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November Canadian
Pharmacy News
News Issue November 2006
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In This
Issue:
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Democrats Negotiating Drug Prices
The insurers of
the roughly 22.5 million seniors and disabled enrolled in federally
subsidized private plans negotiate with pharmaceutical companies over the
price of covered drugs, but the Democrats coming into Congress have
promised a new approach. The incoming lawmakers have discussed using
federal purchasing power to negotiate drug prices, produce substantial
savings, and improve the overall program.
The
government, this year alone, is expected to spend $31 billion on Medicare
Plan D, and next year it is estimated to increase approximately another
$19 billion, to a total of $51 billion. In 2003, the government which is
controlled by the Republican's wrote rules that preclude Medicare from
negotiating prices directly with the pharmaceutical industry. Now, once
the Democrats are in control in January, their top priority was to lower
the prices of the prescription drugs. However, Bush's administration has
said that they will oppose this plan.
The
Secretary of Health and Human services, Michael Leavitt has stated that
"in politics, most specific issues like this are a disguise for a larger
difference. Government negotiation of drug prices does not work unless you
have a program completely run by the government. Democrats say they want
the government to negotiate prices. What they really want is the
government-run health care."
According
to the New York Times, "Nancy Pelosi, a democrat has said that the house
will take up legislation to repeal that ban in its first 100 hours under
Democratic control. If the federal government was to negotiate prices, it
would generate significant savings, which could be used to close doughnut
hole in the Medicare Plan D coverage."
Medicare currently pays for
medications through private insurers, which are running Plan D. These
insurers pay much higher prices for drugs than government plans such as
Medicaid and the Veterans Administration, which are allowed to contract
for lower prices. Pharmaceutical companies are legally required to give
Medicaid plans at least a 15 percent discount on manufactured drugs. It
would seem that Plan D should have similar discounts, but this is not
allowed in the current Plan D. Fortunately, the newly elected Democratic
Congress wants to correct this serious problem, if the Bush Administration
would allow it.
For more information on
negotiating drug prices visit:
http://www.nytimes.com/2006/11/13/washington/13medicare.html
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Sleep Deprivation could be causing High Blood Pressure
High blood pressure is a common problem world wide. After doing research, researchers
believe that one of the factors which plays a role in blood pressure is
lack of sleep. If so, you may
be increasing the risk of developing high blood pressure. Studies which
have been done in the United States have shown that Americans have been
sleeping less each night than is recommended, which lead some people to
suspect that there is a relationship between the amount of sleep you get
each night and blood pressure. Experiments were conducted with people who
were suffering from high blood pressure as well as people that have normal
blood pressure. From these experiments researchers found that the
individuals that were tested, when their sleep was cut short their blood
pressure had increased. For more details on exactly how the study/or
experiment was conducted visit:
High blood pressure is not solely dependent on the amount of
sleep you get each night, there are many other factors which need to be
considered before pinpointing the reasons of hypertension. It is known that while a person is
sleeping their blood pressure is low and it immediately increases when a
person wakens. Thus, on
average, people would have higher blood pressure when not getting enough
sleep because they would have shorter periods of low blood pressure.
James Gangwisch, MD, the lead author of the study from the
College of
Physicians and Surgeons at
Columbia
University in
New York,
NY tries to explain the different
relationships found between the lack of sleep and the risk of high blood
pressure in younger and older age groups. "First, subjects experiencing
hypertension, obesity and diabetes would be less likely to survive into
their later years. Second, advanced age is associated with changes in
sleep architecture with increased difficulties in sleep initiation and
maintenance. Elderly subjects, who are often retired, also have more
opportunities to take naps during the day. Third, sleep disordered
breathing is associated with hypertension in subjects below the age of 60
years but not in subjects 60 years of age or older." In an American poll, the National
Sleep Foundation 2002, the lack of sleep was associated with irritability,
impatience, pessimism, and feeling tired and stressed.
All of the studies suggest that lack of sleep contributes to
high blood pressure, however the link between the two are not definitively
established. Much more research needs to be done to get a good
understanding of the two being linked. As a result, getting enough sleep
is very important to your health, which can prevent many other problems
caused by high blood pressure.
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