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Drug scarcity is an alt cause to the aff – even if people get access to healthcare it won’t guarantee they receive adequate treatment

Christina Jewett 5/17, Christina Jewett covers the Food and Drug Administration for The New York Times, DOA 6/28/23, “Drug Shortages Near an All-Time High, Leading to Rationing”, May 17th 2023, https://www.nytimes.com/2023/05/17/health/drug-shortages-cancer.html ,// JL

Hospitals are scouring shelves for supplies of a drug that reverses lead poisoning and for a sterile fluid needed to stop the heart for bypass surgery. Some antibiotics are still scarce following the winter flu season when doctors and patients frantically chased medicines for ailments like strep throat. Even children’s Tylenol was hard to find.

Hundreds of drugs are on the list of medications in short supply in the United States, as officials grapple with an opaque and sometimes interrupted supply chain, quality and financial issues that are leading to manufacturing shutdowns.

The shortages are so acute that they are commanding the attention of the White House and Congress, which are examining the underlying causes of the faltering generic drug market, which accounts for about 90 percent of domestic prescriptions.

The Biden administration has assembled a team to find long-term solutions for shoring up the pharmaceutical supply chain, at a time when the United States remains heavily reliant on medicines and drug ingredients from India and China. And in recent weeks, generic drug makers, supply-chain experts and patient advocates have appeared before lawmakers to discuss the problems.

The scarcity of generic forms of chemotherapy to treat lung, breast, bladder and ovarian cancers has only heightened concerns.

“This is, in my opinion, a public health emergency,” said Dr. Amanda Fader, a professor at the Johns Hopkins School of Medicine and a president-elect of the Society of Gynecologic Oncology, “because of the breadth of the individuals it affects and the number of chemotherapy agents that are in shortage right now.”

The American Cancer Society last week warned that delays caused by the shortages could result in worse outcomes for patients.

“If these drugs are not available, people are going to get inferior care,” Dr. William Dahut, the society’s chief medical officer, said. “That’s the bottom line. These aren’t third- or fourth-line drugs where there are multiple other agents around. These are used up front for people you are trying to cure.”

Ryan Dwars beat pancreatic cancer in 2021, but late last year a scan showed cancerous spots on his liver. Mr. Dwars, 39 and a father of two young children, had hoped to receive his final four doses of chemotherapy in April.

Drug Shortages in the U.S.

A Difficult Scarcity: Thousands of Americans have been facing delays in getting drug treatments for cancer and other life-threatening diseases, forcing patients and their doctors to face grim realities.

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