MESSAGE
DATE | 2005-02-14 |
FROM | Ruben Safir Secretary NYLXS
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SUBJECT | Re: [hangout] Unheeded Warnings
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On Mon, Feb 14, 2005 at 05:43:24AM +0000, Dave_att wrote: > > Look here! you dont know my pharmacist, hes a real nice person. > > So heres my story. > > Recently, I qestioned him about a perscription price, which I thought was very high. I am covered by a plan. He told me that Medco was charging me forty % of the cost. That is bull cause the plan should not charge more than 20% of cost. > I called the provider and they said that there were generic brands of the same medecine Plus the plan went up this year. > > So I am wondering how do those people, who dont have a plan, get the medicine they need. > Never mind the generic brands. > >
Blame your plan....
And blame the Pharmacuetic Companies. The Phamracy gets about 0.65 cents from filling the prescription and processing the Rx cost 0.25$ per connection to Medco. Medco then cuts a back door deal claiming that they are "buying" the drug in bulk, which is BS because their not buying ANY DRUGS, and getting a rebate from the manufactorer for about %40 of the cost which they POCKET.
And then the Drug company passed the cost along in the next price increase.
Thats why I don't give a shit anymore if ANYONE is making money on RXs' I just want to get my money and to consel patients. So I found a store that is doing about 20 Rxs a day and which they are paying be just shot of 100K a year or 40 hours a week. And if I don't get like a 10% pay raise in about 6 months, I'm walking to the next job. They all complain that they can't find Pharmacists and they can't afford Pharmacist, meanwhile they sign contracts which are below their costs and push the Pharmacists to fill over 350 Rxs a day when the **know** that anything over about 140 in an 8 hour shift triples the medication error rate.
And it gets worse. Then Medco, which was owned my Merk until recently, forced the patient to go mail order, where they NEVER get the needed the clinical work the patient needs, which has been shown repeatedly in a dozen studies at this point. Proper pharmacuetical monitoring and care saves nearly 30% of the costs per patient year because reduction of adverse reactions and imporved patient outcomes.
So the ***most*** cost affective means of ***reducing*** health costs is having patients spend MORE time with the pharmacist. Its not a damn bagel shop when that Birth control tablet causes a stroke in a 29 year old women because nobody was watching and nobody was warned.
And that happens every day.
BTW - You need a better Pharmacist. Fortunately for you, you know one...
and you can call me at 212-251-0052
Ruben > > > > > If you think the Computer business is nasty, you should see what is > > happening in the Drug and Healthcare business. > > > > You have these organizations called PBMs stealing from the major > > cooperations, drug companies and the patients, and lying through their > > teeth, playing three card monty with your health-care, while patients > > wind up dieing because of poor medical care. > > > > Its brilliant! > > > > Maybe Microsoft seem docile. And the best part is the dumb fucking > > pharmacists are too timid and stupid to do anything about it. > > > > > > Ruben > > > > > > ____________________________ > > NYLXS: New Yorker Free Software Users Scene > > Fair Use - > > because it's either fair use or useless.... > > NYLXS is a trademark of NYLXS, Inc -- __________________________ Brooklyn Linux Solutions
So many immigrant groups have swept through our town that Brooklyn, like Atlantis, reaches mythological proportions in the mind of the world - RI Safir 1998
DRM is THEFT - We are the STAKEHOLDERS - RI Safir 2002 http://fairuse.nylxs.com
http://www.mrbrklyn.com - Consulting http://www.inns.net <-- Happy Clients http://www.nylxs.com - Leadership Development in Free Software http://www2.mrbrklyn.com/resources - Unpublished Archive or stories and articles from around the net http://www2.mrbrklyn.com/downtown.html - See the New Downtown Brooklyn....
____________________________ NYLXS: New Yorker Free Software Users Scene Fair Use - because it's either fair use or useless.... NYLXS is a trademark of NYLXS, Inc
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