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View Diary: Prescription Drug Coverage part of Inequality in America (26 comments)

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  •  Ralph - however Part D is the only government (0+ / 0-)

    health plan that has ever come in under budget after ten years. One of the reasons is that the donut hole created an incentive for seniors to move to generic drugs for chronic diseases.

    "let's talk about that"

    by VClib on Tue Apr 09, 2013 at 09:01:18 AM PDT

    [ Parent ]

    •  And unfilled Rx's due to brutal copays. (2+ / 0-)
      Recommended by:
      akmk, corvaire

      Nothing saves money quite like health care that is priced out of reach so it's never delivered.

      Mission Accomplished!

      •  Ralphdog - and before Part D seniors purchased (1+ / 0-)
        Recommended by:
        nextstep

        prescriptions with no federal help whatsoever.

        Medicare A, B, & D are amazing benefits for seniors. The same coverage in the private market would be at least five times the cost of A, B, & D as a package. For seniors with chronic disease, the costs would even be higher.

        "let's talk about that"

        by VClib on Tue Apr 09, 2013 at 12:07:36 PM PDT

        [ Parent ]

        •  Medicare A and B, no question. But part D... (0+ / 0-)

          was carefully crafted as a wet kiss to BigPharma, explicitly blocking any use of Medicare's massive buying power to reduce obscene prescription costs, and creating the 'donut hole' as a cynical dodge to hold the total projected cost of the package below an arbitrary limit on the backs of seniors.

          If crafted instead as a direct benefit with negotiated payments (like, say, what the VA does), part D would have cost perhaps 40% less while providing much more complete benefits.

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