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Medicare Death: Rx Corporate Profits And Aquisitions

by rcs1

USA Today:

There has been one death reported since Medicare D(isaster) took effect.  The Middletown, N.Y., Times Herald-Record, reported that Eddie Rosa who lived alone and suffered from heart disease, diabetes, seizures and other mental and physical conditions.  He died in March as he could no longer afford his rx's and stopped taking them.

Marty Irons, his pharmacist, stated,

"I really think he'd be alive today if he had all his medicines."

Dolores Reano, his cousin,

"When Medicare came in, it just blew him away."

continued


commentary :: :: :: buzz-it!
Contrary to earlier statements, CMS now admits that low-income seniors and disabled Americans are paying increased prices. In response to this, rx companies and states are urged to assist the poor who need expensive medications.

Kathleen Harrington, director of external affairs at the Centers for Medicare and Medicaid Services:  

"Any extra help they need can and should be provided by those other sources."

This is ironic, as the rx companies earlier claimed that they were prohibited from doing so under the Medicare D(isaster) legislation.

...ending programs that provided free or discounted prescriptions to elderly Americans now that pharmaceutical benefits are widely available under the Medicare program--saying government rules are forcing them to back away...companies say certain of their assistance programs could be interpreted as a kickback to win loyalty to their prescriptions.

In response to these concerns, an advisory opinion re:  the legality of patient assistace programs issued.  However, that opinion only applied to the one company that requested it, Schering-Plough.  

After January 1, 2006, when Medicare D(isaster) went into effect, Steve Worrell, 53, of Black Hawk, Colo., lost the free rx's a drug company was providing for arthritis. Faced with a $5,400 yearly rx bill under Medicare, he self-rationed his needed rx's.

"You start swelling up, and you start twisting more."

Some effected by the increases in rx costs, premiums, and higher co-pays under Medicare D(isaster)have family and friends who are able to assist them w/increasing rx costs.


  •  A Kaiser Family Foundation poll taken April 6-11 found 55% of 154 seniors who had enrolled said the plan would save them money, 19% said it would cost more, and another 19% said they would break even.

  •  A KRC Research poll taken March 15-20 for the Medicare Rx Education Network, a consortium of groups working to implement the law, found 59% of 201 enrolled seniors saved money, but 23% did not.

  •  Most of the 6.4 million low-income people transferred from state Medicaid had no co-payments for drugs under Medicaid but now pay $1 to $5 per drug.

  •  Others [who see no savings or pay increased costs]  used to get drugs for free from drug companies or at reduced cost in state programs; those who had less expensive employer retiree coverage; and those with little or no current drug expenses who signed up for a Medicare plan as a hedge against future costs.

Others do not.  Those who fit that description are living a frightening existance, and they know it is temporary.  The fear of not being able to afford rx's that are necessary is paralyzing.  State agencies claim they have increased caseloads and an increasing amount of necessary paperwork that needs to be completed to assist people who are facing an emergency situation.  As a result, people who are dependent on social services for survival are "falling through the cracks".  Translated, that means that nothing is being done for them.

It is a slow, sadistic torture.

On the other hand, drugmakers GlaxoSmithKline Plc and AstraZeneca Plc and Bristol-Myers Squibb Co. reported first-quarter earnings that beat analyst estimates.  According to Reuters,

Glaxo makes most of its money in the US...had its "eyes open" to acquisition opportunities but declined to comment on whether the firm was interested in buying Pfizer Inc.'s consumer products business.
Display:
at least to my knowledge.  But, one is too many.  I am also wondering if there are more?

by Terri Emerick on Thu Apr 27, 2006 at 05:42:09 PM EST
I can't prove it but have a feeling some lives might have been saved when states temporarily picked up the cost for those denied coverage when the program was launched.  

by standingup on Thu Apr 27, 2006 at 06:18:47 PM EST
[ Parent ]
I know in casual conversations, folks admit to not refilling prescriptions as often and of deciding to postpone surgeries because of cost -- don't know if they are on Medicare.

Perhaps we should start timelines database on these occurrences.

by Cho on Thu Apr 27, 2006 at 06:44:16 PM EST

Terri has been doing yeoman's work on this stuff.  While this may be the first death, it certainly won't be the last.  Between the fact no one is interested in extending enrollment and what the actual results and confusion have been during implementation I think we've seen just the tip of the iceberg.

Hold the timeline thought until end of May and let's all try to track what comes out.  That timeframe may be the "decider".

by kfred on Thu Apr 27, 2006 at 07:02:33 PM EST
[ Parent ]

And some have already reached it or will be.  Seems to me that is the only way to actually demonstrate the flaws in this thing.  (I hate thinking of people as numbers, though.)

by Terri Emerick on Thu Apr 27, 2006 at 07:12:36 PM EST
[ Parent ]
This is a good synopsis..sickening really when you get down to 3.  It appears people in the "Extra Help" category were just left to flounder and fail intentionally.

http://www.thebody.com/atn/416/medicare.html

How was the Medicare Part D mess allowed to happen, and why is it so severe. There are several reasons.

  1....... No effective backup plan was provided for the possibility that everything would not work perfectly.

   2. When Congress wrote the law creating Part D, Democrats who had always taken the lead on health issues were locked out and had no input. The idea was that Republicans would use their power to take the health issue away from Democrats, and triumphantly take credit for being the party that finally created a prescription-drug benefit.

   3. When patients are denied drugs and as a result are hospitalized at far greater expense than what the drugs would have cost, the insurance plan that made the decision does not pay that expense. Instead it comes out ahead by saving money on the drugs, and also by pushing expensive patients to some other plan. This creates a strong incentive for all plans to race to the bottom, especially since their competitors are doing the same. These insurance companies must watch their reputations -- but if a plan can mislead the press and public and hold on until most of the expensive patients are gone, it will be well positioned to make money.


(my emphasis added)

by avahome on Fri Apr 28, 2006 at 10:20:23 AM EST
the requirements re:  anti-convulsants are contradictory--i have epilepsy. thanks!

by Terri Emerick on Fri Apr 28, 2006 at 09:50:08 PM EST
[ Parent ]
If that is a question we will never know, as it seems to me that a death certificate would read something like,"complications from -----------------".

Frightening.

by Terri Emerick on Thu Apr 27, 2006 at 06:40:44 PM EST

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