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  November Canadian Pharmacy News
  News Issue November 2006

In This Issue:

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:

http://www.americanheart.org/presenter.jhtml?identifier=3039197

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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Your Comments 

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SS

"The citizens of the United States are literally being robbed by the Medicare D. Discounted drugs are quickly figured at list prices and then one reaches the donut hole in no time. It is highway robbery by our drug companies. It made me angry enough to get on the net and find places to order my meds in Canada. Glad to hear that we citizens are no longer criminals as we look for equitable ways to get our medicines."
SK

"Thank you for the great service which you have provided the citizens of the United States. Most people out here are unable to afford their medications, but because of you low prices we are still able to lead healthy lives."
DK


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