that point, most Kevlar is useless. You see at 300 Yds the bullet impacts with 1950 lbs on roughly a square inch, in an oversimplified example a 1000 Kg hammer hits a square inch of your chest at a speed of 671 metres per second, good luck getting past that feeling! The Kevlar might slow it down but the impact will be enough to turn ribs to shrapnel and cleave its way through your chest, if the bullet gets through, it will still be mostly slim and nail shaped, leaving the recipient with plenty of optionally fatal damage. A Kevlar vest (if the person has one) might stop a pistol 9mm, even a .357, but with a .308 or .338 rifle, nope, that person becomes a write off. This is how a soldier thinks, it is them/him or me/us, we do not want to die for our country we merely make the other one die for their country/cause.

The police is a different slice of cake. They are trying to protect people from harm of self and/or protect them from harm by others. The police are there as protection for civilians, innocent or not. They have a duty to arrest and Karl is right in backing the police. The News from News.com.au is giving us “They do it sometimes with the public hating them. But they’re the first you call when you need them and they were the first to respond. I salute them this morning“, he is correct! The news also gives us: “The call comes in response to a deadly attack in Melbourne’s Bourke Street on Friday by Hassan Khalif Shire Ali — a Muslim refugee from Somalia. Ali crashed his car full of gas cylinders before stabbing three people, killing prominent Italian restaurateur Sisto Malaspina“, and at this point, the question from me is ‘At what stage was the police to assume that this was a terrorist?‘ You see ‘his car full of gas cylinders‘ was after the fact, yet when did the police know exactly what was going on? The police had a direct need to incapacitate to a degree, not to kill. It is that plain and simple! Their job is to evangelise and support the law, not enforce it through violence, even as that will be essential at that point. So the call ‘Shoot him, shoot him’ might come from outsiders, yet to shoot is not an easy task for them. Let’s not forget that the public has been willing to lynch a policeman using his firearm in the past, so the police is utterly willing to leave shooting as a final resort (and so for the most they should), or until there is a clear and present danger to others and even then it will be shoot to incapacitate, which with a Glock is a little harder then you think.

When we see Nine News (at https://www.9news.com.au/2018/11/11/19/18/bourke-street-terror-attack-family-say-hassan-khalif-shire-ali-was-mentally-ill), we see: “The family of the man responsible for Friday’s attack on Bourke Street insist he was not a terrorist but a mentally ill man “crying for help”“. This is optionally true and it also gives rise to the police and the caution used. They might have noticed symptoms that clearly called for caution and refrain from lethal force. Let’s not forget that the entire Martin Place event was a clear case of mental illness, so there is a precedent in all this. It merely makes the entire event sadder on more than one level. It will undoubtedly give false feelings of guilt to the police officer who discharged the lethal shot, it will give feelings of guilt to all the police and carers on the sidelines, and they should not feel guilt in any way. This man, no matter how we slice it has taken three lives, it comes with consequences.

We might even overreact when we see: “Islamic State claimed the attack but today Home Affairs Minister Peter Dutton said there was no confirmed link to the terror group.” Yet the truth is that until people like ASIO give clear evidence that this was the case, we are merely getting an emotional push from a terrorist organisation seeking the limelight in any way they can, it will merely complicate matters in the short term and leave us with a bitter feeling in the long run. Yet we also see that Nine News is optionally wrong. As we see: “The terrorist has been named as 30-year-old Somali-born Hassan Khalif Shire Ali“, this is optionally wrong if any clear evidence of mental health is shown to be true. There is a call in the News.com.au article (at https://www.news.com.au/news/national/security-expert-says-were-feeding-the-beasts-of-terror-with-shoottokill-policy/news-story/59f2162b3427c2e2f5d0a3e6fe1babd1) with ‘Australia is “feeding the beasts” of terror and failing to prevent future attacks‘, in this Dr Allan Orr could be correct. there is no issue labeling the right person a lone wolf, or a terrorist, yet how was it done, what was planned and what was set in an emotional stage. It is order versus chaos. In addition is the man merely a terrorist because he is Muslim? Is he not merely a murderer at this point? These what I would call intentional misclassifications are also a larger problem, the media loves it to use the terrorist tag in all the wrong places and even as it is too soon to clearly determine this, we see that a police officer was used deadly force against an alleged murderer, alleged because intent needs to be shown in court, were these three people intended victims, or where they there and the man would be clearly guilty of manslaughter. In any case the police officer would be absolved of any guilt, especially if he/she had tried to resolve the issue in a non-lethal way.

