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Medical Forum / Diseases and Disorders / Alzheimer's / November 2004

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Federal Drug Discount and California

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Rose - 14 Oct 2004 08:04 GMT
Well, shucks.

Under California state law, seniors with no prescription drug coverage cannot
be charged more than the Medi-Cal (our equivalent of Medicaid) price of a
prescription.  Usually that's about 20% off the retail price.

I had my mom apply and pay for the new federal drug discount card.  Instead of
being an additional savings, it takes the place of the savings she was
receiving before, because now she has "insurance coverage" through the federal
government so she no longer falls into the category of a senior with no RX drug
insurance.   Guess what.  She saves about the same with the new federal card.
So she's out the $30-odd bucks she paid as a premium for no good reason.

On a brighter note, after my mom's application to Lilly drug company's
assistance program (for her Zyprexa) was denied because she already gets that
super swell federal discount which lowers the monthly price all the way down to
$180 a bottle, I followed the advice of a poster here and flat out asked the
doctor's office for samples.  I got 28 days worth and was told I'd get more in
the future.

I'm still waiting to hear from Forrest Pharmaceuticals as to whether they'll
help with her Namenda costs.  ($120 a bottle after the super swell federal
discount.)

___
"Oh I like this idea...Oh yeah. This can't miss." -- Jerry Seinfeld
Dennis P. Harris - 15 Oct 2004 05:01 GMT
> ($120 a bottle after the super swell federal
> discount.)

well, you know who to vote for...
Evelyn Ruut - 15 Oct 2004 12:42 GMT
>> ($120 a bottle after the super swell federal
>> discount.)
>
> well, you know who to vote for...

I surely do know who to vote for ....... and it WON'T be for the guy who
made it illegal for medicare to negotiate cheaper prices for senior
citizens.

Here is a great link to listen to.

http://www.sharedvoice.org/unamerican/

Signature

Regards,
Evelyn

(to reply to me personally, remove 'sox")

Gwen Love - 15 Oct 2004 16:26 GMT
And I won't vote for the one who approves of homosexual marriage, abortions
for those who want them, and killing babies for their stem cells.
Gwen
\

> >> ($120 a bottle after the super swell federal
> >> discount.)
[quoted text clipped - 8 lines]
>
> http://www.sharedvoice.org/unamerican/
Rose - 15 Oct 2004 20:06 GMT
>Subject: Re: Federal Drug Discount and California
>From: "Gwen Love" cglghl@knology.net
>Date: 10/15/2004 8:26 AM Pacific Daylight Time
>Message-id: <b4Sbd.55090$VJ2.31890@fe40.usenetserver.com>
>
>And I won't vote for the one who approves >of homosexual marriage,

What candidate is that?


___
"Oh I like this idea...Oh yeah. This can't miss." -- Jerry Seinfeld
Evelyn Ruut - 16 Oct 2004 05:29 GMT
> And I won't vote for the one who approves of homosexual marriage,
> abortions
> for those who want them, and killing babies for their stem cells.
> Gwen

Hi Gwen,

I don't think Kerry believes in those things himself, at least not from what
he says.   Stem cells do not require that any babies are killed.

Signature

Regards,
Evelyn

(to reply to me personally, remove 'sox")

> \
>> >
[quoted text clipped - 10 lines]
>>
>> http://www.sharedvoice.org/unamerican/
Gwen Love - 16 Oct 2004 19:43 GMT
But he will approve them if he is elected, Evelyn.  Unless stem cells are
collected from adults, it amounts to the same thing.  I know Bush has made
some mistakes, but I really worry about our country if Kerry is elected.
Gwen

> > And I won't vote for the one who approves of homosexual marriage,
> > abortions
[quoted text clipped - 20 lines]
> >>
> >> http://www.sharedvoice.org/unamerican/
Rose - 17 Oct 2004 06:10 GMT
>Subject: Re: Federal Drug Discount and California
>From: "Gwen Love" cglghl@knology.net
[quoted text clipped - 5 lines]
>some mistakes, but I really worry about our country if Kerry is elected.
>Gwen

I know this is OT and I'm probably getting in way too deep here but I am
wondering, and I won't argue with your answer, what do you think should be done
with the thousands of frozen embryos in fertility clinics?  My understanding is
that they will either stay frozen or be destroyed. If those options are legal,
how is that any better than using them to help cure diseases?  

