How drug companies make you buy more medicine than you need

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  • čas přidán 17. 10. 2017
  • They make eye drops too big -- and make you pay for the waste.
    This is our first installment in our collaboration with ProPublica. Check out the full piece at www.propublica.org/article/dr... for their in-depth reporting, and stay tuned for more stories in this collaboration!
    Correction: At 2:17 the graph should read "Total US Spending" and not "US government spending."
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Komentáře • 2,6K

  • @max2themax
    @max2themax Před 4 lety +3453

    America's biggest mistake is not treating people as patients, but as customers....

    • @max2themax
      @max2themax Před 4 lety +7

      @X Æ A-12 im not American

    • @henrikpersson5420
      @henrikpersson5420 Před 4 lety +94

      It all comes down to one word; lobbying (legalized corruption).

    • @tagrisaj3344
      @tagrisaj3344 Před 4 lety +9

      This happens in Europe with eyedrops too.

    • @gs-nq6mw
      @gs-nq6mw Před 4 lety +42

      Americans will drown themselves in their own greedy

    • @tagrisaj3344
      @tagrisaj3344 Před 4 lety +20

      @@gs-nq6mw Not just amaricans. Everyone will. It happens in other places but there is more awareness in the US.

  • @dand777
    @dand777 Před 6 lety +4922

    How drug companies are even worse than you thought*

    • @fuzzybear7346
      @fuzzybear7346 Před 6 lety +9

      ya if this was true the drug companies could just do the recommended way and charge the same.

    • @alveolate
      @alveolate Před 6 lety +15

      you do know that... if the drops were smaller, less would be wasted and each bottle would last longer, meaning less bottles sold and lower revenue... right?
      how some people are even dumber than you thought*

    • @blehe38
      @blehe38 Před 6 lety +47

      Gregory Samuel Teo Oh no, poor drug companies! Now the CEO’s son will never get his own IMAX theater!

    • @PatRiot-
      @PatRiot- Před 5 lety +27

      “How drug companies are little different than sketchy street drug dealers”

    • @theheroidk2504
      @theheroidk2504 Před 4 lety

      This is wai me antivaxx smh dugs is bed

  • @tehillajones8300
    @tehillajones8300 Před 4 lety +1855

    Vox needs to add a “so what can we do about it” portion

    • @alexbaka6833
      @alexbaka6833 Před 4 lety +105

      problem is we can't really do much

    • @humphryshan9494
      @humphryshan9494 Před 4 lety +65

      get the trump out first of all

    • @Pro09video
      @Pro09video Před 4 lety +52

      @@alexbaka6833 Start off with fixing your so-called democracy and give yourself a real one.

    • @alexbaka6833
      @alexbaka6833 Před 4 lety +16

      @@Pro09video well if you assume I'm from the USA you're wrong

    • @Pro09video
      @Pro09video Před 4 lety +11

      @@alexbaka6833 So when you write "we", who are you referring to?

  • @ionaf9
    @ionaf9 Před 6 lety +2239

    My mum went for her chemo one day. Her doctor refused to put her on a certain infusion because it was too expensive. The patient before her had a different condition requiring the more expensive chemo however they didn't turn up to their appointment. As the drug had already been prepared the only thing they could do was physically pour a £5000 infusion down the drain. Not really relevant to this video but an example of the waste that goes on in some hospitals.

    • @sharonshort9140
      @sharonshort9140 Před 6 lety +62

      Aye yai yai that's awful!

    • @savagedragon79
      @savagedragon79 Před 6 lety +48

      iona I mean I can see if using different infusions could hurt the results.

    • @taotaozhao2649
      @taotaozhao2649 Před 5 lety +14

      The cheapest eyedrop product in China is around 35cent 8ml.

    • @monsieurleg
      @monsieurleg Před 5 lety +39

      My girlfriend had a lymphoma cancer and had to go through brentuximab medicine after chemos were inefficient. Each bottle was around 3k USD, we had to use 2 everytime even if we only used a bit of the second one....

    • @smrk2452
      @smrk2452 Před 5 lety +58

      Just like the way restaurants are not allowed to give excess food to the homeless, they have to throw it away and lock the dumpster.

  • @amanda8854
    @amanda8854 Před 5 lety +1786

    Jokes on you big pharma, I’ve learned how to use just the right amount of pressure to get a half a drop

  • @ykkhatri
    @ykkhatri Před 6 lety +2934

    Startup idea:3D print specialised caps to fit to most popular eye drops and make them microdrops.

    • @Video-Games-Are-Fun
      @Video-Games-Are-Fun Před 6 lety +95

      genius

    • @Sequaloid
      @Sequaloid Před 5 lety +70

      Veteran Drunkard someone has done this actually

    • @pinkietoes
      @pinkietoes Před 5 lety +120

      Okay but is the material safe to make contact with the drug?

    • @blooptidoop
      @blooptidoop Před 5 lety +102

      A startup called iDropr is working on this!!

    • @pinkietoes
      @pinkietoes Před 5 lety +36

      @@blooptidoop their SquareSpace website is expired... Not a good look!

  • @monkeydo992
    @monkeydo992 Před 6 lety +710

    The waste could have saved another person smh 😐

    • @josuepalomares6820
      @josuepalomares6820 Před 4 lety +4

      Smh my head

    • @thebandit9728
      @thebandit9728 Před 4 lety +11

      smh my head shake my head

    • @theemperor-wh40k18
      @theemperor-wh40k18 Před 4 lety +2

      Smh my head that smh while smh my head because I smh while my head was smh my head.

    • @s_ame1135
      @s_ame1135 Před 4 lety +2

      saving people means overpopulation too. There's no win-win here.

    • @JujutsuMasta
      @JujutsuMasta Před 3 lety +14

      @@s_ame1135 so u prefer people dying???

  • @rebelbeammasterx8472
    @rebelbeammasterx8472 Před 6 lety +323

    Healthcare should be about helping human beings. Treating and curing diseases. Not running after money and hoping you will get hurt.

    • @jack4xxnew
      @jack4xxnew Před 4 lety +21

      That's what american health care system is

    • @PatheticTV
      @PatheticTV Před 4 lety +12

      That’s what it’s like for most of the developed world, except one particular country...

