Everyone wants to believe that if they are admitted to the hospital, the staff is adequately equipped to give you proper care. That may not be certain today, though. There is a current shortage on certain drugs leading to the endangerment of patients, disruption of hospital care, and raising the cost of care.
The primary drugs that are in short supply are injectable generic drugs that are ordinarily cheap. These shortages cause a delay in surgeries and cancer treatments, leave patients in unnecessary pain, and cause hospitals to give less effective treatments, which often results in complications and longer hospital stays.
According to the Associated Press, the shortages could cost hospitals at least $415 million per year. So far, hospitals have been absorbing the extra costs but they’ll soon have to start passing them on to insurers and patients.
The FDA says the primary cause of the shortages is production shutdowns and manufacturing problems. Other reasons cited were theft of prescription drugs from warehouses and “gray market” vendors who buy scarce drugs from small regional wholesalers or pharmacies and then sell them to hospitals at many times the normal price. These “gray market” sellers may not be licensed, authorized distributors.
The average price markup on drugs sold by secondary distributors is 650 percent. In one extreme case, a vendor was offering a generic beta blocker for dangerously high blood pressure. The normal price per dose is $25.90, but it was being sold for $1,200 (per dose).
The primary problem with buying stolen drugs is that hospitals can’t always tell whether a medication has been properly refrigerated or is expired. Using these defective drugs can be dangerous because the active ingredient might have degraded and the drug might not work well or could even harm or kill the patient.
Although the Hospital Association urges hospitals not to buy from unaccredited vendors and to insist on proper documentation of the drug’s source if they must, only three states (Kentucky, Maine, and Texas) have price-gouging laws that specifically cover medicines.