"Nothing is going to break you." Meghan McCain quoting her father when he encouraged her youthful self to get back on her horse after falling.
Showing posts with label Rasagaline. Show all posts
Showing posts with label Rasagaline. Show all posts
Thursday, February 28, 2019
I am a Pre-Existing Condition
One of my most popular posts ever was entitled "The Price is Wrong." To prove its points that A) meds were overpriced and B) that they were really overpriced for those without insurance, I asked what costs more: a month of rasagiline or some random product.
The end result was this:
If you don't go generic, and you choose Azilect, you can expect to pay over $700. Since I had to go to CVS with my plan, and I'm between month 1 of COBRA and switching to my wife's insurance, we're paying out of pocket and getting reimbursed, so our price was $524.
Yep. You read that correctly... $524 for 30 1 mg pills or about $17.50 a pill.
You can read it in its entirety HERE.
I mention this because two days ago, buried in the Michael Cohen (a sad state of affairs) and North Korea non-deal (a good thing) there was a Senate hearing on drug pricing. Trump had made this excessive gouging a point of his campaign that we agree with. Unless your name is Martin Shkreli or you're really in favor of the freer market / Law of Supply and Demand & are NOT a pre-existing condition or know someone(s) with one (or more), you're probably wondering why drugs cost so much. Then again, lobbying money is really good, I hear.
OPENSECRETS LIST OF WHO TAKES WHAT FROM WHO.
There are no results yet from the day's hearing, but I've included a few articles on it here since, even though they were talking more about insulin and Humira, by virtue of reading a post written by a guy with Parkinson's, you or someone you know / are friends with / love someone who is a pre-existing condition. Their / your ability to be insured and covered is important. Not to get all dark, but chances are, someday you or someone(s) you know will be. That's life because the human body is "fra-gee-lay."
When we fight to fix the system, we want to know that when crap happens, we're covered. When we're young, we may not be helping ourselves, but it's kind of like the Law of Wedding Gifts. You bought me mine so someday, I will buy you / your kids yours / theirs. What comes around goes around in a good way. Although sometimes, like my dad remarked, "You don't want to buy some people's offspring theirs!" That said, reciprocity is nice when it helps us and those we love, so (in my opinion), we do what we need to.
On a similar note, if you believe in free community college for all, like the state of Tennessee, that's the end goal, too. You educate yourself to fund a community of trained people to take care of you and yours. It's not really free. You just pay a fund for your entire life. Thus, for those voting for Bernie on the basis of free, free is not free. You're just ensuring (hopefully) a pool of trained workers to support you for the rest of your working life. If they have the credentials and better the community / world, that's nice. Like anything else, it has its drawbacks, but that's another story.
This article is about not getting gouged by a reckless necessity of an enterprise.
Sadly, with medical coverage, as many of us pre-existing conditions know (whether born with or inherited), even the healthiest of us someday find stuff happened. It's not pretty. It's not ideal. It is.
Setting up an acceptable way to treat people who get ill represents what I feel is a necessary social safety net. We don't give people sticks to burn until the wolves come to get them anymore.
I think that makes sense, and I hope it spurs some real action on Capitol Hill. It's something Trump and his opposition can agree needs fixed, even if how will be a compromise. Personally, I'd like to think that a community that cares for the community is essential to being who we are, whether that's American or some other nationality.
But in a land that begs for privatization of government entities while taking the government's cash, something is amiss. In a land where I'm forced to watch the Otezla people 2-4 times an hour on television so I can choose that drug like I'm choosing where to eat, something is really amiss (especially when I get the feeling I'm paying to advertise medications (?). That's why I'm rooting for our government, all of it (not just one side), to hold these people accountable and take care of my fellow pre-existing conditions present and to come..
I think many of you out there with your pre-existing conditions (and your family members with them) are feeling the same.
+++
If you're interested in the hearing, here are some articles.