    • @Peach-ys5wp
      @Peach-ys5wp Před 3 lety +2

      @@PatheticTV no that’s what it’s like for most non developed country’s in most of the 1st world country’s in Europe we have Free Healthcare

    • @bgmarshall
      @bgmarshall Před 3 lety +2

      @@Peach-ys5wp that's literally what he said. The main commenter said "this is what healthcare should be" the other guy said "it is like that for all 1st world countries except america"

  • @LifeIsABeach3210
    @LifeIsABeach3210 Před 6 lety +1562

    Someone should make a smaller detachable nozzle that could fit over the average eyedrop bottle in order to minimise waste and maximise the efficiency of every single drop.

    • @Ildskalli
      @Ildskalli Před 6 lety +177

      Brilliant idea! Get to work on it ASAP, there's money to be made there.

    • @Belioyt
      @Belioyt Před 6 lety +34

      That was my exact thought.

    • @rustman888
      @rustman888 Před 6 lety +54

      I’m not sure, but I’m pretty sure It could come out of a syringe and the drop would still be too large. For physical reasons like surface tension.
      This was a dumb way to start a video on an interesting topic.

    • @rustman888
      @rustman888 Před 6 lety +14

      And I’m sure Vox would advocate spending millions in research to create special hydrophobic coatings for these dispensers. And they would probably believe that that was preventing waste somehow.

    • @Metqa
      @Metqa Před 6 lety +141

      I'm confused about your comment, because in the video, they actually did create a smaller nozzle that delivered a smaller drop. No physical surface tension barriers got in the way. It just wasn't a profitable idea for the company to make that 's why it's not currently in production. Even the company that did the study doesn't want to talk about it anymore.

  • @Michael_Billig
    @Michael_Billig Před 6 lety +1636

    My eyes watered at the beginning of the video

  • @demiladeolaleye8766
    @demiladeolaleye8766 Před 6 lety +2846

    The human heart is terribly selfish

    • @stellar783
      @stellar783 Před 6 lety +82

      Demilade Olaleye Ahem...it’s the brain, it’s all in the brain about selfishness and process of thought. The heart does little other than pump blood through circulations. Just so you know which is the right organ to blame next time.

    • @skizzydarealest
      @skizzydarealest Před 6 lety +52

      STELLAR! "ughgh well acually.." *adjusts glasses*

    • @normanm11
      @normanm11 Před 6 lety +2

      Nope
      The human brain is selfish, your is as well.
      No one is an altruist, get over it.

    • @MatthewBaran
      @MatthewBaran Před 6 lety +2

      Demilade Olaleye yeah, especially mine. Dumb high blood pressure! Fix it dumb heart >_

    • @ts-wo6pp
      @ts-wo6pp Před 6 lety +9

      STELLAR! Wow you're so smart you don't know figures of speech.

  • @zoenayru
    @zoenayru Před 6 lety +1487

    Eye drops saving stoner lives since

    • @123456bmx
      @123456bmx Před 6 lety +20

      Qufox right dude I've had the same rhotos for 2 years

    • @zoenayru
      @zoenayru Před 6 lety +7

      123456bmx - mines usually last me 2 months :)

    • @Hoxgene
      @Hoxgene Před 6 lety +2

      K E V I N A T O R it sure is comforting to know theres still good people on the internet. Hence darude sandstorm

    • @CG1224_
      @CG1224_ Před 6 lety

      Qufox smoke weeeeeed everyday! Lol

    • @bulletl187
      @bulletl187 Před 6 lety

      I was just searching for such comment 😂

  • @nesirsitsir
    @nesirsitsir Před 6 lety +2204

    Money rules this evil world of ours.

    • @andydavis3075
      @andydavis3075 Před 6 lety +42

      James Bone it also builds it.

    • @tre-moon-dous6122
      @tre-moon-dous6122 Před 6 lety +36

      James Bone nah, just North America. Other countries have free healthcare

    • @ivyli2917
      @ivyli2917 Před 6 lety +14

      Welcome to capitalism! Even free healthcare countries have to pay for some medicines ...

    • @mungojelly
      @mungojelly Před 6 lety +11

      Money is just a token. What rules this evil world is our recognition of ownership of capital.

    • @genunsaved5441
      @genunsaved5441 Před 6 lety +3

      James Bone no human greed does lawl

  • @yepitsthatguy5278
    @yepitsthatguy5278 Před 6 lety +369

    As a Brit (Londoner specifically), the US Healthcare system is always fascinating to me because it's just so different, as I imagine it is for a lot of countries also with universal healthcare. For once however, wasted and overprescribed medicine is an important shared issue for us as well.

    • @johncairns5069
      @johncairns5069 Před 6 lety +6

      Who describes there nationality as the city they are from.

    • @yepitsthatguy5278
      @yepitsthatguy5278 Před 6 lety +22

      nah, england's my city. (*their)

    • @mehco-op9061
      @mehco-op9061 Před 6 lety +4

      Would make more sense to describe yourself as British when talking about health care or do Londoners get health care that the rest of us don't know about?

    • @yepitsthatguy5278
      @yepitsthatguy5278 Před 6 lety +13

      Guys everyone knows where London is so I thought I'd just say where exactly I'm from in case people elsewhere in the UK don't have the same coverage we do in the city.

    • @oabuseer
      @oabuseer Před 6 lety +5

      Maelyne Coggins It's not that deep

  • @Mal_O_Ware
    @Mal_O_Ware Před 4 lety +106

    "People are dying and these drugs are the key to help them. Let's capitalize on them!"

  • @carson1701
    @carson1701 Před 5 lety +122

    It's easier to put in eye drops if you just:
    1. Close your eyes
    2. Put a drop of the eye drop solution in the corner of your eye
    3. Open your eyes and tilt you head the opposite direction of which the drop was placed
    4. Blink
    Works every time

    • @gazpachopolice7211
      @gazpachopolice7211 Před 5 lety +9

      By the corner of the eye, I assume you mean the corner close to the nose? Isn't that the very place where tears drain out from?

    • @itsallgoodtodayok
      @itsallgoodtodayok Před 4 lety +22

      i think they worry about contamination with the vial making contact with the skin and reabsorbing exposed drops.

    • @JoshuaAdrianB97
      @JoshuaAdrianB97 Před 3 lety +2

      It's easier because it's the right way to do it. This also explains why there's always an excess amount per drop.

