pharma-karma
Trying to illustrate the goods and evils of the pharmaceutical industry and seeing if we can't reciprocate.
11/13/11
Euro Crisis
Founders of Prosperity
Not Enough?
past couple of years. Doctors have been struggling with shortages in common anesthetics, and an irreplaceable muscle relaxant needed for patients in emergency situations. Similar scenarios have been happening throughout the country and around the world. In the U.S., there have been as many as 15 deaths due to ongoing shortages. Some of the pharmaceutical industry experts have stated that they think the situation is only going to get worse unless there is more pressure put on the drug companies to prevent future shortages. Drug makers have agreed that they will give advanced notice about shortages through an online database, but this does not solve the overall problem. This is just a way to deal with the shortages. Dr. Malcolm Moore of Princess Margaret Hospital (in Canada) said, “It’s not enough it’s a way of dealing with a crisis . . . but it’s not a solution.” Doctors and physicians of Canada and the U.S. have reported that the shortages have caused delays and cancellations in medical procedures. They said that alternative
procedures don’t work as well, they can be more toxic, have unexpected side
effects, and may not even work at all.
Many pharmacists and physicians don’t believe that explanation, and have argued that the shortages are driven by profit motivated decisions. But, a recent study found that the central cause of the shortages to be a combination of the factors stated above along with the demand has increased and the production rate has stayed the same. So, companies in both the U.S. and Canada have plans to boost production, but it could be years before hospitals and pharmacies notice the effects of the changes.
http://www.thestar.com/article/1085977--it-makes-you-think-there-s-something-wrong-with-the-whole-system-that-needs-to-be-fixed
Cutting the Fat
The pharmaceutical industry is heavily capital reliant for every dollar they spend on capital they spend only 36 cents on labor. But capital expenditures have been decreasing, mostly to eliminate redundancies created by company mergers.
As talked about in previous posts most major pharmaceutical companies already have factories all over the world so companies like Pfizer are closing factories to reduce costs and continue to bolster profits. Pfizer plans to close a facility the United Kingdom and shift some operations from its Connecticut R&D facility to its Cambridge, Massachusetts site. They have gone from over 81 facilities in 2009 to 76. Personnel was at 111,500 after the merger with Wyeth, down from 120,700.
In an industry reliant on a steady supply of new drugs many companies are cutting their research and development. GlaxoSmithKline, Pfizer and AstraZeneca are all cutting their R&D budget. AstraZenaca is cutting 1,800 R&D jobs while Pfizer is reducing total expenditure on R&D from 11 billion after their acquisition of Wyeth to between 8 and 8.5 billion. In contrast Merck has increased their R&D expenditures by over 10% from 2008 to 2009, some of this was due to their acquisition of Schering-Plough. Overall they will still be spending around 14% of their revenue on R&D. At the same time Merck has been laying off thousands of employees, half of which were in the U.S., to reduce production costs and to outsource non-core manufacturing, they have cut over 11% of there workforce.
In order to reduce costs the industry has been outsourcing manufacturing jobs over the years. Pfizer recently entered an agreement with India-based Claris Life sciences Ltd. to commercialize 15 sterile injectable medicines. Pfizer stated back in 2009 that they wanted to increase their outsourced manufacturing from 17% to 30% over the next three years. Another major thing being out sourced is analytical testing. Clinical trials in India are expected to increase to 8% of total worldwide testing by 2016. Soon every major drug manufacturer will have operations in India thanks to their trial recruitment, lower labor costs, a rich talent pool and tax incentives.
Sources
http://www.pfizer.com/files/corporate_citizenship/cr_report/manufact_supply.pdf
http://clients.ibisworld.com.proxyau.wrlc.org/industryus/competitivelandscape.aspx?indid=487