How is this possible? Drug Price 10X cheaper with coupon from GoodRX?

I am unlucky enough to be self-employed in a time where medical insurance premiums are escalating at absurd rates and simultaneously so are the deductibles.

Given my deductible of $5,000, I pretty much have nothing but catastrophic insurance and must pick up my own medical expenses.  One of those expenses is prescription drugs.  And it is prescription drugs that causes me to ask: “How is this possible?”  And to cause you to ask the same question I will lay out quickly my experience purchasing my medications.

Prior to 2017, my deductible was low enough I had some medical expenses paid for by insurance.  Not anymore, now I pay out of my pocket.

Under my new deductible plan, I go to Walgreens to pick up my monthly supply of medications.  They fill them and I go to pick them up.  Like in the past, they fumble around trying to find all 5, and eventually find them.  They ring them up and present me the bill.  Now I am not certain whether I fainted or screamed at that point, but either would be appropriate.  The bill was $1200 for one month.  $1200 I say.  There must be a mistake.  NOPE.  I need these medications, but I didn’t have a spare $1200.  So I decline the purchase.  FUCK IT.  But then I am reminded I need those medications.

I call my insurance agent and he tells me about a mail order plan that is cheaper, but you have to purchase 90 days.  Oh great, I suppose that will be cheaper but still the magical $1200 mark.

Much to my total amazement and shock and curiosity the monthly amount worked out to be $123…. yes $123.  WTF, how is this possible?  If this is true, someone in the chain of production and delivery of prescription drugs is making a killing.

Of course I sign up and am relieved.  But I keep asking myself how is this possible.  Same drugs, same everything but 10X cheaper.  Really!  Well it is really true.  The drugs came from England.  Again my curiosity is piqued.  Are the drugs I got inferior?  According to my Agent they meet all the standards imposed by FDA.  Cool.

Ninety days pass and I am almost out.  Shit it takes 2 weeks to get these prescriptions because they are coming from overseas.  I am starting to panic.

I tell a friend and she tells me to check out GoodRX.  I go online and look it up and once again I am shocked and amazed.  I couldn’t believe it.  With the GoodRX coupons, supposedly I could get the same drugs, from a 1/2 dozen local pharmacies for $123/month or LESS?  Is that possible?  I am still skeptical.  I figure no one will honor coupons.  I look them over and Meiers Pharmacy was the cheapest.

I go to Meiers, present scripts and coupons.  I am still skeptical and expecting to hear: “We don’t accept these coupons”.  Shocked and amazed again, the pharmacist takes the coupons.

I pick up my scripts the next day.  She rings them up and shocked and amazed once again, it comes out to $80/month for a 90 day supply.  WTF is going on here.

So I can pay $1200 at Walgreens per month or $80 per month at Meiers.  That difference is almost a 11X difference in price for the same drugs.

THIS IS WHY OUR MEDICAL SYSTEM IS ALL FUCKED UP.  Somehow, someway, someone is able to offer the exact same drugs, for 11X less than some pharmacies which means at those pharmacies someone is making a bloody fuckin’ killing.  No wonder medical premiums are so high.  Insurance companies probably just pay $1200, no questions.  But if they shopped, they could reduce costs to the system by 11X.  Is this really possible  YES!

Go to GOODRX and get their coupons.  These coupons are literally worth more than an ounce of gold!

 

 

 

 

 

Affordable Care? Seriously

I have had medical insurance all my life and I am 57.  Until these past 2 years, medical insurance was somewhat reasonably priced.  And I actually got to use it to cover expenses, like paying for prescriptions.  Now that the disaster coined “Obamacare” is in full force, I may have to… for the first time in my life become uninsured.  My premiums have gone up 50% in 2 years, and my deductible has gone up 10 fold.  I am in the private market, not actually Obamacare, because I make too much money supposedly.  Obamacare is for those getting subsidies because they only make 400% of the poverty rate.  So as Obamacare subsidizes those so-called poor, much of the monies needed to subsidize these individuals comes from people like me.  So now I can barely afford insurance while others pay almost nothing.  Sounds fair to me… FUCK NOT!!!

I had a neighbor bragging to me that he now has insurance and he pays little to nothing.  He was so excited and happy.  I looked at him and looked at him nearly tore his face off with my eyes.  I explained to him, that I was paying for his free medical care and I didn’t like it.  I explained to him how my premiums and deductibles had skyrocketed.  Of course, he didn’t care, and while he didn’t say it, I could tell he was thinking… “You make enough money to afford to help me”.  Well not for long.  If I get another huge increase this year, I am dropping insurance.  I have had it.  I would rather save this money for retirement than piss it down the drain for nothing more than catastrophic insurance.  And if I have medical problems I will do what all good illegal aliens do and just go to the Emergency Room and get care for free.

My interpretation of the whole Obamacare debacle is this:  To sell this plan Obama told bald ass lies as he knew had he told the truth, the Affordable Care Act would have died like Hillary Clinton’s failed attempt at healthcare reform in the 90’s.  So with total faked sincerity Obama and his cronies went out there and truthfully told lies.  Those cronies would be Nancy Pelosi and Harry dumbfuck Reid.  How does one tell the public such monstrous lies without feeling bad about themselves.  They knew ACA would cause a complete realignment of the whole medical industry.  While I don’t think they could imagine the mess now created, they had to see that the whole plan hinged on young healthy people to sign up in droves… that didn’t happen.  Young healthy people were not interested in paying higher premiums for unnecessary insurance at least in their minds.  Hell they were healthy… and had little money.  Why worry about medical insurance.  I mean WTF.

As I understand it about 12 million young people (under 30) didn’t sign up resulting in a shortfall in monies to fund Obamacare.  This funding problem was shifted to those like me.  Soon I will have to drop insurance, but since I make more than 400% of the poverty line, I cannot get Obamacare, I will be unable to get insurance at a rate I can afford or am willing to afford.

In closing my diatribe, the medical system is crumbling.  There are not enough premiums being paid to cover the costs, and as this gap in needed premiums continues more and more people are going to opt out, exacerbating the problem.

If you play this mess out to its logical conclusion, there is only one option and that is “national healthcare” or single payer plan which the government will manage.

Great… single payer managed by the government.  Just when you thought it couldn’t get any worse…