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Author: Fred Roeder

6 Amazing Medical Breakthroughs we should be thankful for

Thanks to continuous innovation in medical sciences and biotechnology we have seen amazing breakthroughs in medical technology and pharmaceuticals in the past two decades. These breakthroughs would not have been possible without incentives for inventors and investors. We can still only cure or treat 5% of all known diseases. Reducing incentives for innovation and intellectual property rights would risk finding cures for the remaining 95%.

This is a list of just six innovations of the last two decades that dramatically improve the lives of millions of people.

Coronavirus Pandemic: Fred Roeder, Health Economist on TRT World


The Consumer Choice Center is the consumer advocacy group supporting lifestyle freedom, innovation, privacy, science, and consumer choice. The main policy areas we focus on are digital, mobility, lifestyle & consumer goods, and health & science.

The CCC represents consumers in over 100 countries across the globe. We closely monitor regulatory trends in Ottawa, Washington, Brussels, Geneva and other hotspots of regulation and inform and activate consumers to fight for #ConsumerChoice. Learn more at consumerchoicecenter.org

What the NHS can learn from Germany’s Hospital System

Post-Coronavirus, the UK should not shy away from debate over the NHS, and how to achieve better patient outcomes, argues Fred Roeder

When contrasting how countries around the world are coping with COVID-19, over the past few weeks one country has stood out. Germany’s health system has received regular praise for its resilience in facing the COVID-19 pandemic, but what are they doing right?

Germany is one of the most affected countries in Europe but the mortality rates are significantly lower than in most other European countries dealing with the coronavirus. Germany’s capacity to test widely and early has definitely contributed to this but an often underappreciated factor is its very competitive, modern, and often private hospital system.

While the UK currently has fewer confirmed COVID-19 cases, this is probably due to the lack of testing capacities of the NHS, the more interesting and shocking number is that the death rate per 1 million people is four times higher in the United Kingdom compared to Germany. Germany’s mainly private and decentralized testing infrastructure happens mostly outside of hospitals, in private laboratories, and has enabled Germany to conduct as many as 150,000 tests per week. To put that in comparison, the UK has managed less than 10,000 a day so far.

Being the relative of an NHS patient, I had to assist her to go through its byzantine and centralized testing regime, even for simple blood samples. GPs send patients to hospitals just to get their blood taken and analysed. Scaling up such a centralized testing system allows no mistakes to be made. A decentralized and independent system however allows for some parts in the chain to fail and the other still to perform, and crucially allows room for innovation.

Merely 28% of the roughly 1,950 hospitals that participate in Germany’s universal health system are owned by the government. 37% are private for profit hospitals that treat patients covered by the public health insurances and receive the same amount of reimbursement per case as the public ones or the 34% that are operated by churches and other charities. Despite charging the same as government hospitals private for-profit hospitals have the highest investment per case (about 64% higher than public hospitals), which leads to more state-of-the-art treatment and newer medical equipment.

It is also very interesting to look at how private hospitals perform better compared to government hospitals in Germany. Within the first four years one can observe an increase in efficiency of between 3.2% and 5.4% above those hospitals that had not been privatised. Despite its mainly private character Germany has nearly three times as many beds per 100,000 people compared to the UK. It gets even worse when looking at intensive care beds per 100,000. Germany has over 4 times the intensive care capacity compared to the NHS. In recent weeks Germany added another 40% additional capacity to its already high intensive care beds. This number is not reflected in the comparison.

Given that we are currently facing a massive pandemic it is shocking to see how poorly prepared the centralized NHS was, from a lack of protective equipment for clinicians, to its failure to prepare for mass testing. While the hard work of individuals within the health service has done what seemed impossible only weeks ago, and has prepared the NHS to cope with coronavirus, structural issues remain.

A pluralistic hospital system that endorses competition and patient choice such as the German one seems to be in a much better position to cope with potentially tens of thousands of severe COVID-19 cases.

Yes, also in this comparatively better German hospital system patients die and doctors contract COVID-19. Healthcare workers in Germany are also overwhelmed with the amount of cases and patients. But overall it looks like Germany can endure and face this wave in a much more prepared and resilient fashion compared to the NHS which is still facing huge problems mastering this mammoth task.

After we are all through with this we should not shy away from a debate if it’s not time to open up bigger parts of the NHS hospital systems, allow competition and make the health of British patients a priority.

Originally published here.


The Consumer Choice Center is the consumer advocacy group supporting lifestyle freedom, innovation, privacy, science, and consumer choice. The main policy areas we focus on are digital, mobility, lifestyle & consumer goods, and health & science.

The CCC represents consumers in over 100 countries across the globe. We closely monitor regulatory trends in Ottawa, Washington, Brussels, Geneva and other hotspots of regulation and inform and activate consumers to fight for #ConsumerChoice. Learn more at consumerchoicecenter.org

The ‘Bad Boys’ of the Private Sector turn into Corona-Angels

In light of the Corona virus, businesses that are usually on the top of politicians’ lists to be taxed, regulated, nationalized, or shut down are demonstrating how much value they produce for society.

