Bernie Ecclestoned @ bernieecclestoned @sh.itjust.works

vintage champagne socialist

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2 yr. ago

For herpes

Doctors in the UK could write me an RX and I could take it to Germany to fill.

So, just a £500 round trip to get a script filled?. The number of people doing that must be minuscule

Was a common thing for many who often had to work cross borders

So not common at all then.

But the extra work of filling forms and providing data evidence to support those forms is something that has to come from somewhere

Yep. But forms can be automated and policy can be written to make the UK more attractive for pharma

While at the same time we gain no ability to buy from out of EU nations that we did not have before brexit

Other than things like Project Orbis?

https://www.gov.uk/guidance/guidance-on-project-orbis

But you are still forgetting the main point. EMA allows the nations under it to move drugs around

Not during shortages, the Single Market doesn't force anyone to share anything

If ou need a drug in one nation. That your helth service dosent want to provide. You can buy it yourself and import from another EU nation. As we could in 2019.

Without a prescription?

Now you cabnnot unless MHRA also covers it. So any drug created since 2020. Requires 2x the paperwork to even give you the option to buy.

The MHRA did the vast majority of the certification for the EMA...and the UK is still using the EU law and EMA to approve most medications

But, while the UK still relies on ema decisions, it has approved new cancer drugs more quickly

Brexit was also hailed as an opportunity for the UK to innovate alongside international partners, and here the UK has made progress. A number of schemes to fast-track promising drugs have borne fruit: in 2021, four innovative new cancer drugs were approved in the UK via an international scheme, Project Orbis, coordinated in the US with other non-EU partners. Additionally, the national Early Access to Medicines Scheme, which allows UK medics to prescribe before formal MHRA approval, saw another four medicines fast tracked for patients.

https://www.imperial.ac.uk/business-school/ib-knowledge/health/post-brexit-medicine-approvals-what-we-know

And the UK has the 7th largest share of the global pharma market. Do pharma suppliers not bother with approvals in Japan or Canada either?

The population of the EU is approx 448m (jan 1 23) the UK 67.7+m (23 no date) so the simple fact is where companies have a choice to sell. They have 6.5x the potential customers for exactly the same amount of documentation as the UK.

It's not that simple though, the supposed panacea that is the single market is just that. You can't just sell into the single market, you need sales and ops for each country.

In Germany, around 90% of medicines that obtain marketing authorisation from the European Medicines Agency (EMA) are available to citizens while in Lithuania, for example, it is only 20% of the approved drugs.

Another major problem is the length of time it takes for a drug to appear on the national market after EU registration.

Germany is again the leader in this respect, with a waiting time of around 100 days. At the other end of the spectrum is Romania, where the procedure can take up to 900 days, or 2.5 years. In the Czech Republic, the average time for the whole process is around 1.5 years.

https://www.euractiv.com/section/health-consumers/news/a-single-market-for-medicines-would-be-no-panacea-pharma-companies-warn/

Doubt. Brexit 'red tape' is just an import form. They aren't that hard to figure out, especially as the majority of drugs are generics and are supplied from outside the EU anyway. Brexit just created a level playing field for all the pharma suppliers. I thought the EU wanted a LPF?

I think drug companies are quite keen to remain supplying one of the world's biggest drug buyers 👇

https://www.theguardian.com/business/2023/jul/08/revealed-pharma-giants-pour-millions-of-pounds-into-nhs-to-boost-drug-sales

UK should up it's manufacturing and broaden its supply chain to ensure supply. Especially as it's a Europe wide shortage and not brexit related. Kind of hard to import a drug if it's not available

Yes but. Spreadsheets used to be done by hand, yet we still have bookkeepers

Maybe they're lying?

It's literally under it in the meme

I can do spreadsheets lying down

One country promised a second country a third country's land

Exactly, change the leader or change the leader

Thanks for posting, I've been looking for a no code option

The whole industry is toxic, mentally and environmentally.

Cruella Braverman

Blog

Using everything that happened in the 20th century as evidence, no mystery. There's good governance and bad management. Just one is more effective overall.

Ok good. So capital is required for capex and opex.

As you start with 0 sales you need to get capital from investors to fund you until sales >1