THE ATLANTIC
NPR
A couple good editorials
BEFORE THE HEARING NEW YORK TIMES
"A vial of insulin that cost less than $200 a decade ago now sells for closer to $1,500. Actimmune, a drug that treats severe malignant osteopetrosis and sells for less than $350 for a one-month supply in Britain, costs $26,000 for a one-month supply in the United States. And the prices of many drugs — that treat cancers, high blood pressure, allergies and more — have risen so much that average consumers are rationing them, at grave peril. Not even experts seem to know how those prices are set or why they keep rising."
AFTER THE HEARING NEW YORK TIMES
"Not only do we pay high drug prices, our tax dollars supply more than $30 billion per year for life-sciences research through the National Institutes of Health."
FORBES on the Trump Administration fighting this.
"At present, without the ability to institute direct price controls, there's little the Administration or Congress can do to rein in list prices. The Trump Administration has made it clear, however, that it won't tolerate business as usual. And, legislators on both sides of the aisle appear to be similarly inclined."
HEALTH AFFAIRS on the Trump Administration's considered plans
"The plan contains three key elements: substituting private-sector pharmaceutical vendors for the current Part B “buy and bill” practice, changing the Part B Average Sales Price plus 6 percent reimbursement system to a flat fee, and implementing international reference pricing. The first two of these were attempted – and failed – in previous administrations."
Thursday, November 1, 2018
730 Days in the Life: Holding Back the Change in Seasons from All Directions
When I think of the
change of seasons from summer to fall, there are a lot of positive things that
come to mind. I think about beautiful autumn colors, like the ones that were on
display in October 2008 when my wife and I got engaged in the Poconos. The oranges
and reds that year really stood out in a way that I haven’t seen much since
then, though a few years ago we did get to wander around French Creek State
Park to see some amazing fiery colors.
Pennsylvania /
Pennsyltucky can be beautiful this time of year (as it’s getting now with its
oranges and reds poking out). It's all about finding the time and energy to see it.
Here, Autumn also makes me think of colder
mornings and shorter days. This October, it seemed like summer was hanging on
well into October with a nearly 80° day before 2 days in the high fifties. We
literally went from air conditioning to accommodate Parkinson’s sweat in a
house that had maintained 78° of heat from the summer (with no heating kicked
in) into the middle days of October. Talk about system shock!
Now, if you mix in
darkness and rain, which for Pennsylvania looks to be more than 50% above average in my sleepy corner of the state, you have a perfect recipe for the
seasonal blahs. Also known as seasonal affective disorder, this is a diagnosed
condition as opposed to just something we call it, though a fair bit of people
exhibit these signs and symptoms and have a pretty good idea what they are. The Mayo Clinic has a lot of good recommendations for dealing with this. I recommend it to anyone who might be feeling "seasonally blah."
That said, depression and
blahs do get worse during the colder, darker months. For me, the first of
November is always Melville’s “November of the soul.” I wish I could say I see
it as Día de los Muertos (Day of the Dead, which it is), but alas…. I’m not quite there, though my feelings on
the Mexican customs of remembering the dead most definitely are.
Unfortunately, I associate
this time of year with the long descent into winter. Other than turning back
the clock for an extra hour of sleep, I don’t ever feel happy about losing an
hour of daylight after work or waking up to colder temperatures.
With my Parkinson’s engine running hot, the sweater that feels nice outside often feels way too warm inside, so I’m in that perpetual off state of discomfort. Fortunately, most days are still about right in temperature, so I can plan accordingly. Also, it’s kind of nice that the trees are still holding most of their leaves (though the wind is blowing a few in front of the window as I sit here typing) so that skeletal branches won’t be the aesthetic du jour along the highways and bi-ways any longer than they are going to be.
With my Parkinson’s engine running hot, the sweater that feels nice outside often feels way too warm inside, so I’m in that perpetual off state of discomfort. Fortunately, most days are still about right in temperature, so I can plan accordingly. Also, it’s kind of nice that the trees are still holding most of their leaves (though the wind is blowing a few in front of the window as I sit here typing) so that skeletal branches won’t be the aesthetic du jour along the highways and bi-ways any longer than they are going to be.
