Yup, once again, willow bark tea, better known to us as aspirin, beats out the multi-billion dollar blockbuster patented pharmaceutical. At the meeting of the American College of Cardiology, researchers report that the widespread practice of giving Plavix to people who doctors consider to be at risk for heart disease, along with standard low-dose aspirin, is no better than aspirin alone. And oh yeah, it's dangerous.
Plavix was found in smaller trials to be useful as a clot buster for people with advanced heart disease who'd had revascularization procedures, so naturally, doctors started prescribing it for people who they just thought might get heart disease because of high blood pressure or a history of smoking. Good deal for Sanofi-Aventis. It costs $4 a pill and they sold $6 billion worth a year. Now it turns out, based on a randomized controlled trial, that it's no better than aspirin alone for people at risk, and it reduces the risk of heart attacks for people who already have advanced heart disease by less than 1% a year, at best (and maybe not at all), while substantially increasing their risk of bleeding.
So why do we keep getting all these multibillion dollar blockbuster aspiring aspirin substitutes -- from Vioxx to Plavix -- that turn out to be useless and dangerous -- when we could just keep taking aspirin? You know the answer.
Discussion of public health and health care policy, from a public health perspective. The U.S. spends more on medical services than any other country, but we get less for it. Major reasons include lack of universal access, unequal treatment, and underinvestment in public health and social welfare. We will critically examine the economics, politics and sociology of health and illness in the U.S. and the world.
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