The US Government could just start making drugs like insulin and devices like the epipen as a solution to price spikes

The following is a comment I posted in response to the above Richard Wolff video essay:

There is a third way of lowering drug prices: make it ourselves.  By 'ourselves' I mean the US Government owning and operating the means of production of medical drugs and medical devices and distributing those products according to need.  The Government Printing Office has for decades manufactured and sold their own published products.  So there is precedent there and if anyone wants to they can go to their website and browse and maybe buy one of their books:

If they can own the means of production for one type of product, books and other publications, why can't the US Government also own the means of production for other types of products; namely medicines and medical devices?  I think they can and should start to manufacture drugs and medical devices -- especially those products that have fallen outside of patent protection.  And the two products that have gotten the most press recently for price spikes are outside of patent protection; insulin and epipen type devices.

But even for those products that are under patent protection the government should intervene and manufacture those products if the patent owner refuses to lower the price to a much more reasonable level.  The drug company may balk at the idea and complain that they wont be motivated to invest in research if they think the government might preempt any patent rights they might gain from a newly developed medicine -- We can respond that if that is the result then the government can start doing all the research, but doing it for the right reasons; patient health rather than profitability and shareholder value.  Because as it currently stands, the only reason drug companies develop any drug is if and only if they think it will be profitable -- and meanwhile much of the rest of society keeps working under the unsafe assumption that what is best for Big Pharma is also going to be best for patients.

I've written Senator Klobuchar a couple times with my suggestion and she just replies with her explaining her proposed solutions.  One of the main solutions she wants to enact is a bill she introduced that would make it quicker and easier to get generics onto the market and let competition drive down the prices.  My response is that, for one thing, there is nothing mutually exclusive about trying to achieve both my idea and her idea simultaneously.  For another thing, her generics to the market idea seems like just another futile attempt to depend on free enterprise and capitalism to solve are most pressing problems even though a non-capitalist solution is staring at her straight in the face.  I keep thinking about  the movie Jurassic Park near the ending (I'm assuming anyone reading this has seen the movie and thus doesn't need a spoiler alert)  where the park visionary Hammond, even after all the damage and carnage wrought by the dinosaurs, instead of giving up, still is trying desperately to come  up with a way to make it work.  Now, even amidst the aftermath of all the carnage wrought by the involvement of predatory capitalist sharts in the field of medicine, Klobuchar is still trying to figure out ways leave our medical well being in the jaws of those sharks without us getting hurt.  I think it is time to give up on that route and realize that under the exigent circumstances, we need to get started as soon as possible manufacturing and distributing, according to need, those medicines and medical devices.     

Open letter to Senator Klobuchar regarding insulin prices

by Glen Wallace

Hi Senator Klobuchar, I just saw a feature on the KSTP news featuring some comments by you about the recent run-up in the price of insulin recently. I believe an ideal solution is one you and your colleagues on capitol hill have not even considered legislatively. The solution to spikes in the price of pharmaceuticals and medical devices would be for the government to take on the production and distribution of those pharmaceuticals and medical devices at cost. Currently there seems to be a habit of thinking among healthcare policy makers that traps them into assuming that the only option to getting a needed healthcare product to the patient is by way of the commercial markets.

But there shouldn't be any barriers to the federal government taking on the role of the production and distribution of at least the medicines and devices that are outside of patent protection. And keep in mind many of the most notorious recent cases of price spikes occurred with products that were already outside of patent protection -- including, but not limited to insulin and the epipen.

Also, there is a long standing precedent of the federal government owning and operating the means of production and distribution of a product -- the US Government Publishing Office, also known as the Government Printing Office, has been around for many decades manufacturing, printing, publishing and selling to individuals and institutions everything from books to pamphlets to posters and just about everything printable in between.

Therefore, there should be nothing stopping the Senate and House from mandating the opening of a Government Pharmaceutical and Medical Devices Office to bypass the market and get the needed healthcare products directly to the patients at the mere cost of production.

For years now I have been seeing hearings and statements from representatives such as yourself ranging from scolding to pleading of manufacturers to try and keep their prices down. I ask you; who's in charge here? When I hear only talk from you in the form of scolding and pleading to some Big Pharma executive, it sure looks like it is the Big Pharma companies that are the ones in charge. I thought we were a country of, by and for the people. If they will not bring the prices down, then we the people should engage that American can-do spirit, and make those products ourselves.

And this could be just the beginning -- we could start building a medical system that is entirely patient driven instead of where it is now in being market driven. I think people that go into the medical profession do it first and foremost because they care about people. With a patient driven, patient based system we can have as the primary decision makers, about what medical drug or device goes into production and their prices, be those medical professionals that care about the patients and not some bean counting CEO with only a legal fiduciary responsibility to some distant shareholders.

Referenced news story about insulin prices featuring Klobuchar comments