The Disabled are Targeted by Obamacare For Denial of Care and Cost Savings

February 21, 2014
By

While the negative issues with Obamacare abound, one chronic disease treatment issue reveals the underlying purpose for the existence of Obamacare. It is not universal access to care. It is about the routine, codified inhumane cruelty of denying treatment for the global purpose of skimming money from the sick and the elderly. Jim Angle of Fox news gets close but no cigar. Kudos to Mr. Angle and Fox for reporting this story.

From Fox’s Report: “One of the problems is that drugs for some diseases such as Multiple Sclerosis do not have generic versions so without cheaper alternatives and no help from ObamaCare, patients could face huge personal out-of-pocket bills, forcing some to skimp on their medications”.

There will be no out of pocket to face if the cost is so unreachable as to in all practicality deny Obamacare treatment. It comes to MS there is no “skimping on your meds” You are being treated or you are not. There is no inexpensive one-size-fits all treatment. As Mr. Angle reports, there are no generic drugs for MS. Most advances in the treatment of MS have been made in the last 15 years or so. Thus the ONLY real treatments are only a few years on the market or even months. These meds require a regular and consistent administration of the drug. There is no “skimping” in Multiple Sclerosis. A person is being treated with the right drug, at the right dose or they are not. A person will either live happily with treatment or they will live languishing in pain and isolation.

Mr. Angle ‘s report supports this: “this may drive patients to not buy their medicines, which we know is dangerous. We know MS can be a bad disease when you’re not treating it. When you’re treating it, for most people they handle it pretty well, but we know when you don’t treat (it), it’s the kind of disease where people end up in wheel chairs potentially.”

Multiple Sclerosis slowly takes away a person’s abilities to think, to move, to care for themselves. There is often considerable pain involved. Yet a person does not die from the disease, but from its secondary effects. As helpless as we can become, we live almost as long as a healthy person does with whatever pain and disabilities we have.

This is exactly why the MS drugs have been excluded from the Obamacare formulary. The formularies of many other drug plans have been altered to reflect the cost savings ideology of Obamacare, including the formulary of Medicare D. MS treatment is expensive and it lasts a lifetime. This was not an unconscious move on the part of the authors of the ACAs. It is a targeted move. To the socialist central planner types, it is a gold mine of expenditure denial

Thus denial of treatment of Multiple Sclerosis patients is codified into the Obamacare nightmare.

Since my diagnosis in 2002, many new treatments have been developed with the power to slow the advance of the disease and often improve the quality of life. A new drug called Tysabri gave me new life. Although I was still affected by the disease, it lifted what is known as brain fog, improved my endurance, and lessened the crushing fatigue. I went from frequent use of a walker, to the use of a cane. It was nothing short of miraculous.

I developed antibodies in 2013 that made treatment with Tysabri no longer advisable, even after years of positive results. My physician recommended that I begin taking a new pill, I will call Drug X. Paperwork was submitted the second week in November to the manufacturer who had a program to facilitate start-up treatment.

I was told by my private insurance companies navigator that my coverage by my private insurance had changed because of Obamacare. My private insurance, a benefit gained as compensation during my working years, would cover this drug but so minimally as to be useless. You can’t buy half or a quarter of a pill. In order to be treated, I must come up with approximately 50 grand a year, cash, out of pocket.

It might as well be a million.

My desperate personal trip to the private drug plan web site without “navigator” assistance revealed that I was covered for the cost of the drug minus my co-pay. There may also be a deductible of about 3 grand. I called the navigators for both the drug insurance and the drug’s manufacturer and told them that I had determined that I was indeed covered and sent them screen shots of the on-line determination of benefits.

At this writing, I have since received my first dose with observation (as required by FDA) of Drug X and suffered no detectable side effects. I am feeling much better. However because of the pattern of inaccuracy established by multiple navigators, I cannot be sure of this untåil it is time to check out the drug shipment with the Specialty Pharmacy.

The charge could be one hundred dollars or thousands. I still don’t know with any certainty. If it is thousands, I will simply not be able to be treated. I will remain untreated and be left to the consequences of the disease. I will not bankrupt my family for the “greater good” that Obamacare alleges. I am sadly confident that others will be forced toå make the same choice.

The take away from this narrative is not that poor me doesn’t have access to treatment. The brutal fact is that Obamacare offers NO drugs for the treatment of Multiple Sclerosis. Consequently, all people with MS will by default be denied treatment. Inclusion in the Obamacare formulary is based on per patient per drug, per year cost times projected number of years. Multiple Sclerosis? Sorry. Lupus? Any life long disease with only non-generic treatments? Sorry, no help for you. What other treatments does Obamacare deny?

People with MS and other neurological diseases will likely stay alive in spite of the denial of treatment, but they and their families will be burdened with their horrific quality of life. So as untreated patients can anticipate a future that includes visions of some day lying in their own waste, they can be assured that their colonoscopy will be free.

