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Neural Foundry's avatar

Phenomenal breakdown of the pricing insanity. The copay card thing is wild because it exposes how much of healthcare pricing is just information asymetry. There's essentially a "secret menu" of discounts that only exist if you know they exist and have time to hunt for them. Most people who need meds urgently are exaclty the ones least able to navigate this maze.

Cameron Russell Armstrong's avatar

Thanks for sharing your thoughts and fully agree.

Realizing that everything can be negotiated to some degree is this bonkers “there is no spoon” moment.

Though it’s unfortunate we even have to realize that.

mc's avatar

Right on man

Michelle Akin's avatar

I rarely read anything that comes into my inbox lately but this had me glued to the screen. Thanks so much for sharing this. I know all about this nonsense because my late mother worked for a managed care company as a go-between for doctors and insurance companies, trying to make sure everyone was getting paid what they should. She even did some investigative work at one point and I went with her and we had to covertly get doctors to sign off on us looking through their records and we’re be on the floor in the file room after hours and stuff trying to prove fraud and such.

These days I opt out of pharma altogether in every possible way. In your situation though, I would have wanted that cream, too. Wow. You two did amazing work!!! This is great writing!!!

Cameron Russell Armstrong's avatar

Thank you for taking the time to read, the kind words, and for sharing your experience with your mother!

It’s so sad that the system designed for care is painful enough to make us want to opt out altogether (I basically do the same with my own health whenever I can)