Standard Mischief

Archive for July, 2007

My crystal ball is cracked

Way back in January, I predicted that the Brady Campaign to Prevent Gun Ownership Blog would not last 48 hours without imposing some kind of dramatic censure of the comments. I was wrong, but only by about two orders of magnitude. They actually had relatively free and open comments for about six months!

Comments ran 10 to 1 against the Paul, frequently with cites and stats to back up their arguments, while Paul and his pitiful pro-Brady commenters ran with the usual half truths and outright lies.

Well, Paul’s experiment in freedom has ended. They have posted the following message:

In the coming weeks, we’ll be making some changes here at the Brady Blog.
Some changes will happen behind the scenes as we manage our staff and technology. Others will be more visible. Please bear with us as we roll out the next phase of the Brady Blog.

With that message, they have closed comments on every active post. It seems pretty clear to everyone what change #1 is going to be. I would imagine that the comments onslaught would continue over on Huffington Post, but I note that Paul’s last two entries have not been crossposted.

Sharp as a Marble has the highly recommended top ten list, and I was beat to the punch by Pro Gun Progressive, Snowflakes in Hell, and Say Uncle.

 Update 31jul07: As others (above) have noted, the new improve Brady Blog has the comments disabled. However, as of this moment, trackback seems to still be enabled. I won’t attempt to guess how long that will remain visible, but I suppose not too long. Although they did say “…changes will happen behind the scenes as we manage our staff and technology”, it seems that they are still stuck using WordPress 2.0.5. Hey Paul Helmke, what you are still using is vulnerable to Cross Site Scripting attacks. It’s well past time to upgrade. You should have done that back in January.

2007-07-28 13:59 by Standard Mischief, Filed under:deranged rants     No Comments

The woman with four names gets hitched.

No word on whether or not she now has five names.

Hmm, no photo either. (Update 28jul07: photo/post)

Well, since comments are off over there, consider this as me sending my warmest wishes.

2007-07-24 02:00 by Standard Mischief, Filed under:deranged rants     2 Comments

more on medical prices

Here’s a chart of prices that I have assembled so far:

Drug name, strength K-mart Shopper’s Wal-mart drugstore.com
Prevacid 30 mg   $163.95 $152.32 $141.99
Protonix 20 mg     $112.78 $123.09
Aciphex 20 mg     $152.46 $139.99
Nexium 20 mg $175.00 $154.95   $153.18
Nexium 40 mg   $154.95   $136.99
OTC Drug, strength K-mart Shopper’s Wal-mart drugstore.com
Prilosec OTC 20 mg   $19.28 [1]   $131.03
Omeprazole [4] 20 mg       $24.00
Ranitidine [4] 75 mg   $4.99 [2] $2.71 [3]  

All prices are for a 30 day supply, one per day.

[1] Prorated, price was $26.99 for 42 pills

[2] Prorated, price was $9.99 for 60 pills

[3] Prorated, price was $10.28 for 120 pills

[4] Generic

I’ve found that I can get ballpark quotes for scrip prices online at drugstore.com. This can be useful, as pharmacists seem to hate to give prices out over the phone. They are sometimes - but not always - the cheapest, but sometimes they have an anomaly, such as their price for OTC Prilosec. (I’ve included their price for generic Omeprazole 20 mg, though it’s still not as cheap as the brand name at Shopper’s. I imagine that they have some old stock left over from when it was prescription only, and patent protected. )

All of the above are proton pump inhibitors, except for the Ranitidine. I’ve included that because that’s what I use.

ranitidine, 75 mg, at Wal-mart

Yes, it’s hard to believe, but I’m satisfied with taking just one of these a day. I might take a second one if I’m going to a family get-together or something, but one little 9 cent pill preemptively takes care of any sour stomach problems I might have and retails at 50 times less than the Aciphex scrip I was taking before. There are several other OTC pills, but from research in my PDR and other sources, I’ve come to understand that this over the counter drug has the fewest side-effects. My doctor cleared my choice for daily use, although he said it was not as effective as my former prescription. That doesn’t matter, because it’s good enough for me and was less than half the cost of my former co-pay of $30/90 days.

So what’s my point here? I’m trying to demonstrate that having consumers pay the full market value of prescription drugs, instead of heaping the majority of the cost upon everyone else in the same insurance pool, can lead to a dramatic cost saving. That does not even take into account the effect of a large pool of consumers who suddenly start price shopping for medical services. I’m sure the standard economic rules will be in effect there too.

Is this switcharoo going to work for everyone? No, but the consumer choice of this pill over the pricey patented pill by a segment of the population will put downward pressure on the price of the prescription pills.

I’m not arguing that we should do away with medical insurance, I just think medical insurance ought to be more like a safety net rather than a hammock. Having the consumer pay for day to day ordinary expenses out of their own pocket creates a network-effect of driving down costs for everyone, while that safety net can kick in and cover any dramatic medical emergencies.

