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I recieved a request from a loyal reader!
Hey lets hear some bitchin about the God damn medicaid people that drive thru the drive thru in a lexus picking up there free cialis!! Then they bitch when some of them have to pay a dollar co pay!!! Boo fuckin who! I wish my co-pay’s were a fuckin dollar. Keep it coming brother i love the blog!
I have this theory that goes something like this:
“Your Rx copays are directly proportional to your income”
It seems like us as a society decided to take all the “less fortunate” and put them on the best damn insurance plan on the planet. Thats right! An insurance plan so good, that until the first of the year they had zero copays on all the new and spiffy trade name medication!
Nothing used to piss me off more than seeing a MedicAid patient come in (before the first) and bitch and moan that they wanted ‘trade name’ medication. That generics ‘didnt work’ or ‘they made me sick’. Hearing that is a virtual bitchslap to the faces of all the taxpaying citizens that allow this person to exist a somewhat normal life. My boss used to say “If I could buy the same insurance that the MedicAid patients have, I’d do it in a heartbeat”. Well you can, its called “Cash”. Give it all to me, then you can be on the same insurance plan as MedicAid patients.
Then came Medicare Part D. For as much as this fucked over pharmacies and caused pharmacists’ heads to explode, it gave me a glimmer of happiness watching all of the people who drive their escaldes and lexus’ around now having to pay 1 or 3 dollars for their medication. At least now they dont call in “all my regular meds” because of the copays. But that just turned to frustration when they blamed me for their now completely-too-expensive copays.
One person bitched so much about paying a $3 copay for a $200 medication that I took all of her Rx’s back, switched them all back to cash, and gave it back to her. She promptly shut the fuck up, and kindly payed her 5 dollars worth of copays (for 3 medications) and has never bitched again. I could hear pharmacists everywhere cheering at the small victory I made that day. God how I wish i could tell people how I really think.
People honestly need a reality check when it comes to medication pricing. People take the system (which they dont contribute to; unless you count babies and self-induced “disablities”) for granted so blantanly that its a bitchslap to those of us who put in 9 hours a day because we have enough self-respect and dignity not to rely on a state system to pay for our lives. Sometimes I wonder if I made the wrong decision.
Now the system is of course being used properly to act as a crutch to help people get back on their feet. However that doesnt make for good bitching.. 🙂
Yes, I know i’m an asshole and I’m going straight to Hell when I die.
Comment by RxCat on 2006-10-12 13:14:20 -0700 #
I work in AZ and we have our own medicaid program called AHCCCS (Arizona Healthcare Cost Containment System). While I too get my fair share of expensive cars through the drive-thru at least here they can’t get brand name. Our’s is a mandatory generic program. If they want brand they must pay full price. Even with the copay structures of $1 and $3. Some brand name drugs are covered if there is not a generic available but those are very limited. Its kind of nice to see the reject “use H2 blocker” when running Prevacid. I take pleasure in the small things. I’m sure I’m going to Hell too!!
Comment by vinnn on 2006-10-12 23:47:19 -0700 #
Funny post, but so true, especially about the people’s attitude about the copays. I don’t know where you are from, but here in Massachusetts, there’s going to be a new law to force every citizen to have insurance. What a way to drive more small businesses out of the state and raise taxes! But what else can I expect living in a liberal hellhole?
Comment by Art Vandelay on 2006-10-13 03:48:43 -0700 #
Congress voted to end Medicaid funding for Erectile Dysfunction drugs almost a year ago.
Payments ended January 1st, 2006.
With that in mind, I would suggest that continuing to dispense Cialis for free, or even charging a dollar, might not be the best business model.
Comment by otis on 2006-10-13 12:55:33 -0700 #
You’ve forgotten all the ungrateful idiots that bitch about the part d copays now that they don’t get their meds for free from the company! On top of that, the idiots really think they have a choice! I have a customer who told me she is not signing up for the D plan next year so she can go back to getting her meds for free! I started to try to expalain but just shut up because I was afraid that what I was thinking was going to come out of my mouth.
I’m sure you can elaborate on this much more colorfuly than I dare, the fucking ungrateful old bag!
Comment by tootsie on 2006-10-15 17:47:02 -0700 #
Yes, I know i’m an asshole and I’m going straight to Hell when I die
Yeah, well we have a bus loaded up and ready to go here in Boston. C’mon up. I am now ready to write to you about the stupidity of the nursing staff at our major metropolitan teaching hospital.
Comment by an equally annoyed pharmacy on 2006-10-18 16:43:39 -0700 #
our entire staff (minus the pic) enjoys reading your blogs! we get such a kick out them! you’ve eloquently and humorously penned the same daily crap we go through at our pharmacy.
let us know if you’re ever in dallas. we’ll take you out to lunch/dinner! 🙂
Comment by Stephanie on 2006-10-18 21:56:27 -0700 #
Maryland medicaid is so much different. It barely covers anything brand name without a prior authorization, and if it does cover the brand it’s only because it gets a huge kickback. I’m pretty sure Maryland Medicaid contracts with Ortho. It is really ridiculous though that these people bitch over paying a $1-$5(maybe) copay. Then there are people who aren’t “qualified” to be on medicaid that have to choose between eating or getting their medication. It doesn’t make sense to me.
Comment by Megan on 2006-10-21 20:28:28 -0700 #
The other day, we saw a Medicaid patient picking up a script in the drive-thru. DRIVING A LINCOLN NAVIGATOR!!! An over 50,000 dollar car. and the little part of me that felt bad for buying my 5th car since I got my license was shot to hell…
Comment by sorchagriannon on 2008-03-23 21:28:36 -0700 #
Gotta love Medi-Cal (California Medicaid)which refuses to cover GENERIC medications. I have noticed that the generics might be covered the first month out, then it’s back to brand only at 200 dollars a pop rather than the generic at 40. WTF?!? Then they bitch about covering a 20 dollar heart med. Kickbacks, I tell ya.