Побороти коронавірус з допомогою редагування генів: що це таке і як працює

Кордони закриваються, літаки скасовують рейси, а заводи призупиняють діяльність. Вчені та лікарі працюють над тестами, методами лікування та вакцинами, щоб незабаром надати медичну відповідь. Коронавірус може бути одним з найбільших випробувань, з якими людство стикалися за останні десятиліття, але він не буде останньою загрозою яку нам потрібно перемогти. Саме тому настав час звернути увагу на напрацювання біонауки та дозволити застосування методів генетичної зміни.

Для звичайної людини весь хайп навколо технологічного прогресу, мутагенезу та генної інженерії важко осмислити. Мені особисто знадобилось багато читати, щоб почати розуміти, які існують різні методи, і як вони можуть масово покращити нашу якість життя.

Давайте спочатку розглянемо чотири найпоширеніші способи зміни генів рослин чи тварин:

Доктор Ікс – Мутації самі по собі просто трапляються регулярно в природі. Саме таким чином деякі амінокислоти призвели до виникнення людини мільярд років пізніше. Біологічна еволюція може відбутися лише завдяки мутаціям. Мутації в природі відбуваються випадковим чином або викликані екзогенними факторами, такими як радіація (наприклад, сонце). Для читачів коміксів, люди-X мають мутації які у більшості випадків сталися випадково.

Халк – Мутація через опромінення (мутагени): Один з найпоширеніших способів маніпулювання насінням – це піддавати їх радіації та сподіватися на виникнення позитивних мутацій (наприклад, більшу стійкість до шкідників). Цей метод є дуже поширеним з 50-х років минулого століття, однак є дуже неточним підходом, який має на меті зробити посіви більш стійкими або приємними. Позитивний результат вимагає тисяч спроб. Цей метод широко застосовується та законний майже в кожній країні. У світі коміксів Халк – хороший приклад мутацій, викликаних радіацією.

Людина-павук – генетично модифіковані організми (трансгенні ГМО): процедура створення ГМО заснована на вставленні генів одного виду в гени іншого. У більшості випадків посіви ГМО ін’єктуються білком іншої рослини або бактеріями, що змушує урожай швидше рости або бути більш стійким до певних захворювань. Інші приклади можна побачити при схрещуванні лосося з рибою тилапії, завдяки чому лосось росте вдвічі швидше. Людина-павук укушена павуком раптом яка змогла піднятися на хмарочоси завдяки своїй посиленій павуко-людській ДНК (трансгенній) – приклад з коміксу.

GATTACA / Гнів Хана – редагування генів (ножиці): останній і найточніший спосіб зміни генів організму – так зване редагування генів. На відміну від традиційних ГМО, гени не імплантуються з іншого організму, а змінюються всередині організму завдяки точному методу або дезактивації певних генів, або їх додаванню.

Це можна зробити навіть у дорослих людей, які живуть, що є благом для всіх, хто страждає генетичними порушеннями. Ми здатні «відновити» гени в живих організмах. Редагування генів також в тисячі разів точніше, ніж просто бомбардування насіння радіацією. Деякі застосовані приклади дезактивації гена, відповідального за вироблення глютену в пшениці: Результат – пшениця без глютену. Існує кілька методів, які цього досягають. 

Однією з найпопулярніших в наші дні є так званий CRISPR Cas-9. Ці “ножниці” є зазвичай перепрограмованими бактеріями, які передають нову інформацію про ген або деактивують неіснуючі або небажані гени. Багато науково-фантастичних романів і фільмів показують майбутнє, в якому ми можемо деактивувати генетичні дефекти і вилікувати людину від страшних захворювань. Деякі приклади історій, в яких використовувались подібні до CRISPR методи, – це фільми, такі як GATTACA, Зоряний шлях: Гнів Хана, або серіал Expanse, в якому редагування генів відіграє вирішальну роль у вирощуванні сільськогосподарських культур у космосі.

Яке відношення це має до коронавірусу?

Біологи-синтетики почали використовувати CRISPR для синтетичного створення частин коронавірусу, намагаючись запустити вакцину проти цього захворювання легенів і зможуть дуже швидко його масово виробляти. У поєднанні з комп’ютерним моделюванням та штучним інтелектом найкраща конструкція такої вакцини розраховується на комп’ютері та потім синтетично створюється. Це прискорює розробку вакцини і скорочує її з роками до лише місяців. Регуляторні органи показали, що в кризові періоди вони також можуть швидко затвердити нові процедури тестування та вакцинації, які зазвичай потребують років назад та назад з такими агенціями, як Міністерство Охорони Здоров’я?

Серед іншого, CRISPR дозволяє “шукати” конкретні гени, також гени вірусу. Завдяки чому стало можливим створення створити швидких та простих процедур тестування пацієнтів на коронавірус.

Зрештою, редагування генів може дати нам можливість підвищити імунітет людства, змінивши наші гени та зробивши нас більш стійкими до вірусів та бактерій.

