Every generation has its “remember when” stories: Remember when a loaf of bread was ten cents, remember when you could buy a house for $4,000, remember when gas was under a dollar per gallon, and the newest member to this hall of fame, remember when prescription drugs were affordable.
Why are prescription drugs so expensive? Simply put, the pharmaceutical companies have overhead and a profit margin. In fact they claim they have a great deal of overheard including research and development, FDA approval, clinical trials, marketing, lobbying, and so on. Those “costs” are then passed on to the consumer in the way of hefty prescription drug prices. However, it seems to be the US consumer who bears these costs, since the same drug is sold in other countries for a substantially lower price! Some very common medicines are sold for 200% more in the US than in Canada. But if you think you can look to Canada for your prescription purchases, guess again, it is illegal to import your medicine from another country if that same medicine is available in the US. Land of the free? Not when it comes to prescription drugs. The good news is that you can often obtain the medicine you need for free, or at a discount, directly from the manufacturer.
In 2002, 162.4 billion was spent on prescription drugs in the US. Prescription drug spending is expecting to increase 10.7% per year until 2010 according to the Kaiser Family Foundation.
Being under or uninsured is a personal and financial disaster waiting to happen. That $100-$300 monthly premium you’re putting off now will be nothing compared to the thousands you might be paying out in the future because you were in an accident or became ill and need regular medication. Nobody expects an illness or accident to cross their path, but if it does, expect medical and prescription bills to suck up your savings, and force you to borrow from family and friends to cover your monthly bills, rent, groceries, car payment, and other living expenses.
Example of the Hardship of Being Uninsured
Here is another real life example. Jean was living the entrepreneurial dream. She started a small web-based information service and in the first year of business she made $5,000 in sales per month. The second year sales doubled and profits continued to increase for the next two years when Jean decided the time was right to sell. After a few months she was negotiating a million dollar deal with her nearest competitor. High on success, Jean felt invincible. But in the middle of the night she woke up choking. When she regained breathing, she paused before calling an ambulance or cab to take her to the emergency room: Jean had no health insurance. Why didn’t this young and successful person have insurance? Jean said that she had insurance for years prior, but her premium was regularly increased while benefits were reduced. Plus she expressed frustration over the insurance providers delay in paying claims covered by her policy. So, she shopped around and chose another provider. Unfortunately, she cancelled her old policy before her new one began, leaving Jean uninsured at the time of her medical situation and overnight, Jean went from well-off to selling her company for 1% of the asking price because she was unable to work and maintain the company during her illness. Even her $20,000 in savings was spent on medical expenses. After tests, scans, pulmonary function tests, medication, and many doctor visits, Jean was diagnosed with Chronic Obstructive Pulmonary Disease or COPD which required regular medication and in turn skyrocketed her insurance premium, as she now had a serious preexisting condition. She was unable to afford this new insurance premium and was soon dropped. Her old insurance would not take her back in light of her new medical history.
Over the course of the next year Jean visited an immediate care center when she had a breathing crisis. She chose the immediate care center because she did not have to pay upfront, but when the bills came she was unable to pay the full amounts and her credit report was soon riddled with collections Unable to afford her inhalers, Jean went without and limited her activity and time outdoors to stay safe. Everything Jean worked for over the past four years was gone in a matter of months. She could not afford her medication, but she could literally suffocate without it. What could she do? Jean developed an attitude—an attitude that she was not going to sit back and be a victim. She negotiated her healthcare and shopped around for the best deals on her medicine. Jean researched programs that allowed her to obtain her inhalers for free, and she in turn lived a healthier lifestyle which ultimately allowed her to regain insurance a few years down the road.
Jean had a rather serious condition, but the same situation can happen to someone who finds out they have allergies, asthma, high cholesterol, diabetes, etc.
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