Different angle on Limbaugh's 'offensive' comments...

Discussion in 'Political Action Forum' started by okie drake, Mar 2, 2012.

  1. API

    API Political Action Forum Moderator Flyway Manager

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    Phenomenal migration of a thread. We start with whether Rush was too exuberant when discussing whether to publically subsidize the whoring around of Ms Fluke, somehow get to the impact of healthcare system management/miss management, and now ruminating on when to pull the plug on grandpa and who's going to do it. Trying to find a central thesis is like catching smoke, but the theme seems to be about morality and the conclusion appears to be... There ain't none. Kudos to Okie for spawning a crazy thread. :tu

    Okie, did ya plan this or did it just grow?
     
  2. eel river

    eel river Elite Refuge Member

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    Dr C, physicians needs to speak up about big pharma. They can help lead a number of issues related to prescription drugs and such.

    Jaeger, I do think an over supply of certain specialists will drive up utilization in a geographic area.
     
  3. API

    API Political Action Forum Moderator Flyway Manager

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    Who/what is "big Pharma"? Are ya referring to PBMs like Medco or drug manufacturers, or something else?
     
  4. eel river

    eel river Elite Refuge Member

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  5. okie drake

    okie drake Elite Refuge Member

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    I think the last bit here has been really good discussion with input from folks in various arenas.

    Not a thing at all to do with Rush or Fluke and doesn't bother me one bit.:no

    End of life issues. Some of the most difficult we face and obviously not appropriately dealt with by society generally speaking. Don't claim to have all the answers, but do think they're questions we must ask as part of our overall overhaul of the trainwreck we're currently in on these topics.

    On the one hand your examples such as 60k for the surgery vs 250K for this....100 bucks for a transfer bench and training etc vs 1500 for multiple visits.....I don't know that even with the cheaper options that we're doing anything but putting off. Not that we shouldn't, just saying.

    eel, I'd say your very confused about what it is you want govt to do and not do. On one hand you call for medicare/medicaid to meet people's needs yet on the other hand you acknowledge we can't pay for it all....
     
  6. okie drake

    okie drake Elite Refuge Member

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    I don't honestly think the vast majority of physicians even acknowledge/recognize the problem. I KNOW they don't have any conception of the actual costs/pricing of what they write.

    I already mentioned mail order which is simply a cash cow (directly at the expense of patients' wallets and health I might add) but sure they only take them till they feel better. Why wouldn't they? If/when something else pops up it's just a call to the doc, instructions to him on what you want/need, and go pick it up after work. And throw in some cough syrup for the spouse too, sounds like they're coming down with it as well.

    Oh, doc won't do that? Down the road to a new clinic they go. You just lost their business.

    Oh, you don't think it hurts that bad? Across town I go.....

    Madness. And no matter how many practice differently, as long as they have somewhere to turn, they'll do it. And as long as we have the same basic outlook we do now, it won't dramatically change....because they'll have somewhere to turn.
     
  7. Paddler

    Paddler Banned

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    okie, I like your signature quote. Looks like you're coming around.
     
  8. eel river

    eel river Elite Refuge Member

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    Okie, a little story. After a 10 day fishing trip last year where we had wine, asparagus and such every night, I came to home and immediately got gout for the first time in my life. I fought it for 5 days, going on consulting engagements without a shoe or sock on and dang near passing out putting my hunting boots on for deer hunting. I finally gave in and went to my PCP. He said, yep, gout. He refused to give me ongoing medicine and instead said I needed to go home and drink more water and quit eating certain foods. He said of all people, I should know better than to simply ask for drugs. When I left his office, I was pi***d! My first thought was, I'm going to another doctor. (Just your comment/concern) But, within a half mile of his office, I changed my mind and told myself to suck it up and change my eating habits. Since that day, I haven't had asparagus and have severely limited other problem foods. But, as you know, I'm not "most people" and you are absolutely right in regard to people and drugs. Pharma does a great job at advertising and creating specific drug demand.
     
  9. DR CABELA

    DR CABELA Banned

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    The drug cos have their teeth in deep

    drug cos determine the clinical guidelines now and they have their money in every aspect of medicine......medicine sold their soul long ago
     
  10. API

    API Political Action Forum Moderator Flyway Manager

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    I recall reading that Pharma spends almost twice as much on promotion as it does on research and development. Well produced TV ads say "You're probably sick" or Your kid may be sick" or "Wouldn't you like to feel great?" and the demand is created. Even though the media didn't go to medical school, folks take medical advice from a TV spot . Not only that, when siting in the doctor's waiting area, invariably a sales person (usually a well presented female) shows up towing a bag of goodies (may even throw a bone to the office help too). Every doctor gets a drawer full of samples to hand out. The Pharma peddlers are getting it done. :bow

    Note 1: The male potency drugs get big time promotion on TV, but I don't recall seeing birth control pill commercials. Maybe I'm missing something...

    Note 2: Is there a promotional benefit when a doctor writes a prescription using a pad with pre-printed information, or presents the patient with a coupon for prescribed items?
     

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