Whiplash Read Free

in Stone Bridge, and told her that, just like her father, his father was undergoing chemotherapy, not for the lung cancer that had killed her father, but for Stage 4 colon cancer. In the middle of it all, he'd been told by his oncologist that the supply of Culovort had been drastically cut. Dr. Kender didn't know what she could do to help him, but he'd been trying to pressure Schiffer Hartwin Pharmaceutical to start up full production of Culovort again.
    "Culovort isn't a cancer drug, but it's used in conjunction with other chemo drugs for a wide range of cancers," he'd explained to her. "The kicker is that Culovort is critical in treating colon cancer. It's used along with another cancer drug, Fluorouracil, or 5-FU, as it's commonly called. Think of 5-FU as a grenade that masquerades as a component of DNA and explodes inside the cancer cells. Culovort is an accomplice that helps it get past the guards. Without the Culovort, you've got all the toxic poison of 5-FU, but fewer cancer cells getting killed."
    He steepled his long thin fingers together, and looked over them as he spoke. "The problem is, Culovort is off patent and therefore it's cheap."
    Erin said, "That's a problem? Oh, I see."
    Edward Kender nodded. "Schiffer Hartwin Pharmaceutical makes only a negligible profit off it. Without it, the people suffering from colon cancer are the biggest losers, like my father. With no Culovort, they'll be forced to use the new oral drug-Eloxium. Some believe the oral drug is better-but the thing is, Eloxium can cost twenty thousand dollars for the treatment course.
    "Most insurance companies do not cover the oral treatment, or only a small part of it, which means that many colon cancer patients will have to come up with thousands of dollars to pay for the Eloxium. Dad's oncologist is furious about it because she'll have to force patients over to the oral medication. There'll be simply no choice once there's no supply. Even worse, if a patient begins the Eloxium, there's no going back, even if Culovort becomes available again."
    Erin said slowly, "So mortgage your home to pay for the treatment of a life-threatening disease, and have a nice day."
    "Can you imagine, Erin, not only dealing with chemotherapy and all the brutal side effects, the possible prospect of dying, your family's grinding fear, the unending stress, and then being told that one of the major components of your chemotherapy course isn't available anymore because of unexpected production problems? And, oh, yes, sorry, but on top of all that, it's going to cost you a bundle out-of-pocket to switch over to a new chemo drug."
    Oh, yes, she could imagine it. She remembered all too well her father's final months, the soul-draining helplessness they'd all felt watching her father become a frail old man, so ill he couldn't eat, so weak he could barely stand. She remembered how he'd told her late one night that this damnable cure made you forget the disease, you felt so rotten. She swallowed down tears, shook her head. "What I really can't picture is a group of people actually sitting down and deciding to simply stop making an important medicine for cancer patients, people who may already be staring at death from the doorway and trying to deal with it."
    Dr. Kender smiled at her, a charming smile that for an instant erased the terrible fatigue and worry from his eyes. "Ah, you're forgetting the bankers on Wall Street. They purposely set out to make all the money they could, and they didn't seem to give a damn about the consequences."
    Erin sighed. "I'm beginning to wonder if greed has any limits at all."
    He said, "We are the ones who have to set those limits. Controlling and manipulating access to drugs for profit is wrong, but at least it affects a finite number of people. The bankers have damaged the entire world."
    He drummed his fingertips on the arm of his chair. "At any rate, Erin, I went to see Mr. Caskie Royal, the CEO of the U.S. subsidiary of Schiffer Hartwin