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Medical Question for the non-Americans here

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  • R Rajesh R Subramanian

    Wow, I stand corrected. I was told recently that most life-saving drugs are to be given at no cost, but it appears that it's applicable only if it were administered in a public hospital while an eligible (medicare) patient is admitted.

    L Offline
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    Lost User
    wrote on last edited by
    #32

    Indeed, most patients (who are covered by Medicare only) admitted to a public hospital do not pay anything for their entire stay. In fact they are not even allowed to bring their own medications or self administer while in hospital. It is all provided by the public health system.

    Peter Wasser "The whole problem with the world is that fools and fanatics are always so certain of themselves, and wiser people so full of doubts." - Bertrand Russell

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    • F Foothill

      Recently the news outlets here have been running stories on the increasing prices of life saving drugs, like the EpiPen[^]. Here in US they are charging $600 for a pack of two. I am curious to what the rest of the world pays for EpiPens.

      if (Object.DividedByZero == true) { Universe.Implode(); } Meus ratio ex fortis machina. Simplicitatis de formae ac munus. -Foothill, 2016

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      M Offline
      Mark H2
      wrote on last edited by
      #33

      In Hobbitland, NZ$120 per pen. But if it's used by a patient as treatment for an anaphylactic reaction caused by an injury covered by ACC (our taxpayer funded universal accident insurance scheme) they'll cover the cost. And if you have private health cover your provider may reimburse the cost. So varies from sort-of-free to not-free-at-all...

      If your neighbours don't listen to The Ramones, turn it up real loud so they can. “We didn't have a positive song until we wrote 'Now I Wanna Sniff Some Glue!'” ― Dee Dee Ramone "The Democrats want my guns and the Republicans want my porno mags and I ain't giving up either" - Joey Ramone

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      • S Slacker007

        I also heard today on the news that it only costs approx. $1 US, to produce the chemical in the pen, which adds to the controversy.

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        Mycroft Holmes
        wrote on last edited by
        #34

        I don't think there is any relationship between the cost of manufacture and the retail price of drugs, seems to be whatever they can get away with. There is an astonishingly large variation between countries for some drugs.

        Never underestimate the power of human stupidity RAH

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        • F Forogar

          In the UK, effectively zero.

          - I would love to change the world, but they won’t give me the source code.

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          Mycroft Holmes
          wrote on last edited by
          #35

          Twood be interesting to know what the NHS actually pays. We have the PBS system in Oz that is similar, the cost to the PBS is not transparent.

          Never underestimate the power of human stupidity RAH

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          • F Foothill

            Recently the news outlets here have been running stories on the increasing prices of life saving drugs, like the EpiPen[^]. Here in US they are charging $600 for a pack of two. I am curious to what the rest of the world pays for EpiPens.

            if (Object.DividedByZero == true) { Universe.Implode(); } Meus ratio ex fortis machina. Simplicitatis de formae ac munus. -Foothill, 2016

            S Offline
            S Offline
            Super Lloyd
            wrote on last edited by
            #36

            I wonder why it is so cheap? Since drug company in the US can charge whatever price they want and some have no competition and the US health department is forbidden by law to bargain...

            A new .NET Serializer All in one Menu-Ribbon Bar Taking over the world since 1371!

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            • F Forogar

              There is sometimes a nominal Rx charge.

              - I would love to change the world, but they won’t give me the source code.

              OriginalGriffO Offline
              OriginalGriffO Offline
              OriginalGriff
              wrote on last edited by
              #37

              Not in Wales: prescriptions are all free.

              Bad command or file name. Bad, bad command! Sit! Stay! Staaaay...

              "I have no idea what I did, but I'm taking full credit for it." - ThisOldTony
              "Common sense is so rare these days, it should be classified as a super power" - Random T-shirt

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              • N Nish Nishant

                Also, they expire every 12 months, which I think is a scam. Surely it would be effective for longer than that? :|

                Regards, Nish


                Website: www.voidnish.com Blog: voidnish.wordpress.com

                OriginalGriffO Offline
                OriginalGriffO Offline
                OriginalGriff
                wrote on last edited by
                #38

                Not necessarily - epinephrine is volatile, and degrades pretty quickly: particularly when it gets too warm. The 12 months limit is probably half the actual usability under "good" storage conditions, but to be effective in the hands of all users it needs to be kept shorter for safety.

                Bad command or file name. Bad, bad command! Sit! Stay! Staaaay...

                "I have no idea what I did, but I'm taking full credit for it." - ThisOldTony
                "Common sense is so rare these days, it should be classified as a super power" - Random T-shirt

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                • F Foothill

                  Recently the news outlets here have been running stories on the increasing prices of life saving drugs, like the EpiPen[^]. Here in US they are charging $600 for a pack of two. I am curious to what the rest of the world pays for EpiPens.

                  if (Object.DividedByZero == true) { Universe.Implode(); } Meus ratio ex fortis machina. Simplicitatis de formae ac munus. -Foothill, 2016

                  P Offline
                  P Offline
                  Peter Somos
                  wrote on last edited by
                  #39

                  The price after National Insurance's subvention seems to be ~55 USD in Hungary, this is the price I should pay to buy it. Possibly some people can get it for free.

