Today the government, through Pharmac, ceases to subsidise the Roche Accu-Check blood glucose meters used by 80% of NZ’s 200,000 diabetics. About 20% of diabetics use the Abbott meters and 0.5% use the Care-Sens meters. But Pharmac has chosen to give the contract for subsidised meters to the people who import the Care-Sens model, Pharmaco. All of them. One supplier. Dangerous and unnecessary. But apparently it will save $10 million!
Pharmaco is running training sessions for pharmacists, doctors and other health professionals on how to use these meters so they can teach their patients and customers how to use the new meters. They are calling them “Meet your Meter”. I am so tempted to call them “Meet your Maker” seminars but that would be too inflammatory.
Diabetics depend on these meters. They are used to identify blood glucose levels so that Type 1 diabetics know how much insulin they need to inject right now and Type 2 diabetics know how many jelly beans to consume right now. Pharmaco tendered for the contract on the basis of a meter which was inferior to the one used by most diabetics, but after an outcry from the diabetics themselves, they upgraded the meter to a comparable one.
Changing over medical devices is a risky business. Changing to a sole supplier is crazy. They will have no competition to upgrade their product over time or provide good after sales service. Their predecessors did both of those things. Pharmaco is now working in a hostile environment. They had better be careful to get this right. Lives depend on it.