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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsShortages of vital drugs, rationing are the new normal in American medicine
In the operating room at the Cleveland Clinic, Dr. Brian Fitzsimons has long relied on a decades-old drug to prevent hemorrhages in patients undergoing open-heart surgery. The drug, aminocaproic acid, is widely used, cheap and safe. It never hurt, he said. It only helps.
Then manufacturing issues caused a national shortage. We essentially did military-style triage, said Dr. Fitzsimons, an anesthesiologist, restricting the limited supply to patients at the highest risk of bleeding complications. Those who do not get the once-standard treatment at the clinic, the nations largest cardiac center, are not told. The patient is asleep, he said. The family never knows about it.
In recent years, shortages of all sorts of drugs anesthetics, painkillers, antibiotics, cancer treatments have become the new normal in American medicine. The American Society of Health-System Pharmacists currently lists inadequate supplies of more than 150 drugs and therapeutics, for reasons ranging from manufacturing problems to federal safety crackdowns to drugmakers abandoning low-profit products. But while such shortages have periodically drawn attention, the rationing that results from them has been largely hidden from patients and the public.
At medical institutions across the country, choices about who gets drugs have often been made in ad hoc ways that have resulted in contradictory conclusions, murky ethical reasoning and medically questionable practices, according to interviews with dozens of doctors, hospital officials and government regulators.
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http://www.nytimes.com/2016/01/29/us/drug-shortages-forcing-hard-decisions-on-rationing-treatments.html?_r=0
Turbineguy
(37,355 posts)that people who survive due to cheap drugs might live to require expensive drugs?
cali
(114,904 posts)phantom power
(25,966 posts)"OMG OMG THERE WILL BE RATIONING!!1!!"
Erich Bloodaxe BSN
(14,733 posts)to make all the necessary but not as profitable drugs that other companies aren't willing to make.