Drugs

I found this in the comments over at Corrente and wanted to share it:

Insurance companies reserve the right to make changes to their formularies at any time, but are supposed to notify you and allow you one month's supply of your current drug in order to give your medical provider the opportunity to "pre-authorize" your access to said drug. Your doctor cannot simply write a letter saying "I'm the doctor by god, and I want the patient to have this drug". No, he must provide evidence that he has "stepped" you. Stepped means that he/she has tried you on "approved" A, B and C drugs to little or bad results first.

Now, A and C may no longer be on the formulary, so they don't count, so he/she has to find out what approved drugs are on the formulary so that he/she can say that they have been tried and if that is true, or he/she will say it is true, then it will go to the Pre-Authorization department.

If the PA department can't sort it, say because your diagnosis does not fit neatly into what the insurance company says the drug can be used for, albeit that it works for what ails you, the application goes to the in-house pharmacist. The in-house pharmacist (average salary $90,000 per annum) will make the final decision based on following company guidelines and keeping his/her job. If the decision is that you get the drug, then said drug will be approved for you as "off formulary", moved to class 3 and if your co-pay was $25.00, it will now be $60.00 or more.

If the drug is not approved, then you will be properly stepped with the ineffective, approved drugs before your pre-authorization can be reconsidered. After you have been stepped, the drug will still be off formulary and the co-pay will still be increased. It sucks and I am so sorry.

Signed Anguished in the PA Department - United Health Insurance Inc



Mike's Blog Roundup

Emptywheel: Former Sen. Bob Graham says the CIA is making sh*t up. Holy Joe says they always told him the truth.  At least one Republican disagrees...sometimes. Still, I applaud the Wingnutosphere's sudden, inexplicable desire for accountabilty.

Hit & Run: Drug Czar calls for an end to the 'War on Drugs'

The Brad Blog: Rove to be questioned by Special Prosecutor on U.S. Attorney firings today

Happy Valley News Hour: The Fanboyification of the GOP

The Reaction: Does anybody really give a damn other than the "variable values" lunatics?

The Political Carnival: Scouts train to fight terrorists


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Friday morning on CNN Kiran Chetry spoke with Arizona's AG Terry Goddard about the raging drug war taking place along our southern border and how U.S. gun and drug laws are perpetuating the violence.

Since George Bush allowed the assault weapons ban to expire, the gun smuggling trade in the U.S. has skyrocketed and many of these weapons are ending up in the hands of Mexican drug lords and are responsible for thousands of murders. The right has been going bonkers, warning Democrats want to take everyone's guns from them and turn us into a nation of dopers, but it's high time they admit that our gun laws are aiding drug cartels and making it possible for them to get more drugs into our country.

Goddard points out that the vast majority of the drug cartel's income comes from the sale of marijuana which begs the questions - is it time to reinstate the assault weapons ban and legalize pot? Both President Obama and AG Eric Holder have said they want to reinstate the assault weapon ban, hopefully they will be successful. As for the legalization of pot, I think the time has come.


Larry Kudlow Shows His Compassionate Conservative Side

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On Washington Journal, Larry Kudow is asked about the unfairness of a the caller's seventeen year old grandson being sent to prison for a year for buying marijuana when those like Rush Limbaugh got off Scott free for their drug possessions and Kudlow's response is to send the kid to AA. Kudlow had some other less than friendly callers that morning as well. The entire interview for anyone with the stomach for it can be found here.

Hopefully the important issue the caller was trying to get to before being cut off by C-SPAN is one that our incoming administration will treat a bit differently as noted in this recent Washington Post article.

A recent report by the Government Accountability Office, commissioned by Sen. Joe Biden, has come to an unsurprising conclusion: After more than $6 billion spent, the controversial drug control operation known as Plan Colombia has failed by large margins to meet its targets.

The goal had been to cut cocaine production in Colombia by 50 percent from 2000 to 2006 through eradication of coca crops and training of anti-narcotics police and military personnel. In fact, cocaine production in Colombia rose 4 percent during that period, the GAO found. With increases in Peru and Bolivia, production of cocaine in South America increased by 12 percent during that period. In 1999 it cost $142 to buy a gram of cocaine on the street in the United States, according to inflation-adjusted figures from the U.N. Office on Drugs and Crime. By 2006 the price had fallen to $94 per gram.

President-elect Barack Obama won his historic victory by promising pragmatic, results-oriented solutions aimed at the common good. The recent report demonstrates that Plan Colombia does not fit those criteria.

Follow this link to read the rest of the article: Wasting Drug War Resources.


Audio and more from Media Matters:

On the August 19 broadcast of his nationally syndicated radio show, Rush Limbaugh said that "it is striking how unqualified [Sen. Barack] Obama is and, and how this whole thing came about with, within the Democrat [sic] Party. I think it really goes back to the fact that nobody had the guts to stand up and say no to a black guy." Limbaugh went on to say: "I think this is a classic illustration here where affirmative action has reared its ugly head against them. It's the reverse of it. They've, they've ended up nominating and placing at the top of their ticket somebody who's not qualified, who has not earned it." Limbaugh added: "It's perfect affirmative action. And because of all this guilt and the historic nature of things, nobody had the guts to say, well, wait a minute, do we really want to do this?" Read on...

Yes, someone should have told this young, uppity negro to STFU and know his place in American society. You knew he was a baby killer, right?

Rush is a racist pig, we all know that. We knew long ago that the Republicans weren't going to go down without a fight and that this election cycle was going to yield some of the ugliest politics in modern history -- this is what it looks like. The stench of desperation makes this even more pathetic, as Limbaugh and the party he so diligently carries water for, take their nose dive into the political dustbin.