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    Between the promise and the rescission. (5.00 / 1) (#1)
    by Addison on Mon Nov 16, 2009 at 08:38:45 AM EST
    NYT: Drug Makers Raise Prices in Face of Health Care Reform

    Between the idea / And the reality

    Even as drug makers promise to support Washington's health care overhaul by shaving $8 billion a year off the nation's drug costs after the legislation takes effect, the industry has been raising its prices at the fastest rate in years.

    Between the motion / And the act

    Drug makers say they have valid business reasons for the price increases.

    Falls the Shadow

    Critics say the industry is trying to establish a higher price base before Congress passes legislation that tries to curb drug spending in coming years.

    Between the conception / And the creation

    ...the drug makers have been proudly citing the agreement they reached with the White House and the Senate Finance Committee chairman to trim $8 billion a year -- $80 billion over 10 years -- from the nation's drug bill by giving rebates to older Americans and the government.

    Between the emotion / And the response

    But this year's price increases would effectively cancel out the savings from at least the first year of the Senate Finance agreement. And some critics say the surge in drug prices could change the dynamics of the entire 10-year deal.

    Falls the Shadow

    A Harvard health economist, Joseph P. Newhouse, said he found a similar pattern of unusual price increases after Congress added drug benefits to Medicare a few years ago, giving tens of millions of older Americans federally subsidized drug insurance. Just as the program was taking effect in 2006, the drug industry raised prices by the widest margin in a half-dozen years.


    of course (5.00 / 1) (#5)
    by cpinva on Mon Nov 16, 2009 at 09:10:52 AM EST
    they have valid business reasons for raising the prices of their drugs, to make more money. that's a valid business reason, like round is a shape.

    they're just following the lead of the credit card companies, raising rates, adding on fees, etc., in anticipation of a brief lull, as new legislation, limiting their ability to rape and pillage, kicks in.

    Parent

    Don't get too excited (none / 0) (#6)
    by Samuel on Mon Nov 16, 2009 at 09:21:49 AM EST
    they're about to make more money than ever if the government will be subsidizing generics.  Halliburton money haha.  

    Parent
    How to subsidize Pharma (none / 0) (#8)
    by MO Blue on Mon Nov 16, 2009 at 09:39:06 AM EST
    at the expense of Medicare and people who need health care. Brought to you curtesy of Obama and the Democratic senate.

    But Professor Schondelmeyer's analysis -- which found prices for the name-brand drugs most widely used by the Medicare population rising by 9.3 percent in the last year, the fastest rate since 1992 -- is in line with the findings of a leading Wall Street analyst, too.


    Parent
    Medicare name brand drugs (none / 0) (#18)
    by Manuel on Mon Nov 16, 2009 at 11:25:38 AM EST
    Are there cheaper generic equivalents for most drugs?  Are there savings (but no incentives) if patients opt for generic?

    Parent
    No generics for (5.00 / 1) (#36)
    by gyrfalcon on Mon Nov 16, 2009 at 02:57:58 PM EST
    newer drugs, only older ones (20 years or something like that).  Sometimes the older drugs do fine for simpler health problems, but a lot of the time newer ones are better able to solve the problem with fewer side effects.  This is very vividly the case with heart and circulatory system problems.

    Anybody who pays extra for brand-name aspirin is a fool, IMHO, but digitalis won't fix atrial fibrillation.

    Also, generics are in many cases NOT identical to the original prescription drugs because they often use different "inactive" ingredients to put them into pill form.  This is particularly a problem with time-release drugs, which are often prescribed for the elderly (easier to get them to remember to take one pill a day instead of three or four).

    Because their systems are changing and winding down and becoming more fragile, the elderly tend to have more and worse weirdo side effects from stuff.

    Elderly medicine is in many areas quite different.  Symptoms often aren't the same, nor is physiological response to drugs and other treatment.

    Parent

    Co-pay is 1/3 for generic as opposed to (none / 0) (#20)
    by oculus on Mon Nov 16, 2009 at 11:37:16 AM EST
    non-generic prescription.  At least on my supplemental plan.

