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Medical Forum / Diseases and Disorders / Diabetes / December 2006

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low cost medical care

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Ted Rosenberg - 12 Dec 2006 21:26 GMT
http://www.uniteforsight.org/freeclinics.php

This link gives names of various programs for uninsured and underinsured
around the  country.

They are HARD to find!

Many of us here are uninsured or underinsured, and some are having
serious problems because they can't afford to get medical advice and tests.

I have been able to help people find cheap drugs over the years, but,
until now, no listing of the hidden resources for those of us who can't
get affordable insurance (or without an "existing condition" exclusion)
and don't qualify for the draconian medicaid programs.

I hope that this helps someone.
guy - 12 Dec 2006 23:58 GMT
>http://www.uniteforsight.org/freeclinics.php
>
[quoted text clipped - 12 lines]
>
>I hope that this helps someone.

Thank you Ted, for your usual good advice n several areas.

I am still seeing people that need help in areas of Social
security disability and other help.  I hope you will
raise these issues here.

Personally I do OK  and trying to leave my wife solvent.

Currently I spend most of my social security check on medical
items even with Medicare and a private insurance.  The
nickel and dime game.

I see a need to raise these issues since more will be entering
the era of compromised health and the bills go through the ceiling.

We need to cover the money issues.more often here.

The problem becomes gross when you are down and cannot
defends your self.  I have a lot of medics are items I did not need.
or want when I recovered.   Two artifices legs are not cheap and were
of no use since the other leg was damaged so much.  I am still
disgusted with the wheel chair situation,

I made a recent purchase of a small disassembling scooter for cash.
Mona is having trouble loading the manual wheel chair. ..We are
working on a system to allow me more time out.  Mona has to push me
and even then I get very tired.

I receive calls from vendors soliciting  work under my Medicare
coverage.   I do not need most of the work and reject it..   I do not
need any adjustment on the artificial leg.or other therapy.

Some here should go to that area of discussion..  It is around the
corner.
. .
Billie - 13 Dec 2006 01:36 GMT
Ted, Thank you for this information.  We have our Medicare and TriCare for
Life, plus the nest egg that has dwindled with *other* medical costs, so
we've had to tighten our belts some this year.  I *feel* for those without
coverage, or without adequate coverage, and am thankful for what we *do*
have.

Guy,

I think of you and Mona a lot as Jim and I encounter our own issues with the
wheel chair life (3 yrs now), plus his becoming the *woman of the house*
this year.  In addition to the physical needs mounting, the psychological
impact is unreal!!!  Right now, to treat my legs, I have to keep them
elevated at least above my waist, preferably above my heart, and with
compression socks and/or ace wraps on them at all times.  This means I am
not at liberty to be mobile about the house in my chair; I have to sit and
stare at the wall behind the couch most of the day.  The chronic infections
still rage, and they are now talking about IV antibiotics.  The diabetic
neuropathy and the Myasthenia Gravis (MG) have sapped all use of my legs but
for less than ten steps now, and those are wobbly and require a cane.

I'm not going to complain about keeping my feet/legs elevated if that is
what is needed to save them because at least the MG *can* be somewhat helped
at times, never cured, though, just like the diabetes.  There is still the
devastating neuropathy, too, though, so full walking capability will never
be mine, maybe just a few more steps.  Mine, too, is due to doctor error,
but I must choose not to hang on to it with bitterness because I need all of
that energy to fight battles I am facing each day.  Once, I made the
statement that I didn't think life could get much worse and then my son was
killed.  After that I vowed never to say that again because for sure that
was the worst thing I had ever encountered in my life.  Now I know life
**can** get worse, so I just take each day as it comes and ***try*** my best
to give it my best.  The MG *has* made it a little harder to do that
sometimes, though.  I had to go back to seeing my psychologist to deal with
it.  I am finding it, along with all of the other auto-immune diseases, much
harder to deal with than my diabetes, but that is just my own experience,
and not to belittle or lighten the diabetes load any at all.  Last week I
asked the neuro in charge of the MG if it was a factor in my extreme memory
loss, and he said it was a combination of the MG, Lupus, Prednisone,
physiological brain changes, and more.  Jim said that I have lost a
significant amount, especially of the more simple, everyday words words.
We've gotten into a groove where he just slips the correct words in whenever
I need them.  Sometimes large blanks are lost, and sometimes just simple
words.

