Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News Editorials & Other Articles General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

ProSense

(116,464 posts)
70. It's horrible, and just think
Fri Jul 5, 2013, 11:09 AM
Jul 2013

"A hideous example of the state of 'health care' in AmeriKa (GOD DAMN this shit)

Mom is 86 years old. Every year around April or May she falls into the "doughnut hole" of her Medicare Part D coverage. Just ONE of her prescriptions costs well over $300 for a ONE month's supply. After she hits the "doughnut hole", she has to pay out of pocket. CAN YOU IMAGINE paying that much for ONE prescription when you're on a fixed income? Just ONE of them."

...this is happening under Medicare. The donut hole was one of the biggest health care scams ever.

Krugman, 2005

A Serious Drug Problem

By PAUL KRUGMAN

There was a brief flurry of outrage when Congress passed the 2003 Medicare bill. The news media reported on the scandalous vote in the House of Representatives: Republican leaders violated parliamentary procedure, twisted arms and perhaps engaged in bribery to persuade skeptical lawmakers to change their votes in a session literally held in the dead of night.

Later, the media reported on another scandal: it turned out that the administration had deceived Congress about the bill's likely cost.

But the real scandal is what's in the legislation. It's an object lesson in how special interests hold America's health care system hostage.

The new Medicare law subsidizes private health plans, which have repeatedly failed to deliver promised cost savings. It creates an unnecessary layer of middlemen by requiring that the drug benefit be administered by private insurers. The biggest giveaway is to Big Pharma: the law specifically prohibits Medicare from using its purchasing power to negotiate lower drug prices.

Outside the United States, almost every government bargains over drug prices. And it works: the Congressional Budget Office says that foreign drug prices are 35 to 55 percent below U.S. levels. Even within the United States, Veterans Affairs is able to negotiate discounts of 50 percent or more, far larger than those the Medicare actuary expects the elderly to receive under the new plan.

- more -

http://www.nytimes.com/2005/05/06/opinion/06krugman.html

I wish I could offer some advice. Here's a chart about drug prices.


http://www.democraticunderground.com/10022586434

The best to your Mom.

Recommendations

0 members have recommended this reply (displayed in chronological order):