    Parent
    In my experience, there are not (none / 0) (#21)
    by MO Blue on Mon Nov 16, 2009 at 11:38:31 AM EST
    generic equivalents for most of the newer drugs since they still maintain patent rights. My doctors always specify that a generic can be substituted when available. This could be SOP for many physicians.

    Parent
    Who could have predicted? (none / 0) (#13)
    by ruffian on Mon Nov 16, 2009 at 11:07:17 AM EST
    I am starting to think that the best result of this so called reform (aka debacle) will be to show the need for a single payer system so starkly that it can no longer be denied. I think it will eventually do for the insurance companies and the rest of the medical-industrial complex what Hurricane Katrina did for George W. Bush.

    Unfortunately it will be a slower moving storm and health care costs will sink the economy before people wake up.

    Parent

    Krugman today (5.00 / 2) (#2)
    by Militarytracy on Mon Nov 16, 2009 at 08:53:54 AM EST
    Third Best Macro Policy is depressing as hell.  And he says that when he is asked why he isn't even making the same arguments that he made for Japan's recovery a decade ago, that he isn't right now because those arguments will not even be listened to until things worse.  Therefore I guess he isn't going to waste his breath.  Sometimes though, I do wish that he and Stiglitz would go on a breath wasting blitz for like a week or so.......and then post that that's how it really is but I guess we'll return to the parallel universe that nobody else is ready to leave yet.  Perhaps people would move into the let's do something completely different column faster.  Probably not though huh?  Whenever you tell people anything they don't want to hear they will immediately rally to protect what is familiar and known no matter how doomed in the end it all is.

    What is his definition of liquidity? (none / 0) (#7)
    by Samuel on Mon Nov 16, 2009 at 09:26:56 AM EST
    Increase lending so that holding dollars for any period of time becomes a losing bargain?  Wouldn't that destroy the US Treasuries market?  

    Parent
    Thanks for making my point :) (5.00 / 1) (#10)
    by Militarytracy on Mon Nov 16, 2009 at 10:28:58 AM EST
    I'm not sure if I did. (none / 0) (#16)
    by Samuel on Mon Nov 16, 2009 at 11:09:10 AM EST
    Can you explain?  

    Parent
    Review of "The Ground Truth" (5.00 / 1) (#11)
    by oculus on Mon Nov 16, 2009 at 10:48:02 AM EST
    re what the Bush admins. sd. it did in immed. reaction on 9 11 and what it really did, or didn't, do.

    NYT

    this is so cool (5.00 / 1) (#19)
    by Capt Howdy on Mon Nov 16, 2009 at 11:27:46 AM EST
    AP re poll of health care reform. (5.00 / 1) (#28)
    by oculus on Mon Nov 16, 2009 at 01:00:33 PM EST
    Surprise, depends on the question.  (I don't "do" crosstabs.}

    link

    Infidels (5.00 / 1) (#45)
    by DancingOpossum on Tue Nov 17, 2009 at 10:28:39 AM EST
    They attack and kill us because we are infidels to them and that is what you do to infidels if you choose to.  

    They hate us for our freedoms!

    Our decades-long policy of murder, rampage, invasion, deadly sanctions, and all-out financial and military support for another ME country that routinely invades, oppresses, threatens, and murders them...These have NOTHING to do with their rage.

    And Glenn is off the rails...? OK.

    Obama incarnation. (none / 0) (#3)
    by lentinel on Mon Nov 16, 2009 at 09:00:56 AM EST
    Under the caption, "World Leaders Put Off Copenhagen Climate Change Treaty", there is an amusing photo of Obama in China standing among Chinese officials on the front page of HuffPo.

    It reminds me of "Zelig" - the character who morphs into whomever he is around.

    The photo is toward the bottom of the page.

    Oops (none / 0) (#4)
    by lentinel on Mon Nov 16, 2009 at 09:06:06 AM EST
    The photo referred to above was taken in Singapore.
    The others in the photo are APEC leaders.

    Photo

    Parent

    Remember the tax credit we got? (none / 0) (#9)
    by jbindc on Mon Nov 16, 2009 at 10:18:34 AM EST
    Well, you might have to pay part of it back when you file your taxes.

    Millions will have to repay part of tax credit
    Stephen Ohlemacher / Associated Press

    Washington -- More than 15 million taxpayers could unexpectedly owe taxes when they file their federal returns next spring because the government was too generous with their new Making Work Pay tax credit.

