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Discussion

how do you expect me to pay for this???

i had a patient discharged with about 5 medications. the patient said to me, how do you expect me to pay for this? i know the ecomony is very bad , and i just don't know what to say when people say this to me. i have had this said to me many times. i just don't know what to say , for some reason people think i write the perscriptions and should help them pay for them. has this ever been said to you and what do you say? i wish i could help , but i can't.

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Some folks don't know that Medicaid will pay for certain medical events even though the person doesn't qualify to be permanently on Medicaid.

Coolpeach said: "To me is like going to someones house and seeing certain foods in their pantry then condemning them. Why are you eating meat, and poptarts instead of buying your meds. You could just get generic economy oatmeal and be fine."

Pffft. I'm a smoker and even I can smell the stench of that arguement.

You CAN NOT compare food, a necessity, to cigarettes. It does not work. Its like comparing apples to elephants (its not even a good enough comparison to be apples to oranages).

You quit smoking for one week, you get moody but healthy. You quit eating for a week, and........well, you know the rest.

No, I dont think being ill in any way shape or form gives you a "get out of jail free" card to have your shortcomings overlooked. I am a smoker, I dont expect others to pay for my habbit in any way, shape or form. Even then it is not really victimless cause, well, I will need medical attention in my later years if I dont quit. So, no, I do not sympathize with anyones desire to continue smoking, especially when they choose it over vital medications.

Coolpeach said: "To me is like going to someones house and seeing certain foods in their pantry then condemning them. Why are you eating meat, and poptarts instead of buying your meds. You could just get generic economy oatmeal and be fine."

Pffft. I'm a smoker and even I can smell the stench of that arguement.

You CAN NOT compare food, a necessity, to cigarettes. It does not work. Its like comparing apples to elephants (its not even a good enough comparison to be apples to oranages).

You quit smoking for one week, you get moody but healthy. You quit eating for a week, and........well, you know the rest.

No, I dont think being ill in any way shape or form gives you a "get out of jail free" card to have your shortcomings overlooked. I am a smoker, I dont expect others to pay for my habbit in any way, shape or form. Even then it is not really victimless cause, well, I will need medical attention in my later years if I dont quit. So, no, I do not sympathize with anyones desire to continue smoking, especially when they choose it over vital medications.

I am not talking about food ...of course we all need food. We do not need sugary extras like poptarts, cakes, pies, puddings, and candy. These things not only have almost no nutritional value, but are unhealthy. In addition, may people today are over weight and unhealthy, and food is their addiction/vice. I saw a documentary on one man who consumed over $150 a day for food just for himself.

I'd be willing to bet half those meds would be deemed unnecessary. I might suggest a medication evaluation.

A lot of doctors will write prescriptions as if money is never a concern for anyone. I don't care who you are, whether you "save" for retirement or invest, a medical setback can drain all of that but quick (and then some.)

Inability to afford high medical bills does not mean a person has been irresponsible with their money. I've seen too many people put on the skids by illness or accident or anything else Murphy can dish out. I am attempting to prevent this from happening by having health insurance, but everytime I use the insurance and I receive and explanation of benefits in the mail, they make it no secret that if they can find a way to keep from paying they will expect to be refunded. Makes me have a lot of faith in insurance companies.

Coolpeach said: "We do not need sugary extras like poptarts, cakes, pies, puddings, and candy."

:bugeyes:You mean, I wont die..........if I put down the cheesecake and tweenkies? I beg to differ. lol

I do feel sorry for those who through no fault of their own are faced with this dilemma.

They may not be aware, & could possibly qualify for government, state help. Perhaps some of the pharmicutal (sp) companies if contacted would help.....seems like I saw an ad on tv about this. I agree with the other posters...generic/different meds that will work just as well. Our doctors are really good about this, & have a list of the $4 meds....they use them whenever possible.

I do not have any sympathy for the vast majority who by their own actions have placed themselves in this situation.. I am sick of this entitled attitude.....I want, I want, so I buy what I cannot afford......I end up in a financial crisis.....now I want help! They do not plan for the future, nor do they deny themselves anything. Just my:twocents:.

I do feel sorry for those who through no fault of their own are faced with this dilemma.

They may not be aware, & could possibly qualify for government, state help. Perhaps some of the pharmicutal (sp) companies if contacted would help.....seems like I saw an ad on tv about this. I agree with the other posters...generic/different meds that will work just as well. Our doctors are really good about this, & have a list of the $4 meds....they use them whenever possible.

I do not have any sympathy for the vast majority who by their own actions have placed themselves in this situation.. I am sick of this entitled attitude.....I want, I want, so I buy what I cannot afford......I end up in a financial crisis.....now I want help! They do not plan for the future, nor do they deny themselves anything. Just my:twocents:.

You sound so much like me. On one hand, I want every pt. I have contact with the feel nothing but compassion from me. I have not forgotten that most people today are not in a financial crisis because of any wrong doing of their own. Then I get the sports car driving smoker who is screaming he must be discharged in time to get to the vacation he planned pt. who follows up with "how do you expect me to pay for this???". That is a true example BTW. After a few of these, I start to get jaded and sour. Sometimes its hard to forget about the few bad apples so you can handle the good apples like..........good apples.

I don't know what's offered in your area but I live in Iowa and we have a "Free" Clinic program. It's given once a week and it's first come first serve, the space is limited but at least they have an opportunity. Everything is free -- the visit, labs, studies, and meds -- or at very low cost with an oppertunity for monthly installments. Find out what programs are available in your area.

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