To upgrade or not to upgrade
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@scottalanmiller said:
@Dashrender said:
Are you talking about private practices who serve the wealthy? then sure you're right - and that's definitely the case in hospital and health systems - but most GPs in the midwest are lucky if they clear $100K/yr.
The office or the doctor barely clears $100K? I've seen lots of doctors who end up with low take homes, but often because they throw it away running a business into the ground.
that's a completely different problem - many of them probably need an office manager who knows business. instead it's a failing of education that leads them to believe that they can open a small shop and only worry about the medicine side of the house, and the business side just crumbles.
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@Dashrender said:
that's a completely different problem - many of them probably need an office manager who knows business. instead it's a failing of education that leads them to believe that they can open a small shop and only worry about the medicine side of the house, and the business side just crumbles.
It's a "different" problem. But if a doctor can drive a business into the ground and still take home $100K, he's actually earning far more. The potential earnings of the business are his real earnings, not the $100K. That many choose to throw it away in that way instead of taking it home in a paycheck is purely their own prerogative and there is nothing technically wrong with that. But it does mean that we are paying doctors far too much that so many consider burning money a fun game. That's a level of rich that no one involved in healthcare should be.
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the name of the drug is Rimso
another name is DMSO -
@Dashrender said:
the name of the drug is Rimso
another name is DMSOYou pay approx.
$78.95Coverage info not available, thats straight up for 50 pills of RIMSO-50 500MG/G INJ
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@Dashrender said:
the name of the drug is Rimso
another name is DMSOWhoops, there it is as a generic, I'm not sure what the quantity is as 250 units is not descriptive. $7.19 after discount.
Edit: screen caps removed as I felt weird posting them.
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@MattSpeller said:
@Dashrender said:
the name of the drug is Rimso
another name is DMSOWhoops, there it is as a generic, I'm not sure what the quantity is as 250 units is not descriptive. $7.19 after discount.
Edit: screen caps removed as I felt weird posting them.
Where is that?
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@Dashrender said:
@MattSpeller said:
@Dashrender said:
the name of the drug is Rimso
another name is DMSOWhoops, there it is as a generic, I'm not sure what the quantity is as 250 units is not descriptive. $7.19 after discount.
Edit: screen caps removed as I felt weird posting them.
Where is that?
Not sure what you're referring to - the website is my health coverage from work showing what I'd pay for OTC/perscription meds.
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@MattSpeller said:
Whoops, there it is as a generic
Only thing that should exist, really. The idea of brand name chemicals is problematic to begin with.
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This whole problem is because of the drug companies and their demand for profit.
The drug came out and the drug company said - it's $600... Medicare says OK we'll pay $600 for say... 10 years...
during that 10 years Medicare discovers that the company only pays like $30 to make the product (I'm inventing numbers here)... so after the 10 years.. Medicare says enough is enough - drug company you've made enough money on this product we will now only pay $200. Doctors who don't want to lose $400 on this medicine stop prescribing it. after some undetermined amount of time, the drug company goes.. uh hey, why isn't anyone buying rimso anymore? OHHH because medicare is only paying $200 - ok we'll lower our price to $180 - then sales start again. etc etc over time until the consumer is probably paying only 5% over cost or something - think $5 generics.But what's worse (or at least just as bad) is when the drug company can change something stupid like the propellant in a drug and start the whole process all over again.
This happened to Alupent inhalers. They had to move away from CFC propellants. Before the move, the drug was $5 an inhaler, now it's at the top price rank again - I think I pay full price at $55 a unit.
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@Dashrender said:
Medicare discovers that the company only pays like $30 to make the product
Does that include the millions or even billions you have to pay for FDA bribes (I mean trials)?
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@Dashrender said:
This whole problem is because of the drug companies and their demand for profit.
The drug came out and the drug company said - it's $600... Medicare says OK we'll pay $600 for say... 10 years...
during that 10 years Medicare discovers that the company only pays like $30 to make the product (I'm inventing numbers here)... so after the 10 years.. Medicare says enough is enough - drug company you've made enough money on this product we will now only pay $200. Doctors who don't want to lose $400 on this medicine stop prescribing it. after some undetermined amount of time, the drug company goes.. uh hey, why isn't anyone buying rimso anymore? OHHH because medicare is only paying $200 - ok we'll lower our price to $180 - then sales start again. etc etc over time until the consumer is probably paying only 5% over cost or something - think $5 generics.But what's worse (or at least just as bad) is when the drug company can change something stupid like the propellant in a drug and start the whole process all over again.
This happened to Alupent inhalers. They had to move away from CFC propellants. Before the move, the drug was $5 an inhaler, now it's at the top price rank again - I think I pay full price at $55 a unit.
Yeah my inhaler went from $40 to $460
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@johnhooks said:
@Dashrender said:
Medicare discovers that the company only pays like $30 to make the product
Does that include the millions or even billions you have to pay for FDA bribes (I mean trials)?
You mean more doctors who just line their own pockets?
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@Minion-Queen said:
Yeah my inhaler went from $40 to $460
I'm sure mine was only $55 because of an in place insurance agreement.
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@Dashrender said:
@johnhooks said:
@Dashrender said:
Medicare discovers that the company only pays like $30 to make the product
Does that include the millions or even billions you have to pay for FDA bribes (I mean trials)?
You mean more doctors who just line their own pockets?
No the bureaucrats who actually make the decisions in the FDA.
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@johnhooks said:
@Dashrender said:
@johnhooks said:
@Dashrender said:
Medicare discovers that the company only pays like $30 to make the product
Does that include the millions or even billions you have to pay for FDA bribes (I mean trials)?
You mean more doctors who just line their own pockets?
No the bureaucrats who actually make the decisions in the FDA.
The FDA is made up of doctors though..that's why I said line their pockets/.
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@Dashrender said:
@johnhooks said:
@Dashrender said:
@johnhooks said:
@Dashrender said:
Medicare discovers that the company only pays like $30 to make the product
Does that include the millions or even billions you have to pay for FDA bribes (I mean trials)?
You mean more doctors who just line their own pockets?
No the bureaucrats who actually make the decisions in the FDA.
The FDA is made up of doctors though..that's why I said line their pockets/.
The Commissioner is appointed by the President. Consumer Safety Officers do the investigations and inspections.
Two of the guys from the big scandal in 89 were just chemists, but are still public employees (so it doesn't matter whether they are an MD or not).