Коронaвірус – це не остання криза

Хоча коронавірус є своєрідним екзаменом для сучасного суспільства, ми також повинні усвідомлювати, що він не буде останнім збудником, який може вбити мільйони. Якщо нам не пощастить, корона може швидко мутувати і з ним стане важче боротися. Наступні небезпечні віруси, грибки чи бактерії, ймовірно, не за горами. Отже, нам потрібно підтримувати новітні винаходи біотехнології, а не блокувати генетичні дослідження та доступ до їх результатів.

Наразі чимало тяганини і навіть прямо заборони стоять між інноваціями з величезним потенціалом, такими як CRISPR та пацієнтами по всьому світу. Нам потрібно переосмислити нашу неприязнь до генної інженерії та прийняти її. Постійна боротьбa з новоявними хворобами потребує сучасних відповідей.

Originally published here.


Merci la science! Un guide d’auto-assistance pour le coronavirus

Comment répondre à nos besoins en période de confinement ? Voici un guide des innovations qui nous permettent de passer ce désagréable moment.

Les deux dernières semaines ont probablement été les moments les plus étranges de la plupart de nos vies. Peu d’entre nous ont connu une restriction aussi massive de leurs voyages et de leur vie sociale avant l’apparition du coronavirus. Même en tant que passionné d’aviation et grand voyageur, je n’ai même pas vu l’immobilisation au sol de flottes entières d’avions au lendemain du 11 septembre 2001.

Les réunions d’affaires, conférences ou événements sportifs semblent être suspendus pendant au moins les six à huit semaines à venir. Ce n’est probablement qu’une question de temps avant que la plupart des pays ne ferme les salles de sport et les pubs.

Ce sera un défi non seulement pour l’économie, mais aussi pour notre vie sociale. Il sera important de garder le moral et la santé mentale. Il s’avère que des conversations vidéo régulières, mais très informelles avec des amis et des collègues, autour d’un verre, peuvent beaucoup aider à soulager l’anxiété accumulée par l’hystérie médiatique et le sentiment de ne pas être maître de la situation, impuissant.

Alors que nous essayons tous de nous adapter à une nouvelle réalité pour les 6 à 10 prochaines semaines, il y a aussi des raisons pour lesquelles je suis très heureux que cette crise survienne en 2020 et non en 2000. Beaucoup d’innovations se sont produites dans ce nouveau millénaire dont nous devrions être extrêmement reconnaissants.

Avant tout, nous devrions bien sûr être reconnaissants envers toutes les infirmières et tous les médecins qui ont aidé les patients en première ligne de l’épidémie. Ce seront des mois difficiles pour tous les professionnels de la santé et ils devraient recevoir tout le soutien nécessaire.

Et avant de nous plonger dans l’innovation médicale et la recherche d’un vaccin, regardons qui d’autre nous aide à prendre de la distance sociale, à nous isoler et à aplatir la courbe.

BESOIN DE TRAVAILLER ?

Les outils de travail à distance tels que Zoom, Asana ou les outils de Google ont déjà révolutionné le monde du travail. La plupart des réunions peuvent être converties en appel vidéo.

Ainsi, l’économie du savoir ou les emplois de défense des droits, comme ceux de mon organisation, peuvent au moins continuer à être productifs. Mais il est évident qu’il y a aussi la vie au-delà du travail et qu’il faut s’en occuper, y compris la garde des enfants.

BESOIN DE NOURRITURE ?

Grâce à des services de livraison de produits alimentaires tels qu’AmazonFresh et Ocado, j’ai pu constituer une bonne quantité de réserves de conserves, de produits secs et de produits pour la salle de bains, sans même avoir à me battre pour les derniers produits dans certains supermarchés presque vides. Au cours des prochaines semaines, nous aurons des livraisons régulières de produits frais, vu que je ne me contenterai pas de pâtes tant que corona ne sera pas vaincu. 

Les services de livraison de nourriture permettent de travailler encore plus facilement à domicile, tout en créant de la valeur, et d’être nourri par Papa John’s, Nando’s ou notre restaurant indien local. Domino’s Pizza est allé encore plus loin et vient de m’envoyer un courriel annonçant « Contact Free Delivery » au Royaume-Uni et en Irlande (j’habite à Londres) :

« En introduisant la livraison sans contact, nous pensons que nous donnerons à nos clients la tranquillité d’esprit lorsqu’ils commandent un Domino’s, tout en protégeant nos livreurs.

Vous pouvez sélectionner une livraison sans contact lors du passage de votre commande sur notre application ou notre site web. Votre chauffeur vous appellera à son arrivée pour convenir de l’endroit où vous souhaitez que votre nourriture soit laissée. Une fois la commande passée à l’endroit convenu, le chauffeur se tiendra à au moins deux mètres de vous pendant que vous irez chercher votre commande. Pour que le service soit vraiment sans contact, toutes les commandes de livraison sans contact doivent être prépayées en ligne ou par téléphone ».

Après m’être occupé de toute la pizza et du papier toilette dont j’ai besoin dans un avenir proche, il est maintenant temps d’examiner quels seront les besoins en matière de divertissement.

BESOIN DE DIVERTISSEMENT ?

