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$900.00 For a 30 day supply of pills!

Then you entered something incorrectly. I've been on the site and run numbers for various income scenarios and coverages. They may not wind up paying a dime.

I am pretty sure I entered everything in correctly. I also did a scenario on me as well. They live in Rocky Mount, NC so maybe I need to get them in touch with the Economical Development Center and let the center go through the process.
 
That's not bad. My story is worse. I went to a dermatologist last year, and he prescribed me a tube of skin cream for my face. The pharmacy wanted $700 for the little tube of cream! I called the doctor's office and had the doctor prescribe me something else, which only cost about $11.

The $11 tube is for when I'm paying.

When everyone else pays, I get the $700.

You don't expect me to settle for that cheap stuff do you??

What am I a second class citizen??

I have rights!!
 
My father was in the test program for what became Harvoni (he incurred no costs and was compensated as well). I remember during the course of the medication he mentioned that his doctor thought it was absurd this program would cost nearly $100,000 to be cured of Hep C. However- my father was cured within 12 weeks. When he started the program he had over 200,000 units of the Hep C virus per liter of blood. After one week of treatment that was down to 20,000 units. The next week there was no trace of Hep C in his system. We added how many years to his life? Will that be worth $100,000 to someone?

I agree the cost is absurd. But how much is life worth (in dollars) anyway? Just a honest question....

Sometimes that depends on how many dollars are available...

Personally, I could liquidate everything I own, toss in a year's income, and still not be able to afford the copay...
 
Few companies would develop any new drugs if there were no profit to be made.

Yet most drug companies spend significantly more on advertising than on R&D.

They also regularly spend their R&D inventing things like Nexium to replace Prilosec. A mirror molecule that works identically and is no better (or worse) at solving the condition... but is different enough it gets a new patent. Oh yeah - they then spent MASSIVE amounts in advertising to convince folks to switch, for no medical reasons at all.
 
My father was in the test program for what became Harvoni (he incurred no costs and was compensated as well). I remember during the course of the medication he mentioned that his doctor thought it was absurd this program would cost nearly $100,000 to be cured of Hep C. However- my father was cured within 12 weeks. When he started the program he had over 200,000 units of the Hep C virus per liter of blood. After one week of treatment that was down to 20,000 units. The next week there was no trace of Hep C in his system. We added how many years to his life? Will that be worth $100,000 to someone?

I agree the cost is absurd. But how much is life worth (in dollars) anyway? Just a honest question....


According to the US government analyses used to determine cost/benefit when analyzing regulation (see: setting Arsenic levels in water supplies) -

EPA: $9.1 million dollars
FDA: $7.9 million dollars
DOT: $6 million dollars
 
each month set aside cash you would spend for stupid stuff you probably won't need. then use it when you need meds. i'd rather pay like that then give 10% of my salary for basic health care services and then again few% for added insurance and that only covers my visits to the doctor. if i have to pay for something serious i'd be f****. that's the reality of countries with "free" healthcare. yeah, usa has some stupid stuff with health insurance. if i could make a choice i'd would not pay this obligatory health insurance for lousy services, i'd put 10% of my salary in my savings and then spend it for when i need healthcare.

bottom line, don't whine about the whole system, i could be worse.

That's what I used to do.

My health insurance was $300 per month ($10K deductible). We paid out of pocket for Dr visits and had a discount Rx card. Insurance costs totaled about $5K per year for my family (4 of us). We still set aside money in case we had to pay the deductible.

Now .... $16,000 in premiums alone last year. Who knows how much in co pays and prescriptions (I don't keep track anymore). I had to pay $500 out of pocket for an MRI.

High deduct plans are outlawed now and I'm forced to pay for insurance that I can't afford to actually use. Thanks, Obama.
 
This is one of the many reasons we need a health care system as opposed to a disease maintenance one. I've been learning way too much about how the pharmaceutical companies and agribusinesses operate over this past year. No conspiracy theories. There are incredibly evil things going on, and they're fueled by the almighty $$$$.
When it takes 20% of GDP and rising, gee maybe the rules are bent or something, eh?