Perhaps more than anything,
November 1st has come to be the day I began taking rasagiline
(Azilect) in 2016. At my initial 90% sure it’s Parkinson’s appointment on September 27, 2016, I elected not
to go with medications until it was a certainty that I had Parkinson’s. Two
years ago, the doctor’s prediction came true.
That day was a very
windy, overcast, and ugly day. My wife and I were supposed to be going to go for a walk on the Appalachian Trail after
the "confirmation" doctor visit, but it was just too ugly and we were just too drained, so we went out to eat instead at a diner
and picked up my medication. When we came home, I began the process that I’ve
done well over 700 times since: I took my "take out the faulty particles" medicine to give my brain's natural dopamine a fighting chance. Two years and several other Parkinson's medicine days later, I’m working through a medical routine and more complicated
symptoms to try to be me as long as I can keep the Invasion of the Body Snatchers at Bay. The fact that the outdoor environment doesn’t help with this
makes things more challenging.
I also started this blog on what would be my first official Parkinson's day (though in reality I had Parkinson's symptoms since 2011)... 157,550 visits and 182 posts ago.
I also started this blog on what would be my first official Parkinson's day (though in reality I had Parkinson's symptoms since 2011)... 157,550 visits and 182 posts ago.
With many of us who have Parkinson’s, our “happy brain chemicals” (AKA dopamine and serotonin, as well as others) are
already out of balance. With fluctuating levels of dopamine to begin with, we
can find ourselves in quite a dilemma as we find it harder to want to get motivated for anything, much less to go
outside and get some between the trees therapy (or even fresh air). Cabin fever
gets more common as the year drags on into cold days. I’ve already written about winter precautions, but I write this “State of the Union Address” with regard to
autumn changes (particularly this autumn).
For this, we need to make ourselves stay active and remember to do the things that we enjoy. We need to find things to want to do and to look forward to. We need our team to be there for us to motivate us to stay loose and positive. In this, the cold wind can freeze us out quickly if we don’t monitor our situation.
For this, we need to make ourselves stay active and remember to do the things that we enjoy. We need to find things to want to do and to look forward to. We need our team to be there for us to motivate us to stay loose and positive. In this, the cold wind can freeze us out quickly if we don’t monitor our situation.
Here, I realized that I
hadn’t been myself in a long time. I was starting to lose sense of me. Little
things like organizing playlists for my mp3 player were getting forgotten
about. The worry of the future was coming down hard on me. I could really feel
it like I hadn’t since all of this Parkinson’s talk began 2 autumns ago. I had survived
diagnosis, Lyme disease, 2 hospital stints, a car accident, worsening symptoms,
sleep apnea issues, and the decision to not teach, and all of a sudden, I was
waylaid by a seemingly impossible and un-nerving Neurological Baseline Exam and all of life’s events that happened
at the same time. Compounded by Parkinson’s emotional "joys," I just stopped
being me.
Then something happened
out of nowhere, which is a new job in an advising position that I start November 1st.
Some of you may not believe in divine intervention, but I do. It literally felt
like being pardoned from death row. I was Dostoevsky after having his sentence overturned. Because of this, I felt alive again, but numb. It’s been hard to write
during this time, hence my general absence from blogging, but now, I feel like
I’m going to be getting back to being me and the excitement of making educational knowledge
possible to incoming and active community college students.
I also decided to get
back to me and to create a 500-song playlist that my wife and I could listen to
in our journeys. In keeping it with what my wife generally listens to on the
radio, I set the bar between late 1970s and now, roughly 40 years, where the
main requirement is adult radio friendly, though I did make a few exceptions
based on our age and having moved through the period that is 1989-1994. If you’re
interested, it’s very 80s and 90s heavy, though it does feature all years.
Songs 201-350 of the
Rawkin’ Rock / Pop Compilation (to be linked)
For the reason of
enjoying a celebration of sorts and to see my 2nd family of sorts,
it was definitely time to have a do something fun getaway.
