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thoughtportal · 3 months

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Opinion Here’s how to get free Paxlovid as many times as you need it

When the public health emergency around covid-19 ended, vaccines and treatments became commercial products, meaning companies could charge for them as they do other pharmaceuticals. Paxlovid, the highly effective antiviral pill that can prevent covid from becoming severe, now has a list price of nearly $1,400 for a five-day treatment course.

Thanks to an innovative agreement between the Biden administration and the drug’s manufacturer, Pfizer, Americans can still access the medication free or at very low cost through a program called Paxcess. The problem is that too few people — including pharmacists — are aware of it.

I learned of Paxcess only after readers wrote that pharmacies were charging them hundreds of dollars — or even the full list price — to fill their Paxlovid prescription. This shouldn’t be happening. A representative from Pfizer, which runs the program, explained to me that patients on Medicare and Medicaid or who are uninsured should get free Paxlovid. They need to sign up by going to paxlovid.iassist.com or by calling 877-219-7225. “We wanted to make enrollment as easy and as quick as possible,” the representative said.

Indeed, the process is straightforward. I clicked through the web form myself, and there are only three sets of information required. Patients first enter their name, date of birth and address. They then input their prescriber’s name and address and select their insurance type.

All this should take less than five minutes and can be done at home or at the pharmacy. A physician or pharmacist can fill it out on behalf of the patient, too. Importantly, this form does not ask for medical history, proof of a positive coronavirus test, income verification, citizenship status or other potentially sensitive and time-consuming information.

But there is one key requirement people need to be aware of: Patients must have a prescription for Paxlovid to start the enrollment process. It is not possible to pre-enroll. (Though, in a sense, people on Medicare or Medicaid are already pre-enrolled.)

Once the questionnaire is complete, the website generates a voucher within seconds. People can print it or email it themselves, and then they can exchange it for a free course of Paxlovid at most pharmacies.

Pfizer’s representative tells me that more than 57,000 pharmacies are contracted to participate in this program, including major chain drugstores such as CVS and Walgreens and large retail chains such as Walmart, Kroger and Costco. For those unable to go in person, a mail-order option is available, too.

The program works a little differently for patients with commercial insurance. Some insurance plans already cover Paxlovid without a co-pay. Anyone who is told there will be a charge should sign up for Paxcess, which would further bring down their co-pay and might even cover the entire cost.

Several readers have attested that Paxcess’s process was fast and seamless. I was also glad to learn that there is basically no limit to the number of times someone could use it. A person who contracts the coronavirus three times in a year could access Paxlovid free or at low cost each time.

Unfortunately, readers informed me of one major glitch: Though the Paxcess voucher is honored when presented, some pharmacies are not offering the program proactively. As a result, many patients are still being charged high co-pays even if they could have gotten the medication at no cost.

This is incredibly frustrating. However, after interviewing multiple people involved in the process, including representatives of major pharmacy chains and Biden administration officials, I believe everyone is sincere in trying to make things right. As we saw in the early days of the coronavirus vaccine rollout, it’s hard to get a new program off the ground. Policies that look good on paper run into multiple barriers during implementation.

Those involved are actively identifying and addressing these problems. For instance, a Walgreens representative explained to me that in addition to educating pharmacists and pharmacy techs about the program, the company learned it also had to make system changes to account for a different workflow. Normally, when pharmacists process a prescription, they inform patients of the co-pay and dispense the medication. But with Paxlovid, the system needs to stop them if there is a co-pay, so they can prompt patients to sign up for Paxcess.

Here is where patients and consumers must take a proactive role. That might not feel fair; after all, if someone is ill, people expect that the system will work to help them. But that’s not our reality. While pharmacies work to fix their system glitches, patients need to be their own best advocates. That means signing up for Paxcess as soon as they receive a Paxlovid prescription and helping spread the word so that others can get the antiviral at little or no cost, too.

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#article #washington post #Paxlovid #covid #pandemic #health

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theturning65advisor · 1 year

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Get Medicare Prescription Drug Plan in Peoria & Surprise AZ

The Turning 65 Advisor provides expert guidance and support in choosing the right Medicare Prescription Drug Plan to meet your specific healthcare needs. Find affordable and comprehensive coverage options that fit your budget and lifestyle.

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#medicare prescription drug plan surprise az medicare prescription drug plan peoria az

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batboyblog · 4 months

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2024 Senate Elections: You'd Better VOTE!

Yes it's election year yet again in America! but not just for President, almost as important will be the US Senate!

I'm not gonna lie this is a rough map for Democrats, we're playing a lot of defense in some pretty red states with even our best hopes for a pick up being pretty long shots. But even with narrow control of the Senate we've managed the biggest climate bill in American History a huge infrastructure bill thats bring high speed rail to America capped the price of insulin changed the law to allow Medicare to negotiate drug prices bring savings to everyone, and put over 160 federal judges on the bench, 2/3rds of whom are women and/or people of color the first time white men haven't been the majority of nominees by a President. So let's keep progress going by voting for, supporting, donating, and volunteering for the following candidates in the races that will decide the US Senate this year.