When you take your car in for work or get repairs to anything, you get prices/estimates up front.
With the medical <insert our own word here>, you get a bill after-the-fact with things as-bad or worse than $700 hammers or toilet seats.

For your reading enjoyment. If you have surgery coming up, you may want to investigate medical tourism or at least go to Oklahoma.
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What gets me almost as much as the above, are the educated and articulate lay people who defend the drug companies... haven't been following this thread closely, but there are 1 or 2 here. They're the ones who help allow this evil to continue, because they offer a defense.

This is a really silly and unfair statement. The problem with the discussion around drug companies is that almost nobody who argues against them has a truly developed, nuanced understanding of the economic forces behind drug development. Now obviously they are businesses and don't try to make a penny a pill, but I don't think the majority of the people who jump into the conversation are not as learned as they suggest.

I always, always try to avoid these conversations because it's generally very reactionary, very angry rhetoric that is based on accusations of moral impropriety or greed. That's a very difficult position to try to get someone to step back from, even if only to acknowledge the positives in the system (we all know and have experienced the negatives). So as a result, we get lots of "these guys are 100% EVIL", and everyone agrees because they hate paying money. It is a difficult discussion.

But to say that anyone who "defends" them is perpetuating the problem is silly. Maybe they just want to see a less black and white discussion, because in reality most of the posters here have benefited tremendously one way or another from the system they believe is evil.

I have at no point said how I feel about any of this- I'm just always bothered by the tone this discussion takes.
 
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I have at no point said how I feel about any of this- I'm just always bothered by the tone this discussion takes.

I can appreciate and respect that. This is a hot topic for me, and it does get my emotions going. Had I followed the advice of well meaning MDs on a variety of issues in my 55 years, I'd be a mess right now. I have "incurable illnesses" (more than one) that can only be helped and treated with medication or surgery, or so I was told. Guess what, I'm completely healthy today. I didn't take their medications, and in each instance - when I did follow medical advice, it exacerbated the problems, and/or caused others. I feel fortunate and grateful for that today.

I know countless others who have similar stories. It's difficult to keep my emotions out of these conversations. Your experience I'm sure is different.

But to say that anyone who "defends" them is perpetuating the problem is silly. Maybe they just want to see a less black and white discussion, because in reality most of the posters here have benefited tremendously one way or another from the system they believe is evil.

This here is the part that gets me most. People only believe they're benefiting. Their symptoms are disappearing, and they feel better. At least for a while. But they're not getting well. They're only treating their symptoms, while allowing their illnesses to thrive, and creating new ones unwittingly. Yes, there is some grey area in there, but this is the model of the pharmaceutical industry, and health care in general. It needs to, and WILL stop. Maybe not in our lifetime, but people thankfully are beginning to wake up.

I can't sit by the sidelines and say, "Hey, they're keeping AIDS patients alive and that's awesome!" Of course it's great that they can keep them alive, but if all the money spend on advertising and research went into healing them as opposed to treating them, we'd be so much better off. And I'm certain it would cost a whole lot less. They're not doing that.

Is the system 100% evil, I don't know. Depends on how you look at it. Most doctors I know are very well intended. Just ill informed. What's pushing the entire system... you can disagree, but yeah, I think it's evil. When you put profit before people's lives and health, I consider that evil.
 
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This here is the part that gets me most. People only believe they're benefiting. Their symptoms are disappearing, and they feel better. At least for a while. But they're not getting well. They're only treating their symptoms, while allowing their illnesses to thrive, and creating new ones unwittingly. Yes, there is some grey area in there, but this is the model of the pharmaceutical industry, and health care in general. It needs to, and WILL stop. Maybe not in our lifetime, but people thankfully are beginning to wake up.

No, it's not the model. You manage symptoms but, if you can, you treat the illness. No medical professional would ever tell you "treat the cough, but let their pneumonia thrive." The problem is that diseases are often more complicated that people appreciate, and there is never a magic bullet. Every medication has side effects, and hopefully they are better than letting some disease progress.

It is incredibly difficult to get drugs on the market if there hasn't been an overwhelming amount of data to suggest that it is effective at treating a certain condition under certain circumstances (which then become the circumstances under which you can prescribe it; everything else is off-label). Physicians are very wary of new-fangled drugs more often than not, and many persist using older drugs until they know what side effects some new medication will cause and whether it will truly be more effective managing a particular condition.

