Skip to comments.Denver boy, 9, died after state-benefits error denied him asthma medication
Posted on 02/04/2010 2:35:27 PM PST by Second Amendment First
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I really feel sorry for this situation, but you are right there is more wrong here that the stupid state.
I would have been in the state office and the doctors office every day until I had the medication in hand. And if that did not work, I would have contacted the Action News, my legislators, the governor, etc. etc.
The primary care doctor should have had samples, and he should have told the woman how to get them directly from the company through the direct medical assistance program.
Low income people can get medicine directly from the company for $10 for a 3-month supply. Our local FQHC even fills out the data and sends in the application for them.
My dad’s primary care physician prescribed advair for him, but his pulmonologist said to stop taking it, because over the long run, it would make his situation worse.
It remains to be seen what all the factors are in this case, but it is so sad - I feel so sorry for this woman.
It is very sad. Like I said, I think there were other avenues for her. But, like many public assistant recipients (remember those in NO without cars to evacuate with a deadly storm was looming down on them because they had become victims of the state), it doesn’t seem like she knew of other avenues. The government knows and does all, you see.
Boy I feel for your situation. But thank you for helping others when you can. I never take samples when I get meds from my doctor because I have good insurance and I know that those meds would do good for others not as lucky as I am.
The problem is that this occurred over the course of four months. It’s not like she had to come up with it overnight.
Frankly I think this woman should be charged with child abuse resulting in death because it went on for four months.
I had mentioned that I was surprised that he was not managed with Cheap prednisone pills.
There is little help in healthcare these days, One has to be a knowledgeable advcate. If it is not reportable, it is not necessary. It is not a physican’s problem that there is not access to medication. The nanny state is supposed to and usualy does provide.
Actually, I think that I mentioned about the Prednisone as well in an upthread post.
You are absolutely right about having to be one’s own advocate.
As for it not being the physician’s problem, that’s half right. The physician, nurse, and pharmacist have no control over what insurance, Medicare, or Medicaid pays. However, the physician does have the ability to modify treatment to fit within what the insurance will pay for.
There is a discrepancy in the article. It says that he was taking his “other inhalers and nebulizers”, yet the same article said that the Walgreen’s pharmacist told the mom that he wasn’t eligible for pharmaceutical benefits.
I deal a lot with pharmacies and these types of problems. The pharmacists are inundated with trying to untangle insurance issues for many, and don’t have the time for attention to detail. It’s easier to tell the customer that “the insurance doesn’t cover it”, etc, yet if they make a call, they usually can get it straightened out. I can’t tell you how many calls I get from pharmacists who tell me a Medicaid patient needs a prior auth on a patient, and when I call, it turns out that it was a billing issue. Then again, the way the reimbursement/billing system is set up with Medicaid in my state, a generic message is given, and the pharmacist just dumps the problem on the prescribing doc’s office.
yep, and the poor kid suffered for months, and then paid the ultimate penalty.
I have to allow for facts I do not know. Presuming that everything we’ve heard is accurate and complete, I agree.
It really is mindboggling. I can’t wrap my motherhood-soaked head around it.
Death panels. Even when theyre not even supposed to be doing that”....
While it was CLEARLY the government that let this family down, the family was used to post this video IN FAVOR of Obamacare:
Notice in the video how the sister advocates for the socialized sharing of medicine for everyone.