And so last weekend, my wife and
I went to New York City to see friends that I’ve known from Air Force days
(about 25 years). Friday after work, we drove into northern New Jersey braving
the Nor’easter that was coming to get close enough to the city that we wouldn’t
have to wake up at 6AM to do the drive to Jersey City to take the PATH trains
(under the Hudson to the World Trade Center subway station) so that we could
get uptown to the Museum of Modern Art (MOMA).
My wife is a big art person, and I appreciate art when it looks like something. A lot of modern art doesn’t really look like something or it just feels like someone is trying to get one over on someone. I know we’re all entitled to our own opinion. Thus, my opinion of art is that “if I can do it, it’s not art.” If it’s a huge canvas with a few horizontal or vertical lines of a different color on a monotone shading, it’s not art. If it looks like someone dumped multiple tubes of paint on a canvas and smeared them around, it’s not art. Call me traditional, but I’d rather look at the 10 millionth piece of art featuring royalty or religion, if the artist put some effort forth, than look at stuff by Andy Warhol. But that’s just me.
Getting to 53rd
Street to see the museum involves hustling across the train / subway station.
For those people with Parkinson’s, it’s an obstacle course of people stopping,
hustling, and bustling all around them. I could see how the noise, lights, and
commotion of people could be a major impediment for many people, as I was
really feeling it. As we walked to the newly-rebuilt passageway, things
escalated “just” a bit as sirens went off and a voice on the overhead demanded
everyone's attention and told about how police were investigating a threat and to stay
tuned for additional updates.
Let’s just say that
didn’t do wonders for my equilibrium. With the state of all things in the
world right now and for the past 2 decades, being in a New York subway,
especially under the World Trade Center, and hearing warnings is a catalyst for an
overwhelming sense of fear and panic. Looking all around the facility, which is
huge, thinking something or someone nefarious could be anywhere, left me feeling
emotionally drained.
In many ways in our society, people become numb to the news. When a series of pipe bombs in the mail gets passed off quickly in conspiracy theories as a “distraction” or a “false flag” and people stop thinking about the real human cost, it feels like we’ve lost something of our humanity, especially when they brush off the apology when they were wrong.
In many ways in our society, people become numb to the news. When a series of pipe bombs in the mail gets passed off quickly in conspiracy theories as a “distraction” or a “false flag” and people stop thinking about the real human cost, it feels like we’ve lost something of our humanity, especially when they brush off the apology when they were wrong.
When I was younger (19), I can remember traveling to London a lot for concerts and music purchasing (before Amazon). I didn’t think anything about going alone. I can remember one time when there was an IRA bomb warning in the London tubes. The person on the radio just said, “We won’t be stopping at X,Y, and Z” like it was nothing. I remember that it happened, but I don’t remember being scared by it, just "affected." Now, it feels like we need to be scared, especially since 11 Jewish synagogue visitors were killed later last Saturday afternoon in an anti-Semitic rage.
Thinking about how I found out, my cousin posting on social media that she was “safe” since she and some of my family live in Squirrel Hill (Pittsburgh suburb where it happened), it seems odd to think that this is how we have to hear and learn about people’s predicaments and whether they’re OK. Yet for many of us, this is how we get our news. When the U.S. Navy Seals got Bin Laden, this is how we heard about it. Baby pictures, engagements, marriages, moves, and all sorts of happy news is out there, too. It's how we communicate.
And so are the crazies, it seems, hiding under the banner of free speech as they incite their hate for anyone who
isn’t like them in their depraved chat rooms. And sadly, the effects of this hurt everyone, not just their intended victims. These people come in all colors, shapes,
sizes, and political leanings. With an election and so many issues on the line
for so many people, the stakes are raised. Civility is out the window. The knee
jerk reaction of the aftermath always comes back to “what will I personally lose
because this person went off the rails?” This has nothing to do with the loss
of a human being or shreds of humanity, but who is coming after mine. It’s
really exhausting to feel like every day is the lead-up to a WWE wrestling match with someone coming in the ring and calling someone out for something in
the most hate-filled and divisive ways possible. For instance, when Gab, the platform for many of these hate-filled attacks (and the one for the Pittsburgh shooter), starts
crying about its loss of freedom of speech when Internet Service Providers
jettison them from their service providers, it’s just really pathetic.