Hang in there, Guy.  I understand your times of despair.  As I sit on six
wheels, sometimes it is hard not to despair, especially when ill with the
infections, and the impact they have on my body, too.  I've shed more than
normal my amount of tears lately, but I know this period will pass, and the
sun will shine for me again.

My thoughts and care for Mona because I know all she must do because I see
all that Jim has to do for me.  Their load is heavy.  We have to use a ramp
to load my chair every time we go any place, and I feel so guilty for Jim to
go through all of that.  Our children want us to get an electric one, but
Jim does not feel we should put out that kind of money right now.  Me.  I
worry about the impact on his body each time I watch him load and unload the
chair.  He has to move the ramp from the house to the car and back again
upon return.  Hmmmm..... I *do* think we ought to buy a second ramp, though.
See, talking with others does help us solve our own problems sometimes.  :o)

My best to you and Mona
Billie

>>http://www.uniteforsight.org/freeclinics.php
>>
[quoted text clipped - 56 lines]
> ----= East and West-Coast Server Farms - Total Privacy via Encryption
> =----
Cheri - 13 Dec 2006 03:46 GMT
Hugs to both of you. I hope the sun shines for you soon.

--
Cheri

Billie wrote in message ...

>Hang in there, Guy.  I understand your times of despair.  As I sit on six
>wheels, sometimes it is hard not to despair, especially when ill with the
>infections, and the impact they have on my body, too.  I've shed more than
>normal my amount of tears lately, but I know this period will pass, and the
>sun will shine for me again.
Billie - 13 Dec 2006 04:35 GMT
Thank you, Cheri.  I know it will because I found out last night while doing
some research that one of my doctors had given me an antibiotic
contra-indicated for my MG, which sent me to the limits of that and put me
out for a couple of days.  Stopped that drug (erythromycin), and began
rebounding today.  Can already tell a difference.  Able to talk to Jim, and
play with the cats rather than sleep all day as I do when MG has reached its
limits.  There is a card for MG patients to carry with them because there
are some drugs that can kill us, and most doctors are not aware of them,
just as this doctor was not.  It was in searching out this card to print
that I discovered my antibiotic there by name, clindamycin.  At my last
appointment my neuro for my MG told me to go to the web and research to find
all I could about MG.  It is a rare disease, and not much out there.
Nothing in Usenet at all.

YOU keep posting here..... I seek your posts!!!
Great-Grandma Billie

> Hugs to both of you. I hope the sun shines for you soon.
>
[quoted text clipped - 12 lines]
> the
>>sun will shine for me again.
Cheri - 13 Dec 2006 16:48 GMT
I always look for your posts Billie, and am amazed that you keep your
good humor through it all. My great granchildren are well, hope yours is
doing great too. I so much hope your situation improves, and wishing you
a "feeling better Christmas season."

--
Cheri

Billie wrote in message

<1qLfh.27661$qO4.21587@newssvr13.news.prodigy.net>...
>Thank you, Cheri.  I know it will because I found out last night while doing
>some research that one of my doctors had given me an antibiotic
>contra-indicated for my MG, which sent me to the limits of that and put me
>out for a couple of days.  Stopped that drug (erythromycin), and began
>rebounding today.  Can already tell a difference.  Able to talk to Jim, and
>play with the cats rather than sleep all day as I do when MG has reached its
Ted Rosenberg - 13 Dec 2006 14:02 GMT
> I am still seeing people that need help in areas of Social
> security disability and other help.  I hope you will
> raise these issues here.

ARRGH !!!
I am now 65, and have been unable to get enough info to chose a Medicare
plan.  Part of the problem is that this is  "roll over" time and no one
wants to take time out for all the extra info we new enrollees need NEED.

I HAVE figured out, that we probably should get a "special needs" plan,
NOT a stand alone drug plan, and probably not a standard Part "C"

Also, with the current price war on generics, it pays NOT to submit any
of the cheap generics to Medicare., but to pay for them out of pocket,
and save the drug coverage for the real expensive ones.

I can buy my Metformin for $15/ 3 month.  Medicare will pay about $120,
and  move me closer to the "donut hole" if I get it through them.  i'd
rather get my byetta and eye drops through the plan,  Medicare only pays
about 25% more than the REAL price for them
W. Baker - 13 Dec 2006 14:30 GMT
: I can buy my Metformin for $15/ 3 month.  Medicare will pay about $120,
: and  move me closer to the "donut hole" if I get it through them.  i'd
: rather get my byetta and eye drops through the plan,  Medicare only pays
: about 25% more than the REAL price for them

Out of interest, Where do you get your Metformin for the  $15 for 3
months?  I am in NYC and we have no Walmart in the area.  