There will be a political debate that is already raging on, yet the stage is larger than merely “I’ve been very open about the cancellation of visas, the numbers have ramped up, because there are some people who should not go on to become Australian citizens,” the setting of this might not be incorrect, yet when we know that ‘Permanent residency may be revoked at the discretion of the responsible Minister, for example in cases of criminal misconduct‘, if that is correct, then why would there be a political debate? It would be merely enforcing what is stated in policy, is it not?

It gets to be even more complicated when we see: “Ali was known to federal police and had his passport cancelled in 2015 amid fears the Somali-born man would travel to Syria“, the question becomes who was he going to support? Assad, Assad opposition, perhaps the direction does not matter, yet the direction does incline towards extremism, as such it cannot be ignored. It is an issue as we see that there are more sides to all this. The fact that no action was taken (apart from removing the passport) might have sufficed to some degree, his active interest to go to Syria was never explained (needed or not), if there would have been an assessment, even a mere interview and conversation on the consequence of doing that as a non-citizen might have optionally resolved the issue to some degree (highly speculative on my side). Even a limited monitoring on media and activities might have dampened the danger (or not). If these are all acts of a mental health issue, then the entire terrorist issue falls in the water and other activities might not have helped, but the knowledge of where this person was might have optionally aided the police in a few ways, and is that not important too? To give the members of the police every inch that they can use to resolve without being force to employ deadly force? It might not have been an option here, but the lack of indicators (as presently known) seems a little too staggering at present giving us the handle that not only was Karl Stefanovic correct, the officers subjected to this ordeal might be due a commendation or two (or three).

The last part is also the biggest issue. when we see both “Prime Minister Scott Morrison said he backs religious freedoms but has also called on Islamic leaders to call out the attack“, and “Those remarks that have in turn been labelled divisive by Muslim groups who say their community is not to blame for the actions of an individual and fear it could stoke Islamophobia“. It is the partial failure of Prime Minister Scott Morrison that his call, outside if the mental health scope was plain wrong. He can make that assessment after we know enough that mental health was not the stage here, and that part is still largely in question. You see, to require any religious group to lash out at mental health issues is the larger wrong and that is not seen here. Should I be wrong and the mental health part fails, then we have another issue, yet at present there has been no clear evidence to set that and whilst we accept: “Home Affairs Minister Peter Dutton said there was no confirmed link to the terror group“, yet this is very specific, was there any other data making any extremist link likely? I get the impression that this is not the case, giving us a much larger overreaction, just like the Martin Place incident of 2014.

From my point of view, we have become Muslim polarised to a much too large extent. Consider that every religion has its mental health cases. Consider (the Times, Oct 2017) ‘Mental patient murdered neighbour hours after hospital discharged him‘, also we have ‘How 18 psychiatric patients freed by one NHS Trust ALL went on to kill‘ (Daily Mail, Jan 2018), 19 people said to have killed someone, but not terrorists as they were allegedly not Muslim. Two filters of classification in a group of people that would have been a dangerous stage in any foundation, so we need to be extra careful who gets the ‘terrorist label’ as the impact is a lot larger and the negation that actual terrorists are could also endanger a lot more lives in the future.

The victims and perpetrators might merely be numbers, yet when the numbers are wrongly stacked, the people who are forced to act might wrongly do so making matters worse for everyone around and that needs to be clearly stated, as well as the fact that Karl Stefanovic made the right call in this case and that should be recognised on a national level as well.

