Bitter Pills:Medicines & The Third World Poor | Page 5

CONTENTS Introduction 1 A Pill for All Ills? Diagnosis of Dl Health Malnutrition Communicable Diseases Tropical and Vector-borne Diseases Urbanisation and Disease The Underlying Causes The Remedies Essential Drugs for Primary Health Care 5 5 5 6 7 7 8 9 10 2 Unequal Distribution 16 Limited Health Budgets Hospitals or Health Posts? Inappropriate Training Public Drug Distribution Private Drug Distribution Producers' Market 18 20 22 23 25 27 Rich World Control Placebos in Wasteful Abundance Multivitamin Tonics Essential Drugs in Short Supply Bangladesh: a Case Study Non-Essential and Not Sold in Britain Poor Value for the Poor? - Drug Prices 28 31 32 34 37 38 46 £14 for 100 Aspirin "What the Market with Bear" It's All in the Name... The Competitive Race Brand Proliferation Should the Poor Subsidise New Drugs for the Rich? Revolution Without the Poor An Irreversible Trend to Generics Opposition to Generics Overpriced Raw Materials High Transfer Prices to Bangladesh Choices Confined to the Rich? Information or Misinformation ? - Drug Promotion 47 48 48 49 50 51 53 54 56 60 60 62 63 The Costs Brand Loyalty Cost is Secondary? "Accurate, Fair and Objective" Partial Information 64 67 69 71 73 3 4 5