this post was submitted on 15 Jun 2024
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I have a medicine that is $1650 with insurance, copay is $60. Or, rung without insurance and the discount card, it's $0.
Medicine pricing is utterly a scam.
Yeah dude I have dry eyes. A 3-month supply of my eye drops is $2700 out of pocket, but there's this magical card that makes it zero. WTF.
It's actually a pretty clever scheme by drug companies to foist the cost of medicine development AND supplying uninsured people onto insurance companies (and from there, the cost is passed on to people with insurance). I just don't understand how it's legal, or why the insurance companies - who are supposed to have such great collective bargaining power - accept this status quo.
I have noticed that it only seems to happen with very expensive, very recently developed drugs which are not yet part of the insurance companies recommended therapies, and they typically require a prior authorization (special approval based on the doctor stating there is a medical necessity for this, and only this, drug).
Hey now. You forgot that research for 99% of novel drugs discovered this century was funded in at least equal portions by public grants (paid for via taxes). So, the drug companies are really triple-dipping there.
My infusions are 10k. It gets cut by half for insurance. The drug company has like 20k in credits set aside per patient. They pay $10 of my $15 copay with that.
It's ridiculous.
If you just need to hydrate your eyes, chances are your drops are just salted water
They’re repurposed Borg nanobots in saline solution.
TBH that would absolutely be worth $2700 to me.
Exactly this. The only annoying part is that it then doesn't count toward your deductable and out of pocket maximum. It's crazy how nominally $1k+ medicines become like $30 when you pay without insurance.
American health insurance is gambling
All insurance is. So are warranties.
:::The house always wins.:::
The involvement of actuaries is a dead giveaway.