Arizona

Ruben Gallego (Hold)

After frustrating Democrats by repeatedly voting against major Democratic priorities, supporting the filibuster and putting donors over voters, Arizona Senator Kyrsten Sinema left the Democratic Party to become an independent in 2022. Democratic congressman Ruben Gallego was running to primary Sinema before she left the party and is now the likely Democratic nominee to unseat her and give Arizona the Democratic Senator it deserves. Gallego is a former Marine, combat veteran, Harvard grad, a former state representative, and since 2014 a member of Congress. Gallego is a member of the Progressive Caucus and is known for his blunt and combative style standing up to Republicans. In Congress Gallego has been a strong supporter of native rights advocating for tribes on health care and child welfare issues. Gallego is also the sponsor of a bill to bring about nation wide, free, all-day kindergarten which isn't available in many states. If elected Gallego would be Arizona's first hispanic Senator. Republicans hope that the Democratic vote will split between Sinema and Gallego allowing them to win this important seat. The Republican front runner is conspiracy theorist and Trump super fan, Kari Lake. Lake rose to national fame in 2021 for pushing conspiracy theories about Trump having won the 2020 election, as well as anti-mask and anti-vaccine Covid conspiracies. Lake was the Republican nominee for Arizona governor in 2022. During that campaign she ran on an aggressive anti-LGBT platform, saying she'd ban drag, and was against trans rights. Lake also is against Abortion in all cases. After losing to Democrat Katie Hobbs, Lake refused to concede, and still pushes the conspiracy theory that she's the rightful governor of Arizona. If you live in Arizona please make sure you vote, but more if you have any time between now and November, volunteer to help Gallego! and if you don't live there you can still Donate or buy a pro-choice shirt from his campaign!

Vote Volunteer Donate Shop

Florida

Debbie Mucarsel-Powell (Flip)

Florida's current Republican Senator Rick Scott is a right wing extremist pushing dangerous ideas even by the standards of the Modern GOP. During his first term as Senator Scott has pushed to defund the IRS, and the Department of Education. He's sponsored bills to punish schools that allow students to use preferred pronouns, to ban affirmative action, bans teaching critical race theory, and ban trans people from women's sports. Scott is against abortion in all cases. Most alarming Rick Scott proposed a radical plan that would "sun-set" ANY and all federal laws after 5 years, including Social Security and Medicare, Scott would place all federal programs and agencies on the chopping block every 5 years for a radical Republican minority to block their renewal and leave us without Social Security, or the EPA, to name just two examples. The likely Democratic nominee is former Congresswoman Debbie Mucarsel-Powell. Born in Ecuador, Mucarsel-Powell immigrated to the US when she was 14 and had work to help support her family. When she was elected to Congress in 2018 she became the first South American born immigrant and first person of Ecuadorian heritage to be elected to Congress. In Congress Mucarsel-Powell was a member of the Progressive caucus, she fought to expand medicare, and secured $200 million for Everglades restoration. After a narrow defeat in 2020 Mucarsel-Powell joined the gun control advocacy group Giffords to fight for gun control a personal issue for her after her father was murdered when she was 24. If you're in Florida please make sure you vote, and Volunteer to help remove on of the most extreme Senators, If you're not in Florida you can help Debbie win by donating.

VOTE VOLUNTEER DONATE

Michigan

Elissa Slotkin (hold)

Long time Democratic Senator Debbie Stabenow is retiring this election, so there will be a tough fight for control of this important swing state Senate seat. The likely Democratic nominee is Congresswoman Elissa Slotkin. Slotkin is a former CIA analyst, after retiring from the CIA she worked in the State and Defense departments during the Obama administration. Slotkin was first elected to Congress in 2018 winning and being re-elected in a tough swing district. In Congress she's fought for common sense gun control, supported the cap on insulin prices and Medicare drug price negotiation, she helped pass a law on drug price transparency, she championed the CHIP act to bring high tech manufacturing jobs back to America, and was a big supporter of Bipartisan Infrastructure Law. Slotkin is centering a pro-choice message in her campaign as well as gun control and bring down medical costs. Who the Republicans will pick isn't totally clear, it seems like it's between Former Congressman Mike Rogers and former Detroit Police chief James Craig. Craig ran for Michigan governor in 2022 before he was disqualified for fraudulent signatures on his nominating petition. Craig has listed cutting off US support to Ukraine as one of his top priorities, and endorsed Trump's 3rd run for President early in the primaries. Mike Rogers is also trying to win over Trump voters and has attacked the rights of LGBT students in schools calling it "social engineering". If you live in Michigan make sure to get out and vote, and also volunteer! And for everyone outside the state you can donate or buy some merch.