Netflix et Amazon arrivent directement dans ma vie et, comme l’a fait remarquer ma collègue Maria, « c’est un fléau avec le WiFi ». Il n’est donc pas nécessaire d’aller dans le magasin de location de vidéos qui a fermé ses portes, mais vous pouvez diffuser en continu toutes les saisons de Buffy, et si cela dure plus longtemps que prévu, même Angel, directement chez vous.

Ma salle de sport vient de m’envoyer un e-mail m’informant qu’ils avaient un cas de COVID-19 et qu’ils sont actuellement fermés pour un nettoyage en profondeur. C’est bien que Kelli et Daniel de Fitness Blender aient plus de 500 vidéos d’entraînement gratuites sur YouTube. Sortez vos tapis de yoga !

Mais Buffy et HIIT ne sont pas disponibles en quantité suffisante pour une journée. Heureusement, les jeux vidéo (auxquels je n’ai pas prêté attention depuis longtemps) sont maintenant surtout diffusés en streaming ou téléchargés. Mes amis des médias sociaux m’ont recommandé Red Dead Redemption 2The Witcher 3 et Europa Universalis IV (probablement trop compliqué pour moi). Je pense donc que nous sommes tous prêts ici aussi !

BESOIN DE MÉDICAMENTS ?

Passons maintenant à l’une des plus grandes inventions de ces dernières décennies : les pharmacies en ligne ! Venant d’Allemagne et ayant travaillé dans le domaine de la politique de santé, je suis toujours perplexe quant à l’ampleur de la lutte contre les pharmacies en ligne et les ordonnances électroniques. En ces temps d’isolement et de distanciation sociale, ces deux mots sonnent comme de la musique à mes oreilles. 

J’ai pu commander et stocker toutes sortes de médicaments délivrés uniquement sur ordonnance, tels que des médicaments contre l’asthme, des inhibiteurs de la pompe à protons et des antibiotiques, sans même quitter mon appartement ; et tout cela LÉGALEMENT (avertissement : je souffre d’asthme) ! Il vous suffit de consulter un médecin en ligne ou de répondre à un quiz et de recevoir une ordonnance électronique.

C’est un soulagement énorme pour le système de santé, déjà mis à rude épreuve, car les patients n’inondent pas les cliniques juste pour demander des ordonnances et les pharmaciens peuvent se concentrer sur la production d’un plus grand nombre de désinfectants.

RÉJOUISSONS-NOUS DE CES INNOVATIONS

La plupart de ces services et entreprises mentionnés ci-dessus n’existaient même pas il y a vingt ans. Grâce à l’innovation et à la concurrence, les entrepreneurs ont mis au point ces nouvelles façons de servir les clients. C’est étonnant et, même si ce n’était peut-être qu’un simple gadget il y a quelques semaines, tout, de la vidéoconférence aux prescriptions électroniques, rend cette crise beaucoup plus gérable. Nous devrions nous en réjouir !

Il est évident qu’il existe des groupes vulnérables et que de nombreuses personnes souffriront lourdement du virus. C’est pourquoi nous avons besoin de plus d’innovation. Il y a déjà une course au premier vaccin et d’autres sociétés pharmaceutiques travaillent à la réorientation des antiviraux utilisés par exemple pour lutter contre le virus Ebola.

Certaines études suggèrent que certains médicaments contre le paludisme pourraient être utiles pour renforcer le système immunitaire des patients gravement malades atteints de coronaropathie. Il s’agit souvent de médicaments récemment découverts dont le développement nécessite beaucoup de temps et de capitaux. 

Nous devrions être reconnaissants pour l’innovation en médecine et admettre que ces percées ne sont possibles que grâce à des chercheurs enthousiastes et à l’appétit d’innovation risqué du secteur privé.

C’est pourquoi, à l’Agence pour le choix du consommateur (Consumer Choice Center), nous continuons à nous battre (depuis nos ordinateurs portables) pour le choix, l’innovation et l’élaboration de politiques pro-science. Nous en tirerons profit lors de la prochaine crise (un robot de garde d’enfants inclus) !

Originally published here.


The Consumer Choice Center is the consumer advocacy group supporting lifestyle freedom, innovation, privacy, science, and consumer choice. The main policy areas we focus on are digital, mobility, lifestyle & consumer goods, and health & science.

The CCC represents consumers in over 100 countries across the globe. We closely monitor regulatory trends in Ottawa, Washington, Brussels, Geneva and other hotspots of regulation and inform and activate consumers to fight for #ConsumerChoice. Learn more at consumerchoicecenter.org

Understanding gene editing with comic book figures… better fight viruses

UNDERSTANDING GENE EDITING WITH COMIC BOOK FIGURES

Humanity is currently facing a huge challenge imposed by the Coronavirus. Borders are being shut down, planes grounded, and factories closed. At the same time, scientists and public health professionals are working on tests, treatments, and vaccines to soon provide a medical response. Coping with corona might be one of the largest tests humans have faced in the past decades but it won’t be the last virus we need to defeat. It is time to embrace bioscience and allow more research and applications of genetic alteration methods.