    • @gabrielaalanis4103
      @gabrielaalanis4103 Před 3 lety

      @@itsallgoodtodayok That's the reason why eyedrops shouldn't be shared with someone else and why they have a very short expiration date ;)

    • @EverettOgden
      @EverettOgden Před 3 lety

      I came to write the same exact thing. Works like a charm 😁

  • @kingtoyab69
    @kingtoyab69 Před 6 lety +1305

    This makes me so angry these billionaire companies only care about profit instead of those who are in desperate need who pay $1000's for some of it to be WASTED!

    • @gruffyddgozali
      @gruffyddgozali Před 6 lety +80

      Ain't the American dream grand!

    • @Otherself
      @Otherself Před 6 lety +32

      You probably wouldn’t have these drugs at all if the people who made/distributed them didn’t get paid (heavily). You cannot have it both ways.

    • @flyingsamosa5282
      @flyingsamosa5282 Před 6 lety +23

      It is a business in a capitalist society, what do you expect? These billionaire companies wouldn't be billionaires if they did what you think.

    • @purplegill10
      @purplegill10 Před 6 lety +41

      Z If you look up the 10-k reports from these companies you can see their gross income is incredibly high compared to the costs put back into R&D. They aren't putting all the money back into research. Most of it is going into people's pockets.

    • @Otherself
      @Otherself Před 6 lety +11

      purplegill10 Yeah, but that’s the benefit of making/selling a highly demanded product. If the people who run the business can’t go home “happy” (well-paid) because they put all their profits back into the company, they wouldn’t have much of an incentive to continue running it. They aren’t a non-profit company.

  • @Adam-ru9vl
    @Adam-ru9vl Před 6 lety +1213

    Vox answering the questions we all had on our mind

    • @DoctorBatmanMD
      @DoctorBatmanMD Před 6 lety +11

      Asking the questions, or addressing the problems. You can't ask a problem.

    • @Adam-ru9vl
      @Adam-ru9vl Před 6 lety

      No,It is scientifically proven that you can in fact ask a problem

    • @aceplayer1
      @aceplayer1 Před 6 lety +3

      I'm curious: how do you ask a problem?

    • @Adam-ru9vl
      @Adam-ru9vl Před 6 lety

      Ask a problem??? it says answering the questions

    • @Adam-ru9vl
      @Adam-ru9vl Před 6 lety +2

      sarcasm
      noun
      the use of irony to mock or convey contempt.
      "she didn't like the note of sarcasm in his voice"

  • @ashomsky
    @ashomsky Před 6 lety +452

    Does it actually cost anywhere near $5000 to manufacture that vial of cancer drug? Or does it cost $20 to manufacture and the other $4980 is to recover R&D costs and make a profit? If it’s the second case, wouldn’t they charge $4990 for a vial half the size, not $2500?

    • @thewayshegoes1682
      @thewayshegoes1682 Před 5 lety +5

      Adam Shomsky they don’t need to do that they make plenty of money

    • @wallawalla223
      @wallawalla223 Před 5 lety +50

      TheWaySheGoes Actually most of drug cost goes to follow FDA regulations which makes it impossible for a drug to pass safety tests without spending 11-13 billion dollars on a single drug .

    • @wardedthorn6523
      @wardedthorn6523 Před 5 lety +51

      @@wallawalla223 And it would be so much better to give yourself drugs that do nothing or poison you due to a lack of testing. Also, companies charge what they can, not what they need to. They don't need anywhere near 2500 dollars per vial.

    • @wallawalla223
      @wallawalla223 Před 5 lety +9

      Guy ultimatecyberdog what stops apple from making phones that wont do anything? Many phone companies do make such phones and u can easily buy them but u don’t . Brand value and competition is much more ethical and effective way of increasing quality and decreasing prices . Government regulations just end up making things expensive making it look like quality control .

    • @wallawalla223
      @wallawalla223 Před 5 lety +10

      Guy ultimatecyberdog your claim that” they don’t need 2500 dollar per vial” is founded on your lack of knowledge of medical field and economics .

  • @kurobara05
    @kurobara05 Před 4 lety +38

    I mean, I'm surprised, but at the same time I'm really not surprised.

  • @jaredtroth8078
    @jaredtroth8078 Před 6 lety +341

    Please normalize the volume in your videos. The levels are all over the place

    • @maibalanay7360
      @maibalanay7360 Před 4 lety +38

      @Deja Boo well youtube comments are created for you guessed it comments, atleast this is something the editors would watch out for in the future

    • @lelizzdeux6516
      @lelizzdeux6516 Před 4 lety +32

      @Deja Boo feed back is always good in order to try and improve video quality. Constructive criticism and tips are a good thing for people who actually try to be presentable or become a better version of whatever they are.

    • @JohnMorris-ge6hq
      @JohnMorris-ge6hq Před 4 lety +8

      It is bad. I agree. Or worse videos that have audio only on the left or right channel. I have a mono button on my phone but Jesus Christ I should not have too.

    • @JohnMorris-ge6hq
      @JohnMorris-ge6hq Před 4 lety +13

      @Deja Boo Huh? What is wrong with the comment. So you are only allowed to comment if it is positive? Or it meets your approval?

  • @anuragarya6416
    @anuragarya6416 Před 6 lety +744

    How Vox makes you spend more time on youtube than you need.

    • @dakf660
      @dakf660 Před 6 lety +6

      Anurag Arya 😂😂👍🏾

    • @juancena1117
      @juancena1117 Před 6 lety +5

      Anurag Arya Facts.

    • @mehgamer467
      @mehgamer467 Před 6 lety +9

      Anurag Arya education is worth it.

    • @LimeGreenTeknii
      @LimeGreenTeknii Před 6 lety +8

      Actually, CZcams's algorithm makes every channel make every user spend more time on CZcams than you need. Longer videos that increase watch time are prioritized, so if you can stretch out a concise 6-minute video into a slow, padded 10-minute video, you will be rewarded. Instead of high quality, short videos, you get long videos that are just good enough to keep you from clicking away.

    • @AmazingJayB51
      @AmazingJayB51 Před 6 lety

      I watch while on break time at work, while eating lunch. So time not wasted.