VOTE VOLUNTEER DONATE SHOP

Montana

Jon Tester (re-elect)

In most contexts Montana is a deep red state going for Trump in 2020 57% to 40%. This makes the reelection of Montana's only Democratic member of Congress and only statewide elected Democrat, Jon Tester maybe the toughest election for Democrats this year. A Senator since he was first elected in 2006 Tester has won a series of upset wins in Montana over the years. A 3rd generation farmer Tester has been as strong for small farmers and ranchers in Washington. Tester has always been a champion of accountably and transparency in government pushing ethnics and campaign finance reforms. Tester is rated one of the most effective senators and managed to pass more bills last year than any one else in Congress. He's never been afraid to stand up for the Democratic side even if it'd be an unpopular vote in Red Montana. Tester voted to impeach Trump twice, and he voted against all 3 of Trump's nominees to the Supreme Court. He supported President Obama on The Affordable Care Act and Dodd-Frank, and has supported President Biden on the Inflation Reduction Act and Bipartisan Infrastructure Law. Republicans seem likely to nominate right wing influencer and former Navy SEAL Tim Sheehy. Sheehy promises to get drag queens out of schools and the Lord's Prayer in to the classroom. He also hopes to repeal Obamacare calling for a "total privatization" of health care and made statements against the very idea of health insurance, insisting people should pay full price at point of use. If you're a Montanan make sure to vote to re-elect a champion of the little guy, and also volunteer! if you're not please think of donating what you can, if you can only give to one campaign this cycle this one, or Ohio are the most important!

VOTE VOLUNTEER DONATE SHOP

Nevada

Jacky Rosen (re-elect)

First elected to Congress in 2016 Jacky Rosen moved up to the Senate in 2018. In her first term as a Senator Rosen has championed green energy for Nevada. Together with fellow Democratic Nevada Senator Catherine Cortez Masto, Rosen has gotten millions for solar manufacturing in Nevada as well as millions to replace the state's school buses with electric, and programs to study new groundbreaking green technology. Senator Rosen has been a supporter of gun control, is in favor of banning assault weapons. She sponsored a bill, the Background Check Expansion Act, that would require background checks for all gun sales closing loopholes for on-line sales and gun shows. Rosen is pro-choice and has sponsored a bill to protect doctors from being prosecuted across state lines for providing reproductive care, and is a co-sponsor of a bill to codify Roe V. Wade into federal law. Rosen will likely face Republican celebrity and army veteran Sam Brown. Brown ran and lost a race for the Texas State House in 2014 and ran and lost for Nevada's other Senate seat in 2022. Brown stated he was in favor of getting rid of the Departments of Education, Transportation, and Energy. Brown is against Red Flag gun laws that allow police to temporarily remove fire arms from the home of someone deemed a danger to themselves or others. Brown also has refused to say if he supports a national abortion ban, but does say he's pro-life and wouldn't support any judges that weren't. If you live in Nevada make sure to get out to vote and volunteer to protect the state's green future and the right to reproductive care. If you're not in Nevada consider donating or buying some merch.

VOTE VOLUNTEER DONATE SHOP

Ohio

Sherrod Brown (re-elect)

Ohio together with Montana represents the toughest re-elect for Democrats this year. The state went for Trump twice, elected a right wing radical, JD Vaince, to the Senate in 2022 and has had a Republican governor since 2010. To complicate thing more Democrat Sherrod Brown is one of the most progressive members of the Senate, regularly scoring along side Bernie Sanders and Elizabeth Warren for the most left wing in the Senate. From the time he was first elected to Congress in 1992 Brown refused to take the Congressional Health Insurance until all Americans could be covered. Brown first supported a Medicare for all bill in 2006 and has supported different efforts to expand Medicare and health coverage. He was a key supporter of the Children Health Insurance Program (CHIP). Brown is a strong supporter of unions and has struggled his whole career to protect unionized manufacturing jobs in Ohio. He was one of the first Senators out on the picket line during the UAW strike of 2023. Brown's hard work has help make Ohio the center of a new booming lithium battery manufacturing in America, a green manufacturing future for the state. Republicans look likely to nominate former used car dealer and father-in-law of Republican Congressman Max Miller, Bernie Moreno. Moreno's main qualification seems to be having been endorsed by Donald Trump. He lists among his priorities "End Socialism in America" and "End Wokeness and Cancel Culture". If you're in Ohio make sure to vote to re-elect a progressive giant and volunteer too! If you live out of Ohio donate, if you're looking for the race where your dollar will matter the most, this one or Montana guys.

