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MEDICINE

Norwegian hepatitis C patients wait for treatment due to medicine monopoly: report

Norwegian hepatitis C patients are waiting longer than they should for medical treatment due in part to a monopoly on its supply, according to a report.

Norwegian hepatitis C patients wait for treatment due to medicine monopoly: report
Photo: SimpleFoto/Depositphotos

Between 15,000 and 20,000 Norwegians live with the chronic condition, which is treated with a 12-week course of medicine.

The cost of a 12-week course of the Epclusa medicine in Norway is 540,000 kroner (57,000 euros), according to the Klassekampen newspaper.

American pharmaceutical company Gilead Sciences owns a monopoly on supply of the medicine in the Scandinavian country, according to the report.

The medicine, which can cure the disease, is not prescribed to patients with the type 2 and 3 forms of hepatitis C – around 60 percent of sufferers in Norway – until their livers show clear signs of damage.

Although it can take many years from contracting the disease until the liver starts to fail, patients not given the treatment sooner are left with uncertain physical consequences as well as the psychological distress of living with the infectious condition, writes Klassekampen.

People with hepatitis C are not automatically entitled to the treatment, but are given it once symptoms are present.

Ronny Bjørnestad, head of NGO Prolar, which works to improve understanding of the illness, told Klassekampen that he had decided to obtain the treatment by going abroad.

“I felt I couldn’t wait any longer. I have a ticking bomb in my liver and am still infectious. I have a teenager in my house and it wouldn’t take any more than him accidentally using my razor blade for an accident to happen,” he told Klassekampen.

Bjørnestad said that he had purchased the same medicine for the equivalent of 7,500 kroner (800 euros) in Bangladesh, and then had it sent on to a friend in Scotland.

It is legal for Bjørnestad to bring the medicine back to Norway provided he begins the course of treatment while in Scotland, writes Klassekampen.

“If it was an illness that [mainly] affected a group with stronger resources then this would never have been accepted,” he told the newspaper.

The disease has relatively high prevalence amongst former and active drug addicts.

Olav Dalgard, consultant at the department of infectious diseases at Akershus University Hospital, told Klassekampen that the price of Hepatitis C medicine in Norway is “amorally” high.

“If we had cheaper medicine, we would recommend treatment of far more people at a much earlier stage. It would reduce the risk of disease spread. But prices must be reduced for that to be possible” Dalgard told Klassekampen.

The newspaper has contacted Gilead Sciences for comment. 

READ ALSO: 'More Norwegians than ever' take medication

MEDICINE

How Swiss healthcare costs have ‘doubled’ since 2000

Recently released figures show that health insurance premiums have doubled in the past 20 years, with some Swiss households spending almost one fifth of their salary on healthcare.

How Swiss healthcare costs have 'doubled' since 2000
Photo: Depositphotos

Figures from the Swiss Trade Union show that costs have increased by 120 percent on average since the year 2000. 

The increases are much higher than wages, while other cost-mitigating changes like rebates for people on lower incomes have also failed to keep up with rising premiums. 

READ MORE: How Swiss residents are 'paying too much' for medicines and health insurance premiums

 

Couples with household salaries between 60,000 and 90,000 francs spend on average 14 percent of their salaries on healthcare. 

In some of the more expensive cantons such as Bern and Zurich, the amount can be higher than 20 percent. 

While lower income Swiss will be eligible for reductions and rebates, middle-income Swiss are often hit the hardest by increases in healthcare costs. 

More going into debt to pay for healthcare

The impact of the cost increases can be seen in relation to household debt for healthcare. 

At the turn of the millennium, just over a third (36 percent) of households in Switzerland had healthcare debts higher than 5000 francs

At the present time, 59 percent of households had accrued debts of over 10,000 francs for healthcare costs. 

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