  • @zdtrent6
    @zdtrent6 Před 6 lety +11

    Pro tip!
    1) With your eyes closed, hold the dropper as close as you can to the corner of your eye nearest your nose and tear gland without touching (to prevent infection!)
    2) Drop the liquid on the very corner of your eye (again, by the tear ducts)
    3) Open your eye and the drops smoothly spreads across your eye in a non-frightening, painless fashion- like a tear.
    I used to hate eye drops until I found out about this, now I do it every time with 0 issues. Spread the word! :)

  • @shahzaibiqbal4206
    @shahzaibiqbal4206 Před 6 lety +29

    Actually the pharmaceutical companies take like 800% to 1000% profit.
    So they dont care.
    For example the production of a medicine of retail price 100 is 7 or 8 dollars

  • @Liam-iq6qe
    @Liam-iq6qe Před 6 lety +361

    Drug in the title? DEMONITIZED

    • @defaultmesh
      @defaultmesh Před 6 lety +25

      Demon in the title? DEMONetized

    • @AlopeciaPatientx
      @AlopeciaPatientx Před 6 lety

      Ahmes Syahda *Demonitized

    • @alveolate
      @alveolate Před 6 lety +2

      when you try to correct someone's spelling with the wrong spelling.

    • @defaultmesh
      @defaultmesh Před 6 lety

      Gregory Samuel Teo
      ============> the joke
      your head

  • @lawrencetchen
    @lawrencetchen Před 6 lety +411

    Friendly reminder that *people's health should NEVER be a for-profit venture*

    • @Dylan-ti6do
      @Dylan-ti6do Před 6 lety +20

      Good luck finding doctors, nurses and pharmaceutical companies willing to treat you

    • @MrOrangeLavalamp
      @MrOrangeLavalamp Před 6 lety +8

      I've known people that used to say that. Two years deep in medical school does miracles changing minds about it lol

    • @derrickng4017
      @derrickng4017 Před 6 lety +40

      Dylan There is a difference between for-profit and nonprofit. A nonprofit organization can pay salaries but NOT dividends. I am in favor of nonprofit health. More than fair salaries can still be paid out. Dividends would no longer be a thing therefore greed is not a big factor. Salaries in a nonprofit are negotiated by a disinterested party. No more Mylan Crisis.

    • @loveflying4488
      @loveflying4488 Před 6 lety +1

      Derrick Ng yes and where would you raise capital if you can't raise equity through stock. Most companies raise equity through Ipos because they don't have financials for lenders like banks. Therefore they turn to the stock exchange for equity. If you are a nonprofit then you won't be able to raise capital through stock

    • @hedgehog3180
      @hedgehog3180 Před 6 lety +7

      Dylan Uhh you can literally just drive across the border to Canada to find that. Or like the majority of Europe or Rojava.

  • @swiftilicious13
    @swiftilicious13 Před 6 lety +14

    Same situation for contact lens solution. Excess liquid would invariably drip out of the nozzle, leading to wastage and more money spent on their products.

  • @JDR71326
    @JDR71326 Před 4 lety +20

    "Ur weakness is my business"

  • @itj
    @itj Před 6 lety +84

    This is why we let tax-payers pay for medicine for chronic conditions in Norway. State will not advocate such swindles.

  • @miiiikku
    @miiiikku Před 6 lety +27

    I thought medicine is like software. Developing new product costs a lot of money, but manufacturing it doesn't.

    • @hhhfghhh
      @hhhfghhh Před 6 lety +4

      miiiikku Not really. The ingredients have expensive ingredients and expensive manufacturing processes. Drugs especially more expensive because there’s the focus on sterilisation (so that you’re not pouring bacteria to “relieve” an infected eye). Depending on the drug, manufacturing costs can be quite high (though not as high as their selling price; hence the massive profit margin)

    • @Juvelqairth
      @Juvelqairth Před 5 lety +1

      @@hhhfghhh
      Not really, they are also paying the high incentive worker's they work on their company, such as biochemists, oncologists geneticist and so on.

  • @alisanundez7524
    @alisanundez7524 Před 5 lety +13

    Me:......
    Guy in eye commercial: "WoooOOow"

  • @amatte4611
    @amatte4611 Před 4 lety +9

    heck the FDA should work with the EPA to look into wasteful packaging and procedures its not about lowering cost its about saving the environment from behaviors from the throwaway economy

  • @devonzellpernell8895
    @devonzellpernell8895 Před 6 lety +663

    How do we fix this problem?

    • @tanszism
      @tanszism Před 6 lety +85

      We can't.

    • @MirkyMan
      @MirkyMan Před 6 lety +421

      Literally regulation that's it

    • @triplenz
      @triplenz Před 6 lety +205

      Demand for better regulations. Instead of crying about Pro life or Pro choice; make sure your representative has his priority right.

    • @MrAbababababaaaaaaaa
      @MrAbababababaaaaaaaa Před 6 lety +234

      The eye drop one could be fixed pretty easily by getting people to buy a third party bottle and just transferring the drops into the more efficient bottle.

    • @therealDannyVasquez
      @therealDannyVasquez Před 6 lety +73

      Find an eye dropper with the correct sized hole and keep that, sterilize it and re-use it by pouring your regular medication into the empty bottle. Come on! I'm a genius! 🙂

  • @rea8585
    @rea8585 Před 6 lety +1199

    No offense America, I love you, but you are really skilled in the art of creating diseases through overconsumption and creating even more problem with the pharmaceutical industry that is supposed to cured those diseases.
    Sincerely yours,
    Your loving little sister that is following the same path,
    Europe.

  • @andreacorona78
    @andreacorona78 Před 5 lety +3

    I spent nearly a year in Mexico and I was really astonished to see that they sell you in smaller quantities than the US. You basically pay by the dosage. So you can’t just go buy a big jar of pain killers you either buy the dose or you can purchase significantly smaller package of about 6 pills

  • @MisterF_1984
    @MisterF_1984 Před 6 lety +393

    Hmmm all the pages of this book are blank... *flicks to cover* Title: "Examples of ethical consumption under capitalism"

    • @Michael-Archonaeus
      @Michael-Archonaeus Před 5 lety +2

      No. The title was List of Mister F's Braincells.

    • @atallguynh
      @atallguynh Před 5 lety

      What do you advocate in place of capitalism?

    • @sirnotawesome7091
      @sirnotawesome7091 Před 4 lety +3

      ShoLKAN If communism is a better system than capitalism, then why is Cuba still a 3rd world country? Why are they shifting into a capitalist market? What happened to the Soviets? Why did Vietnam fail after winning “freedom”? Answer these legitimate questions with legitimate answers, maybe you can prove a point.