The whole "they want to treat the symptoms but let the illness thrive" is a platitude that is really not representative of the general attitudes in medicine and pharmaceutical research at all. It's almost entirely the opposite.

I can't sit by the sidelines and say, "Hey, they're keeping AIDS patients alive and that's awesome!" Of course it's great that they can keep them alive, but if all the money spend on advertising and research went into healing them as opposed to treating them, we'd be so much better off. And I'm certain it would cost a whole lot less. They're not doing that.

And this is the kind of thing I am talking about. The "trying to treat AIDS without healing them" is BS. They're trying to eradicate the condition entirely. The medications are trying to heal them. If they could get every viral copy out of someone's body with a medication, they would- the company that invents an outright cure for AIDS will make more money than all the others combined, so that is always the goal. But it turns out to be an incredibly difficult thing to achieve.

Everything has side effects.

They spend an incredible amount of money on research, as an industry, because that is where new drugs and new profits come from, so it is not like they do not spend money on research. They fund an incredible amount of research both in the private sector (internal) and public (universities).

Most doctors I know are very well intended. Just ill informed.

I hear this one a lot. What are they ill-informed about? (Not challenging you, just curious on your perspective/specific ideas).

What's pushing the entire system... you can disagree, but yeah, I think it's evil. When you put profit before people's lives and health, I consider that evil.

This statement gets political very quickly.

Again, I'm not saying where I stand on any of this, and I'm certainly not trying to suggest that the way the pharmaceutical industry works within our system is ideal for the consumer, but I do get tired of empty platitudes, paranoia, and very black and white discussion. In truth this entire system and discussion is ENORMOUSLY complex, and the fault lies in way more places than one. To demonize the entire industry is so silly because it is full of people who dedicate their lives to trying to make people better, and most of them have nothing to do with the profits, the economics, or any financial transactions. Topics like these cannot be swept into a neat basket of "bad people, evil industry, don't care about health, are not trying to cure illness, only trying to hook up IV from patient wallet to pharma bank account."
 
I hear this one a lot. What are they ill-informed about? (Not challenging you, just curious on your perspective/specific ideas).
I noticed in your profile that one of your interests is medicine, so can understand the difference of opinions. There's much too much to be said regarding the above. A lot of it comes from what I'm learning in my studies to be a health coach, and a lot of it does get political. A lot more comes from my personal experience, as mentioned in my previous post. If you want however more researched and scientific explanations I can offer some books that might change your opinions on this. Or maybe not. There are lots of them, but the ones that were the clearest and most to the point for me were:

Anatomy of an Epidecmic by Robert Whitaker
The Disease Delusion by Jeffry Blake
America Fooled by Timothy Scott
 
They spend an incredible amount of money on research, as an industry, because that is where new drugs and new profits come from, so it is not like they do not spend money on research.

They spend a lot of money on research - but just as much on advertising.


They fund an incredible amount of research both in the private sector (internal) and public (universities).


They also piggyback on massive amounts of publicly funded research... and how much of their R&D is on boner pills?
 
I hear this one a lot. What are they ill-informed about? (Not challenging you, just curious on your perspective/specific ideas).

I had to come back to this one. What they're ill informed about is anything regarding nutrition, or what a patient needs to do in order to go from being sick, to being healthy. They know even less about disease prevention. Their training is funded, or comes directly from the pharmaceutical companies, and they know only how to treat illnesses within the model they've learned about.

My brother is battling cancer, and is fortunate enough to be under the care of the best doctors in NYC. He's grateful, as am I, as they have undoubtedly kept him alive. They know however, and have made it clear that cancer is most likely what's going to eventually take him out. He currently lives in constant pain, he's addicted to painkillers, and he is far from being a healthy, happy, fully functioning person. He's surviving, until he doesn't any more. When he asked those doctors (and more than one) if he should change anything in his diet, he was told, "Eat whatever you want. It makes no difference." There is so much evidence that proves that to be completely untrue... but these doctors, the best in their field, pass this along to their patients. They also feed patients processed foods and sugar in recovery rooms. If you believe this is fine, then I really do feel you need to read some of the above mentioned books, and it's pointless for me to argue this any more. Same for anyone else who's agreeing with you. I have to guess that those in agreement are being kept well by some sort of medication.