For the layman, all this technobabble about mutagenesis and genetic engineering is difficult to comprehend and it took me personally a good amount of reading to start grasping what different methods exist and how these can massively improve our quality of life.

Let’s first look at the four most common ways to alter the genes of a plant or animal:

Dr. Xaver – Mutations per se just happen regularly in nature – This is how some amino acids ended up being humans a billion years later. Biological evolution can only happen thanks to mutations. Mutations in nature happen randomly or are caused by exogenous factors such as radiation (e.g. sun). For the comic book readers among us, X-men have mutations that (in most cases) occurred randomly.

The Hulk – Mutation through exposure (mutagens): One of the most common ways to manipulate seeds is exposing them to radiation and hoping for positive mutations (e.g. higher pest resistance). This method is very common since the 1950s and a very inaccurate shotgun approach aiming to make crops more resistant or palatable. It requires thousands of attempts to get a positive result. This method is widely used and legal in nearly every country. In our comic book universe, the Hulk is a good example of mutations caused by radiation.

Spiderman – Genetically Modified Organisms (transgenic GMO): This often-feared procedure of creating GMOs is based on inserting the genes of one species into the genes of another. In most cases, GMO crops have been injected with a protein of another plant or bacteria that makes the crop grow faster or be more resistant towards certain diseases. Other examples can be seen in crossing salmon with tilapia fish which makes the salmon grow twice as fast. Spiderman being bitten by a spider and suddenly being able to climb skyscrapers due to his enhanced spider-human (transgenic) DNA is an example from the comicverse.

GATTACA/Wrath of Khan – Gene Editing (the scissors): The latest and most precise way of altering an organism’s genes is so-called Gene Editing. In contrast to traditional GMOs, genes are not being implanted from another organism but changed within the organism due to a precise method of either deactivating certain genes or adding them.

This can be even done in grown humans that are alive, which is a blessing for everyone who suffers from genetic disorders. We are able to “repair” genes in live organisms. Gene editing is also thousands of times more accurate than just bombarding seeds with radiation. Some applied examples are deactivating the gene responsible for generating gluten in wheat: The result is gluten-free wheat. There are several methods that achieve this. One of the most popular ones these days is the so-called CRISPR Cas-9. These ‘scissors’ are usually reprogrammed bacteria that transmit the new gene information or deactivate defunct or unwanted genes. Many science fiction novels and movies show a future in which we can deactivate genetic defects and cure humans from terrible diseases. Some examples of stories in which CRISPR-like techniques have been used are movies such as GATTACA, Star Trek’s Wrath of Khan, or the Expanse series in which gene editing plays a crucial role in growing crops in space.

WHAT DOES THIS HAVE TO DO WITH THE CORONAVIRUS?

Synthetic biologists have started using CRISPR to synthetically create parts of the coronavirus in an attempt to launch a vaccine against this lung disease and be able to mass-produce it very quickly. In combination with computer simulations and artificial intelligence, the best design for such a vaccine is calculated on a computer and then synthetically created. This speeds up vaccine development and cuts it from years to merely months. Regulators and approval bodies have shown that in times of crisis they can also rapidly approve new testing and vaccination procedures which usually require years of back and forth with agencies such as the FDA?

CRISPR also allows the ‘search’ for specific genes, also genes of a virus. This helped researchers to build fast and simple testing procedures to test patients for corona.

In the long term, gene editing might allow us to increase the immunity of humans by altering our genes and making us more resistant to viruses and bacteria.

THIS WON’T BE THE LAST CRISIS

While the coronavirus seems to really test our modern society, we also need to be aware that this won’t be the last pathogen that has the potential to kill millions. If we are unlucky, corona might mutate quickly and become harder to fight. The next dangerous virus, fungus, or bacteria is probably around the corner. Hence we need to embrace the latest inventions of biotechnology and not block genetic research and the deployment of its findings.

Right now a lot of red tape and even outright bans are standing between lifesaving innovations such as CRISPR and patients around the world. We need to rethink our hostility towards genetic engineering and embrace it. To be frank: We are in a constant struggle to fight newly occurring diseases and need to be able to deploy state of the art human answers to this.


The Consumer Choice Center is the consumer advocacy group supporting lifestyle freedom, innovation, privacy, science, and consumer choice. The main policy areas we focus on are digital, mobility, lifestyle & consumer goods, and health & science.

The CCC represents consumers in over 100 countries across the globe. We closely monitor regulatory trends in Ottawa, Washington, Brussels, Geneva and other hotspots of regulation and inform and activate consumers to fight for #ConsumerChoice. Learn more at consumerchoicecenter.org

Infographic: Check if you can buy medicines in your country online.

In times of the Coronavirus, online pharmacies are crucial. But most European countries still don’t allow them.

All across Europe, healthcare professionals and the entire health systems are being tested as more and more patients need care. Governments and epidemiologists are asking large parts of the population to stay at home, social distance, or self-isolate. 

Modern ways of supporting mildly sick and average sick patients are absolutely necessary in order to keep important health infrastructure available for those most in need.