    • @gideonkloosterman
      @gideonkloosterman Před 4 lety

      @Brianna Jones sweden is being overrun by immigrants and a bottle of wine is like 20 bucks

    • @saouer
      @saouer Před 3 lety +3

      @@gideonkloosterman maybe thats because its a good country to live in and maybe thats because wine is an expensive artisan good that is not essential to human life

  • @jasperfredrickson4420
    @jasperfredrickson4420 Před 6 lety +151

    Why are we even talking about this? Healthcare is insanely terrible in America and the only people who can truly fix it benefit directly from those companies. They have literally no incentive to fix it. Healthcare will never be fixed here.

    • @tori2dles
      @tori2dles Před 6 lety +3

      Yep. Thanks Ayn Rand & her followers. Irg!

    • @AmaraJordanMusic
      @AmaraJordanMusic Před 6 lety +5

      Regardless of whether there's a hope for regular Americans to institute change in the healthcare system, this video at least helps make us be more aware of what's going on. For example, I didn't realize about the size of the eye drops, so now I'm better informed. That makes it worth it if nothing else.

    • @Mephesto31
      @Mephesto31 Před 6 lety +1

      Michael Ireland I will take our Healthcare system over the one in one in Europe or Canada they have horrible systems

    • @Artificial777
      @Artificial777 Před 5 lety +1

      Healthcare is corrupt there is no perfect healthcare system in no country a good one would takes companies and the goverment more money but yes healthcare in europe is better then that in america but it matter wich parts of europe for example the netherlands and many other wealthy countries corruptness is everywhere in this world but in america it’s based on it

  • @a.a2618
    @a.a2618 Před 6 lety +124

    Same thing/ theory is also applied on shampoo, toothpaste, creams oils and many more consumer products these guys are not innocent either😕 when first time I heard this practice i laughed but when I saw the impact on the sales sheet in was mind blowing...😲

    • @Artificial777
      @Artificial777 Před 5 lety +10

      Well then it’s different with eyedrops you can’t change the mass it allows per drop same with other stuff shampoo oils etc you make your own choice on the ammount you use it’s independant with healthcare it’s different

    • @Daisy-ge1ig
      @Daisy-ge1ig Před 4 lety +1

      @okay then they're still items used daily.

  • @tummyg
    @tummyg Před 6 lety +11

    I always thought the larger drops were intended to “wash out” your eyes buy allowing some debris in your eyes to escape with the uncontained eye drops

  • @Kudachi144
    @Kudachi144 Před 5 lety +10

    Someone needs to invent something that goes on top of eye drop bottles that sticks to the top and reduces drop size.

    • @OOMAMEAWWOOHOO
      @OOMAMEAWWOOHOO Před 4 lety

      And the bottle would last twice as long right...except bottles shouldn't be used after 28 days after opening?

  • @legospaceracer123
    @legospaceracer123 Před 6 lety +8

    I just got through using eye drops and then this video pops up in my feed.

  • @mursuaasi
    @mursuaasi Před 6 lety +47

    That is why you have welfare states! My father has cancer and his cancer drugs cost about 2000€ month but because we live in a country that has good social security and welfare he pays 14.5€/month. The high taxes of welfare state don't make me angry at all because I know how difficult life can get and without state's help we couldn't get enough money to pay for that.

    • @Finer_Details
      @Finer_Details Před 6 lety +6

      Captain SpicyMeme
      TAXES ARE THEFT
      CAPITALISM RULES /s

    • @Nicole-es3qn
      @Nicole-es3qn Před 6 lety +24

      Knitople we still pay taxes in the US. It's just most that money is going towards bombing other citizens instead of taking care of our own.

    • @ricardoo.s2348
      @ricardoo.s2348 Před 6 lety

      Captain SpicyMeme Socialist idiots like you need natural selection and your father.

    • @Leftistattheparty
      @Leftistattheparty Před 6 lety +5

      Sorry, real socialist here. That is social democracy. Not socialism.

    • @iTracti0n
      @iTracti0n Před 6 lety +5

      Totally Not Earth And 9 year olds like you don't need to be on the Internet, go play outside

  • @ffran3372
    @ffran3372 Před 6 lety +74

    eye drops
    drop top

  • @robinl4975
    @robinl4975 Před 5 lety +3

    Watching these kind of videos makes me so more grateful that i live in a country where health care is as good as free :)

  • @awabqureshi814
    @awabqureshi814 Před 6 lety +459

    My god WHY IS THERE LITTLE OR NO REGULATION on these industries America?!

    • @Dr1nc
      @Dr1nc Před 6 lety +11

      GOD BLESS AMERICA!

    • @shaleknight6224
      @shaleknight6224 Před 6 lety +41

      Because BIG government gets kickbacks from BIG pharmaceuticals

    • @nickc3657
      @nickc3657 Před 6 lety +28

      In short, neoliberalism.

    • @itseveryday8600
      @itseveryday8600 Před 6 lety +74

      Because in US, they allow these industries to pay the Congress millions of dollars to write legislation that favor these industries, which in turn screw the public. Basically the representatives are bought by the industries, so they will not install any regulation that will damage profits of their paymasters.

    • @soonny002
      @soonny002 Před 6 lety +20

      Because FREEDOM.
      America is land of the free! More freedom! Less regulation! Everybody wins!! Yeay!

  • @xibalba91
    @xibalba91 Před 6 lety +9

    As an epileptic who currently pays about 1,000 for treatment a month WITH insurance yet I still have seizures, I am heartbroken. I wish we had universal healthcare so we the people could have a true say in regulating the cost and waste culture that is detrimental to our system.
    God bless America.

    • @RK-ep8qy
      @RK-ep8qy Před 3 lety

      I hope you're doing better

  • @rachelmatzdorff7819
    @rachelmatzdorff7819 Před 6 lety

    My eyes are watering so much at the beginning!

  • @MR.F30
    @MR.F30 Před 4 lety

    Best youtube channel for news, and information on topics.

  • @24FramesOfNick
    @24FramesOfNick Před 6 lety +487

    That's a cool Pokeball in the thumbnail

  • @legomainia
    @legomainia Před 6 lety +20

    Its funny how you don't here insurance companies (main clients to pharma corps.) complain about "expensive dugs". Why? Because pharmaceuticals compose of an extremely tiny portion of health care costs. Drugs are cheap.

    • @Daisy-ge1ig
      @Daisy-ge1ig Před 4 lety +1

      Not when you pay out of pocket, and when most of it gets wasted because of greedy pharmaceutical companies.

