Major Health Crisis
The
January 10, 2007
issue of the Journal of the American Medical Association reported patients who
have had a heart attack and who were less than 40% compliant in taking expensive
cholesterol lowering statins had a 50% greater mortality rate than those more
than 80% compliant with taking their drugs.
The Dept. of Health and Human Services in
September 2005 said one in five people under the age of 45 are uninsured and
that the primary reason is cost. Most
working families’ have incomes that make them ineligible for virtually all
Prescription Assistance Programs (PAPs). In
2006, many PAPs stopped covering most Medicare Part D patients who can’t
afford their medications. Almost all
PAPs only assist people with very low incomes and assets.
A 2006 Kaiser Family Foundation poll indicated
that about half of all doctors ignore the soaring medication costs of treatment.
Among the reasons named; 53% of them said that they don’t have enough
time; 51% said they don’t know how to help patients lower their out-of-pocket
costs, 23% say they don’t discuss costs because they don’t think it’s
their responsibility, 16% think it would be embarrassing for patients and 15%
believe costs are not a concern for their patients.
A great many of the traditional resources for
families to afford their medications are no longer available.
To limit costs of benefits, an ever increasing number of companies have
dropped or severely limited prescription medication coverage.
A survey by the U.S. Agency for Healthcare
Research and Quality showed half the people limit health care costs so much that
32 times as more money is spent on the other half.
On
January 1, 2006
the Medicare Prescription Drug Improvement and
Modernization Act became a fact of life for millions of Medicare citizens and
their physicians.
The Journal of General
Internal Medicine, published by Springer New York, in February 2007 studied the
cost variations in estimated Medicare Part D prescription drug plan costs and
affordability for beneficiaries living in different states.
Families in different states with low-income to zero income were studied
who had chronic illnesses and multiple medications.
They found widely differing costs making it more difficult for some to
afford their medications. The costs
varied from $300.00 to $1300.00 per month depending upon where they lived.
Many people say that
Medicare should not negotiate drug prices even though it is the most efficient
health care system in the country. In
a
January 9, 2007
, “Families USA” article titled: “No Bargain: Medicare Drug Plans Deliver
High Prices”, they analyzed the medication costs for the 20 drugs most
frequently prescribed to seniors by the five biggest Medicare Part D insurance
plans (combined these insurers serve about two-thirds of those with Part D).
Having the largest market share gives them the greatest leverage to get
the best medication prices. Comparing
their prices against the Veterans Administration (the only government entity
allowed to negotiate prices with drug companies) shows that the Part D drug
median prices analyzed were 58% higher.
A 2006 New England Journal of Medicine article
about unintended consequences of caps on Medicare drug benefits”, concluded
that people reaching the Part D donut hole drastically reduced their drugs due
to expense resulting in a 22.3% mortality increase.
PLEASE NOTE: You may not agree with all of these
disturbing items from respected sources. We
presented a number of them so that people would have a harder time discounting
the degree of the problems. If you
do not like one item... just look at the others.
The pattern is clear.