Curing patients is not a sustainable business model – Goldman Sachs – April 2018

Goldman Sachs asks in biotech research report: 'Is curing patients a sustainable business model? CNBC

• “Goldman Sachs analysts attempted to address a touchy subject for biotech companies, especially those involved in the pioneering "gene therapy" treatment: cures could be bad for business in the long run.”
• “Richter cited Gilead Sciences' treatments for hepatitis C, which achieved cure rates of more than 90 percent. The company's U.S. sales for these hepatitis C treatments peaked at $12.5 billion in 2015, but have been falling ever since. Goldman estimates the U.S. sales for these treatments will be less than $4 billion this year, according to a table in the report.”
• "GILD is a case in point, where the success of its hepatitis C franchise has gradually exhausted the available pool of treatable patients," the analyst wrote. "In the case of infectious diseases such as hepatitis C, curing existing patients also decreases the number of carriers able to transmit the virus to new patients, thus the incident pool also declines … Where an incident pool remains stable (eg, in cancer) the potential for a cure poses less risk to the sustainability of a franchise.”

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A customer cured is a customer lost

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Similar to Biotech, Vitamin D is not a sustainable business model for most doctors and hospitals

• Back in 2013 a medical clinic went out of business after their patients finally got >80 ng of vitamin D
  • The patients had become so healthy that their clinic visits dropped from 4 per year down to 1 per year
  • That "problem" was mentioned in the 5 Minute Vitamin D video made by VitaminDWiki
• 10 reasons 17 reasons why are doctors reluctant to accept vitamin D -#10 contains the quote
    "It is difficult to get a man to understand something when his salary is dependent upon his not understanding it”
     Upton Sinclair
• I am unaware of any organization which will take an action which will result in less business, income, or profit
  • Henry Lahore, founder of VitaminDWiki

However, Health Maintenance Organizations and Employers can benefit from Vitamin D

Cost savings with Vitamin D category listing has 158 items along with related searches

• HMOs will save millions of dollars with vitamin D HMO = Health Maintenance Organization
  • With Vitamin D, HMOs will get the same income but will have significantly less outgo
  • Additional HMO benefit - having healthier clients will bring in new clients (word of mouth, marketing)
• How employers can save a million dollars per 1,000 pregnancies
• Employer alliance is trying to reduce the cost of health care – Aug 2017

Hospitals would have less income as a result of vitamin D

• Hospital costs higher for those with low vitamin D (7,000 Germans in their 50's) – Nov 2017
• Chance of dying in hospital cut in half by just 10 ng higher level of Vitamin D – April 2016
• Vitamin D once during pregnancy reduced infant health care costs (300 times ROI) – RCT Dec 2015

Cost savings with Vitamin D includes the following

158 items include:

• Vitamin D has been found to be cost-effective by many studies
• Estimated cost savings of getting most Canadians to 40 ng of Vitamin D - 2016
• Severe asthmatics willing to pay 5180 dollars for relief, Vitamin D needed costs only 45 dollars – Sept 2023
• People with extremely low vitamin D levels consume 2X more health care dollars – 2018
• Reduce 4 health problems by a quarter if increase Vitamin D to 30 ng – Saudi Arabia, Grant March 2023
• The top 10 medical expenses can all be decreased by vitamin D
• VA showed increased vitamin D associated with lower health costs - Lancet May 2012
• Diabetes prevented by 50,000 IU vitamin D monthly (Iran) – Jan 2022
• People with extremely low vitamin D levels consume 2X more health care dollars – 2018
• Giving free vitamin D to every Iranian would pay for itself by just reducing CVD – Oct 2021
• Heart attack ICU costs cut in half by Vitamin D – Oct 2018
• Medical problems are thought to be a cause of 66 percent of bankruptcies – April 2019
• Vitamin D is the 3rd most important contributor to health, following exercise and food
• 10 fewer days of ICU Mechanical Ventilation 300,000 IU injection of vitamin D – RCT March 2019
• Employers gain 10 dollars in productivity for every dollar spent on giving Vitamin D for free
• Employers should give night shift workers free vitamin D – GMB Union June 2019
• Biology of Vitamin D – 30ng min., 50ng preferred, 1000X lower cost than health problem – Feb 2019
• Dutch Vitamin D cost-effectivity Calculations (they prescribe 100,000 IU for Multiple Sclerosis) – Jan 2022
• Vitamin D is needed before most surgeries – many studies and RCTs
• 10 fewer days of ICU Mechanical Ventilation 300,000 IU injection of vitamin D – RCT March 2019
• ICU cost reduced by at least 27,000 dollars if get high dose vitamin D in first week - April 2017
• If you cannot readily get medical treatment, consider Alternative Med such as vitamin D

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See also VitaminDWiki

• Off topic – More money to be made in TREATING cancer than PREVENTING it – NYT Dec 2015