{"id":71156,"date":"2025-01-29T00:34:50","date_gmt":"2025-01-28T23:34:50","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=71156"},"modified":"2025-01-28T10:29:59","modified_gmt":"2025-01-28T09:29:59","slug":"skandal-spolecnosti-pfizer-pokuta-60-milionu-dolaru-za-provize-u-lekaru","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2025\/01\/29\/skandal-spolecnosti-pfizer-pokuta-60-milionu-dolaru-za-provize-u-lekaru\/","title":{"rendered":"Skand\u00e1l spole\u010dnosti Pfizer: pokuta 60 milion\u016f dolar\u016f za provize u l\u00e9ka\u0159\u016f!"},"content":{"rendered":"
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Spole\u010dnost Pfizer zaplat\u00ed t\u00e9m\u011b\u0159 60 milion\u016f dolar\u016f ve sch\u00e9matu zp\u011btn\u00e9ho \u00faplatku u l\u00e9ka\u0159e. Je to b\u011b\u017en\u00e1 praxe?\u00a0<\/span><\/strong><\/p>\n

Mana\u017ee\u0159i l\u00e9k\u00e1rensk\u00fdch v\u00fdhod (PBM) jsou pova\u017eov\u00e1ni za obvykl\u00e9 podez\u0159el\u00e9, pokud jde o provize ve farmaceutick\u00e9m pr\u016fmyslu. Jsou st\u0159edem vl\u00e1dn\u00edch obvin\u011bn\u00ed a jsou spolu se zdravotn\u00edmi poji\u0161\u0165ovnami a Big Pharma obvi\u0148ov\u00e1ny z vysok\u00fdch n\u00e1klad\u016f na l\u00e9ky a slo\u017eitosti americk\u00e9ho zdravotnick\u00e9ho syst\u00e9mu \u2013 i kdy\u017e samotn\u00e9 nejv\u011bt\u0161\u00ed poji\u0161\u0165ovny vlastn\u00ed PBM. PBM jsou dokonce obvi\u0148ov\u00e1ni, \u017ee p\u0159i\u017eivuj\u00ed opioidn\u00ed krizi t\u00edm, \u017ee p\u0159ij\u00edmaj\u00ed slevy od Purdue Pharma na propagaci l\u00e9ku OxyContin. Zd\u00e1 se v\u0161ak, \u017ee chamtivost prostupuje cel\u00fd americk\u00fd l\u00e9ka\u0159sk\u00fd pr\u016fmysl \u2013 je to fenom\u00e9n, kter\u00fd pravd\u011bpodobn\u011b z\u016fstane nezm\u011bn\u011bn i v dal\u0161\u00edm Trumpov\u011b prezidentstv\u00ed.<\/span><\/em><\/p>\n

Pfizer se pohybuje za pen\u011bzi<\/span><\/strong><\/h2>\n

Farmaceutick\u00fd gigant Pfizer m\u00e1 zaplatit pokutu t\u00e9m\u011b\u0159 60 milion\u016f dolar\u016f jako\u00a0<\/span>kompenzaci za obvin\u011bn\u00ed<\/span><\/a>\u00a0, \u017ee spole\u010dnost, kterou z\u00edskal, upl\u00e1cela l\u00e9ka\u0159\u016fm, aby jim p\u0159edepsali l\u00e9ky na migr\u00e9nu. Drogu zvanou\u00a0<\/span>Nurtec ODT<\/span><\/a>\u00a0, zn\u00e1mou tak\u00e9 jako rimegepant, propagovaly v televizn\u00edch reklam\u00e1ch celebrity Whoopi Goldberg a Lady Gaga. Sch\u00e9ma zp\u011btn\u00e9ho \u00faplatku prob\u00edhalo od 1. b\u0159ezna 2020 do 30. z\u00e1\u0159\u00ed 2022 a bylo organizov\u00e1no spole\u010dnost\u00ed Biohaven Pharmaceutical Holding, kter\u00e1 v t\u00e9 dob\u011b drogu vlastnila.<\/span><\/p>\n

