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Health Care reform...dont want political
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<blockquote data-quote="witzend" data-source="post: 299570" data-attributes="member: 99"><p>I imagine that any EMT could also tell stories about how people with chronic illnesses end up in the ER because they can't get a regular check-up or medications because either a) they don't have insurance, or b) their insurance took their premium and denied them treatment.</p><p></p><p>I recently got a letter from the pharmacy arm of our insurance company, which is the only option for insurance that we have. I have a chronic condition that I have dealt with since childhood. What it is and how we treat it is irrelevant to this story, but for the purposes of this post let's call it "hangnail". What is relevant is that after years of trial and error, we found a medication that successfully treats my "hangnail" without the really bad side effects that other medications I took for hangnail had and which gave up on in the past. Those medications did not treat my condition successfully. This medication is fairly new, is a different class of drugs, and has 3 years until it can be made as a generic drug, so no generic is available. We'll call it Nailclipper. </p><p></p><p>When I was first prescribed Nailclipper, in 2007 it cost $10 for a 90 day supply by mail. The same as every other RX I get. In 2008 it cost $20 for a 90 day supply, like all my other RX's. In 2009, it went up to $40 for a 90 day supply, like all my other RX's.</p><p></p><p>Last week I got a letter from the insurance company that said that Hangnail has been successfully treated for other people with the medications of a different class which I used before (which did not work for me and had bad side effects), and they will cover those other medications to treat my Hangnail. They will no longer cover Nailclipper. If my doctor and I think that the best medication for me is Nailclipper, my doctor should contact them and they will explain to my doctor why the other medication will work just as well. If my doctor and I still feel that way, I can pay for it totally out of pocket at $487 for a 90 day supply.</p><p></p><p>Please bear in mind that the president of this insurance company owns $744,232,068 in unexercised stock options, (stock is worth more if the company cuts costs) in addition to his annual salary of $3.2 million a year. That's over $1,500 an hour in wages alone. It doesn't include his jets or limos, or bonus. </p><p></p><p>I want to know why he thinks that his people know enough about me to overide my doctor's orders? Talk of "Death Squads" and comparisons to "Nazi's" is reprehensible.</p></blockquote><p></p>
[QUOTE="witzend, post: 299570, member: 99"] I imagine that any EMT could also tell stories about how people with chronic illnesses end up in the ER because they can't get a regular check-up or medications because either a) they don't have insurance, or b) their insurance took their premium and denied them treatment. I recently got a letter from the pharmacy arm of our insurance company, which is the only option for insurance that we have. I have a chronic condition that I have dealt with since childhood. What it is and how we treat it is irrelevant to this story, but for the purposes of this post let's call it "hangnail". What is relevant is that after years of trial and error, we found a medication that successfully treats my "hangnail" without the really bad side effects that other medications I took for hangnail had and which gave up on in the past. Those medications did not treat my condition successfully. This medication is fairly new, is a different class of drugs, and has 3 years until it can be made as a generic drug, so no generic is available. We'll call it Nailclipper. When I was first prescribed Nailclipper, in 2007 it cost $10 for a 90 day supply by mail. The same as every other RX I get. In 2008 it cost $20 for a 90 day supply, like all my other RX's. In 2009, it went up to $40 for a 90 day supply, like all my other RX's. Last week I got a letter from the insurance company that said that Hangnail has been successfully treated for other people with the medications of a different class which I used before (which did not work for me and had bad side effects), and they will cover those other medications to treat my Hangnail. They will no longer cover Nailclipper. If my doctor and I think that the best medication for me is Nailclipper, my doctor should contact them and they will explain to my doctor why the other medication will work just as well. If my doctor and I still feel that way, I can pay for it totally out of pocket at $487 for a 90 day supply. Please bear in mind that the president of this insurance company owns $744,232,068 in unexercised stock options, (stock is worth more if the company cuts costs) in addition to his annual salary of $3.2 million a year. That's over $1,500 an hour in wages alone. It doesn't include his jets or limos, or bonus. I want to know why he thinks that his people know enough about me to overide my doctor's orders? Talk of "Death Squads" and comparisons to "Nazi's" is reprehensible. [/QUOTE]
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