    • @brandielee7971
      @brandielee7971 Před 3 lety +2

      Tell that to the people dying becausr they cant afford it

  • @linuxed3524
    @linuxed3524 Před 6 lety +17

    My family suffers from tons of glaucoma- those drops are not cheap

  • @harmeetmalhi3746
    @harmeetmalhi3746 Před 4 lety +1

    One way to reduce eye drop waste is to modify application method. Dropping medicine from a height above your head into your eye causes splashing. Instead, using a mirror to help guide you, drag the thin skin under the lower eye lid outwards. This will naturally create a fold in the lower eye lid that has enough space to house an eye drop. Tip the bottle and drop medicine into this “cup” and let the tear film of the lower eye lid distribute the eye drop by blinking.

  • @coreymariani2486
    @coreymariani2486 Před 6 lety +73

    That's why you don't do drugs kids.

  • @caKravartin9
    @caKravartin9 Před 6 lety +367

    Typical American capitalism.

    • @tanszism
      @tanszism Před 6 lety +39

      Typical capitalism. *Soviet anthem starts playing*

    • @itseveryday8600
      @itseveryday8600 Před 6 lety +30

      The problem is actually not capitalism, but loss of democracy in US.

    • @user-ty5km8mi8w
      @user-ty5km8mi8w Před 6 lety +21

      Go to Venezuela then, they have communist dictatorship. I hear its working out well for them.

    • @asterisk4163
      @asterisk4163 Před 6 lety +13

      Ketan Jain Come to China, they have socialism and you don’t need to pay for overpriced drugs, because they don’t even have the drugs.

    • @MrOrangeLavalamp
      @MrOrangeLavalamp Před 6 lety +3

      Actually, companies can be this wasteful because of the heavily regulated health insurance companies. If the government could get out of the way people could demand cheaper medicines and the market will have to adapt.
      Lol don't spread dumb stuff on the internet, people will believe you.

  • @aydansaa
    @aydansaa Před 6 lety

    The content you put on here must reach millions!

  • @ashleyelizabeth6094
    @ashleyelizabeth6094 Před 6 lety +1

    a practical tip for the opening example of eyedrops is to pull out your lower lid and put it in that way. it won't fix the drug companies but it can make your eye drops experience more bearable.

  • @xavierw8828
    @xavierw8828 Před 6 lety +37

    I love Vox hahahah keep spreading word and informing cause I love it

  • @xxOmponxx
    @xxOmponxx Před 6 lety +6

    The pharma industry is why I'm in support of some government regulation despite being a libertarian conservative.

  • @dauletbaimagamabet
    @dauletbaimagamabet Před 6 lety

    love your investigating videos of different kind problems, that's a real Journalism here thank you.

  • @foreign.01
    @foreign.01 Před 4 lety

    once again, vox educating me on stuff that i didnt know i needed to know

  • @RogerAckroid
    @RogerAckroid Před 6 lety +45

    I'm not convinced that fixing the problem of the video by reducing and adapting the doses of medicine would produce much spending. Most of the price of a medicine is actually just profit and getting the R&D money back. The production cost of the excess wasted medicine is quite low compared to that.
    When you buy medicine, you don't buy the molecule, you buy the healing. The price per ml is irrelevant, what is important is the price per treatment. Pharmaceutical company decide their prices based on the price of the alternative medicines (or surgeries) and by the value of the life extended/suffering reduced. They don't decide the price based on the production cost.
    If there were a law that would force the pharmaceutical companies to adapt the sizing of their medicine, then the price would just increase per ml because the value of the medicine wouldn't change.
    The problem that the video describes is just that the pharmaceutical industries decided to make price increases less transparent: instead of increasing the price per ml they just forced the patients to by more ml.
    The real problem about the cost of medicines is more that there is no one with enough market power and motivation to push the prices down. Not the waste.

    • @InternetLaser
      @InternetLaser Před 6 lety +2

      if you seriously don't think production cost factors in at all then you're a joke.
      and do you not see how a law requiring appropriate sizing of medicines would cause a leftward shift in demand?

    • @RogerAckroid
      @RogerAckroid Před 6 lety +5

      If there was a law requiring appropriate sizing of medicines, there would be a decrease in the demand of medicine on mg/ml side but not on the treatment side.
      If someone pays $10k per month for his treatment, he will not suddently say that since the volume of product he buys decreases he's not ready anymore to pay $10k. He still wants treatment and so he will still pay the pharmaceutical company as much. The demand wouldn't move.

    • @RogerAckroid
      @RogerAckroid Před 6 lety +2

      I'd even argue that it might make prices higher for some patients.
      Let's imagine a tall male and a small thin woman that have the same illness. The male has to take a dose twice bigger than the woman. Actually the company sells only a dose that the male can take so the woman has to waste half of the product every time.
      But for both of them the effect of the medicine is the same, it extends the life for the same length and reduce as much suffering. The value of this medicine for these two is exactly the same and so they should pay the same price, right? Now with the current system, it's what happens.
      If you want to regulate the sizings, the pharma company has two choices: either give a 50% discount to the woman or to double the price for the man. It's really possible that the pharmaceutical company would choose to double the price for the man.

    • @InternetLaser
      @InternetLaser Před 6 lety

      RogerAckroid
      If companies didn't produce more treatments of medicines in response to requiring appropriate sizing, they would have reduced profits due to their reduced production changing their location on the SRATC curve, so any rational utility maximizing firm would increase production proportionally until marginal revenue = 0

    • @RogerAckroid
      @RogerAckroid Před 6 lety +1

      They produce less and they increase their price per unit to match the price that their customers have shown that they were willing to pay. How can their profits decrease?

  • @cutegirl8128
    @cutegirl8128 Před 5 lety +3

    As far as a micro drop applicators, sell them separately as a adapter on Amazon.

  • @mtn10001
    @mtn10001 Před 6 lety

    best info channel that tackles very serious problems... keep it up

  • @RawrImABush
    @RawrImABush Před 5 lety +1

    I work in a pharmacy and it truly astonishes me how many patients literally waste medication very regularly. And that’s just at one retail pharmacy when there is literally pharmacies down the road from each other.

    • @mechengr1731
      @mechengr1731 Před rokem

      Who's wasting meds? The video is about drug companies making the medicine like that...

  • @casperdewith
    @casperdewith Před 5 lety +3

    2:18 Makes me think of some video made by someone, about diagrams that are not to scale.
    Whom was it made by..?
    **ahem**

  • @grimr34p
    @grimr34p Před 6 lety +28

    The slogan of the usa "we will save you unless it hurts our profits"

  • @renegade2592
    @renegade2592 Před 3 lety

    Dang. thanks for this enlightening information Vox.