 

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Goodness redirected

Even as I got shocked to the core yesterday with news on how certain Biological Agent accusations are going in the wrong direction (turning my paranoid into overdrive in 7.2 seconds flat), I was also slightly bewildered a few hours later on how a greed driven industry is now getting a rather large shake up. It was the Washington Post that treated us to ‘Hospitals are fed up with drug companies, so they’re starting their own‘ (at https://www.washingtonpost.com/national/health-science/hospitals-are-fed-up-with-drug-companies-so-theyre-starting-their-own/2018/09/05/61c27ec4-b111-11e8-9a6a-565d92a3585d_story.html?utm_term=.8362898ab1fe). It is a not for profit pharmaceutical company that works exclusively for hospitals. That is the first really good unbiased news of 2018. I truly wish I was part of that place. The report by Carolyn Y. Johnson gives us “A group of major American hospitals, battered by price spikes on old drugs and long-lasting shortages of critical medicines, has launched a mission-driven, not-for-profit generic drug company, Civica Rx, to take some control over the drug supply“. And even as it is for now merely the generic side of it all. We need to realise that in the UK, the NHS gives us (at https://www.nao.org.uk/wp-content/uploads/2018/06/Investigation-into-NHS-spending-on-generic-medicines-in-primary-care.pdf) and that they spend £3.5B in 2016-2017. I am using that data for the mere reason that it is more up to date and more reliable at present. Consider that an ‘island’ with only 20% of the population of the US has that bill, yet to a larger extent, they have a similar aging issue and several similarities in health care. Now consider that this is a NFP situation, so basically, we see the optional saving of close to a billion pounds a year, implying that the savings for the US should increase drastically. It is also important to see that this is merely the beginning.

So as the too laid back greed driven US pharmaceutical industry is confronted with two nightmares, the first is not merely the current generic medication part, it is that if the US and UK unite the damage increases for the pharmaceuticals. In addition to that, the Pharmaceutical industry is confronted with well over a hundred patents maturing over the next 5 years, so the generic part is increasing with leaps before 2023 and so far a lot of them cannot be ‘reset’ by altering the patent slightly and forcing exclusivity for another 15-20 years.

So there is light at the end of the tunnel, it will not happen overnight, but there is a setting that the US could remove medicine cost pressures by a much larger amount then even before. So even as we are given “Backed by seven large health systems and three philanthropic groups, the new venture will be led by an industry insider who refuses to draw a salary. The company will focus initially on establishing price transparency and stable supplies for 14 generic drugs used in hospitals, without pressure from shareholders to issue dividends or push a stock price higher“, we need to realise that this is merely the start of something much better in two directions. The first is that if the costs go down, there is more money for other hospital needs and also in the other direction, when people get affordable medication more will work on healing and in addition with added funds, the chance increases that they will adopt a healthier lifestyle and actually get better and more energised in their old age, which might change a few other things too.

Civica Rx

Yes, that will be a name to remember for a long time, especially when they start showing the results that their goals are set for. Yet this is merely the beginning. Let’s not forget that given a set of greedy hungry swine’s, when they get hungry they tend to let go of ‘morals’ and limitations, so unless severe warnings and protection is given to Civica Rx, they still have an uphill battle to fight. Forbes gives us (at https://www.forbes.com/sites/elliekincaid/2018/09/05/that-nonprofit-generic-firm-has-a-name-100-million-and-a-ceo-who-will-work-for-free/#38015e44ce06), gives us the name of the CEO Martin VanTrieste, he was also quoted with: “has agreed to work without compensation“. Now, I could never do that (due rent and such), but that shows a system where we would love to be a part of, does it not?

So when I see: “The healthcare systems involved: Catholic Health Initiatives, HCA Healthcare, Intermountain Healthcare, Mayo Clinic, Providence St. Joseph Health, SSM Health, and Trinity Health. The philanthropies: the Laura and John Arnold Foundation, the Peterson Center on Healthcare, and the Gary and Mary West Foundation“, I am actually surprised that the Bill Gates foundation has not (yet) knocked on that door offering a nice 8 figure amount, but you know, 2018 is not over yet.

So even as they start with 14 generic drugs, there is every indication that this can evolve to a number in the triple digits in the next 3-4 years making life a lot more affordable fast.

