I love people and I hate cancer and suffering. A cancer patient's life in Tanzania, Brazil, Colombia, or Myanmar is just as precious and valuable as a cancer patient's life in Tampa, Richmond, or San Fransisco.

I've thought about this long and hard and I have registered as a for-profit company with the IRS. My company is loosely patterned after Mark Cuban and Dr. Oshmyansky's Costplusdrugs.com. I feel that I would be at a disadvantage against for-profit companies if I couldn't spend money to hire and retain the best people. I currently do not take a salary or any distribution from the company.

We are blessed in the US to have many, sometimes competing, health care systems that provide excellent care to all people in our country, including non-citizens. Every health system I have worked in (thank you UPMC, Baycare and VCU) has provided complete cancer care without regard to cost and without significant delay. While I'm not pleased with the price of some of the treatments here in the US, the regulatory requirements are such that I do not have the time, resources or expertise to operate and compete in the US. To put it another way, the US doesn't currently need help and they have enough resources.

Production of pharmaceutical grade drugs requires clean rooms, armies of chemists, technicians, lawyers, and others. I feel the manufacturers do a great job. I am concerned that the profit margin that distributors have both domestically and internationally is too high and I would like to provide the lowest cost generic drugs that I can by having a very low overhead and very low operating budget.

No, I don't need donations. I am running a for profit company so the proceeds pay for my costs. If you have money that you want to donate to a cancer center in a low resource country, please consider donating to this hospital.

My company doesn't need a corporate jet. Or a lavish Christmas party. Or a commercial building in Manhattan and Zurich. We are lean.

Terms are 50% on order, 50% on delivery in your local currency.

I have done this a few times. Most countries have realized two things: 1) There is a shortage of low priced generic chemotherapy, especially in the rural parts of low and middle income countries. But also, 2) There are counterfeit chemotherapy drugs that are on the black market. I am willing to try and ship to your local public cancer hospital and I have been successful with that in the past, but as volumes grow, the national government and local pharmacists will rightfully want to inspect and register these drugs even if they are shipped from the US supply line and many want certificates of analysis(COA) from the manufacturer. The better long term strategy is to open up a physical presence in the country, conforming to all of the national regulations and then ship in that country after importation and receive payment in local currency. This is my current strategy. If there is a need in your country, please contact me.

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