VOTE VOLUNTEER DONATE

Pennsylvania

Bob Casey Jr. (re-elect)

First elected in 2006 Bob Casey famously beat incumbent Republican homophobe Rick Santorum by 17 points. Since first entering the Senate Casey has moved leftward on a number of issues. First elected as a pro-Gun Democrat since 2012 Casey has sponsored a number of bills to expand background checks, ban assault weapons, ban extended magazines, and well as supporting mental health funds for victims of gun violence. For a number of years Casey was called the last pro-life Democrat in the Senate, however in 2022 he came out in support of Roe V Wade and voted twice on bills that would have codified the right to an abortion into federal law. Casey voted against all 3 of Trump's Supreme Court picks and has long supported Planned Parenthood's contraception efforts with federal funds, seeing easily available birth control as key to reducing the number of abortions. In 2021 Casey published a plan he called "The Five Freedoms for America's Children" modeled after FDR's famous speech. He proposed automatically enrolling all kids in Medicaid, an expanded child tax cut, a federally supported college fund for all kids who's parents make under $100,000, expanded free school meals, more funds for head start and abuse prevention programs. Republicans are rallying behind Mitch McConnell's hand picked candidate, hedge fund CEO David McCormick. McCormick worked for the Bush administration during Bush's second term. McCormick's wife Dina Powell also worked for the George W. Bush administration and was a senior aid to Trump as well. If you're in Pennsylvania make sure to get out and vote for a solid Democrat out to solve child poverty in America and keep the Hedge Fund guy from Connecticut out, and Volunteer if you can. Remember you can donate where ever you are.

VOTE VOLUNTEER DONATE SHOP

Texas

Colin Allred (flip)

Texas is currently represented by likely the most hated man in Washington, Ted Cruz. Republicans hate him, Democrats hate him more, he has a very punchable face, he might be the zodiac killer (thats a joke and meme). From shutting down the government in 2013 to try to overturn Obamacare, to leading the charge in Congress to overturn the 2020 election on January 6th Ted Cruz is a greatest hits of the worst parts of the Republican Party of the last 10 years. When Texas lost power in the middle of a historic ice storm in 2021 Ted Cruz and family ditched the state to go on vacation in Mexico, classy. Cruz in the Biden years has cast himself as a culture warrior fighting against "woke" publishing a book "Unwoke: How to Defeat Cultural Marxism in America" in 2023 to kick off his re-election campaign. Texas is a traditionally red state but things are starting to shift and in 2018 Cruz narrowly won re-election over Beto O'Rourke. Democrats hope with the right candidate they can turn Texas blue and beat the most hated Senator in America. Democrats think Congressman Colin Allred is the man for the job. Allred is a former NFL Linebacker for the Titans. After the NFL he went on to get his law degree from UC Berkeley, and work in the Obama administration. Allred was first elected to Congress in 2018, unseating a Republican who'd been in office since 1997 and becoming the first Democrat to represent the area in Congress since 1968. In Congress Allred has supported bills to expand voting right and protect abortion rights, as well as gun control. In the Senate he promises to address Texas' shaky power grid and make sure Texas is never left in the dark again with its leaders missing. Lets do this Texas, make blue Texas a reality if you live in Texas remember to vote and volunteer, if you're an American who hates Ted Cruz you can donate to make in unemployed.

VOTE VOLUNTEER DONATE SHOP

Wisconsin

Tammy Baldwin (re-elect)

When Tammy Baldwin first ran for Congress in 1998 she was the first openly gay person elected to the US House and the first open Lesbian to serve in Congress. In 2012 she became the first openly gay person elected to the US Senate and the first Lesbian to be a Senator, she is still the only openly gay Senator. Through out her time in office Baldwin has been a tireless voice for LGBT rights, in 2022 she helped spear head the passage of the Respect for Marriage Act to help protect gay marriage, she's also a sponsor of the Equality Act to protect all LGBT people from discrimination. Baldwin is a progressive who was a member of the House Progressive caucus, opposed the Iraq War and supported impeaching Dick Cheney. In the House she introduced bills for a single payer healthcare system in 2000, 2002, 2004, and 2005. In the Senate Baldwin is regularly listed as one of the most progressive members, voting against tax cuts for the rich, supporting a bill to require companies to have workers on their boards, she sponsored a bill to create a public option in Health Care, and has supported gun control efforts. The Republican field to challenge Senator Baldwin is uncertain, but former Milwaukee sheriff David Clarke dominates the polls if he decides to run. Clarke's sheriff's department is accused a number of human rights violations from his time as sheriff, including allowing a prisoner to die of dehydration after 6 days without water in the Milwaukee County Jail. Clarke is a Trump super fan who has pushed conspiracy theories about mass shootings being fake, attacked Black Lives Matter, called Planned Parenthood "Planned Genocide", and called for the mass detention without trial of Americans because he believed there were a million ISIS supporters in America. If you're in Wisconsin make sure to get out and vote for a trailblazing icon and also volunteer if you can, all Americans can donate and support Baldwin wherever they are.

