----- Original Message -----
From: Rob
Sent: Sunday, January 30, 2005 12:47 AM
Subject: [CMLAsiaPacific] Means test set for leukaemia drug in Hong Kong


Copyright 2005 South China Morning Post Ltd.
                            South China Morning Post

                                January 20, 2005

SECTION: NEWS; Pg. 1

LENGTH: 425 words

HEADLINE: Means test set for leukaemia drug; Critics say the cutoff for
eligibility to subsidies is unfair to some users of Glivec

BYLINE: Patsy Moy

BODY:


    Leukaemia patients will be subject to a means test before they can
receive
subsidies for an expensive first-line drug, the Hospital Authority said last
night.

    Patients who are prescribed Glivec, but cannot afford it, will be
subsidised
by the Samaritan Fund.

    That means they will have to pass a financial assessment to become
eligible.
Glivec costs $ 16,000 to $ 20,000 a month per patient.

    The authority said: "Patients who can afford to pay will pay." The new
arrangement will be in place today.

    The authority insisted it did not have a policy to heavily subsidise all
first-line medications.

    On November 10, the authority announced it would provide Glivec to
public
hospital patients with chronic myeloid leukaemia and tumours found in the
digestive tract.  The decision was made after reviewing clinical studies, it
said.

    The authority reached an agreement with the drug's manufacturer,
Novartis
Hong Kong, to subsidise patients, it said.

    Anthony Wong Yuen-chi, spokesman for a Glivec Concern Group, said new
patients who failed the means test would have to pay 30 per cent more
for Glivec
- $ 160 a tablet instead of $ 122.

    He was told that information by senior officials from the authority on
Tuesday night, he said.

    Patients who started taking the drug before today will continue to
pay $ 122
a tablet.  More than 100 patients are now on the drug.

    "This is unfair for new patients, as the drug will be charged at two
prices,
" Mr Wong said.

    The spokesman warned that the cash-strapped authority would seek to
charge
the market price for other expensive first-line drugs.

    He estimated at least half the patients would fail the means test.

    To qualify, a household of two must have a monthly income of less than $
12,000; and a household of three, $ 16,000, according to the authority.

    Legislator Kwok Ka-ki, also the deputy chairman of the health services
panel, blamed the authority for giving patients "false hopes" by hiding
details
of the subsidy plan.

    "We understand the cash-strapped authority is facing a financial
hardship.
However, it should have a more prudent financial arrangement, such as
charging
patients the full cost for cheap and low-risk drugs.

    "But the authority should subsidise people on the expensive drugs ,
which
are unaffordable to even many middle-class families," Dr Kwok said.

    Ho Hei-wah, spokesman for the Patients' Rights Association, warned
that he
would press the authority for an explanation of why it has to impose a means
test.

LOAD-DATE: January 20, 2005



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