    The Treasury Department's inspector general for tax administration issued a report Monday saying that taxpayers are at risk if they have more than one job, are married and both spouses work, or receive Social Security benefits while also earning taxable wages.

    The tax credit, which is supposed to pay individuals up to $400 and couples up to $800, was President Barack Obama's signature tax break in the massive stimulus package enacted in February. Most workers started receiving the credit through small increases in their paychecks in April.



    Of course (none / 0) (#15)
    by ruffian on Mon Nov 16, 2009 at 11:08:56 AM EST
    Most people don't understand the meaning of the words 'tax credit'. It is not a tax reduction.

    Parent
    The only example that might not feel the (none / 0) (#23)
    by Inspector Gadget on Mon Nov 16, 2009 at 12:03:48 PM EST
    crunch on this is the married couples where both work.

    But, the people who are on SS and still having to work, and the lucky people who need to work two jobs to make ends meet get to forget the mini-relief effort. Sweet.

    Parent

    saw 2012 sunday (none / 0) (#12)
    by Capt Howdy on Mon Nov 16, 2009 at 11:05:18 AM EST
    wow
    what a crappy movie.  amazing effects.  almost worth the price of admission but wow.  what a crappy movie.


    The execellent podcast ... (none / 0) (#25)
    by Robot Porter on Mon Nov 16, 2009 at 12:13:04 PM EST
    "The Hollywood Saloon" had a episode called "CGI Porn" in which they suggested that 2012 shouldn't have any dialog, and should just be a two hours of CGI destruction.

    Parent
    35 minutes (none / 0) (#29)
    by Capt Howdy on Mon Nov 16, 2009 at 01:11:04 PM EST
    would have dont it

    Parent
    My 11 year old male tutoree and his (none / 0) (#46)
    by oculus on Tue Nov 17, 2009 at 10:54:34 AM EST
    9 year old nephew loved the move.  But wanted everyone to die in the end!

    Parent
    Noisy lover loses sex appeal (none / 0) (#14)
    by Capt Howdy on Mon Nov 16, 2009 at 11:08:34 AM EST
    A British woman has lost her appeal against a ban on her noisy sex sessions, after a court heard how her marathon romps that kept neighbours awake sounded like someone being murdered.

    Ha! (5.00 / 4) (#17)
    by ruffian on Mon Nov 16, 2009 at 11:10:24 AM EST
    But did she lose her sex appeal?

    Parent
    Michelle Obama assures a group of (none / 0) (#22)
    by oculus on Mon Nov 16, 2009 at 11:39:04 AM EST
    women at the White House Medicare coverage will remain in tact.  (Per LA Times politics blog with transcript.)

    I just love the way they are parsing this. (5.00 / 3) (#26)
    by Anne on Mon Nov 16, 2009 at 12:17:34 PM EST
    The coverage isn't changing, but there's a good possibility there won't be as many providers who accept the insurance.

    What does this mean?  It means you go to the doctor, you pay whatever the full charges are, and then you submit your bills to Medicare and get the reimbursement directly.

    It also means that seniors who cannot afford to lay out hundreds of dollars up front to a provider may not get the care they need and are "covered" for.

    I can hardly wait for the cries of "Medicare's not working" and "See what happens when the government tries to run health care" that will erupt, and, in the hands of a real conservative - as opposed to Blue Dogs and Dem-Lite presidents like Obama - it would not surprise me if Medicare's existence became precarious, and in reeal danger of being privatized.

    We may all have "coverage" under some kind of insurance policy, but the real question no one's asking is, will that mean that actual CARE is accessible and affordable?

    Parent

    Well, it looks like we have to work on (none / 0) (#27)
    by KeysDan on Mon Nov 16, 2009 at 12:50:06 PM EST
    one of the major hopes for efficiencies that will enable "savings" to stabilize Medicare as well as to finance extension to those under 65.  There is "wide agreement", according to the NYT, that conversion from ink and paper will bring better care and lower costs. However, a new study conducted at Mass General comparing adoption at various stages  of conversion at 3,000 hospitals has found little difference in the cost and quality of care. The new study placed hospitals into three groups: full-featured electronic records, basic, and no computerization The differences, to date, are insignificant. For example, for the criterion of hospital stays, in case l, the average length of stay was 5.5 days, case 2, 5.7, and case 3, 5.7. While electronic records will bring improvements,probably over a longer time period than expected, efforts and incentives will need to be given to helping providers use new technology effectively.

