Posts tagged 'pharmacies'

The Bank Bailout and Social Security/Medicare

When you have one pot of money and it is finite, it can be hard to split it up in a way that makes everyone happy. Let's take what the government is going through with the budget right now. It would be great if they had unlimited amounts of money, if the automakers and banks weren't in big trouble and if Medicare/Medicaid and Social Security were at least stable.Medicare Social Security

But the picture isn't that pretty, and the fact that we are in the middle of a recession doesn't help either. Add to that bad mortgages, foreclosures all over the place and handing over money to the banks without an accounting of where it has gone and the picture gets worse.

As to the banks supposedly showing profits recently from the bailouts, take a look at Dr. Martin Weiss’ article, Big bank profits are bogus! Massive public deception! He writes, “Was the bad-debt disease magically cured? Did the economy miraculously turn around? Not quite. In fact, we have overwhelming evidence that the condition of the nation’s banks has deteriorated massively since then.

“How can our trusted authorities be so blatantly deceptive and still keep their jobs? Perhaps you should ask Fed Chairman Ben Bernanke. Not long ago, for example, he declared that the total losses from the debt crisis would not exceed $100 billion, while conveying the hope that most of those losses could be soon written off. Also around that time, the International Monetary Fund (IMF) estimated the losses would be $1 trillion, with only a small percentage written off. The IMF’s latest estimate: $4 trillion in losses, with only one-third of those written off so far. Bernanke’s error factor: He was 4,000 percent off the mark, in a world where 50 percent errors can be lethal.”

And the critics talk of Medicare’s $1 trillion in costs last year to cover 42.5 million seniors. This cost was inflated by the privatized HMOs, PPOs inserted into Medicare along with the rule that Medicare could not bargain with Big Pharma on drug pricing as does Medicaid. These are a few of the negative impacts inflicted on Medicare by the Bush administration and others. In fact, Medicare began in 1964 under Lyndon Johnson as a classic single-payer health insurer. Listen closely, President Obama. It was only later that the privateers were ushered in to gobble up 12.6 percent of its premium revenue for “administration.” What if Medicare got some of that bank bailout money?

Yet the Times reports, “as a result, the administration said, the Medicare fund that pays hospital bills for older Americans is expected to run out of money in 2017, two years sooner than projected last year. The Social Security trust fund will be exhausted in 2037, four years earlier than predicted, it said.” The question is to whom will that money run out to?

Though there are many priorities here, this is a country that touts taking care of the neediest among us first. "Give me your poor...your huddled masses..." The country was founded on these ideas. All of the rest of this stuff we are dealing with now came later and some of it did not have to come at all.

The new president has said that this is our time, this is the time for change. It seems that he and lawmakers are trying to figure out what to change first and how to do it so that everyone comes out at least somewhat stable. I wouldn't want to be in their position - the president and lawmakers were left with quite a mess to clean up and figure out and it hit them all at once. It doesn't matter who is or was to blame. The blame game can go back decades and waste time that we don't have. It is time to fix things once and for all, and it is time for everyone to stop whining and get the job done.

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Cash for Electronic Prescriptions

We have been hearing a lot about computerized electronic prescriptions lately.  The old joke about doctors’ handwriting seems to be true in many cases, and unfortunately, in too many situations, pharmacists can’t decipher the scribble and end up dispensing the wrong medication to patients.  This is never a good thing, and though in many cases, the patient catches the mistake or the medication is not harmful to the patient, in a lot of cases the medication is not only harmful but fatal.

The Centers for Medicare and Medicaid Services (CMS) have been trying to get doctors to switch to electronic prescriptions to eliminate the high number of problems with prescription errors due to handwriting, but so far many doctors have been resistant.  CMS has offered some bonuses if the doctors will at least give it a try, but there hasn’t been much acceptance of the idea.

Some doctors worry that all the software available to the pharmacies and the physicians will not be compatible, leading to other problems in addition to the handwriting issue.  CMS says that Medicare expenses are increasing (as we all know), and that these mistakes due to handwriting issues are increasing expenses even more – especially when the wrong prescription has to be thrown away and a new one has to be filled. 

CMS has gotten very serious about making the change to electronic prescriptions.  They are offering cash back to the doctors who make the change and are error free.  In order to get doctors to switch, which CMS says will make the system better, safer, more effective and efficient and more cost effective, doctors who go electronic will receive a 2% increase in their Medicare payments in 2009 and 2010 and a 1% increase in 2011 and 2012. 

Only about 2% of all prescriptions are filled electronically every year.  Because this number is so small and most of the rest of the prescriptions are handwritten, over 1.5 million patients – over 530,000 Medicare recipients – are harmed every year due to prescription mistakes.  The Pharmacy Board has investigated thousands of prescriptions at random and found that there were high percentages of errors involving the type of medication prescribed, the dosage and wrong or incomplete directions.

At present, the Pharmacy Board is working on 48 different prescription programs.  They are working with pharmacies and physicians to work out compatibility issues.  In the meantime, if you can get your doctor to at least give you your prescriptions typed into his computer and printed out; there will be less room for error.  CMS hopes to begin the electronic program by the end of this year.

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