If those options are unacceptable, what is the ethical thing to do?  Make a
concerted effort to have them all implanted in willing women's uteruses so they
can continue to develop, have funeral services for them?  If they are as much
persons as you or I, shouldn't one of those be the solution?

>> > And I won't vote for the one who approves of homosexual marriage,
>> > abortions
[quoted text clipped - 22 lines]
>> >>
>> >> http://www.sharedvoice.org/unamerican/

___
"Oh I like this idea...Oh yeah. This can't miss." -- Jerry Seinfeld
Evelyn Ruut - 17 Oct 2004 13:12 GMT
> >Subject: Re: Federal Drug Discount and California
>>From: "Gwen Love" cglghl@knology.net
[quoted text clipped - 22 lines]
> much
> persons as you or I, shouldn't one of those be the solution?

I didn't want to belabor the subject here either, but that is the truth.
There are no babies "killed" for stem cell research.    The way some folks
see it, they should be having a funeral service every time a woman
menstruates, as some potential baby "died" ..... or for nocturnal emissions
too when a million potential babies "died"...

I am all for doing everything possible to save actual real babies.   But a
tiny clump of cells frozen that early in the game cannot rightfully be
called a baby.

Signature

Regards,
Evelyn

(to reply to me personally, remove 'sox")

Darryl - 17 Oct 2004 13:26 GMT
>>But he will approve them if he is elected, Evelyn.  Unless stem cells are
>>collected from adults, it amounts to the same thing.  I know Bush has made
[quoted text clipped - 5 lines]
>with the thousands of frozen embryos in fertility clinics?  My understanding is
>that they will either stay frozen or be destroyed.

>If those options are legal, how is that any better than using them to help cure diseases?  

If they are to be destroyed, consider "their" contribution analogous
to signing your organ donor card.  

>If those options are unacceptable, what is the ethical thing to do?  Make a
>concerted effort to have them all implanted in willing women's uteruses so they
>can continue to develop, have funeral services for them?  If they are as much
>persons as you or I, shouldn't one of those be the solution?

I hate wedge issues.  And the funny thing is, Bush is patting himself
on the back for his contribution:  78 stem cell lines, 3/4 of which
are unusable; most of which are contaminated with mouse "feeder"
cells.  Top that off with a baseless war in Iraq and I worry about
*my* country!!! (I AM Canadian).  IMO, it's "simple":  separate church
from government and don't create an industry that rewards the parents
of the embryo.

Darryl.
An atheist (and agnostic around my SO ;-)
Dennis P. Harris - 19 Oct 2004 09:10 GMT
> I know Bush has made
> some mistakes, but I really worry about our country if Kerry is elected.

Sorry, but there's no way I can vote for that AWOL, unelected
idiot that robbed the poor to give to the rich.  Period.  And
it's OFF TOPIC for this group.
Nightwing - 16 Oct 2004 02:59 GMT
Once again Capt Whizbang shows his lack of understanding to the real world.
But the coward blocked my messages so he probably won't respond.  The
government does not owe you anything except a paycheck if you work for them.
If you can't make it rethink your choices that you made.

>> ($120 a bottle after the super swell federal
>> discount.)
>
> well, you know who to vote for...
Darryl - 16 Oct 2004 03:18 GMT
>Once again Capt Whizbang shows his lack of understanding to the real world.
>But the coward blocked my messages so he probably won't respond.  

As you previously wrote:

"...you might be a bit more convincing if you would drop the name
calling..."

>The government does not owe you anything except a paycheck if you work for
>them. If you can't make it rethink your choices that you made.

Now kids, don't forget this is alt.support.alzheimers (i.e., if you're
American, vote Kerry.  ;-)
bherms@yahoo.com - 19 Oct 2004 20:19 GMT
>Now kids, don't forget this is alt.support.alzheimers (i.e., if you're
>American, vote Kerry.  ;-)

Hee, those darn Canadians ...  I'm looking to buy drugs cheaper from
Canada, but only to force the US gov' hand on allowing Medicare to
negotiate for better prices.  But I really just believe the whole
world should share in the burden of developing these new drugs.

