Medicines and Vaccines Part 2: Bringing Essential Medicines to Market

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In our last piece, we talked about the pharmaceutical development pipeline and how some drugs are repurposed from other medicines, rather than being discovered as a new medicine completely. In this post I’ll talk about what that pipeline looks like for antibiotics and vaccines, two of the most important types of medicines that we have. 

Vaccines and antibiotics, like all medications, are very expensive to produce (as we discussed in Part 1), but they can’t be sold for the same high prices as nonessential (think Viagra) medications. This creates a problem for the development pipeline: how can companies afford to take risks on new development for products that won’t cover the cost of producing them? The answer was surprising for me when I first started studying public health. 

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Medicines and Vaccines Part 1: The Pharmaceutical Pipeline

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I often hear people express concern that pharmaceutical companies (Big Pharma) are making a killing on medications and vaccines and fear that we can’t trust them because of it. I also feel a lot of discomfort with pharmaceutical companies skyrocketing the prices for products like daraprim and epi pens. Drugs are really, really, really expensive to make and somebody has to foot the cost for developing them, but we also have people dying because they can’t afford the basic medications they need to live. There has to be a better way, but it’s hard to know what to think when the process is so mysterious. This piece is the first in a 3 part series on how medicines and vaccines are made and what they do. We won’t be able to cover every aspect of it because 1. that’s the stuff of dissertations and 2. I honestly don’t know all of it, but we’ll go through an overview of how the very basics.

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Vaccine Hesitancy: A Case for Compassion

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The purpose of writing this isn’t to shame parents who are vaccine hesitant or vaccine resistant or even to convince you with data. The purpose isn't to make anyone feel like they don't love their children enough or somehow aren't smart enough to be parents. Or, honestly, to make you think that I think those things. The point of writing this is to speak to the parents who are frustrated and frightened by the declining immunisation rates in places like Vashon Island in Washington State, who are worried when they see a notice come home that there’s been an outbreak of a vaccine-preventable disease in their child’s school. It’s scary for parents whose children are potentially exposed and school exclusions, while effective, can cause frustration in affected communities. 

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