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    If you have never heard the title of this essay in Amerika, you don't live here or have not lived here long. Among excuses, it is a long time favorite. Moreso among the bureaucrats strangled by more rules and regulations than any ot
    According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
    her class. You see, doing our job relieves us of all other responsibilities. We are not merely very busy trying to maintain ubsustainable lifestyles, we are seriously occupied. We are so seriously occupied, we cannot keep up with cu
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    rent events, which is why we must own TVs. Nor do we have time for meaningful conversations. Small talk already takes up too much of our valuable time.

    This might seem like a stressful way to live but a nation on the run knows litt
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    e peace. And what are we running from? We are running from that ugly reflection in the mirror. We are running from responsibility. It works for corporations. It works for governments. Sooner or later it has to work for slaves. More
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    han anything we are running from ourselves. We are scared witless we might not be the good people we boast of being to the rest of the world. What was it de Toqueville said? "When America ceases to be good, America will cease to be
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    reat". This prophecy has come to pass. We don't know when. We don't know how. Nor do we wish to know. Therefore, does the world see, we have no intention of making any corrections or behaving collectively in any responsible manner.
    ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
    e are non citizens in our own country, merely keeping up appearances. Don't expect us to be any better global citizens. We are corporate citizens. We are bottom liners. We live for today because we can see a very limited and contrac
    easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
    ed tomorrow, when we bother to look at all. We eat our young and have been doing so for forty years.

    So what happened to us? Is it happening to others? What happened is corporate programming and it works so well it is becoming univ
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    rsal. As television replaced radio, the wizards of Madison Avenue advertising learned the key to subconscious programming of mass mind was a simple matter of repeating a desired message as often as possible. We too have known this f
    and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
    om childhood. It is the method by which we learned our alphabet, learned to read, learned arithmetic, learned the rules of acceptable behavior, learned prayers and pledges.

    What we failed to learn is, our subconscious has no identi
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    y. Our subconscious is indiscriminate. Anybody can train it by the mere act of repetition. Then ego, which has a strong identity and is much more discriminating, makes us believe every idea in our head is a well reasoned one which b
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    longs to us. This identification is so strong we will defend it with violence if pushed far enough. Because we have been lied to as early as we can remember, by those we admired and respected, doubt and confusion have been our const
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    nt companions, making us insecure in everything but our most routine tasks and entertainments. Corporate management knows this, helped create it in several generations of Amerikans and knows how to maximize the profits from it. As l
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    ng as they can keep us ignorant of how it is done, the profits can only grow. Those profits create new jobs and keep us busy busy and unable to reprogram.

    It is not as though political leadership is any different. They grew up with
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    the same TVs. So when charitable people from other nations say they love Amerikans, its the leadership they can't stand, they are simply being polite. The criminals in leadership positions may have bought their way in with their own
    t?

    As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
    money or promises, but they are otherwise average Amerikans with better opportunities to profit from their fear and insecurities. Their puppet masters are well aware of this fact also.

    I have never seen a more fearful and insecure
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    an than George W. Bush. In my carefully considered opinion, the most dangerous man on planet earth. Second to him in fear and insecurity are most members of the United States Congress, making this the most dangerous government to ev
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    r make war on the planet. Add to them, the economic support of the fearful and insecure people of Amerika and only divine intervention will prevent the disaster the watchful world can feel in its bones.

    The only other solution is c
    .

    As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
    unter programming of the collective Amerikan subconscious and who will do it? Every individual could in a matter of weeks, months and years, as with basic education but for the near future who will make them aware this is possible o
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    desirable - the churches? I doubt that. I thought the shock treatment of 911 would hasten the needed awakening promised by astrologers. I was very wrong about that. It's going to take a lot more shock therapy and that is not my job


    tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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