  • @What2expectinthehospital

    Same goes with suture/suture removal kits where at times just a couple of the tools are required, but once the kit is open, the remaining tools/gauze is thrown out.

  • @JeremieTronet
    @JeremieTronet Před 6 lety +26

    For the cancer drugs can’t a reusable container be developed to poor out the leftovers ? Like a Tupperware but designed for certain type of drugs ?
    And for the eye drops, people using them daily could purchase a different nozzle with the smaller diameter that adapts to the one they buy ?!

    • @_NeKoChAnP
      @_NeKoChAnP Před 5 lety +3

      Yes!! The problem is that they don't want to apply that solutions because that means a loss of money, that's mental 😓😞

    • @calmcuke6865
      @calmcuke6865 Před 5 lety +4

      No, because once you open those types of medications it's no longer sterile. So basically you're options are deal with the waste that's not actually costing you extra(because most medication costs aren't based on quantity), or subject people to life threatening infections due to recycling medications. Infusion medications are packaged sterile, and sterilized again before use. Pouring a medication into a "special" container increases the risk of infection dramatically. And even if packaged in some way that makes it reusable it still wouldn't be reusable across multiple patients. Because multiple use/reusable packaged meds still aren't meant to be shared. And considering the common mistakes in proper handling by medical professionals nationwide, it really isn't worth the risk.

  • @Olodus
    @Olodus Před 6 lety +5

    Pro Publica is awesome. Hope they'll see increased support from this collaboration.

  • @NekoJazzie
    @NekoJazzie Před 3 lety

    As someone who has glaucoma and uses 3 different eye drops this hurts. Not to mention the hard journey of finding a doctor you trust and isn't just giving you medicine after medicine...

  • @rosset4music
    @rosset4music Před 5 lety +2

    I appreciate your videos.

  • @mrhi4230
    @mrhi4230 Před 4 lety +6

    I feel like we need a company that will focus on reducing medicine waste and because of that, doctors will support that company instead of others so other companies need to follow their steps or lose out in potential customers

  • @asddsa28
    @asddsa28 Před 6 lety +4

    here is a good idea make a cap that can go on any eye drop bottle that is a micro drop.

    • @jake42731
      @jake42731 Před 6 lety +1

      That would probably have hygene issues

    • @blooptidoop
      @blooptidoop Před 5 lety

      Checkout iDropr - It's a startup tackling this issue!

    • @windyGuillotine
      @windyGuillotine Před 5 lety

      Eye drops have to be sterile, that’s why you shouldn’t touch the dropper to your eye and if you do they suggest you dispose of the bottle

  • @mogh2603
    @mogh2603 Před 5 lety +2

    cost per volume is very low for manufacturers , providing extra volume is not what makes it expensive

  • @krisherrick4261
    @krisherrick4261 Před 6 lety

    Love the video Vox, can you please edit the sound differently next time though? The volume difference between the narrator and experts was startling. Thanks!! Xoxo

  • @NatK1981
    @NatK1981 Před 6 lety +6

    Thus is not only in America. In my country, many drugs used for chronic conditions have 28 tablets per box. This means that if you take them once a day, you need 14 boxes per year and this leaves you with 27 wasted tablets per year, almost one full wasted box. Also, since counting pills is difficult in practical terms, it is quite often that a doctor prescribes more than one excessive box per year.

    • @windyGuillotine
      @windyGuillotine Před 5 lety

      NatK1981 you act like those pills you have to take from a new box don’t roll over into the next month or year, there’s literally no waste there unless you switch medicines. Not to mention, it’s that way because it’s a four week course of treatment, not a month. It wouldn’t make sense to market things to the month since every month doesn’t have the same amount of days.

  • @GreenGestalt
    @GreenGestalt Před 5 lety +6

    The fox needs to be removed from its management position in the henhouse.

  • @ggwitcher
    @ggwitcher Před 5 lety +1

    Some of the Content from Vox is so niche yet holds such a bigger picture. I wonder how it might to feel to work with such creative people and do some brainstorming!

    • @Michael-Archonaeus
      @Michael-Archonaeus Před 5 lety

      They should probably do some real research too, instead of just brainstorming, because this video wasn't that well thought through

  • @juliantotriwijaya9208
    @juliantotriwijaya9208 Před 4 lety

    1:27 that looks cool! It has an aim guide so you don't miss! How considerate of them, we don't have that in Indonesia :)

  • @Albanez39
    @Albanez39 Před 6 lety +3

    In Europe eyedrops with naphazoline (allergies) cost around $2/10ml. Glaucoma eyedrops cost not more than $20/10ml :)

    • @Albanez39
      @Albanez39 Před 6 lety +2

      First of all ml is milliliters, milligrams is a unit of mass. Second, have you ever heard of Kilometers per Hour? You travel X km every hour. In the aforementioned case, Naphazoline costs $2 for 10ml. Glaucoma medication costs $20 for 10ml.

    • @Albanez39
      @Albanez39 Před 6 lety +3

      Oh well. $2/10ml ($ = Dollars) $2 for 10ml (bottle) = $0.2/ml (20cents/ml). Glaucoma eyedrops would be $2/ml

    • @Artificial777
      @Artificial777 Před 5 lety +4

      Juan Martín Ferreira get schooled

    • @theajayyy
      @theajayyy Před 5 lety

      lol, a fraction does not have to have 1 as the denominator

    • @amineaboutalib
      @amineaboutalib Před 5 lety +1

      @@martinjoster3282 You're the troll here , or you're just too dumb to understand simple language

  • @nivvy19
    @nivvy19 Před 6 lety +5

    So are all the drug companies in cahoots? The video doesn't call that out. I mean, why hasn't one company undercut their rivals with non-exploitative packaging? What am I missing here?

    • @ThePyrosirys
      @ThePyrosirys Před 6 lety +1

      nivvy19 Hahaha he actually thinks the free market is a real thing.

    • @Michael-Archonaeus
      @Michael-Archonaeus Před 5 lety +1

      I was thinking the same thing. I don't think the video is very well thought through

    • @Daisy-ge1ig
      @Daisy-ge1ig Před 4 lety

      Because no one even knows about medicinal waste and they don't want it exposed because It's more money for them. You're missing tons then.