I mean, can’t we all just
get along or live and let live?
In New Jersey, it’s
really bad now on television with the attack ads on Bob Menendez, who has been
accused of paying for child prostitutes in the Dominican Republic on top of corruption charges he was legally hammered with (a really
solid reason to not let him run again, though he did anyway).
For the extreme of that election ad, it should be said that watching any of these commercials and thinking that they steer people in a direction is something I’ve escaped by not having cable. All I wanted was to watch the World Series in a northern New Jersey motel (so I can see Boston win it all), and instead, I get to hear constant attacks on this or that in between innings.
For the extreme of that election ad, it should be said that watching any of these commercials and thinking that they steer people in a direction is something I’ve escaped by not having cable. All I wanted was to watch the World Series in a northern New Jersey motel (so I can see Boston win it all), and instead, I get to hear constant attacks on this or that in between innings.
Where are the good
feelings, people? How do we stay active, informed citizens, when the landscape is so dismal with all its tellings of what is going on?
That said, how can this
whole time of endless political opposition cycles that we live in not depress
people, with or without Parkinson's? With two sides and no middle, where is the common ground and discussion
for the rest of us who are content to live and let live, to be a part of our
communities, and to want to make a difference for the world? Who is left to
unite us when all we’re looking for is protection from and defense of as
opposed to a solid message? That's not a uniter; it's a temporary reprieve.
But enough of that
because there is art, which can be a powerful expression of sharing and
creating emotion. While not all art is positive, that which is can be very
influential to people in finding meaning and overcoming adversity. Even seeing
sadness described, we can relate to people whose shared experience creates
empathy for our plights.
For my money, New York is
definitely a place to inspire this creativity, though given the choice, I
prefer State to City (i.e. Ithaca, Letchworth, and Watkins Glen).
Nevertheless, at its most
basic, New York City, the City that Never Sleeps, was built by creative and
driven minds. Erecting buildings into the sky and digging tunnels underground
to interconnect these worlds, millions of bodies and minds came together to
build, work, live, sweat, and die together. I can’t help but thinking of what
Manhattan once was (as wilderness) to the point that the industrialization
began to the place that it is now (a concrete jungle).
I’ve felt this sensation
of awe ever since my days going to London (1991-1996). As the skyscrapers tower
over everything, it’s just so easy to get lost in the hustle, yet every person
that is stopped, pushing, sitting, or yelling something is doing so from the
perspective of a life lived. They built this or work within these buildings in
an effort to produce something else. Their business desires made it possible
and necessary. Each person who came to be born here was raised, educated,
influenced, affected, and brought to be one with this place where endless
traffic lines journey uptown, downtown, crosstown, or under the Hudson in an
attempt to get in or out. People from other countries heard the call and chose
to travel there as well, for the desire to support themselves and their
families, as well as to be a part of this giant energy. Every single one of
these buildings that seem to touch the clouds is made up of lives and
stories. In their own way, they were all
someone’s something. They’re not just some exhausted body on the train or
random European tourist, let alone a faceless blur. By being here, they become
the voice of America, even if they hyphenate their original country with this
one.
As people with
Parkinson’s, our lives often feel like we’re on a journey to somewhere, just
pushing through, too. Other times, they feel like we were on a journey, but
somehow, we got derailed. If we’re not careful, we can start to feel lost in
the journey with nobody around us who sees us as something more than another
passenger headed for somewhere. We stop off to have our ticket taken. We order
food and are served. We line up to go place to place. All the while, we start
to feel disconnected in a world of people who are making connections but not
really connected. How do we slow it down to see us and them as all being grand
actors on the same stage?
In looking at it like
this, we’re all journeying together to be here at the same moment in a life
that was meant to intersect in Central Park, at the American Museum of Natural
History, or within the packed galleries of the Museum of Modern Art. When we
depart, most of us will most likely never see or know of one another’s
existences again, but somewhere, in some corner of the globe, perhaps through
photographic evidence, there will be traces of those moments where we played a
bit part in the movie of someone else’s life. Maybe something we said will
stick with someone. If this is the Butterfly Effect and one tiny action here
creates an earthquake somewhere else, how can we stand out in the crowd to
create something memorable and beautiful that will live on after we’re gone?
