Is There a Cure for High Drug Prices?

But, according to the Consumer Reports article, “Is There a Cure for High Drug Prices?”, the government already subsidizes about 38% of drug research in the form of grants. With these grants, I believe, should come stipulations on how the drugs are priced. This, in short, would involve coming up with a formula for the true cost of the drugs and an acceptable profit margin. The Consumer Reports article points out how the true cost of the drug may not be so straight forward. Production and distribution costs are simple enough, but research, marketing and advertising are a little more complicated. In my opinion, the government should determine about how much companies, on average spend on this, and come up with a constant that the companies can add on to the cost of production and distribution. From there, it’s a matter of deciding what profit margin most pharmaceutical companies will find acceptable. Also, the BBC’s “What’s a Fair Price for a Drug” reports that Turing Pharmaceuticals claims to have a program in place where people who cannot afford an expensive drug can get it for free. I think programs like these are great and should be encouraged and verified. That is, they should be incentivized, perhaps in the form of grants, and overseen to make sure they are functioning properly and not leaving anyone behind. I also liked an idea in the Consumer Reports article. Basically they suggest opening up foreign trade in pharmaceuticals with reputable sources in Canada and Europe. This would increase the supply of medical drugs by increasing completion and hopefully lower prices overall. Discussion two: In a quick summary of my entire sentiment: The medical industry should not be privatized or profited by any industry period. Health care, along with education, should be out of the hands of capitalists and in the control of government care. The profits of a few, at the expense of many is obviously a trait of any free market, especially with the growth of trade capabilities in this global market, but aspects of public welfare should be protected by the nations that govern them. In this scenario Pharmacy company X has spent 90% of its profits on research and development. Although it makes sense for a company to want to maximize its profits in order to make up for the opportunity cost, there are clear moral complications. In an idealistic situation, the government would provide and pay for the employees, the scientists, the facility and ultimately the research and development of the medicinal products and services themselves. Therefore making the need for making justified profit unnecessary. The idea that a medicine′s price needs to be justified in order to satisfy the market is an immoral decision and comes with poor understanding of the community and or a poor moral compass Pharmaceutical industry leaders like Martin S. corrupt the very nature of the products they are claiming will heal civilians. They hide behind the idea that excess profits will only help and further research and development. There is also the idea that increasing the price will create a market of competitors that will ultimately lower the price. The collateral damage of such a long term solution will only continue to take it′s toll on the consumers. Again the pharmaceutical leaders are all ultimately hiding from the reality of the situation. The fruits of scientific development in health care should not be exclusive to the highest building industry. Although economists as well as most business professionals may find themselves in crossroads with ethics at some point in time, you can only hope that the decision wont effect millions.

Does the fact that other Columbia County cities are also flooded and experiencing similar problems affect Columbia County’s capabilities to respond? What problems do you foresee? What are some solutions?

The following scenario describes conditions in Central City in the days immediately following a major weather event impacting the county’s western edge. Using the four emergency management disciples (preparedness, response, recovery and mitigations), the Incident Command System (ICS) and the National Incident Management System (NIMS) readings found in textbook and supplementary materials, provide written response to scenario discussion points. The group assignment is due week 6. Start to discuss the project in you assigned groups this week.
Scenario

Central City is part of Columbia County. The Roaring River is located in Columbia County and runs through downtown Central City. On March 8, after several days of unusually heavy rain and melting mountain snow, the Roaring River overflowed, flooding Central City’s downtown business area and the state’s utility complex. The entire downtown area is underwater and without basic utilities (electric and water). Business in the area has come to a standstill with many small store owners fearing the worst once night sets in. Also affected by the power outage is a nearby senior assisted living facility with more than 500 elderly residents unable to leave and in need of medical care. A low-income community located along the river’s edge has been isolated from the rest of the city due to the rising floodwaters. Storm and sewer drains are beginning to back up and garbage can be seen floating in the streets.
Due to the lack of transportation, many city residents were unable to leave the area when initial flood warnings were posted and are now stranded. There have been numerous requests for medical attention in the area, and several fires can be seen burning in the distance. Because the river twists and turns throughout Columbia County, other cities within the county are experiencing similar flooding conditions. The rain is expected to continue for the next 12-24 hrs, followed by a drying out and turning windy and cold.
1. Who are the 1st responders? What are their responsibilities?
2. What will be their biggest challenge?
3. What will is an immediate concern and what can wait?
4. What additional types of assistance (other than initial 1st responders) would be helpful here? How would they be used?
5. Does the fact that other Columbia County cities are also flooded and experiencing similar problems affect Columbia County’s capabilities to respond? What problems do you foresee? What are some solutions?
6. How would you classify this incident? Is it a high likelihood-low impact or a low likelihood-high impact? Explain?
7. Using the ICS, decide what type of command structure will be employed. Who will be part of your command structure?
8. What two circumstances may turn this event from an emergency to a disaster and what are your options once that happens?
9. What type of assistance can you expect from state? Describe the process for requesting state / federal assistance.
10. Once the floodwaters recede and the conditions return to normal, city council members will be looking for suggestions to avoid this type of disaster in the future. What mitigation recommendations can you make?