VOTE VOLUNTEER DONATE SHOP

If you're an American citizen and will be 18 years old (or older) by November 5th 2024, PLEASE PLEASE PLEASE! make sure you're registered to VOTE please check Vote.Org to find out what you need to do, what deadlines there are and act NOW

If you're an American living outside the US, YOU HAVE THE RIGHT TO VOTE. Please checkout Vote From Aboard they have literally all the information you need to get registered and get your ballot wherever in the world you are, and Check out Democrats Abroad to take part in the global primary

Where ever you live in the US, there is an important life changing election happening! Get off your phone or computer and get involved, There are Events happening all around you right now Volunteer

Finally if you're a US citizen of any age any where on earth you can donate, donate to elect Biden/Harris donate to elect Democrats to the Senate, To the House, to Governorships, to local office

and the smallest thing you can do is reblog this very long post, thank you!

#2024 elections #politics #american politics #us politics #voting #democrats #Joe Biden #Republicans #donald trump #go vote

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lookingforcactus · 3 months

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A big cost and concern for many seniors in the U.S. is the price of prescription drugs and other healthcare expenses—and this year, thanks to The Inflation Reduction Act, their costs may go down dramatically, especially for patients fighting cancer or heart disease.

I learned about the new benefits because my ‘Medicare birthday’ is coming up in a couple months when I turn 65. I was shocked that there were so many positive changes being made, which I never heard about on the news.

Thousands of Americans on Medicare have been paying more than $14,000 a year for blood cancer drugs, more than $10,000 a year for ovarian cancer drugs, and more than $9,000 a year for breast cancer drugs, for instance.

That all changed beginning in 2023, after the Biden administration capped out-of-pocket prescriptions at $3,500—no matter what drugs were needed. And this year, in 2024, the cap for all Medicare out-of-pocket prescriptions went down to a maximum of $2,000.

“The American people won, and Big Pharma lost,” said President Biden in September 2022, after the legislation passed. “It’s going to be a godsend to many families.”

Another crucial medical necessity, the shingles vaccine, which many seniors skip because of the cost, is now free. Shingles is a painful rash with blisters, that can be followed by chronic pain, and other complications, for which there is no cure

In 2022, more than 2 million seniors paid between $100 and $200 for that vaccine, but starting last year, Medicare prescription drug plans dropped the cost for shots down to zero.

Another victory for consumers over Big Pharma affects anyone of any age who struggles with diabetes. The cost of life-saving insulin was capped at $35 a month [for people on Medicare].

Medicare is also lowering the costs of the premium for Part B—which covers outpatient visits to your doctors. 15 million Americans will save an average of $800 per year on health insurance costs, according to the US Department of Health and Human Services.

Last year, for the first time in history, Medicare began using the leverage power of its large patient pool to negotiate fair prices for drugs. Medicare is no longer accepting whatever drug prices that pharmaceutical companies demand.

Negotiations began on ten of the most widely used and expensive drugs.

Among the ten drugs selected for Medicare drug price negotiation were Eliquis, used by 3.7 million Americans and Jardiance and Xarelto, each used by over a million people. The ten drugs account for the highest total spending in Medicare Part D prescription plans...

How are all these cost-savings being paid for?

The government is able to pay for these benefits by making sure the biggest corporations in America are paying their fair share of federal taxes.

In 2020, for instance, dozens of American companies on the Fortune 500 list who made $40 billion in profit paid zero in federal taxes.

Starting in 2023, U.S. corporations are required to pay a minimum corporate tax of 15 percent. The Inflation Reduction Act created the CAMT, which imposed the 15% minimum tax on the adjusted financial statement income of any corporation with average income that exceeds $1 billion.

For years, Americans have decried the rising costs of health care—but in the last three years, there are plenty of positive developments.

-via Good News Network, February 25, 2024

#united states #medicare #healthcare #healthcare access #big pharma #prescription drugs #health insurance #us politics #good news #hope #seniors #aging #healthy aging

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houstonindependent123 · 2 years

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New to Medicare Insurance | Houston Independent Insurance

Are you New to Medicare Insurance? Our Houston Independent Insurance can help you find the best Medicare Insurance for you. We offer a wide range of plans from different providers, so you can find the one that fits your needs. We also have a team of experts who can answer your questions and help you make the best decision for your coverage. Get started today!

#medicare #medicare prescription drug plans #medicare advantage

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nickbyrdmedicare · 2 years

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issuu

Things you need to know about Medicare

Medicare offers free access to crucial screenings and preventative care, which aids people to stay healthy. A complimentary annual wellness exam is provided under Medicare Part B, along with yearly and recurrent tests for cardiovascular disease, diabetes, depression, cervical, and prostate cancer, in men and breast cancer in women. Also included are flu vaccines. Additionally, the Part D program might assist in defraying the expense of expensive prescription medications.