As for the pneumonia example, the greatest discovery in medicine came in the treatment for that when antibiotics were born. It's the magic bullet model of disease control that came out of that, that started the problem. You can't kill everything the way antibiotics kill bacteria.

I also disagree that a cure for AIDS would make more money than the treatment. I'm not even sure how you can suggest that. Exercise has been proven time and time again to be equally or more effective than anti-depressant medication, yet we'll never see a TV commercial telling people to start walking a mile a day to treat "the chemical imbalances that can only be treated with pharmaceuticals". Nor will you find a psychiatrist that will walk a person through an exercise program, investigate their diet, or test their blood for a Vitamin D (or other) deficiency. They will immediately start prescribing chemicals and experimenting with the patient's brain chemistry. If you want to call BS, call it on that, not the things you're calling it on.

And fwiw, I do detect angry rhetoric beneath your posts also. You're just a better writer than me :). Calling a statement silly and unfair though is surely baiting someone. I bit and swallowed.
 
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I had to come back to this one. What they're ill informed about is anything regarding nutrition, or what a patient needs to do in order to go from being sick, to being healthy. They know even less about disease prevention. Their training is funded, or comes directly from the pharmaceutical companies, and they know only how to treat illnesses within the model they've learned about.

Physicians' training is not funded by pharmaceutical companies, at all. They usually have very little contact with them until they go into private practice (for those that do). Researchers are more likely to have projects funded by them, and sometimes education funded by them if someone worked with a pharmaceutical company prior to going back to graduate school to get their PhD. But these again are not the people who are dealing with the profit side of things- they're just trying to find ways to treat and cure disease. These are not the guys setting the prices.

Plenty understand disease prevention, but they are not the most effective outlet for preventing disease. That should really be a more communal, societal, behavioral thing. Plenty of docs would like to move to a more preventative model, as would insurance, and that is the way things are trending.

And yes, they know how to treat illnesses within the model they are taught, because that is true of anyone who was trained in any profession. So I agree on that point.

My brother is battling cancer, and is fortunate enough to be under the care of the best doctors in NYC. He's grateful, as am I, as they have undoubtedly kept him alive. They know however, and have made it clear that cancer is most likely what's going to eventually take him out. He currently lives in constant pain, he's addicted to painkillers, and he is far from being a healthy, happy, fully functioning person. He's surviving, until he doesn't any more.

I'm very sorry to hear that- that is an awful situation.

I am not sure how this affects your point, though- they are doing everything they can to keep someone comfortable in an impossible situation. People in those circumstances can have tremendous pain and discomfort, and feel absolutely awful.

If he is in constant pain from his cancer and needs painkillers to stay as comfortable as possible, I say go for it. I have a lot of issues with the way painkillers are doled out (an entirely different subject, but I imagine we probably agree about it), but in this circumstance, I would give him as many as he needed to be comfortable. He does not have to take them, after all.

When he asked those doctors (and more than one) if he should change anything in his diet, he was told, "Eat whatever you want. It makes no difference." There is so much evidence that proves that to be completely untrue... but these doctors, the best in their field, pass this along to their patients. They also feed patients processed foods and sugar in recovery rooms. If you believe this is fine, then I really do feel you need to read some of the above mentioned books, and it's pointless for me to argue this any more. Same for anyone else who's agreeing with you. I have to guess that those in agreement are being kept well by some sort of medication.

I will say that doctors are not nutritionists, and though they have a very good understanding of the biochemical processes in the body, it isn't really in their job description. But I'm not sure there is any data to suggest that a specific diet will treat his cancer- there is a lot of junk out there that is used to sell books that never came from peer-reviewed biochemistry, nutrition, health or medical science literature. If there was, docs would recommend every patient eat green tomatoes (or whatever) because their patients would survive better.

