Dana Blankenhorn

The Alzheimer’s Scam

A decade ago, when I first returned to the business beat, a company called Dendreon began pushing a non-cure for prostate cancer called Provenge. 

The idea was to fit a therapy specifically to a patient’s DNA. This cost a lot of money. While Provenge did extend life, it was only by a few months. For this Dendreon wanted $93,000. 

If I had all the money in the world, I’d pay that. But if every prostate cancer patient could force insurers and government agencies to pay that, the system would go broke. You can’t have an unlimited draw from a limited pool of funds. (To the right, at the upper right, is my late mother. I learned recently she taught the first "integrated" second grade class in California history, in 1947. I am very proud of her.)

Fast forward to today. Eli Lilly and Biogen have developed drugs to treat Alzheimer’s Disease.

Save the Kindles

You can be comfortable in a big company. But you can also miss opportunities because they don’t look big enough.

Take Amazon.Com. They’re on track to bring in $500 billion this year. About half will be in merchandise sales. The other half will be in services of various kinds. The stock fell after earnings because the cloud unit projected slower growth, some of it driven by its own effort to help customers lower their cloud costs, some by the cost of adding AI software to AWS. Overall, Amazon stock is a buy.

My problem is Amazon has become such a sprawling business that some divisions are just too small to merit attention.

Take the Kindle book division. This is funny because Amazon started as a bookstore.  

I like the Kindle. An e-book reader is lighter than almost any book. You can use it with the lights off. A Fire Tablet can cost just $40 and serve as a personal TV. You can get refurbished Kindle readers dirt cheap.

E-books make printed books seem an environmental disaster. E-books also save money. Amazon offers a $10/month library service called Kindle Unlimited. I consider it a bargain. It offers lots of e-books at $1 to $3.

But in all the efforts by some states to ban books and close libraries, you haven’t heard a word from Amazon. That’s because the Kindle business is so small, by Amazon standards, that the company would rather keep quiet than pursue an opportunity that might be controversial.