What statue cast in bronze will be here for us? What street will be named after
us? This isn’t about Andy Warhol’s 15 minutes of fame. This is about avoiding
the third Mexican death and living on in the hearts and minds of others
What added value and
creations will we leave behind for others to wonder who some “Daniel Webster
guy” is almost 170 years after his death? Obviously, if this statue is here, he
was someone, but just because someone set it there, is it actually someone
important now or is it just a chance to reinvent history in romanticized notions of what never came to be?
With our lives, no matter
whether they be Parkinson’s or Parkinson’s free, we are all on a finite
timeline with an opportunity to bring value to the life that is sitting around
the table waiting to be served, helped, entertained, or fixed. What have we
used our brains and minds to do today? How will we be remembered? If this is
our Day of the Dead, what words will people speak about us so we don’t reach
that third death?
On our trip, we went to MOMA
and the American Museum of Natural History, which are the kind of things that
educate and inspire us (or they should). There’s something about being able to
go into a huge hall with other like-minded people and reflect on Van Gogh’s Starry Night or works by Picasso, Monet,
and Matisse. Of course, there’s paint scribble works by people like Jackson
Pollack, though other people might find them to be meaningful. For me, as I
said, I generally like my art to look like something, though I do like
surrealism. Because of that, I was upset that Dali’s Persistence of Memory wasn’t on-hand (it was leant out). Let’s just
say I didn’t feel the same about Andy Warhol’s Campbell’s soup can painting since
he’s pretty much a hack (though I do like some of the Velvet Underground’s
music). All the same, we took it all in, and I didn’t touch anything or give
too many failing grades / comments out (at least out loud). Other people taking
selfies and touching the frame of a Monet… not so much.
In the end, we enjoyed
our time with friends and wandered the upper part of Manhattan and the
beginning of Central Park (in fall). It’s really beautiful, even if it’s way
too crowded. But then again, it’s the city. Of course, bodies are going to be
pressed too close in the dinosaur halls of the American Museum of Natural
History (minus it’s Tyrannosaurus, since the room is being remodeled). Fortunately,
the oceanic life room is still available, as was the North American mammals
room, the meteorite room, and the origins of life room. This, unfortunately,
was all we had time for. Let it be known that I could spend 3 days in there,
easily, if all the rooms were a go (gems and minerals were also down for
remodeling). There's just so much there.
As our Parkinson’s
increases / we just get older, our minds often lose speed and storage space. I
can’t say this doesn’t scare me, but while I can, when I can, I want to be
living, learning, loving, and enjoying life. Parkinson’s has taken a lot from
me, but sitting here, I don’t want it to make me a middle-aged man with his
memories just yet. I want to find excitement and conversation and purpose. I’m
glad I had this weekend (and Monday night when I went back to see my friends
again in northern New Jersey) to do that.
No matter what the next
years of Parkinson’s brings, I want to hold tight to the positive and push away
the cold winds of winter as long as I can. Better to go gray / white with class
(like George Clooney) than to end up feeling and looking old before my time.
Friday, January 19, 2018
The Price is Wrong
Let's play a game. It's called "What Costs More?" The rules are simple. Pretend you don't have health insurance. Then think about how much Rasagaline, the generic equivalent of Azilect, costs to keep your brain fighting MAO-B enxymes that think your dopamine is a Walking Dead style zombie. Remember, life is a value choice. Yes, insurance is costly, but what does it cost not to have it? All of these things can be bought, or you can get your medicine for the duration of time listed. What would you rather have?
I won't tell you the price until the end, so this is honors system stuff. It's 10% out of 100 for each answer right.
Rasagaline for 3 months or the basics of a 9-day trip for 2 to 3 cities in Italy, including airfare (on Groupon)?
Rasagaline or a 55" Samsung television to replace our 42 inch one that we paid roughly the same price for in 2009 (from Wal-Mart), should this TV go bad?
