Forbes March 1, 2024
Peter Ubel

The patient arrived in my clinic, their right big toe the color of a spring strawberry. The lightest touch caused exquisite pain. Fortunately, I was able to prescribe a pill (an ancient medicine, actually) and the patient was better by the next day.

Too bad that simple treatment is becoming unaffordable, through a maddening combination of greed and regulatory failure.

Gout is an exquisitely painful type of arthritis, which flares when uric acid crystals settle into people’s joints, causing red-hot bouts of severe inflammation. And yet, gout pain can often be treated quickly and effectively with the ancient medicine I alluded to above, with the generic name of colchicine.

Colchicine has been in use for more than 2,000 years. First...

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