The Democrat plan to limit profit on vaccines worked great ... it
meant nobody wanted to bother with making them.

During last fall's flu vaccine shortage, the (Wall Street) Journal
noted:
"The reason for today's shortage - as well as seven previous
preventive vaccine shortages since 2000 - is that there are just five
vaccine makers. This lack of suppliers is partly thanks to Hillary
Clinton, who as first lady turned government into the majority buyer
of vaccines and pushed prices so low as to make business
unsustainable."

We got down to two suppliers for flu shots, and then one had a
problem.  It seems oh so short sighted to me to say the answer is to
make a law saying you drug companies can't profit too much ... now go
out and invest a few billion and the government might let you keep a
little of the profits.

My nephew is a physician, no way he can vote for the trial lawyer
funded Demo's (his wife is thinking of Nader).  Kerry even put a trial
lawyer on the ticket.

I'm still hoping fish oil or curcumine is part of the answer, but then
no research will ever be funded for that, cuz it would hard to make a
billion on the sales ;)  In other words it is a real mess, but
socialized medicine is no answer.  And since Kerry has voted against
defense funding for 20 years, how long would Canada stand if the US
falls?  :)

Just thought I should put in some equal time for the other side.
Kerry would be a disaster for health care, just as the Dem's plan for
vaccine price control yielded our current flu shot shortage.
Darryl - 19 Oct 2004 21:53 GMT
>I'm still hoping fish oil or curcumine is part of the answer, but then
>no research will ever be funded for that, cuz it would hard to make a
>billion on the sales ;)  In other words it is a real mess, but
>socialized medicine is no answer.  And since Kerry has voted against

>defense funding for 20 years,

Heard that one...Senator John Kerry "voted to kill every military
appropriation for the development and deployment of every weapons
systems since 1988."

http://www.snopes.com/politics/kerry/weapons.asp

>how long would Canada stand if the US falls?  :)

It wouldn't, however, I suspect an invasion of Canada within the next
decade or so for control of the Great Lakes and the oil out West.

As for the fish oil/curcumin issue...the pharmaceutical companies will
drive to 'fish' a drug out and in doing so, will provide our answer.
In the short term, I'll continue to supplement with fish oil and eat
my curcumin with a healthy dose of pepper!

Darryl.
bherms@yahoo.com - 19 Oct 2004 22:53 GMT
>>  And since Kerry has voted against
>>defense funding for 20 years,

>Heard that one...Senator John Kerry "voted to kill every military
>appropriation for the development and deployment of every weapons
>systems since 1988."
>
>http://www.snopes.com/politics/kerry/weapons.asp

I just said against defense funding.  Kerry is our most liberal
senator, very weak on defense.  His job in his campaign is to hide
that fact.

>>how long would Canada stand if the US falls?  :)

>It wouldn't, however, I suspect an invasion of Canada within the next
>decade or so for control of the Great Lakes and the oil out West.

I've actually recommended invading Canada, but no one takes me
seriously :)  The enviro's wouldn't want us to drill there anyway,
even though the biggest percentage of our oil comes from you guys I
think.  I guess my gripe is that socialist Canada is "subsidized" by
the superpower to it's south in drugs and defense.  Even at that I
hear a lot of complaints about the health care there, but you know
much more about it than I do.

>As for the fish oil/curcumin issue...the pharmaceutical companies will
>drive to 'fish' a drug out and in doing so, will provide our answer.
>In the short term, I'll continue to supplement with fish oil and eat
>my curcumin with a healthy dose of pepper!

I hope you're right.  You're on my list of smart Canadians, and I have
yet to meet a Canadian I didn't like.  The fish oil I got with lemon
doesn't seem to cause much fishy belching :)

Regards,
Bill
.
Dennis P. Harris - 20 Oct 2004 02:51 GMT
> The Democrat plan to limit profit on vaccines worked great ... it
> meant nobody wanted to bother with making them.

Then the government should make them!  Medicine should NOT be the
giant corporate profit center it has become;  medical
organizations should break even, and IMHO hospitals should ALL be
non-profits.

