Skip to comments.ObamaCare patients with serious pre-existing diseases could face expensive drug costs (NOT covered)
Posted on 02/15/2014 11:30:33 PM PST by Innovative
People with serious pre-existing diseases, precisely those the president aimed to help with ObamaCare, could find themselves paying for expensive drug treatments with no help from the health care exchanges.
Dr. Scott Gottlieb of the American Enterprise Institute explains,"if the medicine that you need isn't on that list, it's not covered at all. You have to pay completely out of pocket to get that medicine, and the money you spend doesn't count against your deductible, and it doesn't count against your out of pocket limits, so you're basically on your own."
The plan had claimed it would rescue those with serious pre-existing conditions.
"So it could be that a MS patient could be expected to pay $62,000 just for one medication," says Dr. Daniel Kantor, who treats MS patients and others with neurological conditions near Jacksonville, Florida. "Thats a possiblity under the new ObamaCare going on right now."
(Excerpt) Read more at foxnews.com ...
I guess this is how Obama intended — kill off those who do have chronic diseases and the older people, then Obamacare can survive and thrive, when it’s only available to those who don’t actually need medical care.
He must have read Hitler’s book about “useless eaters”...
If you like your medication...
Take two aspirins and if that doesn’t cure you, just go off and die...
The whole idea of insurance is to cover unexpected medical costs, including medications.
Anyone can come down from one day to the next with some disease that is expensive to treat, that’s the whole point of insurance...
Would you mind explaining this comment in more detail?
And note that this doesn’t even “just” apply to those with pre-existing conditions, which of course Obama promised it would be covered, but even if you get some disease AFTER you have insurance that requires expensive medication, that won’t be covered at all and won’t even count against your huge deductible.
So you might as well NOT have insurance, if it doesn’t cover expensive treatments.
Shirly, you must be joking...
Nope. The quicker this thing implodes, the better.
He's correct. I get a $1250 infusion (Tysabri) for MS every month, and that's only one medication. Doesn't add up to $62,000, but still...
Jesus Christ: You cant impeach Him and He aint going to resign.
But still the cost of that is minor.
Her trips to the Dr, Hospital, ect. are covered 100%.
But between the 2 we pay close to $600 a month, and the supplemental covers me as well.
In a painful way, yes.
We need to get medicine back - as much as possible - to consumerism. We need to create a market for medicines, so that the power of a FREE market to lower prices can come into effect. If someone is always footing the bill, that doesn't happen.
Now, this is good in the long term, and horrible in the short term, for those that can't afford medicines. Maybe private charity can step in to fill the gap in the meantime. I don't know, I'm open to ideas.
(Spoken as someone who takes prescription medicine every day.)
If you control peoples health care you control a major facet of their lives. If you control peoples health care you can coerce them to vote for politicians who dole out the medicine
To do this medical costs must be contained to keep the system from collapse to maintain that control.
Because of this, people with expensive chronic conditions cannot be provided with long term expensive treatments.
These people with chronic conditions must therefore be kicked to the curb, which will not make the sick person and their families very happy.
Unhappy people with horrible chronic diseases make for great sob stories that provide bad press for politicians and unhappy people with nothing to lose do not vote for politicians who control medical care so it is in the interests of the politicians that these chronic patient die as quickly as possible before they become a political liability.
This one reason euthanasia is so popular in Socialist societies. Of course the fact that Socialist societies are so depressing and degrading that even young and healthy people often choose suicide dose not make things better.
If you like your life saving drugs, you can keep your life saving drugs.
The only way ObamaCare could save money would be to kill those that liberals consider undesirable instead of treating them. It looks like Obama has a chance to keep his promise about saving money. My guess is that ObamaCare will cost more in addition to killing those without connections, but there is some chance that BHO will finally keep a promise.
We have Obama on tape telling a woman we should kill her old white mother.
You just have to have the right disease, that’s all. One that is politically correct like AIDS.
Obamabastard the Medical Plan killer.
Post of the Day: Your post capsulizes the real goals and evil of Obamacare and what will happen to groups that the Left wants eliminated.
A pharmacist told us one of my wife’s prescriptions was going to jump from $8 (generic) to $91 because of 0 Care yesterday! Talk about making your blood boil. Its not like my income hasn’t been slashed enough because of his economic policies and his devaluation of the dollar hasn’t caused food prices to rise like crazy. The man has no empathy for others whatsoever and is a narcissist Marxist from the pit of hell (there, now I feel better...: )
Under Obamadon’tcare, there are no preexisting conditions. There is equality (except for unions and they are more equal)
The unavailable drugs are equally unavailable to patients that are diagnosed after signing up.
