Damn Insurance Companies rule the world!

Well, THAT went over my head.

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I had to look up "Cialis"...
 
I had to just post this last thought regarding the asthma medication Symbicort and pharmaceutical companies and insurance companies and Canadian online pharmacies.
In the US , without insurance Symbicort costs approximately $300! With insurance I was paying $25
Through an online Canadian pharmacy, with no insurance involved you can get it for about $25
What's up with that?
 
Ridiculous. As I understand it, that is not a "luxury" drug or even something that is really "just" a pain reliever (not that those are unimportant).

This drug makes it possible for asthmatics to breath and thus, it is essential for life.
 
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Those numbers are right in line with what the hospital charged mom for an emergency room visit, about $925 When medicaid paid about $90 the bill was marked paid in full. That's why true "single payer" isn't happening here anytime soon. Insurance and government are shifting costs to the poor soon to be bankrupt folks that try to pay as they go. Medical costs for medicare and the big insurance players aren't out of line with the rest of the world.
 
I really hesitate to comment not being an American (so please forgive me if I tread on any toes....).

However, I have lived and worked in the US for extended periods over the last 35 years and to me, the system seems to be amazingly complex - and much of that complexity simply adds no value to patient care or to helping someone recovery from an injury or illness. Also, the cost-payment picture is very cloudy with costs jumping around depending on whom is paying. Finally, it often seems to deteriorate into a bluffing match. The hospital sends you a huge bill, you (or some other entity) pays some portion of it - and then they seem to back down and write it off - sometimes.

I never did figure it out.
 
I have asthma and use a drug called Advair, which is a steroid. I began taking it when I was young, probably 10 or 11, to help reduce inflammation and improve lung function. It worked great, but as some of you may know, your body becomes dependent on steroids. Now my lungs can't function properly without it, and I can't ween off it either. If I don't take it consistently, my lungs become weak and inflamed. I've lapsed on taking it twice in my life due to financial issues, and both times I ended up getting hospitalized for pneumonia :-/

I pay about $450 out of pocket each month, and the medication cost me $50, but if I didn't have insurance the cost of this medication alone is about $1,000! I'll take the insurance rate over that because I take other medications as well for asthma, which, while it's still expensive, does save me significantly more. Sometimes I daydream and think of all the cool motorcycles and tools I could've spent that money on... damned if you do, damned if you don't
 
I really hesitate to comment not being an American (so please forgive me if I tread on any toes....).

However, I have lived and worked in the US for extended periods over the last 35 years and to me, the system seems to be amazingly complex - and much of that complexity simply adds no value to patient care or to helping someone recovery from an injury or illness. Also, the cost-payment picture is very cloudy with costs jumping around depending on whom is paying. Finally, it often seems to deteriorate into a bluffing match. The hospital sends you a huge bill, you (or some other entity) pays some portion of it - and then they seem to back down and write it off - sometimes.

I never did figure it out.

You're preaching to the choir Pete. I said when I started this little thread that I thought Canada had a great healthcare model.
 
I have asthma and use a drug called Advair, which is a steroid. I began taking it when I was young, probably 10 or 11, to help reduce inflammation and improve lung function. It worked great, but as some of you may know, your body becomes dependent on steroids. Now my lungs can't function properly without it, and I can't ween off it either. If I don't take it consistently, my lungs become weak and inflamed. I've lapsed on taking it twice in my life due to financial issues, and both times I ended up getting hospitalized for pneumonia :-/

I pay about $450 out of pocket each month, and the medication cost me $50, but if I didn't have insurance the cost of this medication alone is about $1,000! I'll take the insurance rate over that because I take other medications as well for asthma, which, while it's still expensive, does save me significantly more. Sometimes I daydream and think of all the cool motorcycles and tools I could've spent that money on... damned if you do, damned if you don't

I can certainly sympathise with you. You shouldn't have to have your finances trashed just to survive. There is a better way, but I fear I won't see it here in my lifetime.
 
Well.....it isn't perfect and sometimes, you do need to wait a little (I have waited a week to get into the orthopedic specialist) - but essentially, the Canadian system is designed such that:
  • if you are in real danger - you get in and treated - chop-chop;
  • if you get sick or injured, you have a medical problem and not a financial one.
My Dad got a diagnosis of lung cancer on a Monday morning and he had surgery on Tuesday morning. His radiation and chemo treatments started the next week (as I recall it). No money changed hands in any of that.

My knee got sore three weeks ago and I finally broke down went to see the doctor last Monday or Tuesday. She prescribed an anti-inflammatory drug and x-rays. I had the x-rays that day and got my drugs that evening. After a week it still hurt, so I went back to see her (same day appointment - last Wednesday or so)) and she prescribed physio and a specialist visit with a cortisone shot in the knee (now, doesn't that sound like a heck of a lot of fun?? :yikes:).

I had my first physiotherapy session yesterday and am having the cortisone shot on Tuesday.

No money (not a single penny) came out of my wallet for anything including the anti-inflammatory drugs I'm taking - my employer's health care pays for that (we have an annual $50 deductible per family). As I said, it isn't perfect, but its pretty good.

The other thing that always surprises us are the ridiculous stories that the AMA circulates about our system (old people - no surgery after 70, you cannot switch doctors, you'll die waiting for a hang-nail to be fixed) - all BS.

Anyhow - I'm signing off on this one.

P
 
I can certainly sympathise with you. You shouldn't have to have your finances trashed just to survive. There is a better way, but I fear I won't see it here in my lifetime.
I wouldn't be so sure Bob. I think this argument will come to a head sooner rather than later. I don't have the answer, but consider this... every other industrialized nation does have the answer. Canada, England, Japan.... all of them have some form of national healthcare for all. To varying degrees, they've all figured out a system that works for them. That doesn't speak well for us in the US... where we can't (or won't) find a solution to this problem. Americans are supposed to be innovators... leaders of the world. Let's face it, when it comes to healthcare, we suck:( Is it really that hard to figure out when we can study the models from dozens of other nations that have made it work?
Maybe I'm naive, but I think that will change sooner rather than later.
 

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Thanks Steve,
That’s good information. For sure you have to do your due diligence before ordering from across the border.
There are just so many dishonest folks in this world. I really do think however, that Canadian Drug stores can be a lifesaver for a lot of people, with many very reputable companies.
When I started this little thread, I had just been notified by my insurance company that they would no longer cover Symbicort which I use to control my asthma. I was going to be forced to switch to a different medication or shop somewhere else, such as Canada.
For whatever reason, my coverage for this drug never ended, so I continue to use it. However, as always, the future is not certain and should they , at some point, discontinue coverage , I may once again be looking to our friends in the North for my meds.
Thanks again for posting this, it could still help others.
Bob
 
Household insurance policy renewal arrived yesterday. Seems they need to increase the premiums to cover present and future events that may or may not affect my house.

Premium increase of $500 pa.

Goes from $3900pa to $4400pa

Even my beautifull grandaughter can't believe it
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Thinks I should
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With my recent cottage break in and theft I spoke to my insurance agent today to discuss whether it was worth it to file a claim. One of the first things said was it wasn’t worth it since it was such a small loss. Only $5,000. I went through the possible rate increase scenarios and they didn’t seem too bad. Then she said my rates be high until they get their money back for the claim. Crooks!
 
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