But only seven out of 28 European countries (EU28 including UK) allow patients to order prescription-only medicine online. Only Sweden, Denmark, Finland, the Netherland, the United Kingdom, Estonia, and Germany have legalized the so-called RX online pharmacies. Northern European countries seem to be much better when it comes to allowing patients to order RX medicine online.

Thanks to a European Court of Justice ruling from 2003, all EU countries are obliged to allow the sale of over-the-counter drugs (e.g. Aspirin) online. Switzerland allows online pharmacies to sell prescription drugs but not over-the-counter drugs. So a Swiss will be able to reorder her asthma spray but not get any Paracetamol online.

Policymakers should liberalize these restrictions immediately in order to allow hundreds of millions of Europeans to order medicines without leaving their house. Quick deployment of electronic prescriptions would leverage this liberalization. The United Kingdom allows electronic prescriptions for many ailments. Copying this system among the entire continent would allow patients to purchase antibiotics, asthma sprays, and other drugs they might need to fight off the coronavirus.


The Consumer Choice Center is the consumer advocacy group supporting lifestyle freedom, innovation, privacy, science, and consumer choice. The main policy areas we focus on are digital, mobility, lifestyle & consumer goods, and health & science.

The CCC represents consumers in over 100 countries across the globe. We closely monitor regulatory trends in Ottawa, Washington, Brussels, Geneva and other hotspots of regulation and inform and activate consumers to fight for #ConsumerChoice. Learn more at consumerchoicecenter.org

VIREN MIT DER GENSCHERE BEKÄMPFEN

Die Menschheit steht derzeit vor einer großen Herausforderung durch das Coronavirus. Die Grenzen werden geschlossen, Flugzeuge am Boden gehalten und Fabriken geschlossen. Gleichzeitig arbeiten Wissenschaftler und Fachleute des Gesundheitswesens an Tests, Behandlungen und Impfstoffen, um bald eine medizinische Reaktion zu ermöglichen. Die Bewältigung des Coronavirus könnte einer der größten Prüfungen sein, denen die Menschen in den letzten Jahrzehnten ausgesetzt waren, aber es wird nicht das letzte Virus sein, das wir besiegen müssen. Es ist an der Zeit, Biotechnologie einen höheren Stellenwert einzuräumen und mehr Forschung und Anwendungen von Methoden zur genetischen Veränderung zuzulassen.

Für den Laien ist dieses ganze Technik-Geschwätz über Mutagenese und Gentechnik schwer verständlich, und es hat mich persönlich eine gute Menge an Lektüre gekostet, um zu begreifen, welche verschiedenen Methoden es gibt und wie diese unsere Lebensqualität massiv verbessern können.

Betrachten wir zunächst die vier häufigsten Methoden, um die Gene einer Pflanze oder eines Tieres zu verändern:

Dr. Xaver – Mutationen an sich kommen in der Natur einfach regelmäßig vor

So ist aus einigen Aminosäuren eine Milliarde Jahre später zum Menschen geworden. Biologische Evolution kann nur dank Mutationen stattfinden. Mutationen in der Natur geschehen zufällig oder werden durch exogene Faktoren wie Strahlung (z.B. Sonne) verursacht. Für die Comic-Leser unter uns haben X-Männer Mutationen, die (in den meisten Fällen) zufällig auftreten.

The Hulk – Mutation durch Exposition (Mutagene)

Eine der häufigsten Arten, Samen zu manipulieren, ist, sie Strahlung auszusetzen und auf positive Mutationen zu hoffen (z.B. höhere Schädlingsresistenz). Diese Methode ist seit den 1950er Jahren sehr verbreitet und ein sehr unpräziser Schrotflintenansatz, der darauf abzielt, Pflanzen widerstandsfähiger oder schmackhafter zu machen. Sie erfordert Tausende von Versuchen, um ein positives Ergebnis zu erzielen. Diese Methode ist weit verbreitet und in fast jedem Land legal. In unserem Comic-Universum ist der Hulk ein gutes Beispiel für durch Strahlung verursachte Mutationen.

Spiderman – Genetisch veränderte Organismen (transgene GVOs)

Dieses oft gefürchtete Verfahren zur Herstellung von GVO basiert auf der Einfügung der Gene einer Art in die Gene einer anderen Spezies. In den meisten Fällen wurde den GVO-Kulturen ein Protein einer anderen Pflanze oder eines Bakteriums injiziert, das die Kulturpflanze schneller wachsen lässt oder sie widerstandsfähiger gegen bestimmte Krankheiten macht. Andere Beispiele sind die Kreuzung von Lachs mit Tilapia-Fischen, die den Lachs doppelt so schnell wachsen lässt. Spiderman, der von einer Spinne gebissen wird und plötzlich in der Lage ist, auf Wolkenkratzer zu klettern, weil er eine verbesserte spinnenmenschliche (transgene) DNA besitzt, ist ein Beispiel aus dem Comicverse.

GATTACA/Der Zorn des Khan – Gen-Editierung (die Schere)

Die neueste und präziseste Art, die Gene eines Organismus zu verändern, ist das sogenannte Gene Editing. Im Gegensatz zu den traditionellen GVO werden dabei keine Gene aus einem anderen Organismus implantiert, sondern durch eine präzise Methode, bei der bestimmte Gene entweder deaktiviert oder hinzugefügt werden, innerhalb des Organismus verändert.

