welcome to the organic green doctor blog

i am a family physician who was diagnosed with
early mild cognitive impairment(mci) amnestic type on december 21, 2010
this is a precursor to alzheimers disease
because of this diagnosis i have opted to stop practicing medicine
this blog will be about my journey with this disease
please feel free to follow me along this path
i will continue blogging on organic gardening, green living,
solar power, rainwater collection, and healthy living
i will blog on these plus other things noted to be interesting

Tuesday, May 15, 2018

whatcha gonna pay for your meds

finally a non partisan issue
thats not necessarily democrat or republican
we all no matter our party beliefs are affected
equally most likely

there are two things to remember
two things that will determine the answer to the question
whatcha gonna pay for your meds

those things are
big pharma
a fox in the hen house

those two will set the prices of what you pay for
you meds for blood pressure and cholesterol and diabetes
your special drugs like
arthritis infusion drugs
new treatments like alzheimers when it comes around

big pharma spends $240 million a year on lobbying
our government to get their deals done
they win
we usually lose money in that deal

a fox in the hen house
it worries me that the person who is going to make many
of these decisions was an executive for a large drug company
eli lilly

if you put a fox in the hen house
they 100% of the time will eat all the hens
usually they are nice
they just eat one a day until they are all gone

the secretary of health and human services may be that fox

im hoping he is the opposite of those folks who had the dog
that wouldnt eat dog food
turns out he was a fox

im hoping this guy is a what we think is a fox but really
is a dog
im skeptical

for me
i pay $20 a month for my aetna medicare d the insurance that covers
my drugs
i am on 4 drugs a month
this last week i picked up a 90 day prescription for three of these for
i cant complain about any of the way my drug plan operates

yesterday i finished #16 of my experimental alzheimers drug
called aducanumab
i have 4 more to go then there will be a long term extension of
the study so that all subjects will get the real drug
no one will get the placebo
this goes for another 2 years+

this drug if it helps at all will be on the market
it will be fast tracked since its an alzheimers drug
it is estimated it will cost around $4,000 a month for the infusion
if it works it may push the disease down the run
so that i will die from something else

what will my medicare d pay for this new drug
probably 50% maybe if im lucky
it may be one of those drugs that goes under medicare b
where you go to the doctors office to get it
then medicare b may pay more than medicare part d

this is one of the areas a fox in the hen house is messing with

for me its this drug that will be affected the most
probably not my other 4 drugs since they cant get much
most of you though will be affected
all of us all 325 million of us

one solution i would like to offer
to keep these prices down
will not sound good to
big pharma
a fox in the hen house
it will probably help most of us

there are 1.281800 million folks in the active military
there are 9.4 million folks on the military tricare health insurance
there are 9 million folks using the va medical system
there are 44 million folks on medicare
there are 70 million folks on medicaid
medicare spends $130 billion each year on drugs

can you see where im going here

i know theres overlap here with folks being in more than one group
lets add these numbers up
that comes to over 133 million folks
thats not even counting federal employees pf 2.7 million folks
so lets make it 135 million folks are on some type of federally paid for
health plan that pays for drugs

thats about 40% of our population

thats a lot of bargaining power

why cant we do that
bargain as a federal group to keep prices down

seems awful simple to me

oh yea
its those
big pharma
a fox in the hen house

one of the reasons eg great britain pays less for drugs
you know those brits
they think different than we do
they bargain as a group
to get good prices
much much lower than what we pay

they have 58 million folks
they pay 4.5% income tax to cover them
they pay 8.4% of their gdp on health care
we pay 18 %

seems they have already figured this out
why cant we

oh yea
its those
big pharma
a fox and the hen house things

the organicgreen doctor

No comments:

Post a Comment