Wendy
Susan - 13 Dec 2006 15:02 GMT
> : I can buy my Metformin for $15/ 3 month.  Medicare will pay about $120,
> : and  move me closer to the "donut hole" if I get it through them.  i'd
[quoted text clipped - 5 lines]
>
> Wendy

Wendy, some folks reported extremely low cost metformin at Costco.

Susan
Ted Rosenberg - 13 Dec 2006 16:00 GMT
> : I can buy my Metformin for $15/ 3 month.  Medicare will pay about $120,
> : and  move me closer to the "donut hole" if I get it through them.  i'd
[quoted text clipped - 5 lines]
>
> Wendy

,

That is the KMartr price.  WalMArt is $4 for one month.  I don't think
that having to get EACH scrip once a month is worth the extra dollar.

There is a WalMart and Sams in Seacaucus, and you can try their mail order

There are 10 KMarts in the NYC area, and KMarts have the widest  list of
low-low cost generics

Other chains have similar plans.  Target is $4/mo also There are two
Target pharmacies in NYC, and probably more in the metro area

The gourmet food chain Wegmans has a slightly cheaper price.  Something
like $11.75/3 month.  The nearest Wegmans to NYC are Bridgwater NJ and
Woodbridge NJ.  I am not a Wegmans fan, but people DO take day trips
just to shop for food at a Wegmans.  Their selection IS astounding.

There are 5 Costco's in NYC, and they probably have a similar plan.

Many chains claim that they will match anyone else's price.  Check out
Metro, CVS, Walgreens with a SPECIFIC price for a specific retailer, and
see if they will match it.

It is important to shop prices.  Aside from the cheap generics, various
chains have real deals.  Insulin (not insulin analogs) at WalMart/Sams
is slightly better than 1/2 the [rice of elsewhere.  Get the "Relion"
Novulin.  It is plain Novolin from Novo with a Relion name added to the
package.  Novolin is effectively identical to Humalin, although the
activity curve is SLIGHTLY different.  Also WalMart sells Albuteral for
about 1/3 of the prices I have found elsewhere.

Costco drug prices tend to be aggressive.  Two years ago a survey found
them selling a drug for about $80, which Giant and Riteaide wanted over
$800 for
W. Baker - 13 Dec 2006 19:52 GMT
: > : I can buy my Metformin for $15/ 3 month.  Medicare will pay about $120,
: > : and  move me closer to the "donut hole" if I get it through them.  i'd
[quoted text clipped - 5 lines]
: >
: > Wendy

: ,

: That is the KMartr price.  WalMArt is $4 for one month.  I don't think
: that having to get EACH scrip once a month is worth the extra dollar.

: There is a WalMart and Sams in Seacaucus, and you can try their mail order

: There are 10 KMarts in the NYC area, and KMarts have the widest  list of
: low-low cost generics

: Other chains have similar plans.  Target is $4/mo also There are two
: Target pharmacies in NYC, and probably more in the metro area

: The gourmet food chain Wegmans has a slightly cheaper price.  Something
: like $11.75/3 month.  The nearest Wegmans to NYC are Bridgwater NJ and
: Woodbridge NJ.  I am not a Wegmans fan, but people DO take day trips
: just to shop for food at a Wegmans.  Their selection IS astounding.

: There are 5 Costco's in NYC, and they probably have a similar plan.

: Many chains claim that they will match anyone else's price.  Check out
: Metro, CVS, Walgreens with a SPECIFIC price for a specific retailer, and
: see if they will match it.

: It is important to shop prices.  Aside from the cheap generics, various
: chains have real deals.  Insulin (not insulin analogs) at WalMart/Sams
[quoted text clipped - 3 lines]
: activity curve is SLIGHTLY different.  Also WalMart sells Albuteral for
: about 1/3 of the prices I have found elsewhere.

: Costco drug prices tend to be aggressive.  Two years ago a survey found
: them selling a drug for about $80, which Giant and Riteaide wanted over
: $800 for

Thanks, Ted.  I am saving this post for reference.  I am currently stuck
in teh doughnut hole and am pieceing out two perscriptions for
non-generics until Jan 2 with some freebies from my endo.  Even with
Metformin generic, my heavy dose of the EX cost a large copay even not in
the doughnut hole, for my 3 month supply from my drug plan's mail-order.