Dies kann sogar bei erwachsenen, lebenden Menschen geschehen, was für alle, die an genetischen Störungen leiden, ein Segen ist. Wir sind in der Lage, Gene in lebenden Organismen zu „reparieren“. Die Bearbeitung von Genen ist auch tausendmal genauer als das bloße Beschießen von Samen mit Strahlung. Ein angewandtes Beispiel ist die Deaktivierung des Gens, das für die Erzeugung von Gluten im Weizen verantwortlich ist: Das Ergebnis ist glutenfreier Weizen. Es gibt mehrere Methoden, die dies erreichen. Eine der populärsten ist heutzutage das sogenannte CRISPR Cas-9. Diese „Scheren“ sind normalerweise umprogrammierte Bakterien, die die neue Geninformation übertragen oder defekte oder unerwünschte Gene deaktivieren. Viele Science-Fiction-Romane und -Filme zeigen eine Zukunft, in der wir Gendefekte deaktivieren und Menschen von schrecklichen Krankheiten heilen können. Einige Beispiele für Geschichten, in denen CRISPR-ähnliche Techniken eingesetzt wurden, sind Filme wie GATTACA, Star Treks Zorn des Khan oder die Expanse-Serie, in der die Genbearbeitung eine entscheidende Rolle beim Anbau von Nutzpflanzen im Weltraum spielt.

Was hat das mit dem Coronavirus zu tun?

Synthetische Biologen haben begonnen, mit CRISPR Teile des Coronavirus synthetisch herzustellen, um einen Impfstoff gegen diese Lungenkrankheit auf den Markt zu bringen und ihn sehr schnell in Massenproduktion herstellen zu können. In Kombination mit Computersimulationen und künstlicher Intelligenz wird das beste Design für einen solchen Impfstoff auf einem Computer berechnet und dann synthetisch hergestellt. Dadurch wird die Impfstoffentwicklung beschleunigt und von Jahren auf nur noch Monate verkürzt. Aufsichtsbehörden und Zulassungsbehörden haben gezeigt, dass sie in Krisenzeiten auch neue Test- und Impfverfahren, die normalerweise jahrelanges Hin und Her mit Behörden wie der FDA erfordern, schnell genehmigen können?

CRISPR ermöglicht auch die ‚Suche‘ nach bestimmten Genen, auch Genen eines Virus. Dies half den Forschern, schnelle und einfache Testverfahren zu entwickeln, um Patienten auf Corona zu testen.

Auf lange Sicht könnte die Genbearbeitung es uns ermöglichen, die Immunität des Menschen zu erhöhen, indem wir unsere Gene verändern und uns resistenter gegen Viren und Bakterien machen.

Dies wird nicht die letzte Krise sein

Während das Coronavirus unsere moderne Gesellschaft wirklich auf die Probe zu stellen scheint, müssen wir uns auch bewusst sein, dass dies nicht der letzte Erreger sein wird, der das Potenzial hat, Millionen von Menschen zu töten. Wenn wir Pech haben, könnte die Corona schnell mutieren und schwerer zu bekämpfen sein. Der nächste gefährliche Virus, Pilz oder Bakterium steht wahrscheinlich schon vor der Tür. Deshalb müssen wir die neuesten Erfindungen der Biotechnologie annehmen und dürfen die Genforschung und die Umsetzung ihrer Ergebnisse nicht blockieren.

Im Moment stehen zwischen lebensrettenden Innovationen wie CRISPR und Patienten auf der ganzen Welt eine Menge Bürokratie und sogar völlige Verbote. Wir müssen unsere Feindseligkeit gegenüber der Gentechnik überdenken und uns ihr stellen. Um ehrlich zu sein: Wir sind in einem ständigen Kampf gegen neu auftretende Krankheiten und müssen in der Lage sein, auf dem neuesten Stand der Technik menschliche Antworten darauf zu geben.

Originally published here.


The Consumer Choice Center is the consumer advocacy group supporting lifestyle freedom, innovation, privacy, science, and consumer choice. The main policy areas we focus on are digital, mobility, lifestyle & consumer goods, and health & science.

The CCC represents consumers in over 100 countries across the globe. We closely monitor regulatory trends in Ottawa, Washington, Brussels, Geneva and other hotspots of regulation and inform and activate consumers to fight for #ConsumerChoice. Learn more at consumerchoicecenter.org

What we should be thankful for: A CORONA SELF HELP GUIDE

The last couple of weeks were probably some of the strangest times in most of our lives. Only few of us have seen such a massive restriction of travel and social life prior to the coronavirus. Even as an aviation geek and frequent traveler, the grounding of entire fleets of planes is something I haven’t even seen in the aftermath of 9/11.

