Category Archives: Reimbursement

Who are the Beneficiaries of Prescription Medications?

Certainly not the person who pays for prescriptions and ingests them. Yes; it’s the drug companies and it’s only getting worse. As I age I seem to have more prescription drugs recommended, mostly for minor and /or temporary, diagnoses. And when I ask for generics, I find that their cost is no less, or maybe not much less, than the prescribed medications. I was told today by a reputable pharmacist that generics, when they are first developed, do in fact cost the same as the usual medications. So what’s the benefit in buying generics. Oh sure, I could drive for miles to the big box stores in nearby cities to get a bit of a discount. But what’s the discount in wasting money and stress on fuel to drive around for comparison shopping?

The consumer is certainly not the beneficiary in all of this asking for generics and driving around.

I have been spending on the average of about $500/month on medications, some generic, and some with pharmacy discounts. And I do not have several diagnoses. These are for hypertension, and bladder muscle insufficiency. And a temporary edema of my cornea. And due to lay offs from work in my profession, I have no insurance coverage of any sort, and have finally resorted to living on nothing but Social Security benefits, having exhausted my retirement savings, after only 5 years into a forced “retirement”.

I don’t think I am the only one in this dilemma. Any ideas to share with me and others? Yes, AARP offers plans to somewhat solve these problems, but they can be costly as well, deducted from my Social Security benefits!

I recognize two societal problems that need to be dealt with, though both are long term problems ingrained in the core of our economic system.

First, physicians are “trained” by the pharmaceutical industry to treat every ailment with drugs when a sometimes simple lifestyle adjustment can solve a problem. An example: prescribing laxatives and stool softeners when an ounce or two of prune juice is just as effective. Another example is recommending an over the counter drug like prilosec when avoiding acidic or fatty food might be just as effective.

Secondly, some action, perhaps governmental, must be taken to control the costs charged by the pharmaceutical companies. Why do they choose to WAIT before lowering the cost of a new generic? Obviously to make more money awhile longer, certainly for no reason that benefits the consumer.

health care insurance?

being unemployed and not yet 65, how does one pay for health care? AARP just informed me that at their coverage for me had been “used up”. and the basic health plan (charity care) in the state in which i live also informed me that i have used my allotted $1500 and would be placed back on the “waiting list” for further health care coverage. who knows where or when? this state, like i am sure others have done, have cut back on any and all funding for health care. now what? i am trying to beg the social worker in my orthopedics office for one last  “free” appt to check on the fractures of my femur and pelvis.

New position: Week 1

 This entry is about orientation of new staff, etc.   The moral of this story: it is really important to ask all the questions, have a contract, and don’t do a thing, don’t commit to anything until you meet with Human Resources, which should happen on your first morning, if not before you start.  And, if you are a manager or supervisor, please spend your first week telling your staff (or providing them with) your history, their rights, their challenges, commonly used acronyms, an organization chart, a list of necessary phone numbers and email addresses, how to use the phone and the computer, the politics, not to mention introducing them to other staff, providing them with a CLEAN equipped working environment, and a vase of fresh flowers.

 I have had a week from hell. First week in my new position. The incompetence and the accusatory style of communication amazes me. The worst I have experienced in my 39 year career. I still don’t know what my salary is, don’t know benefits, don’t know about my 1 yr contract. Will find out at 3 on Halloween. Bad omen? Good omen? I SHOULD NEVER HAVE STARTED without knowing salary. Why can’t anyone tell me? Well, if it is not livable, I will just have to decide not to sign the contract and walk out the door. 

And on the way to work on Tuesday, I could not avoid some metal debris on the freeway (typical highway shlocky maintenance where I live) and blew out 2 tires and bent a rim. For almost $1000. Didn’t report to insurance cuz my deductible in 1k. So I hear “you were late!”. Yah; well I am alive! Went out to my car for 5 minutes one day to change my contact lens and was told “you never came back”. What!?  And the week before I even started I was asked by my “mentor” how I planned to allocate my time between my job sites.  What? I didn’t even know what sites I would have assigned to me. Most staff have 1 or 2 sites. And I already get the picture. They “drive” between their sites, presenting the fiction they are working when indeed they are not. I was given 17 sites! I will spend 2 days a week at an ethnic academy. Was told they are hard to work with. Nice intro, huh? But I find them VERY pleasant. Cuz I am not naive. I have been around the block a few times. I think THAT site will work out fine, if I ever get paid.

Are you expected to use your personal cell phone and not be reimbursed for mileage? I will just keep my cell phone off. Why should I pay for this service for them?

Take care of you, because often your employer will not….