After completing a residency in pediatrics and one in preventive medicine at Johns Hopkins, I started a practice for my neighborhood of Williamsburg, Brooklyn in September 2007. People would visit my website; see my Google calendar; choose a time and input their symptoms; my iphone would alert me; I would make a house call; they'd pay me via Paypal; and we'd follow up by email, IM, videochat, or in person.

Fast Company calls me The Doctor of the Future. I've got a design and consulting firm called The Future Well. Read more about me here.

  • 
The price of a course of ciprofloxacin, an antibiotic used the world over to treat a range of bacterial infections, varies enormously. The cost depends on where the pills are bought, and whether they are sold under a brand name (such as Ciloxan or Cipro) or as a generic version. According to data collected by Health Action International, an NGO, branded pills sell for an average of $101 a course in America, while the generic variant is available for $9.25. In Britain, branded versions cost only about half as much as in America, perhaps reflecting the bargaining power of the country’s National Health Service. In India, large drug companies compete to cater to poor consumers, ensuring that even branded ciprofloxacin costs less than $2.50 per course. And Brazilians pay about the same for branded and more for generic ciprofloxacin than even much wealthier Americans. Differences in national health-care systems mean that consumers typically shell out different proportions of the full cost of pills, because many countries subsidise medicine. (via The price of pills: Drug money | The Economist)

So a drug is an actual chemical compound with a very defined chemical structure. The chemical structure is what the FDA approves. That’s what makes it a certain drug. A different chemical structure is a different drug.
Therefore, there is no difference at all between a branded medication and a generic medication. There is no difference between Cipro the brand and ciprofloxacin the generic. It’s just marketing. Ask your neighborhood pharmacist. They get ciprofloxacin for about 7 cents a pill.

    The price of a course of ciprofloxacin, an antibiotic used the world over to treat a range of bacterial infections, varies enormously. The cost depends on where the pills are bought, and whether they are sold under a brand name (such as Ciloxan or Cipro) or as a generic version. According to data collected by Health Action International, an NGO, branded pills sell for an average of $101 a course in America, while the generic variant is available for $9.25. In Britain, branded versions cost only about half as much as in America, perhaps reflecting the bargaining power of the country’s National Health Service. In India, large drug companies compete to cater to poor consumers, ensuring that even branded ciprofloxacin costs less than $2.50 per course. And Brazilians pay about the same for branded and more for generic ciprofloxacin than even much wealthier Americans. Differences in national health-care systems mean that consumers typically shell out different proportions of the full cost of pills, because many countries subsidise medicine. (via The price of pills: Drug money | The Economist)

    So a drug is an actual chemical compound with a very defined chemical structure. The chemical structure is what the FDA approves. That’s what makes it a certain drug. A different chemical structure is a different drug.

    Therefore, there is no difference at all between a branded medication and a generic medication. There is no difference between Cipro the brand and ciprofloxacin the generic. It’s just marketing. Ask your neighborhood pharmacist. They get ciprofloxacin for about 7 cents a pill.

    45 notes    /   Comments    /   Posted 2 years ago from bookmarklet
    1. sgtpepperjacket reblogged this from jayparkinsonmd
    2. yourmomisaculturalconstruct reblogged this from jayparkinsonmd and added:
      I found this breakdown to be really interesting. I would like to look at it further by comparing income/class...
    3. lochness21 liked this
    4. altidude reblogged this from jayparkinsonmd and added:
      I’ve heard all kinds of explanation/excuses for why this is, but they all seem to boil down to “gouging where we can,...
    5. iphoting reblogged this from cflee and added:
      It’ll be cool to see where Singapore stands in the chart.
    6. angiepants reblogged this from lipglossblackleather and added:
      Goooooooood bless Americaaaaa…
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    12. unicorngirl reblogged this from caraobrien and added:
      That’s depressing. I knew, but I didn’t know. So what the fuck is up with you American pharmaceutical companies? Are you...
    13. almaswithinalmas reblogged this from caraobrien and added:
      I took an introductory course on Health Economics, and if I remember correctly a generic drug is not the exact same...
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