I hope a lot of former Obamacare supporters are kicking themselves good and hard now for being so dumb. Usually a bill like this has to at least give the appearance of helping for a few years before its deception is revealed.
There are Obamacare issues even if you have HIV/AIDS - one example is in Louisiana:
“More than two months after the launch of health laws private insurance markets, Americans with pre-existing conditions like HIV are discovering that some of the policies being sold through Obamacares new insurance exchanges do not cover commonly prescribed medications for their disease and require much higher out-of-pocket spending than for other drugs.”
I heard those jumps to generic drugs were happening, but hadn’t heard anything firsthand.
I think there a quite a few of us on generic drugs which are costing us only a few dollars a month and are now facing this debacle.
"Those Democrats leering over my shoulder owe me bigtime.
The healthcare bill insures we get a permanent Democratic majority."
" All except those Tea Party types, swallowed hook, line and sinker my promises that they could:
(1) keep their existing health plans,
(2) keep their own doctors that they like,
(3) keep their 25-year-olds on the family health plan,
(4) never be denied coverage for a pre-existing condition,
(5) sign up instantly on my tech-savvy government Web site,
(6) buy insurance only after becoming seriously ill."
(7) save $2,500 in annual premiums in the bargain....
(8) All without any new taxes."
"Them sonovagun Tea Partiers will rue the day they criticized my wonderful bill."
BACKSTORY As far back as 2008, at the presidential debate in Nashville, Democrat candidate Obama smilingly campaigned on the glories of his signature healthcare plan---ultimately enacted, by an historic straight Democrat party-line vote, into the "Affordable Care Act"
QUOTING 2008 OBAMA: "No. 1, let me just repeat, if youve got a health care plan that you like, you can keep it. All Im going to do is help you to lower the premiums on it. Youll still have choice of doctor. Repeated over and over ---- with the promise that every American family would be saving $2500.00 on healthcare costs.
Significantly, Obamba NEVER corrected lock-stepping Democrats, all reading from the same Democrat talking points, all of them repeating the same Democrat promises---over and over again.
LOCK-STEPPING PARTY LOYALTY NOT SEEN SINCE 1930- 40's ERA EUROPE Obama And The Dems marched in lockstep. The persistent Dumbocrat drumbeat ---- in obeisance to Obama ---- kept ringing reassuringly in our ears: "If you like your plan, you can keep your plan."
Ominous cogs in the Obamacare meat grinder----the inexorable forcing of Grandma/pa onto Medicaid--(like cattle herded single-file onto the narrow ramp---knowing the bolt is coming---but not able to do a thing about it). Medicaid conveniently groups together the sick and elderly---as Obama's IPAB board of radicals sit in judgment. Boobamba's Orwellian-speak---the progressive way of saying "Obamacare keeps costs down."
The infamous "Death Panels---are alive and well----but they're not called death panels......for obvious reasons. The treacherous Obama euphemistically calls his death panel "I-PAB----Individual Payment Advisory Board." I-PAB decides what to pay and who to pay---thus rationing medical care to sick oldsters. Obamacare "allows" states to expand their Medicaid recipients pool. Under Obamacare, Washington now covers about 1/2 the cost of Medicaid enrollees.
What is I-PAB?
When you find out about IPAB, you will not believe it - but its r-e-a-l.... a new type of government agency. IPAB (Independent Payment Advisory Board) is the first agency of the fifth branch of govt.
1) It will make all important health care decisions by authorizing payment or not.
2) It is not funded by Congress and cannot have its budget reviewed or changed.
3) Its membership cannot be changed by future Presidents,
4) It cannot be repealed by Congress, except for a six month window in 2017.
5) Its decisions are not subject to judicial review.
6) It is not authorized by the Constitution, and is therefore immune to Constitutional processes.
Why is Obamacre herding seniors WITH ASSETS onto Medicaid---a program structured for the poor? Can you say redistribution of wealth? Herding the elderly with assets into Medicaid has ominous consequences that are intriguing to the left. B/c assets, perhaps a home owned free and clear, securities, annuities, investment property, can be seized to pay for govt treatment.
Thus intergenerational transfers of wealth (a longtime progressive bugaboo)----are decimated (grandma/pa's holdings go to the govt---not to you).