#Medicare Part A #Medicare Part B #Medicare Part C #Prescription drug plan #Medicare Supplement

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getmemymedicare · 2 years

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How to Choose the Right Medicare Plan?As per the Medicare Modernization Act of 2003, the prescription drug can cover all Medicare benefits. This coverage became effective on 1st January 2006. If you are interested in buying medicare part D then must look for what is The Best Part D Prescription Drug Plan that is suitable for you. The experts at Get My Policy are ready to guide you to buy medicare plans as per your requirements. Once you signed in, the experts will give you an idea about all medical coverage insurances and their different parts. If you are specifically looking for the Best-Rated Medicare Part D Plans then no one is better than Get My Policy. So visit our website to get the best solutions for your Part D medicare facilities. So for more call us@ 1-(844) 907-4951 or visit at website: https://www.getmemymedicare.com/

#youtube #The Best Part D Prescription Drug Plan #Best-Rated Medicare Part D Plans

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lifeandinsurances · 1 year

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Your Medicare Coverage Guide for 2023

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reasonsforhope · 1 year

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"Sanofi on Thursday said it’s planning to cut the U.S. price of its most popular insulin drug by 78% and cap monthly out-of-pocket costs at $35 for people who have private insurance starting next year.

In addition to its widely prescribed Lantus, the French drugmaker will reduce the list price of its short-acting insulin Apidra by 70%. Sanofi already offers a $35 monthly cap on insulin for uninsured diabetes patients.

The company is the last major insulin manufacturer to try to head off government efforts to cap monthly costs by announcing its own steep price cuts for the lifesaving hormone.

Eli Lilly and Novo Nordisk made similar sweeping cuts earlier this month after years of political pressure and public outrage over the high costs of diabetes care. The three companies control over 90% of the global insulin market.

... The change takes effect Jan. 1.

President Joe Biden’s Inflation Reduction Act capped monthly insulin costs for Medicare beneficiaries at $35, but it did not provide protection to diabetes patients who are covered by private insurance.

Sen. Bernie Sanders, a Vermont independent and the chairman of the Senate Health, Education, Labor and Pensions Committee, introduced a bill earlier this month that would cap the list price of insulin at $20 per vial.

Both the president and Sanders on Tuesday directly called on Sanofi to slash its prices after Novo Nordisk announced its own cuts that day.

Roughly 37 million people in the U.S., or 11.3% of the country’s population, have diabetes, according to the Centers for Disease Control and Prevention. Approximately 8.4 million [U.S.] diabetes patients rely on insulin, the American Diabetes Association said."

-via CNBC, 3/16/23

#insulin #big pharma #diabetes #health care #eli lilly and co #us healthcare #healthcare access #prescription drugs #biden #bernie sanders #health insurance #united states #us politics #good news #hope #it should start IMMEDIATELY and I hope their efforts to avoid gov price caps FAIL WITH EXTREME PREJUDICE #but the important thing is access to affordable insulin #so i'll take the progress #affordable healthcare

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kp777 · 2 months

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By Jessica Corbett

Common Dreams

March 20, 2024

"Trump has tried to walk back his support for Social Security and Medicare cuts," said the head of Social Security Works. "This budget is one of many reasons why no one should believe him."

Defenders of Social Security and Medicare on Wednesday swiftly criticized the biggest caucus of Republicans in the U.S. House of Representatives for putting out a budget proposal for fiscal year 2025 that takes aim at the crucial programs.

The 180-page "Fiscal Sanity to Save America" plan from the Republican Study Committee (RSC) follows the release of proposals from Democratic President Joe Biden and U.S. House Budget Committee Chair Jodey Arrington (R-Texas)—who is leading the fight to create a fiscal commission for the programs that critics call a "death panel" designed to force through cuts.

The RSC document features full sections on "Saving Medicare" and "Preventing Biden's Cuts to Social Security," which both push back on the president's recent comments calling out Republican attacks on the programs that serve seniors.

The caucus plan promotes premium support for Medicare Advantage plans administered by private health insurance providers as well as changes to payments made to teaching hospitals. For Social Security, the proposal calls for tying retirement age to rising life expectancy and cutting benefits for younger workers over certain income levels, including phasing out auxiliary benefits.

The document also claims that the caucus budget "would promote trust fund solvency by increasing payroll tax revenues through pro-growth tax reform, pro-growth energy policy that lifts wages, work requirements that move Americans from welfare to work, and regulatory reforms that increase economic growth."

In a lengthy Wednesday statement blasting the RSC budget, Social Security Works president Nancy Altman pointed out that last week, former President Donald Trump, the presumptive Republican nominee to face Biden in the November election, "toldCNBC that 'there's a lot you can do' to cut Social Security."

