Archive for November 7th, 2011

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Price gouging allegations on cancer drugs

November 7, 2011

Michael Giberson

If you think political interference in gasoline markets is excessive, try reading about drug pricing for a while. From the Los Angeles Times: “Shortage of cancer drugs tied to simple economics, experts say.”

And by “simple economics” they mean the perverse incentives created by government regulation that induce oncologists to prefer prescribing more expensive cancer drugs. Most drugs must be purchased through pharmacists, but government rules allow oncologists to sell cancer drugs directly to patients. These days the  sales amount to about half of oncologist’s income. Government reimbursements through Medicare will only pay 6% over wholesale for these drugs. On this point the Times quotes from a column in the New England Journal of Medicine, “Why use paclitaxel (and receive 6% of $312) when you can use Abraxane (for 6% of $5,824)?”

Last week the President ordered an investigation “to gather information from drugmakers about potential shortages so the government can respond before patients’ lives are threatened and help prosecutors head off ‘price gouging.’ ” If you are like me, you laughed at the phrase “so the government can respond before…” The problem has been created by earlier government responses to earlier perceived problems. Good luck to those who think the problem will be solved by layering on another government response.

In unrelated price hike news: peanut butter prices not so sticky.

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A good non-technical introduction to shale gas

November 7, 2011

Michael Giberson

Paul M. Barrett, for Bloomberg, has written up a pretty good introduction to natural gas from shale. The article delves a bit into the history and geology of the subject, but focuses more on the business efforts that turned a modestly interesting rock into a significant economic resource and the environmental politics that have risen in response. Highly recommended if you want to know where the natural gas that is changing the world’s energy outlook has come from.

A few things are left out of this “introduction.” Of course we could dig deeper into each of the topics mentioned. The next step in the story is the international angle – shale gas is being developed in Argentina, the United Kingdom, Poland and elsewhere – with significant implications for national and international trade and public policy. Among other things, as examples, central and western Europe will likely become less reliant on Russian gas supplies, and the United States and Canada probably don’t build a natural gas pipeline from Alaska through Canada and into the Midwestern U.S. for at least thirty or forty years.

The complete story of shale gas would also delve a bit into the controversy over the size of the the resource, would go a little deeper into the particular efforts of Devon Energy, and talk about the spillover of the shale gas boom into a boost for unconventional oil. One might wrap up the story by casting it into the big picture “cornucopians vs. Malthusians” debate.

So Bloomberg doesn’t do everything in this introduction, but it is a pretty good introduction to the shale gas issue.

NOTE ALSO: For a bit more on the environmental politics of shale gas, in September the journal Nature carried a pair of articles under the heading “Should Fracking Stop?” The case for stopping was written by Robert Howarth and Anthony Ingraffea, both of Cornell University; the case for continuing was written by Terry Englander of Penn State University. Neither piece gets very close to a complete policy analysis, but both highlight a bunch of the relevant issues.

 

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