Spole\u010dnost Pfizer z\u00edskala Biohaven v \u0159\u00edjnu 2022. „Vyrovn\u00e1n\u00ed se t\u00fdk\u00e1 \u00fadajn\u00e9ho chov\u00e1n\u00ed ve spole\u010dnosti Biohaven p\u0159ed akvizic\u00ed spole\u010dnosti Pfizer v \u0159\u00edjnu 2022 a nezahrnuje p\u0159izn\u00e1n\u00ed odpov\u011bdnosti nebo protipr\u00e1vn\u00edho jedn\u00e1n\u00ed,“ \u0159ekl mluv\u010d\u00ed spole\u010dnosti Pfizer. „Jsme r\u00e1di, \u017ee m\u016f\u017eeme toto d\u011bdictv\u00ed hodit za hlavu, abychom se mohli i nad\u00e1le soust\u0159edit na pot\u0159eby pacient\u016f.“<\/span><\/p>\n

Podvody s plat\u00edc\u00edmi l\u00e9ka\u0159i\/l\u00e9ka\u0159i<\/span><\/strong><\/h2>\n

\u017dalobci obvi\u0148uj\u00ed Biohaven z toho, \u017ee l\u00e9ka\u0159\u016fm vypl\u00e1c\u00ed \u201enepat\u0159i\u010dnou odm\u011bnu\u201c ve form\u011b \u0159e\u010dnick\u00fdch jedn\u00e1n\u00ed a vysoce kvalitn\u00edch j\u00eddel v drah\u00fdch restaurac\u00edch v r\u00e1mci syst\u00e9mu proviz\u00ed, aby p\u0159im\u011bl l\u00e9ka\u0159e, aby p\u0159edepsali Nurtec. Jak bylo uvedeno\u00a0<\/span>ve\u00a0<\/span>Wall Street Journal<\/span><\/em>\u00a0, feder\u00e1ln\u00ed z\u00e1kon proti zp\u011btn\u00e9mu \u00faplatku zakazuje spole\u010dnostem platit l\u00e9ka\u0159\u016fm nebo jim nab\u00edzet cokoli hodnotn\u00e9ho, \u200b\u200baby p\u0159im\u011bly l\u00e9ka\u0159e, aby p\u0159edepisovali l\u00e9ky nebo slu\u017eby hrazen\u00e9 Medicare, Medicaid nebo jak\u00fdmkoli jin\u00fdm feder\u00e1ln\u00edm programem zdravotn\u00ed p\u00e9\u010de. C\u00edlem z\u00e1kona je zajistit, aby \u00fasudek poskytovatel\u016f l\u00e9ka\u0159sk\u00e9 p\u00e9\u010de nebyl naru\u0161en \u201enevhodn\u00fdmi finan\u010dn\u00edmi pob\u00eddkami\u201c. \u00a0<\/span><\/a><\/p>\n

Ministerstvo spravedlnosti\u00a0<\/span>vydalo prohl\u00e1\u0161en\u00ed<\/span><\/a>\u00a0, ve kter\u00e9m se uv\u00e1d\u00ed: \u201eT\u00edmto a dal\u0161\u00edmi dohodami vl\u00e1da prok\u00e1zala sv\u016fj z\u00e1vazek zajistit, aby v\u00fdrobci l\u00e9k\u016f nevyu\u017e\u00edvali \u00faplatky k ovliv\u0148ov\u00e1n\u00ed p\u0159edepisov\u00e1n\u00ed l\u00e9k\u016f l\u00e9ka\u0159\u016fm,\u201c uvedl n\u00e1m\u011bstek gener\u00e1ln\u00edho prokur\u00e1tora Brett A. Shumate. civiln\u00edho odd\u011blen\u00ed ministerstva spravedlnosti. „Ministerstvo vyu\u017eije v\u0161echny n\u00e1stroje, kter\u00e9 m\u00e1 k dispozici, aby zabr\u00e1nilo v\u00fdrobc\u016fm l\u00e9\u010div podkop\u00e1vat objektivitu rozhodnut\u00ed poskytovatel\u016f zdravotn\u00ed p\u00e9\u010de o l\u00e9\u010db\u011b.“<\/span><\/p>\n

Zp\u011btn\u00e9 \u00faplaty p\u0159estaly, kdy\u017e spole\u010dnost Pfizer ukon\u010dila program reproduktor\u016f Nurtec spole\u010dnosti Biohaven. Ot\u00e1zkou v\u0161ak z\u016fst\u00e1v\u00e1, zda jde o jedin\u00fd p\u0159\u00edpad, kdy byli l\u00e9ka\u0159i placeni za p\u0159edepisov\u00e1n\u00ed konkr\u00e9tn\u00edho l\u00e9ku. Tento typ chov\u00e1n\u00ed d\u00e1le podkop\u00e1v\u00e1 d\u016fv\u011bru v l\u00e9ka\u0159sk\u00fd pr\u016fmysl.<\/span><\/p>\n

