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Remember Obama Saying People With Pre-Existing Conditions Shouldn't Pay More? Yeah, Well...
Independent Journal Review ^ | February 15, 2014 | Mike Miller

Posted on 02/16/2014 8:59:13 PM PST by 2ndDivisionVet

Along with Barack Obama’s promise of “if you like your healthcare plan, you can keep your healthcare plan,” was his declaration that “people with pre-existing conditions shouldn’t be penalized.”

Yeah, well, that was then and this is now. People with serious pre-existing diseases, precisely those Obama said the “Affordable Care Act” would help, could find themselves paying for expensive drug treatments with no help from the healthcare exchanges.

Those with expensive diseases such as lupus or multiple sclerosis face something called a “closed drug formulary.” Dr. Scott Gottlieb of the American Enterprise Institute explains:

“If the medicine that you need isn’t on that list, it’s not covered at all. You have to pay completely out of pocket to get that medicine, and the money you spend doesn’t count against your deductible, and it doesn’t count against your out of pocket limits, so you’re basically on your own.”

But didn’t Obama pledge — multiple times — to help those with pre-existing conditions, a: get covered, and, b: control their cost of healthcare? Here’s the reality, according to Dr. Daniel Kantor, who treats MS patients and others with neurological conditions:

“So it could be that a MS patient could be expected to pay $62,000 just for one medication. That’s a possibility under the new ObamaCare going on right now.”

Moreover, Dr. Kantor worries that “this may drive more patients” to not buy their medicines, “which we know is dangerous,” he says. “We know MS can be a bad disease when you’re not treating it. When you’re treating it, for most people they handle it pretty well, but we know when you don’t treat (it), it’s the kind of disease where people end up in wheel chairs potentially.”

And so it continues. What began with the botched rollout of a website, continued with millions of health insurance cancellation notices, and will undoubtedly face a year when the other shoe continues to drop, we are in the midst of doing exactly what Nancy Pelosi infamously said before the bill became law: we are “finding out what’s in it” — and we don’t like it.


TOPICS: Business/Economy; Culture/Society; Government; Politics/Elections
KEYWORDS: abortion; deathpanels; drugs; obama; obamacare; socializedmedicine; zerocare

1 posted on 02/16/2014 8:59:13 PM PST by 2ndDivisionVet
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To: 2ndDivisionVet

Well, gee, it’s almost like the law was NEVER INTENDED TO HELP PEOPLE AT ALL.


2 posted on 02/16/2014 9:03:38 PM PST by Luircin
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To: Luircin

Agreed


3 posted on 02/16/2014 9:05:07 PM PST by Richard from IL
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To: 2ndDivisionVet

Certainly it’s more fair to make men and young Americans pay more than their fair share, right???

They cost the system less but pay the “same” as everyone else, except they don’t really.


4 posted on 02/16/2014 9:09:21 PM PST by a fool in paradise ("Health care is too important to be left to the government.")
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To: 2ndDivisionVet

It didn’t begin with the botched website rollout -it began with the bill that the Democrats passed. The botched website rollout was just the beginning of our finding out how bad it was.


5 posted on 02/16/2014 9:11:46 PM PST by Bob
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To: 2ndDivisionVet

I don’t remember his ever saying this. All he, Pelosi and Reid said was that ObamaCare was going to be a jobs program like the Job Corpse and was going to make da conomy “boom” again. People need to stop thinking ObamaCare is about health care. It’s about jobs. SEIU jobs.


6 posted on 02/16/2014 9:19:00 PM PST by FlingWingFlyer (As government expands, liberty contracts. - President Ronald W. Reagan)
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To: 2ndDivisionVet

I’m worried about my 70 YO spouse. She’s on medicare plus my retirement insurance but she has Parkinson’s and is on her second set of deep brain simulators. When the battery’s run down it’s 60K. She has a couple years to go... I don’t know if they will replace them next time...


7 posted on 02/16/2014 9:24:59 PM PST by babygene ( .)
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To: babygene

Truly an evil regime.


8 posted on 02/16/2014 9:26:28 PM PST by 2ndDivisionVet (I will raise $2M for Sarah Palin's next run, what will you do?)
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To: 2ndDivisionVet

Well, I’ve got a plan “b”.


9 posted on 02/16/2014 9:30:12 PM PST by babygene ( .)
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To: babygene

Mexico? Canada? The Philippines?


10 posted on 02/16/2014 9:31:47 PM PST by 2ndDivisionVet (I will raise $2M for Sarah Palin's next run, what will you do?)
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To: Luircin

Agreed. The price of that “free” healthcare may be your LIFE!


11 posted on 02/16/2014 9:33:42 PM PST by Frank_2001
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To: 2ndDivisionVet

Howitzers?


12 posted on 02/16/2014 9:34:10 PM PST by MrEdd (Heck? Geewhiz Cripes, thats the place where people who don't believe in Gosh think they aint going.)
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To: MrEdd

Huh?


13 posted on 02/16/2014 9:35:41 PM PST by 2ndDivisionVet (I will raise $2M for Sarah Palin's next run, what will you do?)
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To: 2ndDivisionVet

Cat’s out of the bag. This is the part where we see who makes the cut.


14 posted on 02/16/2014 9:38:17 PM PST by enduserindy (A painted trash can is still a trash can.)
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To: 2ndDivisionVet

This is grossly misleading.

There is an exceptions process for non-formulary medications based on medical need. The physician has to make a case and justify the use. Then it is covered like a brand name. Same as it’s always been.