2007-07-14 16:18 by Standard Mischief, Filed under:not intended to diagnose, treat, cure, or prevent any d     No Comments

More on health care, specifically so called “lifestyle drugs”

First off, it’s July Fourth, so happy interdependent day!

Oh wait, I meant Happy Independence Day. Sorry about that.

So where was I? Oh, OK um, “lifestyle drugs”. Wikipedia defines them as “.. a medication designed to improve the patient’s quality of life by addressing relatively minor and non-life threatening conditions..” If you plug “lifestyle drug” into Google, the very first result is this blog, talking about Britain’s National Health Service (emphasis mine):

This is a pharmaceutical which is taken not to relieve or cure a medical condition, but to improve the quality of life of the person taking it. But there is dispute about what constitutes a medical condition that needs treatment and what is just cosmetic, discretionary or even unnecessary. The phrase is commonly used disparagingly by journalists, especially in Britain, where it is feared the cost of fashionable treatments may cause financial problems to the cash-strapped National Health Service. The matter has come up recently concerning Viagra, a new drug to treat male impotence that has created huge public interest both in the USA and Britain (though sales in the US are now reportedly already only a third of the level reached soon after its launch earlier this year).

So should our impending HillaryCare (Canadian style health care, single-payer health care, socialized medicine, universal health care…) cover “lifestyle drugs”? I suppose that depends on your special interest lobbying group. Perhaps the Feminists will compromise, as long as they get their unfettered right to one specific medical procedure, perhaps Viagra will be covered up to a certain number of pills a week. Of course, the chemotherapy people will call for wigs to be covered and we can’t forget the emergency response team of grief counselors that we’ll need to keep on hand so we can fly them in to any disaster.

If this is all starting to look like our bloated federal budget, well that’s the point. That’s why I’ve highlighted the “cash-strapped” part in the quote above. Also, if you drill down into the comments over at that post I’ve referred to over at Lean Left, you’ll see that even the proponents of the universal rationed health care whine about the inevitable underfunding of the program:

KTK Says:

The most telling point is that every single example cited, and virtually all of the issues commonly raised as objections to single-payer plans, is caused by one simple thing: lack of funds.

It’s not underfunding so much as every special interest group getting to throw their slice of pork on top of the steaming, festering pile. And then of course comes the decree to force everyone else to pay for it. That’s not even mentioning the fact that any government health care scheme would tend to reduce or eliminate any profit based desire to increase efficiency. But I suppose KTK is right in the fact that if we could magically fund government health care to unlimited levels, we would be able to offer fantastic care at the all-you-can-eat free health care buffet. Anything less than unlimited funding and you will get lines, rationing, and government mandated therapy restrictions.

So the other day I was talking about acid-reflux medication. Are they “medically necessary” or are they “lifestyle drugs”? Well, I suppose the reason why the drugs are so popular is not only the relief they provide, but the ability for the consumer to eat foods that they used to enjoy. I know my daily acid reducer keeps me in chili peppers, caffeine and chocolate, but I’d do just fine on a bland diet of steamed veggies, boiled barley, and poached chicken breast meat, sans any spices of course. It’s just that I’d hate to subsist on that diet. I’d hate far further having some bean counter somewhere deciding whether or not my chosen therapy is covered under some sort of cost control plan for our future socialized medicine system. That decision should be between myself and my doctor.

The solution, of course, is Health Savings Account (HSA) with a medical High Deductible Health Insurance plan. Under this system you, and not some faceless bean counter gets to decide whether or not extra birth control pills (so one could time one’s period) are covered or not. You get to decide if that expensive acid reflux pill is really worth the cost. You, and not some bureaucrat gets to decide how much extra of a critical lifesaving medicine you get to buy and store in advance of some possible emergency.

So what are these Health Savings Accounts? Well, first off I’d like to state that they are not the use-it-or-lose-it Medical Savings Accounts that may have be offered by your employer. Nope, they’re an entirely different critter. Beyond that, well I’m going to be going into that in another blog post.

This blog post was brought to you today by the lifestyle drugs Generally Recognized as Safe food additives: caffeine, taurine, and Yellow Dye Number 5.

2007-07-04 11:38 by Standard Mischief, Filed under:not intended to diagnose, treat, cure, or prevent any d     No Comments

catch it quick! Nexium on Ebay!

Ah yes! The Free Market again. Just think, every browser with my referrer string that I send ebay’s way is another vote to yank this illegal sale. Tisk tisk, fresheggsrus, you do not have the required government permission slip! Don’t you know that drugs of this caliber can only be safely dispensed by a licensed pharmacist?

http://cgi.ebay.com/7-Nexium-40-mg-40mg-Capsules_W0QQitemZ220120945524

Coral Cache

2007-07-01 21:17 by Standard Mischief, Filed under:not intended to diagnose, treat, cure, or prevent any d     No Comments

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