It's long past time to get the insurance companies out of the
loop, too, and long past time for a single payer national health
system.

We had good medical care when I was growing up;  doctors even
made house calls because they didn't have to waste their time
defending their practice of medicine to some damn insurance
company bean counter.
Evelyn Ruut - 20 Oct 2004 11:54 GMT
>> The Democrat plan to limit profit on vaccines worked great ... it
>> meant nobody wanted to bother with making them.
[quoted text clipped - 12 lines]
> defending their practice of medicine to some damn insurance
> company bean counter.

Yes, exactly.
Signature

Regards,
Evelyn

(to reply to me personally, remove 'sox")

Robert E. Lewis - 20 Oct 2004 18:00 GMT
"Dennis P. Harris" <NO_SPAM_TO_dpharris@gci.net> wrote in message
> news:gsgbn0109jr47e09p1ie7lg33kov215nl8@4ax.com...
> >
>> The Democrat plan to limit profit on vaccines worked great ... it
>> meant nobody wanted to bother with making them.

> Then the government should make them!  Medicine should NOT be the
> giant corporate profit center it has become;  medical
> organizations should break even, and IMHO hospitals should ALL be
> non-profits.

Yeah, that's an excellent plan to make certain we have lots of providers of
medical services.  I know I really want my pharmaceuticals manufactured by
people who are *made* to produce them.

> It's long past time to get the insurance companies out of the
> loop, too, and long past time for a single payer national health
> system.

I've a friend from the UK; his best friend waited something like sixteen
months for a hip replacement.  I believe the same woman now is in the early
stages of liver failure -- a liver transplant is not mentioned, because she
is (just) over the cut-off age the UK National Health Service has for this
rationed medical care (she's in her fifties, I believe).  She is not told
that a liver transplant would save her, but she doesn't qualify -- they just
tell her nothing can be done.  I remember a British television show that
aired on the local PBS station a few years ago -- Penelope Keith as a
newly-elected Labour MP.  One episode involved a disabled constituent who
felt he needed some perk the NHS regulations said wasn't allowed.  The
constituent complained to his MP -- he was a supporter of hers, he said, and
shuld get what he needs.  The compassionate Labour MP obligingly pressured
the NHS to violate their rules to provide the perk.  This -- making getting
medical service a matter of political patronage -- was presented as a good
thing.

> We had good medical care when I was growing up;  doctors even
> made house calls because they didn't have to waste their time

They don't waste their time - they waste their patients' money.  Only
nowadays it's seldom directly their patients' money -- I'll bet your parents
paid the doctor for that house call.  Patients don't care what the doctor
charges, or if the price is jacked up by huge malpractice insurance costs,
because it's their employer, or the government, or some other third-party
directly paying it.  The third party's interest, of course, is in spending
as little as possible -- and that will not change if the third-party payer
is the government -- the only thing that will change is that if the payer's
efforts to restrict service to economize become intolerable, there will be
no alternative insurer to turn to.

I took my father to a podiatrist appointment Monday, to have is toenails
trimmed; took maybe five minutes. He has no interest in the invoice given
him, of course, nor do I, beyond casual curiosity, since we're not paying
it -- Uncle Sam is.  The bill was for $183.  For toenail trimming.
Medicare, as I understands it, currently rations the frequency of this foot
care to about once every two months (rather less than he could really use
it). At some point, some 'damn insurance bean counter' (it will be a
*government* insurance bean counter, not a company bean counter, and
presumably that makes it all right) is going to have to decide whether this
takes precedence over some other sort of care, unless the government
insurance provider agrees to an ever-spiraling increase in health
expenditures.

Limiting the ability of the patient to collect for malpractice by the doctor
is a fine and noble approach to cost-control, and no doubt would lower the
bill a bit. I suppose we could conscript doctors, force them to work for the
public welfare (and this won't have any effect at all on the *quality* of
doctors we get, no sir), and hold the line on costs that way.

> defending their practice of medicine to some damn insurance
> company bean counter.

Hear, hear!  Now, come November, let's all remember to vote for the ticket
that includes the millionaire personal-injury lawyer, to fix the broken
system!
Dennis P. Harris - 21 Oct 2004 03:22 GMT
> Limiting the ability of the patient to collect for malpractice by the doctor
> is a fine and noble approach to cost-control, and no doubt would lower the
> bill a bit.