Pandemick\u00e9 v\u00fdplaty<\/span><\/strong><\/h2>\n

Vzhledem k v\u00fd\u0161i p\u0159\u00edjm\u016f a zisku, kter\u00e9\u00a0<\/span>spole\u010dnost Pfizer<\/span><\/a>\u00a0b\u011bhem pandemie COVID dos\u00e1hla, je mo\u017en\u00e9, \u017ee spole\u010dnost b\u011bhem pandemie tak\u00e9 pomohla roz\u0161\u00ed\u0159it svou vakc\u00ednu?<\/span><\/p>\n

No, to se zd\u00e1 b\u00fdt z\u0159ejm\u00e9. Jak bylo uvedeno v \u010dl\u00e1nku Substack p\u0159ed n\u011bkolika dny, spole\u010dnost Pfizer poskytuje\u00a0<\/span>dary<\/span><\/a>\u00a0lobbist\u016fm po cel\u00e9 zemi, aby prosadili mand\u00e1ty k o\u010dkov\u00e1n\u00ed a pou\u017eit\u00ed jejich vakc\u00edny COVID. Spole\u010dnost Pfizer \u201erozd\u011blila\u201c pen\u00edze skupin\u00e1m spot\u0159ebitel\u016f, l\u00e9ka\u0159\u016fm, l\u00e9ka\u0159sk\u00fdm skupin\u00e1m, organizac\u00edm pro lidsk\u00e1 pr\u00e1va a organizac\u00edm ve\u0159ejn\u00e9ho zdrav\u00ed po cel\u00fdch Spojen\u00fdch st\u00e1tech. Mnoho z t\u011bchto organizac\u00ed nikdy nezve\u0159ejnilo \u201edary\u201c, kter\u00e9 obdr\u017eely od farmaceutick\u00e9ho gigantu, kdy\u017e obhajovaly mand\u00e1ty pro o\u010dkov\u00e1n\u00ed.<\/span><\/p>\n

I kdy\u017e se dr\u017eeli n\u00edzko, Pfizer dok\u00e1zal z\u00edskat \u0161irokou podporu od ve\u0159ejn\u00fdch \u010dinitel\u016f, aby se jeho vakc\u00edna proti COVID-19 stala jednou z historicky nejziskov\u011bj\u0161\u00edch l\u00e9k\u016f. Spole\u010dnost\u00a0<\/span>vyd\u011blala z o\u010dkov\u00e1n\u00ed 36,7 miliardy dolar\u016f. Po\u017eadavky kladen\u00e9 m\u011bsty b\u011bhem pandemie vedly k tomu, \u017ee zam\u011bstnanci m\u011bsta p\u0159i\u0161li o pr\u00e1ci, proto\u017ee odm\u00edtli vakc\u00ednu.<\/span><\/a><\/p>\n

Spole\u010dnost Pfizer d\u011blala v\u0161e, co bylo v jej\u00edch sil\u00e1ch, aby dos\u00e1hla vynikaj\u00edc\u00edch vztah\u016f s ve\u0159ejnost\u00ed, dokonce za\u0161la tak daleko, \u017ee navzdory \u201erebound efektu\u201c t\u00e9to drogy\u00a0nab\u00edzela sv\u016fj antivirov\u00fd l\u00e9k\u00a0<\/span>Paxlovid zdarma v ulic\u00edch New Yorku;<\/span><\/a><\/p>\n

B\u011bhem pandemie TrialSite<\/span><\/em>\u00a0zdokumentoval, jak spole\u010dnost Pfizer pou\u017e\u00edvala smlouvy o gagech k vyu\u017eit\u00ed a zhodnocen\u00ed pandemie, a\u00a0to d\u00edky investigativn\u00edm zpr\u00e1v\u00e1m od Public Citizen a\u00a0<\/span>Pfizer’s Power .<\/span><\/a><\/p>\n

Prost\u0159ednictv\u00edm\u00a0<\/span>protokolu ICAM<\/span><\/a>\u00a0jsme se dozv\u011bd\u011bli, \u017ee farmaceutick\u00e1 spole\u010dnost pou\u017e\u00edvala smlouvy k blokov\u00e1n\u00ed pou\u017e\u00edv\u00e1n\u00ed nov\u011b vyvinut\u00fdch l\u00e9k\u016f ve zdravotnick\u00fdch syst\u00e9mech na po\u010d\u00e1tku pandemie. To znamen\u00e1, \u017ee spole\u010dnost uzav\u0159ela smlouvu se zdravotnick\u00fdmi syst\u00e9my, pokud cht\u011bj\u00ed pou\u017e\u00edt vakc\u00ednu Pfizer COVID-19 a klinick\u00e9 studie Paxlovid.<\/span><\/p>\n

