Well, I'm not for central planning of the economy either way, I just thought the Soviets messed up more than one would expect just from the limitations of central planning.
I think I've seen statistics which shows the US healthcaresystem to be rather inefficient though.
I don't remember suggesting that medicine is corrupt, what I have suggested is that an obsene amount of money is being wasted on comercials for the stuff.
Also due to the high profitmargin on meds it becomes economical to spend an obscene amount of money on marketing, this could have been spent better in my opinion.
My preffered solution is for government to buy and retire patents at slightly higher than market prices. Selling would off course be volountary, but should be profitable.
I'll be back to see if I missed anything in an hour or so.
Eugen Richter, a 19th century German liberal.
Based on socialist principles as expounded by August Bebel, ...
I can't really follow where his views showed similarities in post-1945 East Germany (besides your quotes).
Einherjar wrote:Well, I'm not for central planning of the economy either way, I just thought the Soviets messed up more than one would expect just from the limitations of central planning.
I have thought about this, and have run into the problem that I don't know what one would expect just from the limitations of central planning. We have the benefit of hindsight and know what consistently happened to all countries whose constitutions called themselves socialist so far. The only hunch I have comes from Eugen Richter, a 19th century German liberal. In 1891, he wrote a text called Pictures of the Socialistic Future [/i]. Based on socialist principles as expounded by August Bebel, he tells a science fiction story about how these principles would play out in practice. And it turns out that at the end of his story, his futuristic Germany looks remarkably similar to post-1945 East Germany. There could be a selection bias there -- few webmasters would bother mirroring a 1891 misprediction on their server. Still, on the strength of Richter's book, I am inclined to say that the failure of socialism was predictable, and in fact predicted by someone who didn't have hindsight.
Einherjan wrote:I think I've seen statistics which shows the US healthcaresystem to be rather inefficient though.
I have seen them too, and I admit they do have some merit.
Einherjan wrote:I don't remember suggesting that medicine is corrupt, what I have suggested is that an obsene amount of money is being wasted on comercials for the stuff.
Yes, and 'corrupt' was my shorthand for this. Actually, I'm not buying that they spend more money on commercials and lobbying than on research. Can you supply evidence of that?
There is no question that advertising is an effective vehicle for increasing sales. Since the 1997 relaxation of direct consumer advertising by the FDA, drug companies have increasingly utilized this strategy to gain and retain customers.37 One source estimates that drug companies
spent $2.5 billion on consumer advertising in 2000.38 The same source also estimated that these ads might have brought in as much as $5 to $6 in return for each dollar spent on advertisements.39 While drug companies do not openly disclose marketing expenditures, the
amount is estimated to be much more than what is allocated to research and development.40 While drug companies argue that patent term extensions are necessary to justify large research and development costs, this reasoning falls short when the major cost in new drugs is advertising, rather than research and development.
Einherjan wrote:Also due to the high profitmargin on meds it becomes economical to spend an obscene amount of money on marketing, this could have been spent better in my opinion.
What makes you think the profit margin on meds is that high -- that is, after you account for up-front investments and the risk of developing medications that don't make it into the market?
Einherjar wrote:My preffered solution is for government to buy and retire patents at slightly higher than market prices. Selling would off course be volountary, but should be profitable.
I don't think that's a terribly bad solution, but the problem is that buying would not be voluntary for those who pay for it with increased their taxes. If you account for that, why is your plan still worth implementing?
Einherjan wrote:I'll be back to see if I missed anything in an hour or so.
Looking forward to it!
I've been googling for more, but it seems there aren't a lot of numbers out there. I'll instead try to make a case that it would be logical to expect massive spending on advertising from Pharmaseuticals.
Once a drug has been developed the Pharmaceutical is looking to maximize its profits off of it, its return on investment if you will. Over a period of 20 years the pharmaceutical has a monopoly of the market, and sets prices so that an increase in profits by increasing the price of the drug would be offset by the resulting decrease in consumption.
