Posting date: October 11, 2005
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Health Affairs, 10.1377/hlthaff.w5.455
Copyright © 2005 by Project HOPE


Web Exclusives

BiDil: Race Medicine Or Race Marketing?

Pamela Sankar 1* Jonathan Kahn 2

1 Pamela Sankar is an assistant professor in the Department of Medical Ethics, University of Pennsylvania, in Philadelphia.
2 Jonathan Kahn is an assistant professor at the Hamline University School of Law in St. Paul, Minnesota.

*Corresponding author.

  Abstract

Recent Food and Drug Administration (FDA) approval of the first drug with a race-specific indication has fueled the controversy over the meaning of race and ethnicity and raised questions over whether this move should be seen as an advance or a setback in the struggle to address disparities in health status associated with race. The drug, BiDil, combines two generics long recognized as benefiting patients with heart failure, irrespective of race or ethnicity. The push to bring these drugs to market as a race-specific treatment was motivated by the peculiarities of U.S. patent law and a willingness to exploit race to gain commercial and regulatory advantage.

Key Words: Business Of Health, Consumer Issues, Demography, Ethical Issues, Legal/Regulatory Issues, Minority Health, Pharmaceuticals


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K. Bibbins-Domingo and A. Fernandez
BiDil for Heart Failure in Black Patients: Implications of the U.S. Food and Drug Administration Approval
Ann Intern Med, January 2, 2007; 146(1): 52 - 56.
[Abstract] [Full Text] [PDF]

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BiDil and Other Racial Ironies
David W. Moskowitz MD FACP
Health Affairs, 24 Oct 2005 [Full text]