So what is the setting? Why is this given so important? Well, again we need to the UK numbers (as they are more reliable). It is not merely the setting of ‘cheaper’ that we need to realise, it is the attached setting of ‘proportion of spending on generic medicines that is in primary care, 2016-17’, which was 81% at that point. The second part is the logistics, a number that is even scarier than the margins and the exploded prices involved. You see there were 3,000 concessionary pricing requests made by pharmacists in November 2017, a few months earlier, basically before May 2017 the amount of requests made were less than 150, so an increase of 2000% of concessionary pricing requests. The impact of diminished budgets had that much a drain on logistical support for hospitals and NHS departments. When that pressure falls away, so much more can be done and that part is not visible to a much larger extent. there will remain a much larger issue when we look at the branded versus generic setting in both primary and secondary care, no one doubts that and that setting will remain, but over time that equation will change as well as speed up as the life cycle of branded patents end.

It becomes a little scarier when you consider that in the UK, Ten medicines accounted for £134 million of the net spend on price concessions. Topping this is Amlodipine 5mg, a medication for high blood pressure. This becomes important when we translate that to US numbers we can use. You see, in the United States, about 77.9 million, almost 1 out of every 3 adults have high blood pressure. Now consider when that becomes affordable and less of a drain for any health facility, the savings on this one drug could change the game for hospitals all over the US and at the same time prolong life for Americans. When we see that 18 out of 134 million is for that one prescription drug only, we start seeing the essential needs that Civica Rx is bringing to the table, and it has a much a much better impact than a salad (especially when reading about the McDonald Salads this morning).

SO what will come next? Well, they are off to a start, but I never trust anyone merely giving up their golden parachutes (referring to the current pharmaceuticals having to spread the negative news to their shareholders) and in light of the pharmaceutical patent escalations in India, I feel certain that Civica Rx is likely to face dozens of injunction meetings before the end of this year alone. After that the political engine will be turned against them as much as possible. I think it is important at that point to make sure that EVERY senator and congressman (m/f), will get the limelight set upon them to make the people aware of the elected officials that will make their lives more expensive.

Yet that is not the only part, the NHS report gives us the part that Civica Rx is trying to address as well, when the reporters investigated the underlying causes of pricing, the following parts were given on that report (attached here) on page 21.

The immediate cause of concessionary pricing is pharmacies being unable to purchase a generic medicine at, or below, the Drug Tariff price“, as well as “The Department identified three main underlying causes of the 2017-18 increase in concessionary pricing, and those three causes were:

  • The Medicines and Healthcare products Regulatory Agency and European regulators partially suspending the licences of three manufacturers of generic medicines;
  • A fall in the value of sterling; and
  • Governments and insurers in other countries putting downward pressure on the price of generic medicines, resulting in lower returns and manufacturers withdrawing from some markets or medicines: the reduced capacity and competition then increased prices within the UK market.

Now, the first is only an issue when it keeps on occurring and until more evidence is seen, the solution is not easy in this, the second is an impact, yet short lives and the US might not face that issue as it produced its own need, the UK is much more reliant on American pharmaceuticals. The setting of Civica Rx would when effective take away the cause of that element, making that a non-issue over time, it might initially still be a short term factor for Civica Rx to consider.

And it must also be stated that the elements could not be verified or quantified. There were too many elements in play in all this, but the significance on the factors seemed to clearly shown, but to the extent of how much remains a question that can only be proven over time (and with a lot more precise data).

It is my personal view that the report by Sir Amyas Morse KCB is quite extraordinary and even as it leaves us with questions (as any report does), it also raised the curtain on several issues, not merely showing the essential need of Civica Rx in any nation that is getting drained by healthcare costs, it sets the stage that the report empowers the existence of Civica Rx as well as the essential need for their sponsoring and protection ‘against’ some of the pharmaceutical companies, because generic medication or not, you introduce me to a commercial board of directors who do not care about lessened profits and I will introduce you to a group of people lying to you, it is basically that simple.

So we enter Friday with goodness form another direction, today brought to you by the Washington Post, a paper that still states that ‘Democracy dies in Darkness‘, I say that this is not entirely true, it is currently actively getting smothered with a pillow by the needy for greed and those who get their coins from a similar direction, but again, that is just me thinking with temporarily a few paranoid clouds overhead.

#MondayMorningIsOnly60HoursAway

#HappyFriday

 

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