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                  • OriginalGriffO OriginalGriff

                    Not necessarily - epinephrine is volatile, and degrades pretty quickly: particularly when it gets too warm. The 12 months limit is probably half the actual usability under "good" storage conditions, but to be effective in the hands of all users it needs to be kept shorter for safety.

                    Bad command or file name. Bad, bad command! Sit! Stay! Staaaay...

                    C Offline
                    C Offline
                    Chris Quinn
                    wrote on last edited by
                    #40

                    It's probably cheaper in the UK because we use Adrenaline! :laugh:

                    ========================================================= I'm an optoholic - my glass is always half full of vodka. =========================================================

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                    • F Foothill

                      Recently the news outlets here have been running stories on the increasing prices of life saving drugs, like the EpiPen[^]. Here in US they are charging $600 for a pack of two. I am curious to what the rest of the world pays for EpiPens.

                      if (Object.DividedByZero == true) { Universe.Implode(); } Meus ratio ex fortis machina. Simplicitatis de formae ac munus. -Foothill, 2016

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                      D Offline
                      den2k88
                      wrote on last edited by
                      #41

                      10-20 € if not prescripted (aka: independently taken precautions), 1-2 € if prescripted. That's what taxes are for and the biggest costs for our SSN come from organized crime (a normal siringe costs 1c, in southern Italy they account 5c... from the same company with the same selling price) and scams like fake cancer cures from Literature graduates. Still it's cheaper this way and all in all the Italian hospital system ain't as bad as we think compared to the rest of the world. The real problem are the queues to access the SSN treatments and diagnosis - from 6 months to 2 years even for threatening situations. We have to thank all the 65+, as they have free access to the medical system and usually are hypocondriacs, and the extension to every clandestine immigrant of the SSN free of charge.

                      GCS d--- s-/++ a- C++++ U+++ P- L- E-- W++ N++ o+ K- w+++ O? M-- V? PS+ PE- Y+ PGP t++ 5? X R++ tv-- b+ DI+++ D++ G e++>+++ h--- ++>+++ y+++*      Weapons extension: ma- k++ F+2 X If you think 'goto' is evil, try writing an Assembly program without JMP. -- TNCaver When I was six, there were no ones and zeroes - only zeroes. And not all of them worked. -- Ravi Bhavnani

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                      • OriginalGriffO OriginalGriff

                        Not in Wales: prescriptions are all free.

                        Bad command or file name. Bad, bad command! Sit! Stay! Staaaay...

                        L Offline
                        L Offline
                        Lost User
                        wrote on last edited by
                        #42

                        OriginalGriff wrote:

                        prescriptions are all free

                        Only 'cause English taxes pay for them.

                        OriginalGriffO 1 Reply Last reply
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                        • L Lost User

                          OriginalGriff wrote:

                          prescriptions are all free

                          Only 'cause English taxes pay for them.

                          OriginalGriffO Offline
                          OriginalGriffO Offline
                          OriginalGriff
                          wrote on last edited by
                          #43

                          And Welsh taxes. The Welsh NHS tries to prioritise patients, rather than external company profits...hence why there aren't any car parking fees at Welsh hospitals either.

                          Bad command or file name. Bad, bad command! Sit! Stay! Staaaay...

                          "I have no idea what I did, but I'm taking full credit for it." - ThisOldTony
                          "Common sense is so rare these days, it should be classified as a super power" - Random T-shirt

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                          • F Foothill

                            Recently the news outlets here have been running stories on the increasing prices of life saving drugs, like the EpiPen[^]. Here in US they are charging $600 for a pack of two. I am curious to what the rest of the world pays for EpiPens.

                            if (Object.DividedByZero == true) { Universe.Implode(); } Meus ratio ex fortis machina. Simplicitatis de formae ac munus. -Foothill, 2016

                            R Offline
                            R Offline
                            Rage
                            wrote on last edited by
                            #44

                            In France, it is free.

                            Do not escape reality : improve reality !

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                            • S Super Lloyd

                              I wonder why it is so cheap? Since drug company in the US can charge whatever price they want and some have no competition and the US health department is forbidden by law to bargain...

                              A new .NET Serializer All in one Menu-Ribbon Bar Taking over the world since 1371!

                              R Offline
                              R Offline
                              Rage
                              wrote on last edited by
                              #45

                              Because Ill people must be able to buy them ! If they are not able to, they'll die and you lose customers. Ill people with long-term diseases who are able to pay for their drugs are cash cows.

                              Do not escape reality : improve reality !

                              S 1 Reply Last reply
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                              • F Foothill

                                Recently the news outlets here have been running stories on the increasing prices of life saving drugs, like the EpiPen[^]. Here in US they are charging $600 for a pack of two. I am curious to what the rest of the world pays for EpiPens.