A Liberation Manifesto

January 17, 2014
By

The chat below represents a spontaneous chat this morning on Facebook. I called it a manifesto, because it seems only right wingers have them (sarcasm noted). The names have been altered for the sake of their privacy;

Pat Carfagno: Its not something I like to make the focus of my life, but I have MS. I had wonderful health insurance and pharm coverage. I have all but lost my pharm coverage with the advent of Obamacare and its affect on private insurance. It is so restrictive as to be useless for someone with chronic illness. A broad look at the changes shows the deliberate isolation of specialty drugs from folks like me. Where the insurance that I worked for, was once a successful attempt at personal responsibility, I am now to be responsible for 50 Grand a year out of pocket. It might as well be a million.

I assure you all that I am not alone in this. As the year progresses, more and more people will discover that they have been targeted for costs savings by insurance companies with the permission and blessing of Obamacare. The chronically ill will find out first. It is only as boomers are diagnosed with illness will they find out that they have been similarly targeted.

There is a “free drug” program for me to apply for. Then, at the end of your life, (or before) the government comes to liquidate your assets for your “privilege” of getting “free” drug. I will not bankrupt my family for the ‘common good’.

Note that this confiscation is what politicians mean when they use the phrase “means testing”.

Yippee.

Still waiting for paperwork (application). But its already been months. It seems as if you can have free drug on the taxpayers dime. The drug company will “give” you drug, but the taxpayer fully reimburses the drug company for the full 50 grand. I will not be part of such an evil thing by participating even though this decision may have a profound effect on my quality of life.

(responses)
Sam: Government at it best! Just like Social security, medicare etc.\

Anna: A woman that has a hysterectomy had to carry it…just in case. A women over the age of 65 has to carry it…CHILDREN may have to carry it as well…just in case. Idiocy. Real. True. Idiocy.

Beth: The libs have turned America into a communal village, next we’ll be sharing bathrooms. I just abhor what the socialist/Marxist are doing to this Nation.

Pat Carfagno;

I thank God that he is in charge of the plan of my life and not any man.

I am posting this chat because I think the posts linked together make an especially coherent explanation of the situation Americans will find themselves in sooner, rather than later, which I have thus far been unable to express. Note that the taxpayer will now pay the drug company for their products rather than the private drug insurance program in which I have been enrolled.

Note further that elite leftist pattern of having our children pay for their elders freebies remains in overdrive in this and all government ponzi schemes.

God Save Us.

Get Off My Lawn

November 24, 2013
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The characters played by Clint Eastwood have been a bit of a role model for me. Characters like Eastwood’s Harry Callahan, Josey Wales and Will Munny are inspirations in the silent action hero genre.

But as the great Dirty Harry said, “A man’s got to know his limitations”. Sometimes it takes us all a bit too long to know our own.

Since before September 11 patriots have been of one mind to restore their nation to its sanity. Since then we’ve gotten battered with the Dubai ports deal, Medicare D, the so called stimulus package, bank bailouts, cash for clunkers (not to be confused with the GM bailout), Obamacare, civil trials for terrorists, the gun walking scandal, Benghazi and a seemingly endless parade of assaults on the common sense and domestic tranquility of our nation.

A strategic withdrawal from battle is sometimes called for. Now is as bad a time as any for my enemy Multiple Sclerosis to call me to its’ attention.

Patriot producer Tim Sumner and SHREW Anna Bee will keep our good work going at Freedom Radio Network until my return.

Standing your ground while I’m off reconnoitering is a given. I’ll be around. I pray and know you will all stay alert; Mr. Obama never gets tired of finding new ways to screw his own people.

To quote Eastwood’s great Sergeant Highway from HeartBreak Ridge

“You can make it; Don’t give the prick the satisfaction.” ,

President Cookie Dough

November 2, 2013
By

When my younger son was four, he was gorgeous. Of course he had his own beautiful ideas as well. Many of these ideas were outstanding, like his first book, “Super Apple” or his own personally coined curse words, “shaggy cookie dough”.

Still as wonderful as he was, he was still a four year old with all its magic and with all its standard benchmarks. For an entire year, he was sure that his Mom knew how to build a real car, but that I was simply cruelly refusing to cooperate and build him one. He insisted in the midst of an Oscar winning performance of tragic betrayal that my lack of cooperation was simply more than he could bear.

And so it is with King Barackus Obamas I. He wants what he wants when he wants it and there is no telling him otherwise. He seems incapable of accepting the reality that he may be the president, but that he is dependent on the cooperation of others to get things done.

Luckily our son grew up. Not so Mr. Obama. His maturation seems to have abruptly halted somewhere in adolescence. Whatever the psychological profile, the man and the presidency are in great need of an adult sense of discipline that has alluded his grasp thus far. We should not expect him to acquire it in the next three years.

God save us.

Dusty Stuff in the Throttlebottom Attic

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