"Everyone who cares about the future of these vital earned benefits should vote accordingly in November."

"Now, congressional Republicans are confirming the party's support for cuts—to the tune of $1.5 trillion. They are also laying out some of those cuts," Altman said. "This budget would raise the retirement age, in line with prominent Republican influencer Ben Shapiro's recent comments that 'retirement itself is a stupid idea.' It would make annual cost-of-living increases stingier, so that benefits erode over time. It would slash middle-class benefits."

"Perhaps most insultingly, given the Republicans' claim to be the party of 'family values,' this budget would eliminate Social Security spousal benefits, as well as children's benefits, for middle-class families. That would punish women who take time out of the workforce to care for children and other loved ones," she continued. "This coming from a party that wants to take away women's reproductive rights!"

The caucus, chaired by Rep. Kevin Hern (R-Okla.), included 285 bills and initiatives from 192 members in its budget plan—among them are various proposals threatening abortion care, birth control, and in vitro fertilization (IVF) nationwide.

"The RSC budget would also take away Medicare's new power to negotiate lower prices on prescription drugs, putting more money into the pockets of the GOP's Big Pharma donors," Altman warned. "And it accelerates the privatization of Medicare, handing it over to private insurance companies who have a long history of ripping off the government and delaying and denying care to those who need it."

"In recent days, Trump has tried to walk back his support for Social Security and Medicare cuts," she noted. "This budget is one of many reasons why no one should believe him. The Republican Party is the party of cutting Social Security and Medicare, while giving tax handouts to billionaires."

"The Democratic Party is the party of expanding Social Security and Medicare, paid for by requiring the ultrawealthy to contribute their fair share," Altman added. "Everyone who cares about the future of these vital earned benefits should vote accordingly in November."

Biden campaign communications director Michael Tyler also targeted the Republican presidential candidate while slamming the RSC plan, saying that "Donald Trump's MAGA allies in Congress made it clear today: A vote for Trump is a vote to make the MAGA 2025 agenda of cutting Social Security, ripping away access to IVF, and banning abortion nationwide a hellish reality."

"While Trump and his allies push forward their extreme agenda, the American people are watching," Tyler added, suggesting that the RSC proposal will help motivate voters to give Biden and Vice President Kamala Harris four more years in the White House.

#social security #medicare #fiscal year 2025 budget #republicans #2024 elections #donald trump

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theturning65advisor · 2 years

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Medicare Part D Plan Finder in Arizona

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mostlysignssomeportents · 1 year

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Capitalists hate capitalism

As the Marxist agitator Adam Smith once said, “People of the same trade seldom meet together, even for merriment and diversion, but the conversation ends in a conspiracy against the public, or in some contrivance to raise prices.”

Smith understood that capitalists hate capitalism. They don’t want to compete with one another, because that would interfere with their ability to raise the prices their customers pay and reduce the wages they pay their workers. Thus Peter Thiel’s anticapitalist rallying cry, “competition is for losers,” or Warren Buffett’s extreme horniness for businesses with “wide, sustainable moats.”

These anti-capitalist capitalists love big government. They love no-bid military contracts, they love ACA subsidies for health insurance companies, they love Farm Bill cash for Cargill and Monsanto. What they don’t love is markets.

Case in point: pharma giant Merck. The Inflation Reduction Act (IRA) includes a provision that allows Medicare to (finally) start (weakly) negotiating the prices it pays for (a tiny handful of) drugs. If you’re scratching your head and wondering if you understood that correctly, let me assure you, you did: the US government is currently prohibited from negotiating drug prices when it bargains with pharma companies.

In other words: Medicare simply pays a pharma companies — whose products build on billions in publicly funded basic research, whose taxes are reduced by billions in research credits, whose patents are backstopped by billions in enforcement — whatever it demands.

To do otherwise, you see, would be socialism. Markets are “efficient” because they “discover prices” through bidding and selling. In the case of publicly purchased drugs, the price that Uncle Sucker “discovers” is inevitably “a titanic sum” or possibly “add a couple more zeroes, wouldya?”

Enter the IRA. Starting in 2026, Medicare will be permitted to negotiate the price of ten (10) drugs. The negotiations will use the prices of other drugs from the dysfunctional, monopolized market as a starting point and go up from there. The negotiations go on for three years, and there are multiple stages where pharma companies can hit pause with court challenges:

https://prospect.org/health/2023-05-11-regulators-bungling-drug-price-reform/

The system will not consider the prices that Medicaid or the VA (which are allowed to bargain on prices) pay. Nor will it consider the prices that other governments pay — the US is alone in the wealthy world in offering the anticapitalist price-taking posture when dickering with the pharma companies.

