Thursday, April 12, 2012

What's Wrong With Free Market Healthcare?

Epinephrine is a medicine used to treat severe allergic reactions, which may be life-threatening.   Analphylactic shock is an allergic reaction which can cause death within minutes.  People with allergies to certain substances, such as wasp venom, are supposed to carry an epinephrine pen with them whenever they are in environments in which they might be exposed to the substance.   These pens enable you to administer an emergency dose of the drug to counteract the allergen, after which you're supposed to get to an emergency room as quickly as possible.  The pens come with an expiration date, so if you haven't used them in a year, you have to throw the pen away and get a new one.   That's not so unusual with medicines and medical devices.  

A few years ago, I had a severe allergic response to two wasp stings within a couple weeks, and as a result, I have been getting allergy shots to desensitize me to the venom, and I'm supposed to carry an epinephrine pen with me when I might be exposed to wasps (like being outside anywhere). 

Having to carry an epinephrine pen around is bad enough, but I recently discovered that these pens (sold under the name Epipen) are made by one company (Dey Pharma) which apparently has found an effective way to pad their bottom line at consumer expense.  Sometime in the past 6 months or so, the company decided to only package these pens in two packs (at twice the cost, of course).  So now, patients who need to carry an Epipen have to buy a two-pack, both of which have the same expiration date.  If all goes well and I avoid any wasp stings, I have to throw away two Epipens, not just one.   Since I try to avoid sharing space with wasps, the odds of me having two severe allergic reactions within the next year are extremely slim.

The packaging/marketing of these devices by Dey Pharma results in waste of both consumer and health insurance resources.   I don't know if the FDA has the authority or even considers trying to halt horrible marketing decisions like this, but it would be nice if the Federal government and/or the insurance industry could do something productive.  I resent being forced to waste limited resources on guaranteed waste. 

This strikes me as an excellent example of what's wrong with our "free market" approach to health care and why we need a good single-payer insurance system (which could conceivably control skyrocketing costs).  

If you know someone who needs an Epipen, I'd be happy to sell him/her one of mine.

Monday, April 2, 2012

What's that smell?

Getting old is tough.   Lots of things you thought you knew turn out to be not quite true anymore and even your senses start misleading you...

Barbara Brotman writes for the Chicago Tribune and her columns are always engaging.  This one is engaging, humorous, and even educational.   Seems that baby boomers can't even trust their sense of smell these days...  That's not a skunk you smell, it's....a doobie?

Sunday, March 11, 2012

Don't Want To Pay For Certain Government Spending? Too Bad.

Jon Stewart says it all so well it doesn't need elaboration.   Don't like paying for some part of government spending?   Quit whining and get used to it.

On his 3/5/2012 Daily Show, Stewart commented on "conservatives' reaction to Rush Limbaugh's incendiary remarks about Sandra Fluke and her congressional testimony on birth control coverage."  Another example of why Stewart's considered our "greatest public intellectual" by a Loyola University bioethicist.
It's about an insurance mandate from the government covering contraceptive medications as part of overall health care.  It's not your tax money that pays for it.  I'm not even going to get into your round-about argument about how somehow money is taken out of your pocket to pay for Georgetown's private insurance plan...

I'm just saying to the people who are upset about their hard-earned tax money going to things they don't like: Welcome to the $%&#* club.  Everyone pays for $%&#* they don't want to all the time.   You know what?  Reimburse me for the Iraq War and oil subsidies, and guess what, then diaphragms are on me.  Prophylactics are on the house.
Indeed.   We're not talking about tax dollars here, we're talking about health insurance.  Let me know when we all get to exclude various government activities and spending from our personal tax dollars.  I can put my list together pretty quickly, how about you?

Wednesday, February 29, 2012

Why We Hate Banks Part Deux

OK, so here's an addition to my 2/25/12 rant.  I criticize when criticism is warranted and whatever the opposite of criticism is when warranted.  In this case, it's not really 'kudos' but I don't know what it is.

The Regional bank I didn't name that charged for each iPhone processed deposit isn't the only bank in town.   The really huge bank with which we also do business, has an iPhone app which does check deposits.  Much to my surprise, this mega-Bank does not appear to charge for each transaction.   I'll believe it when I see my statement, but so far, there doesn't seem to be a fee for the "privilege." 

And this bank is way more evil than the Regional bank....  And famous for devising new fees...