The donut hole was closed by the ACA. cbayer Jul 2013 #1
NO. It was NOT. It will not be fully closed until 2020 Triana Jul 2013 #3
You are correct. It dropped from 100% patient responsibility to 50% (now 47.5) for brands cbayer Jul 2013 #4
Thanks for that, Triana. truedelphi Jul 2013 #26
Exactly (n/t) bread_and_roses Jul 2013 #71
Tell that to Humana who is my husband's part D provider. SammyWinstonJack Jul 2013 #7
I stand corrected. I knew there had been changes but didn't realize that they were cbayer Jul 2013 #9
It's the same story for my wife, the doughnut hole is killing us. xtraxritical Jul 2013 #69
Kick and Rec! The for-profit healthcare system in this country is diseased! Cooley Hurd Jul 2013 #2
I'm truly sorry for your mom's troubles magellan Jul 2013 #5
I already have that kind of coverage zipplewrath Jul 2013 #98
Yes, my worry is that we'll be forced to buy insurance magellan Jul 2013 #99
The encouraging news zipplewrath Jul 2013 #101
I think United Health is the largest insurer down here (FL). magellan Jul 2013 #103
Bank of America can not pay because of what it thinks you are buying? MuseRider Jul 2013 #6
BoA AND her own personal bank...she tried with both cards. Triana Jul 2013 #16
This is BS. MuseRider Jul 2013 #19
She plans to call them and threaten to move her money out Triana Jul 2013 #21
Good for her. MuseRider Jul 2013 #23
Xpost "Have you tried to open a bank account lately?" kickysnana Jul 2013 #25
Same thing happened to me. freedom fighter jh Jul 2013 #86
It's a federal crackdown - it's illegal to do this Yo_Mama Jul 2013 #90
Reading this with interest and compassion. UPS was hit hard with fines. October Jul 2013 #33
They were fined for shipping drugs from pharmacies Progressive dog Jul 2013 #37
She doesn't buy from pharmacies that don't require prescriptions.... Triana Jul 2013 #46
I think I know: chervilant Jul 2013 #41
I think part of the problem is Egnever Jul 2013 #45
This points to one BIG PROBLEM with banks: snot Jul 2013 #51
No, the problem is the government Yo_Mama Jul 2013 #91
Could she possibly get a credit card through a credit union that would allow it? Fuddnik Jul 2013 #8
+1 glinda Jul 2013 #10
+1 LiberalEsto Jul 2013 #24
Was going to say the same. RedCappedBandit Jul 2013 #31
That's worth a try. LuvNewcastle Jul 2013 #102
So Bank of America is spying on what we buy, eh? dixiegrrrrl Jul 2013 #11
Many credit cards will now put a hold on a big charge that comes out of the blue until you call them Brickbat Jul 2013 #12
Meanwhile in Cuba .... it's ALL free. Mika Jul 2013 #13
What a nightmare! ReRe Jul 2013 #14
Oh they'll take a check. But last time a credit card was fine. Now, they're telling her Triana Jul 2013 #17
What med is it, if you can say. I've an address for very cheap diabetes supplies, in FL. truedelphi Jul 2013 #28
It's for asthma Triana Jul 2013 #38
I will call the place in Florida later today to see truedelphi Jul 2013 #52
Thanks so much! n/t Triana Jul 2013 #68
I didn't get round to calling abut other meds. But here is info - truedelphi Jul 2013 #95
Thanks! Will be talking to Mom tonight. n/t Triana Jul 2013 #96
Go to CVS abelenkpe Jul 2013 #15
Problem solved, so simple! B Calm Jul 2013 #53
I am working my ass off for the rest of my life to keep myself kestrel91316 Jul 2013 #18
Try as you might decrepittex Jul 2013 #27
Horribly true. October Jul 2013 #34
Actually the raises for Congress-critters are automatic brett_jv Jul 2013 #77
Ah, Triana. Yes, this is the kind of goat rope that kills people. I'm so sorry for her. It's wrong! freshwest Jul 2013 #20
OMG, I am speechless. secondwind Jul 2013 #22
try this ellennelle Jul 2013 #29
the best thing your mom has going is you NJCher Jul 2013 #30
I went through a similar difficulty when I was ordering from Canada Drugs Samantha Jul 2013 #32
That's what Mom believes too and I think she's right...they're fighting tooth & nail Triana Jul 2013 #39
Your Mom is absolutely right Samantha Jul 2013 #42
Universal single payer. mbperrin Jul 2013 #35
+1 area51 Jul 2013 #72
A +1 for your +1. raouldukelives Jul 2013 #100
Change Banks allinthegame Jul 2013 #36
I'm going to suggest she find a local CU to join. Triana Jul 2013 #40
Maybe this will help (for costs) mrmpa Jul 2013 #43
60 of them for $285.93 Triana Jul 2013 #44
That's what it looks like............. mrmpa Jul 2013 #50
Check out Target, just for your own information. LiberalEsto Jul 2013 #84
rec Liberal_in_LA Jul 2013 #47
To repeat a suggestion made above: DebJ Jul 2013 #48
Oh, but luckily she lives in "The Greatest Country on Earth." Arugula Latte Jul 2013 #49
This is what happens when the banks and the pharmaceutical industry rule the nation. Enthusiast Jul 2013 #54
K & R ctsnowman Jul 2013 #55
I see this all the time... MrMickeysMom Jul 2013 #56
The underlying problem is that politicians are manipulated, controlled, or owned by corporations. Maineman Jul 2013 #57
Exactly right! n/t Triana Jul 2013 #62
I am so tired of ACA fans saying the doughnut hole is closed. djean111 Jul 2013 #58
With pharmacies I think the issue is idiots - TBF Jul 2013 #59
FYI.... Banks don't care how much $$ you have with them. galileoreloaded Jul 2013 #60
K&R. Thanks for posting. n/t Egalitarian Thug Jul 2013 #61
I too ran into the inability to pay for scripts in another company; greiner3 Jul 2013 #63
Avoid meds Maineman Jul 2013 #65
Unfortunately this will not work for many people. IdaBriggs Jul 2013 #74
sometimes it's just plain heredity... Phentex Jul 2013 #78
I used to hate oatmeal, too IrishAyes Jul 2013 #87
It's okay as a snack... Phentex Jul 2013 #89
No, but if you eat enough oatmeal IrishAyes Jul 2013 #92
A thought on how to get around all the BS maybe . . . . ET Awful Jul 2013 #64
I am speechless. LWolf Jul 2013 #66
I'm enraged on your behalf.. BlancheSplanchnik Jul 2013 #67
It's horrible, and just think ProSense Jul 2013 #70
You think that is bad-how about killing your adult child? Stargazer99 Jul 2013 #73
I also had to advocate for my Mom and Dad because our health system sucks. Sunlei Jul 2013 #75
A cynical mind might think that Big Pharma went to the government WestSeattle2 Jul 2013 #76
Somewhat off topic but addressing the root problem of affordability TheKentuckian Jul 2013 #79
Thanks for that! Triana Jul 2013 #80
Hope it does some good. TheKentuckian Jul 2013 #97
For profit healthcare is annabanana Jul 2013 #81
K&R airplaneman Jul 2013 #82
K&R - eom fleur-de-lisa Jul 2013 #83
K&R midnight Jul 2013 #85
Sorry to hear about this IrishAyes Jul 2013 #88
340B pharmacy koiwoman53 Jul 2013 #93
Thanks! Checking it out now. Welcome to DU! n/t Triana Jul 2013 #94
Can she get samples from the doctor BlueToTheBone Jul 2013 #104
I asked her about that. Triana Jul 2013 #105
Can't you call and ask for her? BlueToTheBone Jul 2013 #106
Sister and brother are on it. Triana Jul 2013 #107
Latest Discussions»General Discussion»A hideous example of the ...»Reply #70