One might even pass legislation banning branding of drugs by manufacturers, in effect forcing all aproved manufacturers to sell under the same brand. That would cut marketing expenditures even more.
Funding R&D by increased costs of that which is patented introduces what I think is an unhealthy distortion to the market, reducing the desireability of implementing/purchasing it.
You might try the income statements of major pharmaceutical companies. I just tried it for Novartis, Johnson & Johnson, Merck, and Pfizer. All those companies spend about twice as much on "selling general and administration" than they do for "Research and Development". So what you're saying could be true. Then again, if you compare it to the figures your source gives on consumer advertizing for the whole industry, their R&D expenses seem much larger.
You might try the income statements of major pharmaceutical companies. I just tried it for Novartis, Johnson & Johnson, Merck, and Pfizer. All those companies spend about twice as much on "selling general and administration" than they do for "Research and Development". So what you're saying could be true. Then again, if you compare it to the figures your source gives on consumer advertizing for the whole industry, their R&D expenses seem much larger.
Einherjar wrote:One might even pass legislation banning branding of drugs by manufacturers, in effect forcing all aproved manufacturers to sell under the same brand. That would cut marketing expenditures even more.
It would certainly make the sellers of obsolete drugs happy. If the new drugs can't be advertised for, nobody will ever know the old drugs have been obsoleted.
Einherjar wrote:Funding R&D by increased costs of that which is patented introduces what I think is an unhealthy distortion to the market, reducing the desireability of implementing/purchasing it.
I don't understand. Why is it a distortion if the consumer of a drug, who gets the benefits of taking it, also pays for the research that brought the drug into existence? This looks to me like a market working as it's supposed to. Why do you want a consumer to get a free ride on research other people have paid for?
Certainly their advertising costs are high, but the return on these costs, particularly its effect on the reliability of investment decisions, is also high. We have seen a great deal of investment in the development of pharmaceuticals over the last several decades, and significant benefits have resulted from it. It is important not to kill the goose that lays the golden eggs, particularly through well-intended, but ultimately foolish, meddling in a not-perfectly-understood process that already yields good results.
Well as a general rule I would like for research costs to be considered sunk costs for the purpose of determining wether or not it would be worth the cost to implement it / purchase it.
If it would have been cost effective at production price I would like to see it used.
I think the philosophy behind the various forms of healthcare-subsidies is that some people incur great expenses trough sheer bad luck, and some sort of insurance scheme is in order.
How about if it's not cost effective at production cost, but cost effective at production cost plus capital cost on research and development?
Let's go over this again:
I would have the government pay for the development of a feature by buying the patent of it at slightly above market value, IF the patentholder agrees to sell. Traditional monopoly would remain an option, but governments offer should be more profitable to the developer.
Governments however generally act as though the option to buy the property of private owners is equivalent to the right to do so. Moreover, the extent of government's power to punish, through the powers to regulate and tax, those who refuse or otherwise disagree is so great as to invite abuse. This makes me skeptical of such things.
I am not looking to reduce incentive to research or develop, after all I would not restrict the right of companies to keep their patents and go about the market as a temporary monopoly. I'm just proposing that government makes favorable offers to buy and retire them. I think this would benefit the society as a whole.
You wouldn't need to purchase the patent early on, you'ld be able to wait until it was ready to hit the market. In the case of medication you could even afford to wait for the product to prove itself on the market before making an offer, because nobody who needed the medication would delay purchasing it to see if the patent would be retired by government anyway. The government offer could be calculated by some formula based on first year profits and time remaining until expiration. Aiming at say 110% of market value one would expect to get at least a majority of patents purchased.
For industrial equipment the problem bothers me more. I guess one could leave the product on the market for a year, and reimburse the R&D premium paid by businesses that implemented the feature before the patent was retired, if indeed it was retired. I'm not quite sure how the suspense would effect the market though. One could also make the offer just before the product vent into production, and just tolerate a bit of inaccuracy in the asessment. Corruption might be a problem though.