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Biotech / Medical : PFE (Pfizer) How high will it go? -- Ignore unavailable to you. Want to Upgrade?


To: BigKNY3 who wrote (7191)3/10/1999 8:20:00 AM
From: Anthony Wong  Respond to of 9523
 
Be prepared to shell out hard cash

Wednesday, March 10, 1999
WALLACE IMMEN
The Globe and Mail

Don't count on health plans to pay for a drug
designed for play.

Hundreds of thousands of Canadian men are
considered candidates for Viagra, just approved
for use in this country, but only the wealthy
might be able to afford to the more than $10
charge for each pill that will not be covered by
many insurance plans.

In Canada, most provincial health plans consider
impotence therapies to be lifestyle treatments not
eligible for insurance payments. Private insurers'
drug policies that cover them vary widely in what
they will pay.

"A number of insurers have already decided to
exclude Viagra; others are going to cap the
amount they pay," said Wendy Poirier, of
Towers Perrin consultants in Calgary.

A study the firm conducted for a number of
companies anticipating Viagra's approval
estimated covering the pills in an employee drug
program could increase costs by 10 to 25 per
cent. It estimates a year's supply of the drug
could cost an average of $2,000 with dispensing
fees.

The most any insurance company polled by
Towers Perrin has said it is willing to cover is
$1,000 a year, Ms. Poirier said. Several
companies suggested a "reasonable dosage" to be
eight tablets a month.

"The private insurers have to work it out with the
contract holders -- the employers," said Claude
Di Stasio, director of information for the
Canadian Life and Health Insurance Association.
"Some may say no. Some may say okay. But the
trend we are picking up from surveys of our
members is that most will use annual capitation [a
yearly limit]."

Tim Verbic, marketing development manager of
SunLife, said most employers are suggesting a
cap; the maximum the company recommends is
$1,200.

Some provinces may decide to include Viagra,
but they haven't made decisions because the
maker has not yet filed applications for coverage
under health plans. When Pfizer begins lobbying
for coverage, it will stress that erectile
dysfunction is a medical condition, said Don
Sancton of Pfizer Canada.

Quebec's drug formulary already includes an
injectable drug for erectile problems, but there
has been no discussion of Viagra, said Marquis
Nadeau, general director of the drug advisory
council for the Quebec Ministry of Health.

theglobeandmail.com



To: BigKNY3 who wrote (7191)3/10/1999 8:23:00 AM
From: Anthony Wong  Read Replies (1) | Respond to of 9523
 
Sex, Drugs And Devices Through The Ages

Wednesday, March 10, 1999
The Globe & Mail
Sources: Various

Ancient Egyptians used honey and native sodium
carbonate to plug a woman's vagina and prevent
pregnancy. They also used crocodile dung
inserted as a pessary into the vagina.

Ancient Greeks believed Aphrodite, Greek
goddess of beauty and love, was created from the
flesh of Uranus who had fallen into the sea
during battle. As a result, foods that come from
the sea have been considered sexual stimulants,
especially oysters because of their resemblance to
female genitalia.

Ancient Chinese and Koreans have long
associated Ginseng with boosting sexual pleasure.
Chinese herbalism would later develop a whole
range of sexual enhancement medications from
ground rhinoceros horn to bear gallbladders,
traditions which would later raise the ire of
conservationists.

The woman of Constantinople in AD 400 used
sponges moistened with diluted lemon juices to
prevent pregnancy. Sponges soaked in vinegar or
soap solution are still in use today.

Italian anatomist Fallopius invents a linen sheath
for the penis in the early 1500s to prevent the
spread of syphillis. Later the sheath would be
named after King Charles II's court physician,
Dr. Condom in the 18th century.

Montezuma was on to something in the 1500s
too. The Aztec ruler reputedly drank 50 cups of
chocolate a day to boost his virility before he
visited his harem. (It might have also worked if
he had shared some.) Later, scientists would
confirm that chocolate contained an
amphetamine-like stimulant associated with love
and lust.

Casanova develops on a new take on Vitamin C
in the mid-1700s. He advocates using a half of
lemon (without the juice) fitted over the cervix as
a birth control device.

Aboriginal women of New Brunswick were
known to drink a strong alcoholic solution
brewed from dried beaver testicles to prevent
pregnancy.

A block pessary, a hard square rock with conical
carve-outs, was tried as a cervical cap in 1931. It
doubled as an instrument of torture.

The birth control pill becomes available in North
America in 1960. The sexual revolution starts.
Brassieres are considered as an alternative energy
source.

Injection therapies are developed for erectile
dysfunction in the late 1970s and early 1980s.
This therapy, in which drugs injected directly into
the penis, help relax the muscles and increase
blood flow to the penis, sets the stage for the
later gold standard of injection therapy.

In 1980s, North American men options for
increasing libido and enhancing performance
would expand: everything from testosterone
supplements to penile implants, in which an
inflatable pump is surgically inserted in the penis,
would be added to a growing list of performance
enhancers. Penis lengthening surgery would also
become popular.

A study in the 1980s, confirmed what West
Africans had known for centuries: that the bark
of the yohimbe tree contained a chemical which
raised erections in some men by increasing blood
flow to the penis. The FDA later approved the
herbal extract as a treatment for impotence. In
Canada, the extract is sold as an over the counter
herbal remedy. It has some toxic side effects.

Sexual performance peaks in the 1990s. Monica
Lewinsky reinvents cigars as sex toys. An
Australian surgeon discovers the clitoris is much
larger than previously understood. Viagra is
approved in countries all over the world -- and
finally in Canada in 1999.

theglobeandmail.com