Spole\u010dnost a ostatn\u00ed budou nad\u00e1le vyu\u017e\u00edvat sv\u00e9 postaven\u00ed, s\u00edt\u011b, kapit\u00e1l a s\u00edlu k podpo\u0159e r\u016fstu a zisk\u016f. Pokud to management neud\u011bl\u00e1, akcion\u00e1\u0159i je odstran\u00ed.<\/span><\/p>\n

A co reforma?<\/span><\/strong><\/h2>\n

Poda\u0159\u00ed se Robertu F. Kennedymu prom\u011bnit americk\u00fd syst\u00e9m zdravotn\u00ed p\u00e9\u010de na mince? To je nepravd\u011bpodobn\u00e9 vzhledem k tomu, \u017ee prezident Trump uznal d\u016fle\u017eitost a z\u00e1sadn\u00ed p\u0159\u00ednos sektoru biologick\u00fdch v\u011bd nejen pro hrub\u00fd dom\u00e1c\u00ed produkt USA, ale tak\u00e9 pro n\u00e1rodn\u00ed bezpe\u010dnost, proto\u017ee USA sout\u011b\u017e\u00ed s \u010c\u00ednou v z\u00e1vodech ve v\u00fdvoji biologick\u00fdch v\u011bd a biotechnologick\u00fdch l\u00e9k\u016f.<\/span><\/p>\n

V sou\u010dasn\u00e9 dob\u011b nejnov\u011bj\u0161\u00ed zv\u011bsti nazna\u010duj\u00ed, \u017ee RFK Jr. m\u00e1 50procentn\u00ed \u0161anci, \u017ee to zvl\u00e1dne. V p\u0159edchoz\u00edch \u010dl\u00e1nc\u00edch jsme informovali, \u017ee z\u00edskal pot\u0159ebn\u00fd po\u010det hlas\u016f, ale r\u016fzn\u00e9 lobby a z\u00e1jmov\u00e9 skupiny zv\u00fd\u0161ily tlak, aby potvrzen\u00ed zabr\u00e1nily.<\/span><\/p>\n

Jak je uvedeno\u00a0na\u00a0<\/span>TrialSite ,\u00a0<\/span><\/em>jmenov\u00e1n\u00ed<\/span><\/a>\u00a0Heather Flick do funkce vedouc\u00edho person\u00e1lu jsou jen \u0161pi\u010dkou ledovce v organizaci poskytuj\u00edc\u00ed zdravotn\u00ed a lidsk\u00e9 slu\u017eby. Jsou ochotni neprosazovat my\u0161lenky, kter\u00e9 jsou pova\u017eov\u00e1ny za p\u0159\u00edli\u0161 extr\u00e9mn\u00ed nebo odporuj\u00edc\u00ed status quo.<\/span><\/p>\n

Na druhou stranu lidsk\u00e1 \u010dinnost m\u016f\u017ee iniciovat nov\u00fd p\u0159\u00edb\u011bh. Pokud bude potvrzen RFK Jr. a za p\u0159edpokladu, \u017ee se dok\u00e1\u017ee nejen orientovat, ale i prosperovat v r\u00e1mci masivn\u00ed agentury, mo\u017en\u00e1 by mohl zah\u00e1jit n\u011bjak\u00e9 reformn\u00ed iniciativy. V\u00edce se dozv\u00edme koncem p\u0159\u00ed\u0161t\u00edho t\u00fddne.<\/span><\/p>\n<\/div>\n<\/div>\n

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Zdroj<\/a><\/span><\/h3>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Spole\u010dnost Pfizer zaplat\u00ed t\u00e9m\u011b\u0159 60 milion\u016f dolar\u016f ve sch\u00e9matu zp\u011btn\u00e9ho \u00faplatku u l\u00e9ka\u0159e. Je to…<\/p>\n","protected":false},"author":2,"featured_media":71157,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[207,315,2530],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/71156"}],"collection":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/comments?post=71156"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/71156\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/71157"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=71156"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=71156"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=71156"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}