As for the comments about processed foods/sugars, everybody has their own feelings about it. I avoid processed foods when possible, but generally speaking, a molecule of sugar is a molecule of sugar to your body. Processed foods are usually just worse because they do not have much nutritional content per bulk.

Hospital food varies from hospital to hospital, but I agree, it's usually based on delivering basic nutritional essentials. It isn't going to kill anybody, though.

The last statement of yours was unnecessary, though. No medication here. I just read books like those with the same appropriate skepticism that I do when I read anything else (including clinical drug studies, for example)- because people are trying to sell books through some amount of sensationalism, and often twist and distort facts about their subject to fit their point. They know they are selling to an audience that will buy into it. It's no different than the way any company will spin the benefits of their product- it just happens to be the company is a person and the product is a book. I am fine that people support what is written in those books (I've read Whitaker and Scott's books), but I also think it is equally unfair to say that anyone who doesn't must be medicated. It's the FOX/MSNBC thing- the truth, as always, lies way in the middle often, and is much more gray.

As for the pneumonia example, the greatest discovery in medicine came in the treatment for that when antibiotics were born. It's the magic bullet model of disease control that came out of that, that started the problem. You can't kill everything the way antibiotics kill bacteria.

And that is my point also- many diseases flat out cannot be cured, but they still aim to cure. But they aren't, as you had said, trying to treat the symptoms but ignore or fuel the illness.

I also disagree that a cure for AIDS would make more money than the treatment. I'm not even sure how you can suggest that. Exercise has been proven time and time again to be equally or more effective than anti-depressant medication, yet we'll never see a TV commercial telling people to start walking a mile a day to treat "the chemical imbalances that can only be treated with pharmaceuticals".

It would make a lot of money for the company that produced it (including amazing amounts of free advertisement), so it will always be the goal.

Promoting exercise does not earn anybody money, so there will not be commercials. You should go after all the fad diets and BS weight loss programs that advertise for the same reasons, because in reality regular exercising would also be better for you than going Atkins.

Nor will you find a psychiatrist that will walk a person through an exercise program, investigate their diet, or test their blood for a Vitamin D (or other) deficiency. They will immediately start prescribing chemicals and experimenting with the patient's brain chemistry. If you want to call BS, call it on that, not the things you're calling it on.

This is absolutely true, but that isn't really a psychiatrist's job (though they will usually mention benefits of exercise on health). Health care professionals who the person would see more normally are usually responsible for that. And they would test for vitamin D deficiency if there were other appropriate symptoms (patients with vit D are more like to feel depressed, but it's never been implicated as a causative factor such that restoring vit D would treat the depression; usually if they have a true deficiency they'll have multiple other health issues).

Most good psychiatrists would rather someone exercise than take an antidepressant.

And fwiw, I do detect angry rhetoric beneath your posts also. You're just a better writer than me :). Calling a statement silly and unfair though is surely baiting someone. I bit and swallowed.

Nonono, not angry at all, and I don't mean to come across that way- just wanting a more discussion that evaluates the situation in a more wholesome way. There are issues on all sides, and I hate to see an immensely complex problem distilled down to vague talking points. Not trying to bait at all- but I did think that statement was silly. :)

Edit: 99.9% of people in healthcare are only interested in making people better. I think it is crucial to be open to everyone's experience, perspectives, training, strengths, weaknesses, limitations, pressures and realities rather than just demonizing ("100% evil") or denigrating ("don't know what they are doing") them. Communication is very hard to do that if your assumption is that the other person is evil, dumb or crazy (this applies to all sides of an argument, and everyone is guilty of this from time to time). There are tons of people who lump health professionals with pharmaceutical companies into some evil Borg-like entity, and there are plenty of health professionals who make fun of people who believe that selenium deficiency is at the root of every cancer. There is plenty of room at the table for both groups, and everybody should be talking. Everyone has something to offer, and we all just want people to be healthier. I just wish it would occur with less cynicism (myself included, no doubt).
 
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We could obviously argue this stuff to no end. I agree with you that it's not a black and white thing, and that people need to join together. I also agree that I need to lighten up a bit. I have a lot more I could and want to say, but I'm trying to let go of my need to have the last word :).

My brother by the way, for today, is cancer free. And your concern is appreciated.
 
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