                                if (Object.DividedByZero == true) { Universe.Implode(); } Meus ratio ex fortis machina. Simplicitatis de formae ac munus. -Foothill, 2016

                                R Offline
                                R Offline
                                Rage
                                wrote on last edited by
                                #46

                                This is not surprising. I suppose you heard about this [^]also.

                                Do not escape reality : improve reality !

                                F 1 Reply Last reply
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                                • R Rage

                                  Because Ill people must be able to buy them ! If they are not able to, they'll die and you lose customers. Ill people with long-term diseases who are able to pay for their drugs are cash cows.

                                  Do not escape reality : improve reality !

                                  S Offline
                                  S Offline
                                  Super Lloyd
                                  wrote on last edited by
                                  #47

                                  true that! :laugh:

                                  A new .NET Serializer All in one Menu-Ribbon Bar Taking over the world since 1371!

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                                  • OriginalGriffO OriginalGriff

                                    And Welsh taxes. The Welsh NHS tries to prioritise patients, rather than external company profits...hence why there aren't any car parking fees at Welsh hospitals either.

                                    Bad command or file name. Bad, bad command! Sit! Stay! Staaaay...

                                    T Offline
                                    T Offline
                                    Tomaz Stih 0
                                    wrote on last edited by
                                    #48

                                    OriginalGriff wrote:

                                    The Welsh NHS tries to prioritise patients, rather than external company profits...hence why there aren't any car parking fees at Welsh hospitals either.

                                    So, essentially, you might be paying more then someone else but you don't know that. :-\ Consequently you have less money available for other services (if government's health budget is limited and you spend 10 units on one service, you have 10 units less to spend on other services). Last but not least - trying to make a profit does not make a services more expensive. If that would be the case then we would all buy only at communist shops which would be full of high quality and cheap goods. Cause they would be "non-profit", like "more interested in feeding the hungry and world peace then profits", etc. In reality profits are a motor of innovation and improvement.

                                    OriginalGriffO 1 Reply Last reply
                                    0
                                    • T Tomaz Stih 0

                                      OriginalGriff wrote:

                                      The Welsh NHS tries to prioritise patients, rather than external company profits...hence why there aren't any car parking fees at Welsh hospitals either.

                                      So, essentially, you might be paying more then someone else but you don't know that. :-\ Consequently you have less money available for other services (if government's health budget is limited and you spend 10 units on one service, you have 10 units less to spend on other services). Last but not least - trying to make a profit does not make a services more expensive. If that would be the case then we would all buy only at communist shops which would be full of high quality and cheap goods. Cause they would be "non-profit", like "more interested in feeding the hungry and world peace then profits", etc. In reality profits are a motor of innovation and improvement.

                                      OriginalGriffO Offline
                                      OriginalGriffO Offline
                                      OriginalGriff
                                      wrote on last edited by
                                      #49

                                      I'd agree - except in the case of outsourcing from any government, where it tends to go to cronies of the ruling party, who are there purely for the short term profit and have no concern for the "clients". But this is getting political, which doesn't belong in the Lounge...

                                      Bad command or file name. Bad, bad command! Sit! Stay! Staaaay...

                                      "I have no idea what I did, but I'm taking full credit for it." - ThisOldTony
                                      "Common sense is so rare these days, it should be classified as a super power" - Random T-shirt

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                                      • F Foothill

                                        Recently the news outlets here have been running stories on the increasing prices of life saving drugs, like the EpiPen[^]. Here in US they are charging $600 for a pack of two. I am curious to what the rest of the world pays for EpiPens.

                                        if (Object.DividedByZero == true) { Universe.Implode(); } Meus ratio ex fortis machina. Simplicitatis de formae ac munus. -Foothill, 2016

                                        L Offline
                                        L Offline
                                        Lost User
                                        wrote on last edited by
                                        #50

                                        Foothill wrote:

                                        Recently the news outlets here have been running stories on the increasing prices of life saving drugs, like the EpiPen[^]. Here in US they are charging $600 for a pack of two. I am curious to what the rest of the world pays for EpiPens.

                                        Here[^] you go, an Australia article on it.

                                        Michael Martin Australia "I controlled my laughter and simple said "No,I am very busy,so I can't write any code for you". The moment they heard this all the smiling face turned into a sad looking face and one of them farted. So I had to leave the place as soon as possible." - Mr.Prakash One Fine Saturday. 24/04/2004

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                                        • R RTek23

                                          Nish Nishant wrote:

                                          they expire every 12 months, which I think is a scam.

                                          Are you willing to bet your life on that..... Just asking?:cool: Ken

                                          N Offline
                                          N Offline
                                          Nish Nishant
                                          wrote on last edited by
                                          #51

                                          If an expert lab can look into this and officially release a statement that it can certainly be used for say 24 months, I probably will.

                                          Regards, Nish


                                          Website: www.voidnish.com Blog: voidnish.wordpress.com

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