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[–] 126 points 2 years ago (3 children)

My spouse struggled with a medical condition for years and was lucky to finally get a prescription for something that actually resolved the problem. The medication was expensive ($1000+ a month), but since we literally tried everything else, insurance would “let” it be covered.

Then I lost my job and had to move over to a new company’s insurance plan. And they won’t cover it.

The fact that your employment in the US determines what medical care you can get is absolutely bonkers.

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  • [–] 31 points 2 years ago (5 children)

    A medication being more expensive usually indicates rarity. This means the instance of required coverage by insurance companies is also rare. The fact any medication, needed to mitigate the risk of simply being born, might not be covered by “insurance” is bonkers.

    I think we need to start a new industry to take it to insurance companies every time they deny coverage. Bury them in complaints and legal actions. Go so hard on every case that they give in immediately upon seeing the letterhead.

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  • [–] 15 points 2 years ago

    My medicine is $1,500 a month without insurance. It’s a bipolar medication. It doesn’t indicate rarity, it indicates greed. They could easily sell it for half the price and still make money.

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  • [–] 13 points 2 years ago

    It’s important to keep in mind that this rarity is often artificial scarcity by the pharmaceutical companies. There are some conditions which are rare, but have treatments that have been available for decades now with generics on the market for years. They simply don’t produce much of those meds, even though it’s cheap to do so, in order to artificially inflate the market price.

    Insurers are complicit in this scheme because they don’t push back on this practice at all. Without single payer, we have no negotiating force to get pharmaceuticals to produce drugs in an affordable way, so they can manipulate the market however they please. It’s absolutely depraved.

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  • [–] 2 points 2 years ago (1 child)

    Most meds take dollars to make. It ain't rarity.

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  • [–] 1 point 2 years ago

    That's their point. If I need to setup a production facility but there's only demand for a thousand doses a year, then the long term capital costs are going to drive the unit price up.

    But there's also greed. Stuff that's a dollar to make and a thousand dollars to use.

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