But this isn’t enough for Merck. They are suing the Biden administration over the IRA’s drug pricing plan, arguing that it is an unconstitutional taking under the Fifth Amendment:

https://www.cnbc.com/2023/06/06/merck-sues-biden-administration-over-medicare-drug-price-negotiations.html

Merck is represented by Big Law firm Jones Day, who made their bones by representing the RJ Reynolds from smokers with lung-cancer, arguing that the smoking/cancer link wasn’t scientifically sound. That’s not the only fanciful argument they put before a judge: Jones Day also represented Trump in his attempts to overturn the 2020 election (they also hired Trump’s counsel Don McGahn as he exited the White House’s revolving door).

As Ryan Cooper writes for The American Prospect, Merck’s argument is that the “fair market” value of its drugs can only be discovered if its single largest customer — Medicare — simply pays whatever Merck demands of it:

https://prospect.org/health/2023-06-08-merck-negotiating-drug-prices-unconstitutional/

They explicitly denounce the idea that a powerful buyer should use its market power to extract price concessions from sellers like Merck: “leveraging all federal insurance benefits (amounting to over half of the prescription drug market) to coerce companies to abandon their First and Fifth Amendment rights is a quintessential unconstitutional condition.”

Rebutting this argument, Health Secretary Xavier Becerra said, “negotiating for the best price is as American as apple pie. Since when is competition in this American system a bad thing? Why should we be the patsies around the world and pay the highest prices for medicines?”

The irony here is that Merck itself is a very powerful buyer. Whether negotiating commercial leases, raw materials or wages, Merck is ruthless in extracting the lowest prices it can from its suppliers. The company attained its massive scale the old fashioned way: buying it. By drawing on its nearly limitless access to the capital markets, Merck bought out dozens of its competitors:

https://mergr.com/merck-acquisitions

Anticapitalist investors funded these acquisitions in the expectation that Merck would be able to use its market dominance to pay suppliers less, charge customers more, and use some of the resulting windfall to corrupt and bully its regulators so that it could buy still more companies, charge still higher prices, and impose crushingly low prices on still more suppliers.

The IRA’s drug-bargaining provisions are extraordinarily weak. When they were first mooted in 2021, I talked about how Democrats were caving on muscular drug price controls that would benefit every American (except a handful of pharma shareholders):

https://pluralistic.net/2021/11/18/bipartisan-consensus/#corruption

They did so despite wild, bipartisan support for imposing price discipline on Big Pharma, and ending the 300% premium Americans pay for their drugs relative to their cousins abroad. 95% of Democrats support strong price controls; so do 82% of independents — and 71% of Republicans:

https://www.rwjf.org/en/library/research/2021/11/healthcare-affordability--majority-of-adults-support-significant-changes-to-the-health-system.html

No one believes Big Pharma’s scare stories about how this would kill R&D: 93% of Americans reject this idea, including 90% of Republicans. They’re right — nearly all US basic pharma R&D is directly funded by the federal government, with pharma companies privatizing the gains:

https://khn.org/news/article/public-opinion-prescription-drug-prices-democratic-plan/

Despite the fact that really whipping the shit out of Big Pharma would be both popular and good for America, the Dems’ final version of pharma bargaining is a barely-there nothingburger where ten drugs will become slightly cheaper, after the next federal election. This is called “political realism” and it’s a fantasy.

The idea that limiting drug controls to the faintest, most modest measures would make them easier to attain was obvious nonsense from the start, and Merck’s anticapitalist lawsuit proves it. Merck will settle for nothing less than total central planning — by Merck. For Merck, the role of the federal government is to wave through a stream of mergers culminating in Merck’s ownership of every major drug; patent extensions for these drugs to carry them into the 25th century and beyond, and unlimited sums paid for these drugs on Medicare.

Given all that, there would have been no downside to the Dems passing an IRA that subjected the drug companies the same modest, commensense, market-based discipline we see in Canada, or the UK, or France, or Germany, or Switzerland.

But that’s not the IRA we got. Instead of defending a big, visionary program in court, the Biden admin is facing down Jones Day and Merck to defend the most yawn-inducing, incrementalist half-measure. What a wasted opportunity.

If you’d like an essay-formatted version of this post to read or share, here’s a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:

https://pluralistic.net/2023/06/09/commissar-merck#price-giver

[Image ID: A caricature of a businessman with a money-bag for a head and a stickpin bearing the Merck logo, standing atop a pile of bundled $100 bills. At the bottom of the pile, a frowning, disheveled Uncle Sam offers up a $100 bill.]

Image: Flying Logos (modified) https://commons.wikimedia.org/wiki/File:Over_$1,000,000_dollars_in_USD_$100_bill_stacks.png

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#pluralistic #merck #guillotine watch #big pharma #markets #anticapitalism #capitalism #pharma #whiners #bargaining power #price makers #price takers #uncle sucker #inflation reduction act #ira

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