Malpractice lawsuits are NOT the problem, as much as the
insurance industry would like you to believe so.  They are about
1/2 of 1% of the costs.  Taking away the right of injuried
parties to sue for their injuries is NOT the answer.  The problem
is state medical boards, mostly doctors, who simply won't jerk
the licenses of doctors who malpractice.
B Herms - 21 Oct 2004 05:48 GMT
"Dennis P. Harris" <NO_SPAM_TO_dpharris@gci.net> wrote in message
> Malpractice lawsuits are NOT the problem, as much as the
> insurance industry would like you to believe so.  They are about
> 1/2 of 1% of the costs.  Taking away the right of injuried
> parties to sue for their injuries is NOT the answer.  The problem
> is state medical boards, mostly doctors, who simply won't jerk
> the licenses of doctors who malpractice.

Maybe it's both, but 0.5% can't be right.

From snopes.com, since Daryl referenced it ...

Our current overly-litigious society is not merely an offense to common
sense - it costs everyone money, though most are not aware they pay to
support this madness through a trickle down to consumers in the form of
markedly higher prices. This trickle down accounts, for example, for $8 of
an $11.50 diphtheria, pertussis and tetanus (DPT) vaccine, $191 of a $578
tonsillectomy, $170 of a $1,000 motorized wheelchair, and $3,000 of an
$18,000 heart pacemaker.
http://www.snopes.com/legal/lawsuits.asp

I don't know if those numbers are accurate, but they seem more reasonable
than 1% or less.  For fun, from the last prez debate, Bush said...

"In the last debate, my opponent said those lawsuits only caused the cost to
go up by 1 percent. Well, he didn't include the defensive practice of
medicine that costs the federal government some $28 billion a year and costs
our society between $60 billion and $100 billion a year. "

A lot of that cost of lawsuits is in the form of prevention ... as in a lot
of needless forms and tests.
Insurance companies need a paper trail in case of a lawsuit.
I hear the best part of having health insurance is they act as a financial
advocate so you don't get skewered by outrageous hospital bills.  I see some
amazing bills where medicare only allows 15% or so.

There are many angles here (and not many angels).

Bill
Howard Goldstein - 01 Nov 2004 20:46 GMT
:
:  I took my father to a podiatrist appointment Monday, to have is toenails
:  trimmed; took maybe five minutes. He has no interest in the invoice given
:  him, of course, nor do I, beyond casual curiosity, since we're not paying
:  it -- Uncle Sam is.  The bill was for $183.  For toenail trimming.
:  Medicare, as I understands it, currently rations the frequency of this foot
:  care to about once every two months (rather less than he could really use
:  it). At some point, some 'damn insurance bean counter' (it will be a

Is there anything complicating your father's condition (eg.,
diabetes?)  Our podiadrist claims nail clippings aren't covered and
bills my LO.  We're in Fla.
Evelyn Ruut - 01 Nov 2004 21:15 GMT
> :  I took my father to a podiatrist appointment Monday, to have is
> toenails
[quoted text clipped - 12 lines]
> diabetes?)  Our podiadrist claims nail clippings aren't covered and
> bills my LO.  We're in Fla.

That should be covered by medicare.  I know when I last took Ida for that,
they covered it.   In the nursing home a podiatrist comes on a regular
schedule.
Signature

Regards,
Evelyn

(to reply to me personally, remove 'sox")

Jo Ann Malina - 21 Oct 2004 14:43 GMT
bherms@yahoo.com is alleged to have said:
> My nephew is a physician, no way he can vote for the trial lawyer
> funded Demo's (his wife is thinking of Nader).  Kerry even put a trial
> lawyer on the ticket.

If you ever threaten to sue anyone for anything, may lightning
strike you on the spot.

Signature

Jo Ann Malina, make spamthis best to find my address
This country's planted thick with laws from coast to coast - man's laws,
not God's - and if you cut them down d'you really think you could stand
upright in the winds that would blow then?  Yes, I'd give the Devil
benefit of law, for my own safety's sake.
                               -- Robert Bolt, _A Man For All Seasons_

 
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