Capitalizing a Cure: How Finance Controls the Price and Value of Medicines

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Univ of California Press, Jan 24, 2023 - Medical - 245 pages
A free open access ebook is available upon publication. Learn more at www.luminosoa.org.

Capitalizing a Cure takes readers into the struggle over a medical breakthrough to investigate the power of finance over business, biomedicine, and public health. When curative treatments for hepatitis C launched in 2013, sticker shock over their prices intensified the global debate over access to new medicines. Weaving historical research with insights from political economy and science and technology studies, Victor Roy demystifies an oft-missed dynamic in this debate: the reach of financialized capitalism into how medicines are made, priced, and valued.
 
Roy’s account moves between public and private labs, Wall Street and corporate board rooms, and public health meetings and health centers to trace the ways in which curative medicines became financial assets dominated by strategies of speculation and extraction at the expense of access and care. Provocative and sobering, this book illuminates the harmful impact of allowing financial markets to determine who heals and who suffers and points to the necessary work of building more equitable futures. 
 
 

Contents

The Politics of Drug Pricing and the Value of a Cure
1
Public Knowledge into Pharmaceutical Assets
23
Pharmasset
49
Chasing the Golden Snitch and a Hepatitis C Gold Rush
59
Following Gileads Hepatitis C Money
67
The Struggle over Value and Treatment Access
74
From Financialization to Public Purpose for Health 104
104
Reckoning with Pharmaceutical Value in Crisis Times
131
Acknowledgments
137
Notes
145
References
163
Index
193
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About the author (2023)

Victor Roy, MD, PhD, is a family physician, sociologist, and a fellow in the National Clinician Scholars Program at Yale University.

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