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04/06/2017 Paul Kesselman, DPM
The High Cost of Drugs and Patient Adherence( David Secord, DPM)
When Medicare Part D first was announced, I was asked to research and write an article on the subject. To my astonishment and much to my chagrin, the pricing of drugs was not set by the government but by private insurance carriers and the industry. This and other issues such as the donut hole, deductibles, etc. have left many seniors in a position of having to choose from food or medicine.
Many split the doses of medications which may have not been engineered for such a procedure. Some I am told even end up in the ER due to the untoward toxic effects of the resulting higher blood levels of drugs as a result of self- regulating their drug intake. Far too frequently we see patients either skipping doses, failing to fill prescriptions all of which result in therapeutic failures and ultimately wasted dollars on medical treatment(s) which should have been avoided.
Recently another physician provided a family member with a prescription (both brand and generic) which were not covered at all by our drug plan. In speaking with friends, family, colleagues and patients this is an all too frequent occurrence where also the "equivalent" medications were not recommended by their physician(s).
Many colleagues suggested that I embark on a research mission to find the brand name medication(s) abroad which took only a few minutes. I veered away from any sites based in third world countries and stuck to those drugs manufactured in western European countries. In only a few minutes I found several reliable sites for modern Western culture countries where not only was the brand name FDA approved drug available in sealed boxes it was guaranteed to have been manufactured in the western country where the brand name manufacturer was located with them guaranteeing that same/similar lot numbers were shipped directly to the USA for outrageous pricing. In some cases, the price including shipping was 1/4 the price of the USA.
In essence, in the more than a decade since Medicare Part D was formulated, it and other prescription plans have not gotten better but far worse. Access to medications has gotten worse with premiums continuing to rise and many medications removed from formularies. It is time that the voters of this country put politics aside and tell their representatives that they simply are not going to tolerate this any further. Simply put, put politics aside and provide us with a health bill that is fair to us (and not to the manufacturers). If not simply let them know they can find themselves another job.
Paul Kesselman, DPM, Woodside, NY
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