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Radhika Chandrasekharan

The Monopoly

over Insulin
$300 The average list price per
vial, in the US.
100

75
American Insulin Prices
50
are Off the Charts
25

Average price per standard Unit of Insulin in


0 selected countries in 2018
Australia France Canada Japan US
OPICS TO COVER High Prices
• Defining Teamwork Monopolies
• Developing Collaboration Generics
• The Power of Teamwork Patents
• Why Teamwork Matters Marketing Schemes
• The Benefits of Teamwork Politics
Eli Lilly Novo Nordsik Sanofi
Creative Director Head of Accounts Business Development Manager

Presentations are Presentations are Presentations are


communication tools. communication tools. communication tools.
Generics

Rather than a chemically synthesized


molecule, Insulin is a therapeutic biological
product.
Patent evergreening essentially
allows companies to hold a monopoly
over a particular
1.
Discourages
Competition

2.
Prices remain high

3.
Less available to the
public
100

Marketing Schemes 75

Physicians are working for the benefit of 50


the pharmaceutical companies rather
than for the patients.
25

0
Australia France Canada Japan US
Politics

Pay For Delay Lobying Politicians Price Fixing

a patent dispute settlement in which a The big three spend millions on


generic manufacturer acknowledges lobbying politicians and donating to
the original patent of a pharmaceutical our decision-makers so that they keep
company and agrees to refrain from quiet about price gouging.
marketing its product for a specific
period of time.
Why does this
Matter?
Do you think accessible Medicare is
important?
7.4 million 1 out of 4
Patients with diabetes reports using
Americans with diabetes use one or less insulin than prescribed, due to the
more formulations of insulin cost
Rationing
Profit over Lives
Josh, who was living with his fiance, had to
move back their wedding due to increasing
insulin prices. Their insulin and diabetes
supplies were costing more per month than
their rent. The rent was $1000 per month. Their
diabetes costs were $1064. The insulin and
supply prices increased again, so they again
switched to inexpensive, often inaccurate,
blood glucose testing supplies.

Affordibility
Josh A Type 1 Diabetic typically needs 2-4 bottles a
month and can use up to 8 or more syringes
per day. Some bottles of insulin sell up to $300
Weaver each, and the cost per bag of 3o syringes is $30.
The cost adds up to $120 per month.
Risky situations
Rationing Deaths from insulin rationing are
the outer edge of a continuum that
1 in 4 patients (25.5%) at the
includes patients who are risking
urban clinic at Yale reported some
blindness, amputations, and
type of cost-related insulin
hospital stays. For these patients,
underuse in the previous 12
rationing could erode their health,
months
and the costs will fall to Medicare or
possibly Medicaid
Othe
r
8%

Number #1 Priority
In a 2019 Harvard-Politico poll, 92 percent
of Americans said lowering high drug
prices should be the number one priority
for of Congress.

Lower Drug
Prices
92%
What do we do?
Contact you Representatives!
Current Solutions
Current Solutions are stopgaps, a study
published by the Yale Diabetes Center
states that's, such solutions do little to
address the problem.
Control Prices
As stated by Dr.Lipska, the
best way to help people is to
bring the price substantially 100
down.

75

50

Encourage 25
competition
In order to bring the cost down
0
even further we need to Australia France Canada Japan US

prevent patent evergreening


Works Cited
“8 Reasons Why Insulin Is so Outrageously Expensive.” T1International, www.t1international.com/blog/2019/01/20/why-insulin-so-
expensive/.

“American Insulin Prices Are off the Charts.” Statistica, RAND Corporation, 2018.

Chesak, Jennifer, and Lara Antal. “Insulin Prices: How Much Does Insulin Cost and Why?” Verrywell Health, Dotdash, 14 Oct. 2020,
www.google.com/imgres?
imgurl=https%3A%2F%2Fwww.verywellhealth.com%2Fthmb%2FPi__qlhJbz9fc5ZRtRNcIJ0cOIQ%3D%2F1500x1000%2Ffilters%3Afill(8
7E3EF%2C1)%2Finsulin-prices-how-much-does-insulin-cost-and-why-5081872-
5e02b03bc0254749b01204e6b723aedd.png&imgrefurl=https%3A%2F%2Fwww.verywellhealth.com%2Finsulin-prices-how-much-
does-insulin-cost-and-why-
5081872&tbnid=61M0rg75aaa5oM&vet=12ahUKEwi89qSNtcXvAhVxoK0KHTczAS8QMygWegUIARCtAQ..i&docid=VEjv4sZtMKFMZM&
w=1500&h=1000&q=insulin%20prices&safe=active&client=safari&ved=2ahUKEwi89qSNtcXvAhVxoK0KHTczAS8QMygWegUIARCtAQ.

DrugPatentWatch. “Does Drug Patent Evergreening Prevent Generic Entry? – DrugPatentWatch - Make Better Decisions.”
DrugPatentWatch, DrugPatentWatch, 6 May 2019, www.drugpatentwatch.com/blog/does-drug-patent-evergreening-prevent-
generic-entry/.

Popken, Ben. “With Rise in Patients Dying from Rationing Insulin, U.N. Tries a New Solution.” NBCNews.com, NBCUniversal News
Group, 15 Nov. 2019, www.nbcnews.com/business/business-news/rise-patients-dying-rationing-insulin-u-n-tries-new-solution-
n1083816.
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The next steps
Presentations are communication tools
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common goal. Work out loud. contribution.
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Presentations are communication tools. Presentations are communication tools.
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Memory Wall
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tools that can be used as lectures. Presentations are communication Spectrum Mapping
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Presentations are communication Presentations are communication
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Remember, teamwork begins
by building trust. And the only
way to do that is to overcome
our need for invulnerability.

Patrick Lencioni
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