Physical business meetings, conferences, or sports events seem to be off for at least the next six to eight weeks. It is probably only a matter of time until most countries close down gyms and pubs. This will not only be a challenge for the economy but also for our social lives. Keeping up morale and mental health will be important and I figured out that regular but very casual video chats with friends and colleagues (over a drink) can help a lot to ease the anxieties built up by media hysteria and the feeling of not being in control of the situation (helplessness).

So while we are all trying to adjust to a new reality for the next 6-10 weeks there are also reasons why I am very happy that this crisis happens in 2020 and not in 2000. There are many innovations that happened in this new millennium we should be extremely thankful for.

First and foremost we should of course be thankful for all the nurses and doctors helping patients at the frontlines of the outbreak. This will be some challenging months for all healthcare professionals and they should receive all necessary support.

And before diving into medical innovation and the search for a vaccine let’s look who else is helping us to social distance, self-isolate, and flatten the curve.

Remote working tools such as Zoom, Asana, or Google Suite have already revolutionized the workplace. Most meetings can be switched to a video call. So at least the knowledge economy or advocacy jobs such ours can still keep being productive. But obviously there’s also life beyond work and that needs to be taken care of (including child care).

Thanks to grocery delivery services such AmazonFresh and Ocado I was able to build up a good amount of supplies of canned and dried foods and bathroom supplies even without having to fight for the last products in some nearly empty supermarkets. For the next few weeks we have regular deliveries of fresh foods so I won’t run fully on Mac n Cheese until corona is defeated. 

Food delivery services make it even easier to work from home, still create value, and being fed by Papa John’s, Nando’s, or our local Indian restaurant. Domino’s Pizza went even further and just sent me an email announcing ‘Contact Free Delivery’ in the UK and Ireland:

“By introducing Contact Free Delivery, we believe that we will give our customers peace of mind when ordering a Domino’s, while also protecting our delivery drivers.

You can select a Contact Free Delivery at the checkout on our app or website when placing your order. Your driver will call you when they arrive to agree where you want your food left. Once the order has been placed in the agreed location, the driver will stay at least two meters away while you collect your order.  To ensure the service is truly contact free, all Contact Free Delivery orders must be pre-paid online or over the phone.”

Having taken care of all the pizza and toilet paper I need for the foreseeable future it is now time to look at what entertainment needs will be important. Netflix and Amazon stream directly into my living and as my colleague Maria pointed out “It’s a plague with WiFi”. So no need to go to the defunct video rental store but be excited to stream all seasons of Buffy (and if this goes longer than expected even Angel) directly into your home.

My gym just emailed me that they had a case of COVID-19 and they are currently shut down for deep cleaning. Good that Kelli and Daniel of Fitness Blender have over 500 free workout videos on YouTube. Get your Yoga Mats out!

But there’s only so much of Buffy and HIIT you can take a day. Fortunately video games (which I haven’t paid attention to for a long time) are now mainly also being streamed or downloaded. My social media friends recommended me Red Dead Redemption 2, The Witcher 3, and Europa Universalis IV (probably too complicated for me). So I think we are all set here as well!

Now to one of the greatest inventions of the past decades: Online pharmacies! Coming from Germany and having worked in health policy I am always puzzled how much vested interest fights against online pharmacies and e-prescriptions. In times of self-isolation and social distancing these two words sound like music to my ears. 

I was able to reorder and stock up all sorts of prescription only drugs such as asthma medicine, proton pump inhibitors, and antibiotics without even leaving my flat – and all of this LEGALLY (disclaimer: I do have asthma)! You just have an online consultation with a doctor or take a quiz and receive an electronic prescription. This is definitely a massive relief on the already challenged health system as patients don’t flood clinics just to ask for prescriptions and pharmacists can focus on producing more sanitizers.

Most of these above mentioned services and companies did not even exist two decades ago. Thanks to innovation and competition entrepreneurs carved out these new ways of servicing customers. This is amazing and while it might have been a mere gimmick some weeks ago, everything from videoconferencing to electronic prescriptions makes this crisis much more manageable. We should be thankful for that!

Obviously there are vulnerable groups and many people will suffer heavily from the virus. That’s why we need more innovation. There’s already a race to the first vaccine and other pharmaceutical companies are working on repurposing antivirals that are being used for instance in fighting the Ebola Virus. Some studies suggest that certain Malaria medication might be helpful to boost the immune system of severely sick corona patients. These are often recently discovered drugs that require a lot of time and capital to be developed. 

We should be thankful for innovation in medicine and acknowledge that these breakthroughs are only possible thanks to keen researchers and a risky appetite for innovation shown by the private sector. This is why we at the Consumer Choice Center keep fighting (from our laptops) for choice, innovation, and evidence-based policy making. We will benefit in the next crisis from it (a child care robot included)!


The Consumer Choice Center is the consumer advocacy group supporting lifestyle freedom, innovation, privacy, science, and consumer choice. The main policy areas we focus on are digital, mobility, lifestyle & consumer goods, and health & science.

The CCC represents consumers in over 100 countries across the globe. We closely monitor regulatory trends in Ottawa, Washington, Brussels, Geneva and other hotspots of regulation and inform and activate consumers to fight for #ConsumerChoice. Learn more at consumerchoicecenter.org

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