  • @mewgli4177
    @mewgli4177 Před 6 lety

    I find an interesting part about the wasted eye drops is that some prescriptions call for multiple drops. I know my grandparents in particular have eye drops that call for two drops as a dosage and they take those multiple times a day so that's a lot of wasted drops

  • @popcorny91
    @popcorny91 Před 6 lety

    When I aim correctly and that drop drips right into my eye, it filled my eye perfectly and feels wonderful. Vox, quit trying to enrage people by making up problems that don’t exist.

    • @poolbath8281
      @poolbath8281 Před 3 lety

      Shalom Bernstein Plain white man can't see past privilege
      Try getting cancer in America

  • @schipay4622
    @schipay4622 Před 5 lety +4

    Tbh if I moved to the US I would get health care insurance.

    • @blluryface3725
      @blluryface3725 Před 5 lety +1

      Skingott Health care insurance is not enough

  • @twolikedanumba4272
    @twolikedanumba4272 Před 6 lety +26

    I've always hated eye drops...

    • @twolikedanumba4272
      @twolikedanumba4272 Před 6 lety +3

      Mostly because I blink a lot after using them. It's hard to keep my eye open.

    • @bradirv
      @bradirv Před 6 lety

      Two Like Da Numba you may need eyedrops for that burn

  • @mekkink20
    @mekkink20 Před 4 lety

    This works for a lot of products we use on a daily bases. Check how much soap or toothpaste you get for just one use. They widend the toothpaste hole so you would use more. same for razorblades and a lot of other stuff.

  • @sky95ish
    @sky95ish Před 4 lety +1

    When I was abroad in Canada. The eye drops for my eye allergies used to cost about 120$ for a month. So, I started ordering them from India, and same drops with shipping included used to cost me around 20$. I didn't have health insurance.

    • @piyushmahadik
      @piyushmahadik Před 4 lety +1

      Well we indians, make cheaper drugs for mass people, because our ppl simply can't afford to pay such money for smthing like eye drops. Trust me, some people earn that much money in a month. Glad to hear we could help, thanks to our laws. I've heard in USA they just change few contents and get a new patent so noone else can produce it, we don't allow that

    • @sky95ish
      @sky95ish Před 4 lety +1

      @@piyushmahadik Well, it's a good step from the Indian government. Glad to hear that!

  • @NikitaBelomestnykh
    @NikitaBelomestnykh Před 6 lety +3

    Why don't we make a kickstarter campaign and make small bottles that yo can pour your drops into and use instead, to not waste medicine?

    • @hedgehog3180
      @hedgehog3180 Před 6 lety +1

      You'd probably risk not cleaning it properly and some medicine getting too old in it and contaminating your eye.

  • @Herropreasers
    @Herropreasers Před 5 lety +5

    I’m wondering what we can do that would realistically make a difference because I can complain to government officials or complain online, but these companies are so rich and have too much influence that my efforts would be wasted. Is there anything we can actually do to solve these problems?

  • @newscenecatcher8637
    @newscenecatcher8637 Před 6 lety +1

    My eyes are watering up

  • @Mark-nl1up
    @Mark-nl1up Před 6 lety

    I love Vox something that you would think is a dumb story. When you sit down and think about it you will say hey they are right I never thought about that. I've wasted some many i drops trying to get one damn drop in my eye. Vox is so on point with their stories.

  • @multidwee
    @multidwee Před 6 lety +4

    As a Canadian I can't believe how cruel US health care is

  • @tasewa
    @tasewa Před 6 lety +153

    Capitalism

    • @sbinnala5769
      @sbinnala5769 Před 6 lety +11

      Tage Wærdahl pick only one

    • @lawrencetchen
      @lawrencetchen Před 6 lety +22

      🎵One of these things is not like the other🎵
      (Hint: it's the one that puts money before people, that puts money before laws, that puts money before the environment, and that puts money before lives)

    • @oabuseer
      @oabuseer Před 6 lety +7

      Lawrence Chen 👏👏

    • @zaper2904
      @zaper2904 Před 6 lety +4

      would you prefer the one that pretends to put the people in front of money but instead just puts the state in front of everything ?

    • @Leftistattheparty
      @Leftistattheparty Před 6 lety +1

      State capitalism? That is what we have.

  • @87bullrun
    @87bullrun Před 6 lety

    Damn thus channel is so good!!

  • @Nick_BRZ
    @Nick_BRZ Před 6 lety

    This is so sad that these companies exploit patients in this way. Despite all of the ignorant and destructive content on the internet videos like this prove that good can come through spreading truthful information and letting the facts drive change.

  • @nova636
    @nova636 Před 6 lety +6

    This video seems a bit silly: In many cases the marginal cost of producing the drugs is a tiny fraction of the market price (think of Shkreli raising that drug's price 1000% or Epipen hiking its prices - they still cost the same amount to make) Pharmaceutical companies want people to *pay per dose* (regardless of the size of the dose) because that is more profitable than paying a price *per volume.* Therefore dumping half a bottle of that $5000 cancer drug is not wasting $2500, it might be wasting $20.
    Surely we would be worse off if drug companies made bottles contain less than the maximum size dose (and perhaps force people with large bodies to buy 2 doses) or perhaps risk contamination by using multi-use bottles.

  • @rowerling8715
    @rowerling8715 Před 6 lety +34

    Why the size of the drops are larger than needed: "The drop sizes and dropper designs are intended to increase the likelihood that a patient will receive the indicated dose. Margin of safety for those who have difficulty accurately instilling drops due to age, quality of vision, and condition affecting steadiness of the patient's hand like arthritis, stroke, or hand tremor." The consequence of going blind from not getting enough medication (i.e glaucoma) outweighs the risk of getting a little extra eyedrop.

    • @Michael-Archonaeus
      @Michael-Archonaeus Před 5 lety +3

      So make two different bottles. One for people with shaky hands, and one for everyone else.

    • @64account33
      @64account33 Před 5 lety

      Cant those shaky hand glaucoma dudes just use two drops cause THEY'RE the minority?

  • @ricardor6616
    @ricardor6616 Před 6 lety

    Hack to effectively pour drops, pull lower part of the eye instead of upper. Works perfectly.

  • @Jemolian
    @Jemolian Před 5 lety

    I use the Optrex brand eye drops. I refill the smaller bottle (around $5, 10ml) with the larger eye wash version (around $14, 300ml), which has the same ingredients according to the UK site, using a disposable syringe.