Rebuttal Essay -Dan Primavera

Medical and Insurance Conditions Benefit from Generic Brand Prozac

When looking at the issue of what causes Prozac to be a “white drug,” one must look at the issue from all angles. Although there are many unsettling factors that create this abnormality to occur in our medical world, there are also a few factors that benefit those who do not receive Prozac and get the generic brands. These beneficial factors into why some receive the generic Prozac brands isn’t really as investigated as the reason why many minority groups do not receive the real Prozac prescriptions, making this argument very important to consider because it is a very large influence on which prescription is written for a patient.


While investigating some of these factors that make generic brand Prozac a better option for patients, it was easy to find that a persons’ medical health was of course the first factor, secondly the persons’ type of insurance and their coverage along with that insurance is also a major factor. Although both of these factors are highly influential into why many minorities are not prescribed name brand Prozac, this still does not account for all cases where the minority is physically capable of getting the name brand, and their insurance is able to cover it.


There aren’t too many differences between name brand Prozac and the generic brands, but some of those differences may influence a doctor on prescribing the name brand or generic. To say that the generic brand Prozacs are not as effective as the name brand one is sort of misleading because although name brand Prozac is the most effective overall, the generic brands all are as effective for specific conditions instead of many like the name brand pill is. Being that these generic brand Prozac pills can be just as effective as the name brand pills for specific conditions makes this argument sort of subjective. If a patient (specifically a minority patient) were given a generic Prozac prescription it would go into studies as if it were given to them because of their racial status, rather than under their medical conditions. If this patient were given the generic Prozac brand there is a fairly high chance that they received this specific prescription because of their medical conditions that would refer a physician to the drug, meaning that if the patient had a specific condition that Prozac can treat but they do not have any other symptoms that are needed to treat by Prozac, there are many generic alternatives to turn to because of their more condition specific aid. Along with the fact that a generic brand may treat only the exact medical condition the patient may need, these prescriptions are also cheaper.


Generic brand Prozac prescriptions are easily the cheaper alternative to filling a name brand Prozac prescription. Because of the last point made in the above paragraph, if patients’ medical conditions may benefit from a generic brand pill, there is no reason why the physician should not give them this alternative and save the patient a lot of money. This price factor is probably one of the largest things that influence a physician into prescribing the generic brand. Although not all minority groups or people typically rake in less money than Caucasian persons, it is indeed a trend that occurs quite often. So, being that many minority groups have more money woes than the typical Caucasian person, this should be a very large indicator as to why generic brand Prozac prescriptions are written to minorities more often. It has nothing to do with race in this situation, rather the individuals financial standing. When looking at the price difference between generic brand Prozac and name brand Prozac, it should be obvious as to why generic brands that are basically just as effective is prescribed more often. According to a Fox Business report, “for a month’s supply of Prozac, the brand name costs $136.52, where as the generic is only $3 – more than 95% worth of savings, according to February 2011 rates,” showing that the generic brand prescriptions are much easier to deal with financially (Fox Business Rep, Rogers).

The final factor that counters the argument of racist physicians influencing which type of Prozac they prescribe, whether generic or name brand, is the fact that different types of insurance a person may have does not even cover the name brand pills. Because some different insurance companies may not cover name brand Prozac or the insurance may not be able to cover the high price of it, these cases should technically not be included into research looking for racist physicians causing Prozac to be a “white drug.” For example, cases of minority persons with insurance under Medicaid or Medicare have an extremely lower chance of receiving name brand Prozac compared to people with a different insurance coverage. Although Caucasian people can obviously have these insurance coverage types that typically do not allow the prescribing of high priced name brand Prozac, it is more common for a minority person to have these insurance companies covering their medical expenses. After going through a study done by the University of Michigan’s School of Public Health, a writer for a website called The Vigilant Mom reported that, “researchers also found that patients in receipt of Medicare and Medicaid also had a lower chance of being prescribed the latest in antidepressant medications (specifically Prozac),” (Deborah Pujoue, The Vigilant Mom).


With all of these specific factors that counter the argument that it is racist physicians who cause Prozac to be a “white drug,” it is easy to sway someone’s’ feelings on the situation because of all the parameters surrounding the drug like price and medical insurance.

“Generic Drugs Are Cheaper, but Not Always Best Choice.” Kate Rogers. Fox Business. N.p., n.d. Web. 15 Apr. 2013.

“Study: Race and Medicaid Is a Factor in Who’s Prescribed Antidepressants.” The Vigilant Mom RSS. N.p., n.d. Web. 14 Apr. 2013.

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One Response to Rebuttal Essay -Dan Primavera

  1. davidbdale says:

    Hey, Dan.

    I always pretend I don’t know anything about a topic when I begin to evaluate a student essay, even if, as is the case here, I’ve already read enough of your writing to know the background pretty well.

    With that in mind, I enjoyed the way you took for granted that Prozac is a “white drug,” without explaining in any way what you meant by that. When good writers drop provocative little terms into their essays deliberately to keep readers intrigued, they pretty much assure that they’ll get their second paragraphs read (which is, after all, the goal of their first paragraphs).

    You quickly squander a lot of that momentum by burying the mystery in some very boring language.

    • look at the issue from all angles
    • there are many factors
    • create this to occur
    • a few factors that benefit
    • these beneficial factors into why
    • making this argument very important to consider
    • a very large influence

    That’s a lot of stuff to plow through to get to P2, don’t you think?

    All P1 really says is:

    Prozac is a “white drug,” rarely prescribed to non-white patients, even to those with symptoms identical to the white patients who receive it.Whatever the explanations for this medical racism, it does benefit the minority patients who get the generic drugs, maybe more than it hurts them.

    All P2 really says is:

    Medical health and insurance coverage don’t completely explain why minority patients are prescribed generics instead of name-brand Prozac.

    All P3 really says is:

    Generics are cheaper, and just as effective as Prozac for most conditions, so prescribing generics is not necessarily racist.

    All P4 really says is:

    Since price is the primary advantage of generics, it may be prescribed more often to poor patients regardless of their race. In fact, according to a Fox Business report, generics are an astonishing 95% cheaper!

    All P5 really says is:

    Furthermore, Medicaid and Medicare don’t cover the high cost of name-brand Prozac, so many Medicaid patients, more likely to be minority patients, demand the generics.

    All P6 really says is:

    So it’s certainly possible that factors other than racism account for the comparative likelihood that white compared to non-white patients take prescription Prozac.

    I hope this isn’t just annoying, Dan. I want to emphasize how often you needlessly repeat the premise of your argument, always backing up a step or two before advancing. Such writing exhausts readers. I know you can write more crisply because your early sentences make bold steps forward.

    Grade recorded. If you revise for a grade improvement, drop me a comment here to let me know.

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