>Jeff
>
>Statins available on Private Prescription - if outside a chosen few
>criteria?
>1. pretty dodgy in regard of terms of service as still need to be NHS
>prescribable for many patients
Place it in a similar position to antimalarials. The antimalarials are
allowed on the NHS to treat malaria, but on private prescription for
prophylaxis. The quick and dirty solution would be statins on the NHS
post MI and available on a private script (or OTC?) as primary prophylaxis.
>2. needs monitoring on ongoing basis - private fee for this too?
If you like.
>3. isn't this two tier medicine by the back door,
Yes. But if the patient was to see a private consultant who asked you
prescribe
a statin, would you?
Should single tier medicine be sustained if it means the secret denial of
treatment
for those who can afford it?
> requiring a complete
>rewrite of several sections ( and underpinning philosophy) of TOS?
I don't know enough about GP's TOS to comment.
>4. but isn't the health gain from pravastatin 40mg daily ( for £50 per
>month) for a 50 yr old at 15% 5 year risk greater than that from a £?? BUPA
>subscription?
Lets get really uncomfortable, should the NHS fund prophylaxis treatment of
a smoker who is spending even more of their own money rushing to an early
grave?
>5. If it was *your* money would you buy endpoint trialled pravastatin for
>£45-50 or me-too-statin for £15-20?
The me-too-statin, I think it is fairly safe to assume a class action. from
pharmacologically similar drugs (particularly since trials on three
different
statins have produced similar results)
>More thinking the unthinkable I suspect - interested to hear what lurkers
>think here.
I'd like to know too, and by the way, the arguments I present are
necessarily my opinions
just questions that I believe need to be debated.
Regards
Jeff
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