<><> Obama has issued alnost 30 executive orders to unilaterally change his precious healthcare law.
<><> The Republican House majority has passed over 30 different bills amending or replacing O/Care.
<><> Sen Harry Reid is the roadblock preventing O/Care amendments from reaching the lock-stepping Democrat-controlled US Senate.
ObamaCARE is about taking MONEY, not about
That is why it is ONLY for non-Muslims, and the non-EXEMPT.
The unavailable drugs are equally unavailable to patients that are diagnosed after signing up."
You are absolutely correct! Thanks for making that point. I was just thinking about that later. Too bad the author of the article didn't make that point.
ObamaCare = Death
Democrat donors' products get on the list, and Republican donors' products do not, how much you want to bet?
Time to take the pill, er, never mind .
I take Crestor every other day, no generic available. For 15 pills per month, my bill used to be $20.00. I found that to be high, but now all that has changed.....
Went to pick up my prescription the other day and was told for 15 pills the cost was $91.63 under my “new and improved” health insurance plan. I told the pharmacist to go ahead and put it back on his shelves. No way I’m paying that much.
-— Went to pick up my prescription the other day and was told for 15 pills the cost was $91.63 under my new and improved health insurance plan -—
The people who are most affected are lupus and MS patients whose meds can cost over $60k/yr. They simply have to forego treatment.
Hell, most of the obamacare plans won’t pay for ANY medicine or medical care at all until AFTER $6,300.00 per person has been shelled out every year for medical care.
After that, they frequently won’t pay for the care you actually need, and you won’t be able to find a doctor or even a hospital within a couple of hour’s drive because the networks are so limited.
Basically, obamacare policies are nothing more than glorified catastrophic insurance with Medicaid-like provider networks.
Yes, I understand this is devastating to Lupus and MS patients. Sorry, I was just venting my frustration.
$62,000 for one drug? One of the many major things obamacare did NOT do was tort reform which would lower drug costs. Stop the stupid lawsuits and drug costs would drop down to Mexican and Canadian levels.
All the drug companies backed obama and his “care”. But they didn’t get their most expensive drugs covered? Guess they got screwed along with the sick people.
By design Obamascare is not helping Americans it is about killing us.
“By design Obamascare is not helping Americans it is about killing us.”
And you are not kidding either.
An earlier article:
PIPES: Obamacare rationing coming to health care near you
Denying coverage for some prescription drugs can end up costing more
“So while people with pre-existing and chronic conditions may be able to get insurance through the exchanges, that coverage may not pay for the medicines they need.
Consider the widely used multiple sclerosis (MS) drug Betaseron. Under a midlevel, silver exchange plan offered by insurer Meridian Choice, an MS patient living in Kalamazoo County, Mich., would have to shoulder the entire $4,500 monthly cost of the medication.
Further, because the drug isnt on the plans formulary, money spent on Betaseron wouldnt count toward Obamacares cap on out-of-pocket spending.”
Who can afford that?! Some coverage!
Even drugs that are covered, copays on many have gone up...I have a grandson that has type 1 diabetes. My daughter has excellent insurance- her rates went up, her copays went up...and now the insulin and supplies my grandson needs to live cost her more as well. Some of it is done by repackaging in smaller quantities so the same copay per box is now essentially double...some of it has just had the co-pay go up.
> Went to pick up my prescription the other day and was told for 15 pills the cost was $91.63 under my new and improved health insurance plan. I told the pharmacist to go ahead and put it back on his shelves. No way Im paying that much
One way to get rid of the (white) peasants is to let disease or sickness spread among them and withhold the medicine needed to treat them.
> The whole idea of insurance is to cover unexpected medical costs, including medications.
That’s true if the intent is to provide healthcare but if it’s really to generate revenue then everything you don’t payout, you get to keep and the whole medical apparatus / system is just a prop in one giant whole sham.
Wonder how homosexual men who require a litany of expensive drugs to keep their HIV in check will love their Dear Leader when they find out they will NOT be covered in the very near future?
The young people in our nation who voted for this POS twice, are just now finding out that their loyalty to this Marxist has them on the hook for the bulk of this disaster. Leftists use people, then spit them out.
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Not a problem. He will sign another E.O. and exempt gays from having to pay for ANY drugs they may need.
F U B O!
Don’t worry. The President has got a pen.
He’ll just write in the necessary new law amendment in the margin...
DemoncRats own compassion too, I see.
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