Wendy
coonskin@amestwp.com - 13 Dec 2006 20:39 GMT
I thought I posted this before but did not see it appear.  Thanks Ted
for the information about and links to low cost medical sources.

There is one nation wide one I might add.  There is a little known
federal law, hill-burton act, which requires hospitals who accept
federal money as grants to provide medical care and drugs to people who
can not afford them because of income.  If you think you might meet the
income guidelines then mention the law above by name when requesting
medical care at a hospital clinic, including community based clinics
they operate.
Ma¢k - 13 Dec 2006 21:28 GMT
[Default] On 13 Dec 2006 20:39:58 GMT, coonskin@amestwp.com Giggled
into the madness of usenet:

>I thought I posted this before but did not see it appear.  Thanks Ted
>for the information about and links to low cost medical sources.
[quoted text clipped - 6 lines]
>medical care at a hospital clinic, including community based clinics
>they operate.

That does not guarantee free care or meds, it just prevents you from
being denied service and meds.  You still get billed.  Many people in
that situation do not pay the bill.  That's why knew laws have been
instituted allowing for more aggressive collection of medical debts.

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Ted Rosenberg - 14 Dec 2006 14:34 GMT
> [Default] On 13 Dec 2006 20:39:58 GMT, coonskin@amestwp.com Giggled
> into the madness of usenet:
[quoted text clipped - 14 lines]
> that situation do not pay the bill.  That's why knew laws have been
> instituted allowing for more aggressive collection of medical debts.

Actually, it is only service.  Meds are only covered when necessary to
stabilize on the spot.

 Hill Burton and the package of similar regs and laws are misunderstood.
1) Non emergency hospitals don't have to take walk-ins, no matter what
your status is.  The large hospital near me will call 911 if you go
there without an appointment, they will not treat you for anything, even
if you have insurance AND cash.  I saw a visitor trip and fall in the
hospital, and security stopped the nurses from assisting them.  Only the
City paramedics were allowed to help her, and transport her to an acute
facility.

2) With or without Hill Burton, all they have to do is stabilize you,
then they can (and will) release you.  As to meds, unless REQUIRED when
you are actually IN the hospital, many hospitals won't give you any.
Need meds in Maryland which you can or will take after discharge, and
the hospital will only give you a prescription.  To get that deal, the
pharmacists assn agreed to make sure that there are at least two
pharmacies open 24/7/365.  One near Baltimore, and one near Washington.
 They were Giant, and, since Giant was bought out, are no longer open
on New Years Eve.and some other holiday nights.

3)  They not only are not cheap, they will charge you much more than an
insurance company would pay them, AND they will hound you for payment
and sue you if you don't pay.  All they will do is TREAT you for an
ACUTE condition.  You will also get bills from the lab, and HUGE bills
from the ER physicians.  That is particularly outrageous.  An ER
physicians group might bill Aetna $40  but an uninsured patient $600 for
the same 5 minuets.

I saw an interesting article recently, where a hospital had about
$100,000 in unpaid bills from ER visits of someone who had a chronic
condition and was judgment proof and unqualified for medicaid.  They
bought coverage for the woman's chronic condition, and it was cheaper
than the actual cost to them of simply treating acute episodes and
turning them over to collection.  Unfortunately, that was a SINGLE case
out of a million or more similar situations.
Cheri - 13 Dec 2006 00:50 GMT
Thanks for posting this Ted, I have emailed the link to a friend of
mine.

--
Cheri

Ted Rosenberg wrote in message ...
>http://www.uniteforsight.org/freeclinics.php
>
[quoted text clipped - 12 lines]
>
>I hope that this helps someone.
Billie - 13 Dec 2006 21:45 GMT
Thanks again, Ted, for this post with this valuable information.  The whole
thread has been enlightening.  I especially am thankful for your sharing
your research since my cognitive skills have become impaired in recent years
by several illnesses, and stepping into those golden years that have a bit
of rust on them sometimes puts a stumbling block in the way.  Fortunately, I
have a good husband that actually does the work, but I am his supporter, and
I like him happy.

Billie..... seeing 65 coming up in '07 but fully on Medicare since 2/06

> http://www.uniteforsight.org/freeclinics.php
>
[quoted text clipped - 12 lines]
>
> I hope that this helps someone.
 
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