15 posted on 02/16/2014 9:39:33 PM PST by steve86 (Some things aren't really true but you wouldn't be half surprised if they were.)
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To: 2ndDivisionVet

The proper plan B for eliminating Obamacare.
If the ballot box fails only idiots will just die helplessly, or rely on small arms.


16 posted on 02/16/2014 9:39:47 PM PST by MrEdd (Heck? Geewhiz Cripes, thats the place where people who don't believe in Gosh think they aint going.)
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To: 2ndDivisionVet

Nope... None of the above. There just LI batteries. They are sealed inside a titanium shell and are not replaceable. But of course they are... And they are implanted just under the skin. And, I insisted when they replaced them the last time, that since “I” paid for them, I wanted to old ones. After a bit of fighting I got them. They plug in just like any modern device with a plug. If worst comes to worst, I can replace the batteries and I can do the surgery to replace them. I am an Engineer after all.


17 posted on 02/16/2014 9:42:43 PM PST by babygene ( .)
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To: babygene

Just a FYI:

Medical Tourism Philippines (MTP)
http://www.rxpinoy.com/medicaltourismphilippines/


18 posted on 02/16/2014 9:47:14 PM PST by 2ndDivisionVet (I will raise $2M for Sarah Palin's next run, what will you do?)
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To: steve86

“This is grossly misleading.”

And... the buzzing of the bees and the cigarette trees and the soda water fountain. The lemon-aid springs where the blue birds sing on the big rock candy mountain.


19 posted on 02/16/2014 9:48:00 PM PST by babygene ( .)
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To: 2ndDivisionVet

Thanks but She will die without these devices... They would still have to replace them. Medtronics, the manufacturer is laying off thousands because of the new tax on these things.


20 posted on 02/16/2014 9:53:10 PM PST by babygene ( .)
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To: 2ndDivisionVet

Dang... that kenyan commie lied again... who would have thunk it?


21 posted on 02/17/2014 3:48:21 AM PST by LibLieSlayer (FROM MY COLD, DEAD HANDS! BETTER DEAD THAN RED!)
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To: 2ndDivisionVet

Since (almost) everyone seems to agree that you should still be able to buy “insurance” against sickness even if you are already sick (which is not insurance at all, of course), we might as well nationalize and get it over with.


22 posted on 02/17/2014 3:50:32 AM PST by Jim Noble (When strong, avoid them. Attack their weaknesses. Emerge to their surprise. E)
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To: steve86

“There is an exceptions process for non-formulary medications based on medical need. The physician has to make a case and justify the use. Then it is covered like a brand name.”

In industry when you want to appear to be cooperating but you don’t want something to happen you kill it by doing “the slow roll.” (Also, “killing it with yes” or “Yessing it to death.”) One method is to create difficult paperwork that you have no intention of processing. There was an article on FR yesterday about doctors quitting private practice and going to work for hospitals because of their increased paperwork. A doctor is going to see many more patients under the ACA. Just the standard paperwork is now tremendous. A nurse once told me my doctor had stopped writing pain medicine prescriptions because the DEA made him write a letter with each one and provide patient records. So his patients were in constant pain. (Yes, there was probably a problem as he left town with no notice.) But the point I his patients suffered as a direct result of DEA required paperwork. So, how many doctors simply won’t even mention medicine that will require them to give up their own time to justify?


23 posted on 02/17/2014 3:52:50 AM PST by Gen.Blather
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To: steve86
The physician has to make a case and justify the use

Yeah, sure.

As a sideline, I run a clinic for people going overseas.

Usually, their malaria meds are not covered, unless I "make a case and justify the use".

This process of "making the case" takes between 30 and 120 minutes depending on the insurer, the day of the week, and the time of day.

If I had to do this once every six months, it would be an imposition. Twenty times a week, it is an impossibility.

Of course, the insurers blame me.

24 posted on 02/17/2014 3:54:44 AM PST by Jim Noble (When strong, avoid them. Attack their weaknesses. Emerge to their surprise. E)
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To: babygene

You and many others will become medical tourists. You’ll probably go to India.


25 posted on 02/17/2014 3:57:03 AM PST by Gen.Blather
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To: 2ndDivisionVet
But didn’t Obama pledge — multiple times — to help those with pre-existing conditions, a: get covered, and, b: control their cost of healthcare? Here’s the reality, according to Dr. Daniel Kantor, who treats MS patients and others with neurological conditions:

Yes, and they even came up with a cute marketing slogan for it too - "job lock" - being locked into your job to keep the insurance. Pelosi mentioned it as recently as last week.

26 posted on 02/17/2014 4:55:19 AM PST by Cyclone59 (Where are we going, and what's with the handbasket?)
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To: Jim Noble

I don’t doubt your experiences requesting exceptions but I know that in two recent cases in the family (Fosamax => Prolia for my elderly mother) and (Effexor => Effexor XR) for me, getting the exception was no big deal. The Prolia is $$$$ as you know. In my case the nurse made the phone call and sent the FAX and I suspect the same of my mom’s clinic.

Besides, I was trying to point out to people that a closed formulary isn’t really as closed as the article makes it out to be.


27 posted on 02/17/2014 12:07:34 PM PST by steve86 (Some things aren't really true but you wouldn't be half surprised if they were.)
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To: Gen.Blather

Sorry I missed your comment earlier. Yes, the barriers to opiate treatment are really formidable, especially in a state like mine (WA), where the legislature has been gung-ho on this.

But I don’t see where Obamacare (”exchange”) policies are much different from older policies with respect to formulary exceptions.


28 posted on 02/17/2014 12:24:15 PM PST by steve86 (Some things aren't really true but you wouldn't be half surprised if they were.)
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