Speculate on why Susan might have done what she did. Include speculations about her marriage as well as her own childhood and adolescence.

Go to http://sciencecases.lib.buffalo.edu/cs/collection/ Type “Josie” in the Keyword Box and download the case
This case study is divided into 6 parts. After each part there are a series of questions. Jot down your initial impressions after each part.
Then, answer the following questions and discuss the case with your classmates.
1. Tell the class a brief history of this case.
2. Discuss the presenting problem, i.e., in the beginning did you think Josie was physically or mentally ill? How or why did your thoughts change?
3. What kind of treatment strategy would you recommend? Mention theoretical perspectives, or interventions/techniques and prognosis.
Other considerations (answer at least two of the following)
4. Do you think that Josie’s behavior or appearance influenced the care she received? Why? How did this impact her case?
5. What questions still remain? What other information would help you decide what is wrong with Josie?
6. With respect to the general public, how has the treatment of the mentally ill changed over time?
7. Do you think that medical professionals are sufficiently trained to differentiate medical from psychological illness? Why or why not? Can you give us an example of another illness which presents as a psychological concern but is chemically based?

Artificial Sanity
Please go to the following case:
http://sciencecases.lib.buffalo.edu/cs/files/artificial_sanity.pdf
1. Discuss some accepted models of mental illness, i.e., psychological, biological, behavioral. How do these differ? What assumptions are being made?
2. How do these different models influence the treatment of people with mental disorders?
3. Tell the class the history of the present case. What does “right to treatment” entail for Singleton? Does Singleton have schizophrenia in your opinion?
4. What are the assumptions about mental illness held by Singleton’s lawyer and the prosecutor? Support your answer with direct quotes from each lawyer.
5. Each lawyer appears to believe in a different model of mental illness. What model is each lawyer using to support his/her argument about how Singleton should be treated?
6. What is artificial sanity? Argue your own side of the case.

Sins of the Mother
Read the attached article. Then answer at least 4 of the following questions.

http://crimefeed.com/2016/07/a-look-back-at-the-susan-smith-case-23-years-after-the-south-carolina-mom-killed-her-2-young-sons/
Questions:
1. Susan violated what most people consider our most sacred trust when she killed her children. How could she have done it? Develop a profile of a woman who might kill her own children. Online, find the FBI’s profile of women who kill their own children. Compare your profile with the FBI’s profile.
2. Discuss potential effects that sexual abuse can have on a young woman. How might Susan’s experiences with her stepfather have affected her behavior?
3. Discuss possible pressures on a young couple that marries in their teens, especially under the circumstances of David and Susan’s marriage.
4. Identify nonverbal cues that Susan gave. Discuss how it is possible to tell if someone if lying from nonverbal behavior. What information does the use of the polygraph supply?
5. Speculate on why Susan might have done what she did. Include speculations about her marriage as well as her own childhood and adolescence.
6. Susan wanted relief from loneliness and the problems in her life. She wanted to commit suicide but did not want her sons to suffer as she had after her father’s suicide. She believed that if she killed her sons first and then committed suicide, her sons would suffer less than if she left them on their own. She felt burdened and was overwhelmed by the responsibilities of being a single mother. What role might depression have played in her actions?
7. Classify Susan according to the DSM IV-TR categories. What would the upcoming DSM V say?
8. Why didn’t her attorneys use the mental illness defense?

Describe the risk factors, stressors, and challenges the family member faced in his or her parenting situation due to the medical condition.

Create a case study based on one of the categories from Chapter 14. In your case example provide a scenario and explain the situation. (Note: the case study should include a family member and child).
Following the development of your case study, respond to each of the following questions and incorporate and cite at least two credible resources in your responses.
• Describe the factors that indicate a (chronic or fatal) medical condition was present and its impact on the family.
• Describe the risk factors, stressors, and challenges the family member faced in his or her parenting situation due to the medical condition.
• How does understanding these risk factors, stressors, and challenges help you support the family member within your professional counselor role?
• Give two strategies that you would use to ensure that the family member and their child receive the support they need.
When commenting to other students’ posts; address why you feel their strategies will or will not work. Give at least 1 positive comment. If you disagree, be sure to explain why.