    Parent
    Did this study (none / 0) (#37)
    by gyrfalcon on Mon Nov 16, 2009 at 03:10:10 PM EST
    cover both smaller community hospitals and big metro teaching hospitals, and if so, did they break out the statistics?

    From my experience with my mother's numerous hospitalizations in her last years, electronic record-keeping would have saved a bundle at the big teaching hospitals, where there are far, far too many staff dealing with each patient to keep track of everything that was going on, and my mother's hospital stay stretched out from what should have been three days for a routine procedure to 11 days because of various screw-ups that were a direct result of repeated communications failures among the staff.

    OTOH, her stays in smaller community hospitals not packed with interns and residents and attendings and this and that were smooth as silk.

    Parent

    The study cited was to be presented today (none / 0) (#42)
    by KeysDan on Mon Nov 16, 2009 at 07:19:37 PM EST
    in Boston by the key author Dr. Ashish Jha, of the  Harvard School of Public Health. The NYT reporting does not provide information on the sample other than to state its size, 3000.  Dr. Jha did note that most of the evidence for gains from technology have come from  looking at an elite group of large, high performing health providers (e.g., Mayo Clinic, Kaiser).  But this study suggests that the these exceptions point to the long-term potential of electronic health records, if properly used. However, it seems that a broader spectrum of institutions will require extra effort  and be  given more time than originally expected to achieve results. Actually, this new study is a further step to findings reported earlier this year in the New England Journal of Medicine (Vol. 360:1628-1638, April 16, 2009, No.16). This study was funded by the Robert Wood Johnson Foundation and the US government.  The survey of the April findings specifies the participating hospitals as all acute care, general medicine/surgery.

    Parent
    The Republican rant is in two areas (none / 0) (#24)
    by joze46 on Mon Nov 16, 2009 at 12:08:47 PM EST
    First, bringing the terrorist trial to New York will target America. Pretty lame since America was already a target; here Al Qaeda already took out the Twin Towers and more not covered totally by mainstream media. Americans are brave and we all need a learning experience besides watching the Mainstream media that already claiming to sensationalize to make a circus or zoo out this horrible thing. Typical rhetoric from a media that has been key player in the war mess. But can with the internet over sight produce truth and honesty and show America what is really happening.

    Whats really funny is that Al Qaeda earlier tried to blow it up and that effort resulted in civil trials and convictions. When ever Republicans rant as such as they have been, they must have something serious to hide. Bush and his Wahabbi war machine are likely totally paranoid to be outed in public display for violations of all sorts. Including crime, indictments, and trials of the Bush Wahabbi administration war machine.

    Second the basic issue of sending more troops to Afghanistan as requested by the Generals is one thing; for sure America's primary security in its domestic operations, and they are resilient as Bush said but far too, too, fragile which Bush kept from everyone. For the last eight years it is obvious Bush and his Wahabbi war machine extended Americas debit into uncharted waters. Lingering on the edge of depression of an economic abyss never before existing.

    The President must have the capability to run the country in that its operations besides sustaining a war, is top priority. This is obvious the Republicans can not do. Republican's seem to not to give a dam to the needs of the domestic agenda of the safety and welfare of everyday American's, the flag is there with the fort Hood action whether out right murder to review internal military security is a must befire moving forward, Allah is here. And, by these continuous rant of more war...more war...more war... more troops...more troops into the time and space of two thousand years of corruption called the Middle East is curious to me.

    America is only two hundred years old, but has the capability to reflect on our short falls. To admit what is really wrong and tell the truth will solve the problem. Is our military infected with a duality of muslim extremist? Let us all pray president Obama uses the best judgement he can.

    Did you really mean this? (none / 0) (#30)
    by Militarytracy on Mon Nov 16, 2009 at 01:24:28 PM EST
    Is our military infected with a duality of muslim extremist?  If so....what do you mean by that?

