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Message Subject: Re: Why Can't it be simple?

Forum: ARV Conference Discussion Area
Re: Bulletin board for participants (Dave Witzel)
Re: AIDS and Economics Forum (Paurvi Bhatt)
Re: Details of AIDS Economics Network Meeting (John Stover)
Re: Economists, please take us beyond cost-effectiveness (Claudes Kamenga)
Re: Re: Economists, please take us beyond cost-effectiveness (Marina Mahathir)
Re: Economics and reality (Michael Halpern)
Date: 30/Apr/1998 11:58
From: acsida@codetel.net.do>

> In-Reply-To: <"/arv-a/2/1/1/1/1/1"@www.forumone.com>
>
> AccionSIDA wrote:
> > >
> > > The answer cannot be simple if the analysis transcends present cost
> > > structures and present time.   If, 15 years ago, this listserv had
> > > contemplated the likelihood or feasibility of a mass market of accessible
> (affordable) 4
> > > pound 200 MHz laptop computers , the same kind of analysis would have
> > > suggested not to bother, they are too expensive.    In the same
> > > light, the negative assessment (and recommendations) of ARV financing serves
> little purpose other
> > > than to divert the necessary efforts to continue reducing the costs and
> > > increasing the production of these drugs.   The disparity in pricing of
> > > pharmaceuticals is key......we clearly have the means to lower the price of
> > > production....but we let "market forces" dominate, and even allow economic
> > > analysis to include current pricing as an fixed assumption rather than
> > > declare war on the pricing itself.......it is more a political obstacle
> > > than a technological or economic one.   Let us use the current bad news
> > > analysis as a motivator to create good news, and lower the prices more
> > > quickly, rather than adopting a hard line that public funds should not be
> > > used.....the political context for public financing of ARVs is too specific
> > > to each country and market.   Generalized analysis loses its dimension
> > > quickly as context moves forward in time and space.
> 




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