# The 10 drugs

**URL:** <https://forum.fudiabetes.org/t/the-10-drugs/14092>\
**Category:** Medicines\
**Tags:** medicare\
**Created:** [August 30, 2023, 12:54am UTC](https://forum.fudiabetes.org/t/the-10-drugs/14092 "2023-08-30T00:54:58Z")\
**Posts on this page:** 7\
**Page:** 1

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**Author:** ![jbowler](https://avatars.discourse-cdn.com/v4/letter/j/e274bd/32.png) [@jbowler](https://forum.fudiabetes.org/u/jbowler)\
**Post date:** [August 30, 2023, 12:54am UTC](https://forum.fudiabetes.org/t/the-10-drugs/14092/1 "2023-08-30T00:54:58Z")

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The 10 drugs for Medicare to negotiate the price have been chosen:

> **[Biden names 10 drugs for Medicare price negotiations](https://www.bbc.com/news/world-us-canada-66649525)**
>
> The first-ever price negotiations could make costly drugs more affordable for older Americans.

The list is enumerated by NBC (without the context for people outside the US):

> **[Medicare names first 10 drugs up for price negotiation with government](https://www.nbcnews.com/health/health-care/medicare-names-first-10-drugs-price-negotiation-government-rcna101166)**
>
> Popular — and pricey — blood thinners and diabetes drugs are on the list.

The interesting entry from our point of view is the last two, if correctly reported by NBC: “Fiasp and NovoLog”. OK stop laughing; that may actually be correct (Fiasp is Novolog with an adjuvant, the competing products are Lyumjev and Humalog…)

Clearly more investigation is required, like finding the CMS news release. I don’t quite believe the NBC one since it is inconsistent with the, perhaps optimistic, BBC interpretation.

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**Author:** ![jbowler](https://avatars.discourse-cdn.com/v4/letter/j/e274bd/32.png) [@jbowler](https://forum.fudiabetes.org/u/jbowler)\
**Post date:** [August 30, 2023, 1:02am UTC](https://forum.fudiabetes.org/t/the-10-drugs/14092/2 "2023-08-30T01:02:14Z")

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Here’s the source of the news river:

> **[Blood thinners, diabetes meds among first 10 drugs for US price negotiations](https://www.reuters.com/business/healthcare-pharmaceuticals/us-name-first-10-drugs-medicare-price-negotiation-2023-08-29/)**
>
> The Biden administration on Tuesday released its list of 10 prescription medicines that will be subject to the first-ever price negotiations by the U.S. Medicare health program that covers 66 million people, with blood thinner Eliquis from Bristol...

The well-spring giving rise to the source:

> **[Statements by CMS Leadership on Historic Announcement of First Selected Drugs...](https://www.cms.gov/newsroom/press-releases/statements-cms-leadership-historic-announcement-first-selected-drugs-medicare-drug-price-negotiation)**
>
> For the first time, Medicare is able to directly negotiate the prices of prescription drugs due to President Biden’s lower cost prescription drug law, the Inflation Reduction Act. Today, leaders of the Centers for Medicare & Medicaid Services (CMS)...

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**Author:** ![TomH](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/tomh/32/9063_2.png) [@TomH](https://forum.fudiabetes.org/u/TomH)\
**Post date:** [August 30, 2023, 2:56pm UTC](https://forum.fudiabetes.org/t/the-10-drugs/14092/3 "2023-08-30T14:56:39Z")

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It promises to be a long fight through the courts. At least seven lawsuits have been filed against the effort, including one by the US Chamber of Commerce claiming unconstitutionality. I’m sure some court will file an injunction while the suits progress and the pharma orgs will slow role the court progress to wring max profits in the time period (years) just in case they lose.

While I don’t see how negotiation of prices can be unconstitutional (every fed branch competes and negotiates contracts), the manner used in ref to drugs is like a sword is Damacles (sp?) hanging overhead as “incentive”.

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**Author:** ![larry-butler](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/larry-butler/32/10467_2.png) [@larry-butler](https://forum.fudiabetes.org/u/larry-butler)\
**Post date:** [September 4, 2023, 5:50pm UTC](https://forum.fudiabetes.org/t/the-10-drugs/14092/4 "2023-09-04T17:50:01Z")

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> **[The Sword of Damocles Is a Roman Moral Philosophy on How to Be Happy](https://www.thoughtco.com/what-is-the-sword-of-damocles-117738)**
>
> The Sword of Damocles was described by the Roman orator Cicero in his 'Tusculan Disputations'. But what was the original meaning?

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**Author:** ![jbowler](https://avatars.discourse-cdn.com/v4/letter/j/e274bd/32.png) [@jbowler](https://forum.fudiabetes.org/u/jbowler)\
**Post date:** [September 4, 2023, 9:38pm UTC](https://forum.fudiabetes.org/t/the-10-drugs/14092/5 "2023-09-04T21:38:31Z")

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That is how the drug companies seem to be treating it, and it is a fairly accurate description. Summarized: if you keep on this way you will die. That’s not the way it was intended, though the people who ended up with this approach probably realized full well what they were doing; the original, and underlying, aim is for the CMS to be able to “negotiate” prices but the philosophical objection is that this allows the CMS to “set” prices (this is the way it is done in the UK) and this approach is “anti-competitive” and therefore unacceptable from a religious viewpoint.

This is what is referred to here (the US) as “politics”, so quotes from Cicero are out of place. I was trying to present information so that people on FUD can see what is happening and, indeed, what is not happening.

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**Author:** ![larry-butler](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/larry-butler/32/10467_2.png) [@larry-butler](https://forum.fudiabetes.org/u/larry-butler)\
**Post date:** [September 4, 2023, 11:07pm UTC](https://forum.fudiabetes.org/t/the-10-drugs/14092/6 "2023-09-04T23:07:42Z")

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Your post was accurate & mine meant as no reproach. I replied to furnish correct spelling of “Damocles”. Found this link the most interesting. Classics are never out of place, though like scripture they can be applied variously. Authors of America’s constitution were classically educated & their concepts derive much from Greek & Roman accounts. Indeed all should be aware & raise concerns & voices to political reps.

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**Author:** ![jbowler](https://avatars.discourse-cdn.com/v4/letter/j/e274bd/32.png) [@jbowler](https://forum.fudiabetes.org/u/jbowler)\
**Post date:** [September 4, 2023, 11:27pm UTC](https://forum.fudiabetes.org/t/the-10-drugs/14092/7 "2023-09-04T23:27:38Z")

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Indeed; I didn’t mean my post to dis you. Just trying to head off “politics” which has cause me problems here before.