    Parent
    Perhaps commenter is channeling (none / 0) (#31)
    by oculus on Mon Nov 16, 2009 at 01:32:58 PM EST
    Greenwald?  Reformed Muslim terrorist recruiters explain it all to us.

    Parent
    I haven't read him today yet (none / 0) (#32)
    by Militarytracy on Mon Nov 16, 2009 at 02:06:28 PM EST
    I've been mega babysitting.  Naomi has been very constipated for days now poor thing.  She was in the midst of such a growth spurt that her mom started supplementing her with some formula and the digestive tract went into revolt on us.  I don't think that poor baby slept for about 36 hours for any serious length of time.  We just won though about two hours ago...whew, both mom and babe are completely crashed.  It's a good thing NaNa was around.  Mom is already pretty cooked, and I'm partially cooked.

    Parent
    Well I wish that I had not done that (none / 0) (#33)
    by Militarytracy on Mon Nov 16, 2009 at 02:20:51 PM EST
    I will read in depth who he cites earlier tonight when Zoey isn't my responsibility, but listening to Jihadists tell us why they kill us is like listening to them about why they kill their women for clothing changes.  So they attack the United States because we prop of the Saudi Government?  Why don't they attack the Saudi Government.....oh Yeah....because their religion tells them they can't.  I will not give such crap credibility.  Osama also said he attacked us because we propped up a government that he was one of the elite OF, and that had made him far richer than almost every single American I will ever know.  So.....what a bunch of bull.  As far as confused feelings about Muslim's in our military attacking their own troops, it isn't allowed.  If we end up hving problems with a community made up of mostly Jews some place, Jews within our military attacking us will be viewed as NUTS and criminals!  Muslims do not get a pass and are not more special than the rest of us!  You are an American first and your oath comes first, end of discussion.

    Parent
    Glenn goes off the rails once in awhile. (none / 0) (#34)
    by oculus on Mon Nov 16, 2009 at 02:30:57 PM EST
    What is "off the rails" (none / 0) (#38)
    by gyrfalcon on Mon Nov 16, 2009 at 03:18:06 PM EST
    about that post of Glenn's, please?

    Parent
    It seemed overly simplistic to me. (none / 0) (#39)
    by oculus on Mon Nov 16, 2009 at 03:26:51 PM EST
    Me too (none / 0) (#40)
    by Militarytracy on Mon Nov 16, 2009 at 04:32:30 PM EST
    And just because someone says that they will attempt to kill me because they perceive me a certain way does not immediately place the need for change squarely upon my shoulders.  It reminds me of telling women they get raped because they wore a certain blouse.  Once again, why do some Wahhabi Muslims blame the United States for all ills that their own Wahhabi laws bring them?  It's a Red Herring and hides their hatred and racism.  They attack and kill us because we are infidels to them and that is what you do to infidels if you choose to.  

    Parent
    Jeez, and we're accusing (5.00 / 1) (#44)
    by gyrfalcon on Tue Nov 17, 2009 at 12:09:51 AM EST
    Greenwald of being simplistic?

    Parent
    Someone unclear on the concept (none / 0) (#35)
    by jbindc on Mon Nov 16, 2009 at 02:57:31 PM EST
    Link\

    She came to court on a retail fraud case, but left in police custody for carrying a weapon in her purse.

    Breanna Tenai Calvin, 18, of Flint was arraigned on one count of possession of a dangerous weapon for bringing what police describe as brass knuckles with a knife attached into 52-4 District Court in Troy on Friday.

    She is due back in court Nov. 23 for a pre-exam conference.

    The felony charge carries up to five years in prison, according to the Oakland County Sheriff's Office.

    Police said Calvin came into the courthouse for a probation violation hearing on a prior retail fraud case. But when her purse passed through the X-ray machine at the security checkpoint, a sheriff's deputy noticed a suspicious object inside.

    The deputy discovered the nine-inch metallic knuckles with a more than three-inch knife blade on one end.

    Calvin was taken into custody and arraigned Saturday.

    Now, I'm sure this young girl is just misunderstood and it was all an accident. <snark>

    Heh! (none / 0) (#43)
    by Steve M on Mon Nov 16, 2009 at 09:20:22 PM EST
    Always nice to see your hometown in the news.

    Parent