Rasagline or what you could spend for a Roger Maris PSA8 rookie card (from eBay)?
Lunch with my wife today for food from a local Italian restaurant (sandwiches) or 1 pill of Rasagaline?
A new set of tires for my Yaris (after they were slashed - before insurance), the item in the best condition on my nearly 250,000 miles 2007 Toyota Yaris or a month of Rasagaline?
Rasagaline for a month or 2 tickets to see Taylor Swift perform from the area in front of the stage at Philadelphia's Lincoln Financial Field (from Ticketmaster resale - lowest price ones with a great view)?
Rasagaline for a month or a Canon EOS Rebel (from Best Buy).
Rasagaline for a day or a trip to the movies in New Orleans to see a nighttime show of The Last Jedi?
Rasagaline for a month or the opportunity to take a 3-credit class in composition with me starting next week?
If you don't go generic, and you choose Azilect, you can expect to pay over $700. Since I had to go to CVS with my plan, and I'm between month 1 of COBRA and switching to my wife's insurance, we're paying out of pocket and getting reimbursed, so our price was $524.
Yep. You read that correctly... $524 for 30 1 mg pills or about $17.50 a pill.
In comparison, CVS charges just over $29 a pill for 25mg Viagra pills. You can see other comparison prices here. Sildenafil started out as a blood pressure medicine, but it has one huge benefit. Hence, the price went through the roof.
Now, for those of you who want to play the no insurance game or think that insurance isn't worth it, you should know this: The same prescription (generic) is about $10-15, depending on which health plan I'm on for a month. This doesn't even get into the piece of mind of knowing doctor visits, lab testing, and hospital visits (like my 2.5 days in the hospital for pneumonia) are covered in part or whole.
Think about it when you trade health for fun or wants.
Think about it when people can't afford healthcare or treatment (yes, I get research costs money, but this is long since past the recoup investments time since it's now generic).
Then when politicians are thinking about whittling away coverage on people's healthcare, tell them to "realize that you can't put sick people out on the ice wish a bushel of sticks to stay warm until the wolves get them like this was a Jack London story" (yet - give the administration time to think of obscure or rarely used "absurd" or "unpopular" or "immoral" clauses to scrap the whole thing and leave those of us with pre-existing conditions up the creek in the name of saving $ while paying back their backers).
Now that you've gone to school for the first day, the answers are:
1) Italy, but not by much, especially since the average price of the med is over $600 as based on pharmacy.
2) Rasgaline
3) The card, but to be honest, I don't see people paying that much for it. I'd say it's more like half of that in the real world - if you can find a buyer not named Dan.
4) The meal
5) Rasgaline - Unfortunately, with what insurance didn't cover, I'll never see that money, even if they catch the teenagers who went "joy-slashing." At least with Rasgaline, I get brain protection.
6) Taylor Swift - another good reason for health insurance since the new album just isn't her, and that's going to be a large, painful part of the show that would cause serious physical anguish and headaches that need medical treatment. Resurrect the old Taylor from the dead.
7) Rasgaline
8) Rasgaline
9) Rasgaline - It was $16 a piece to see that movie (not including food and drinks), and I don't even get the DVD (not to mention it wasn't as good as Rogue 1).
10 ) The class, but not by much. This is one of the best things about community college (and it transfers)!
Wednesday, November 2, 2016
Medicines
Way back when, as the legend goes, the original Aztecs of Mexico came from their ancestral homeland in the southwest United States at a place that is called Aztlan. Now, this place is largely thought of in revolutionary terms by people living south of America’s border who feel that there should be a Republica del Norte to re-annex the lands lost in the Mexican-American War. While I’m not here to discuss whether I’m willing to give land back that stretches as far north as Oregon, I will say that as a person interested in history, archaeology, and my own brand of fictional stories, the concept of this falls nicely into my books on the fictional Utah location known as Blackrock Canyon since it allows for a mysterious pre-history in a region that is still populated by the remnants of cliff dwellings and other Ancestral Puebloan sites.
For
this knowledge that I have accumulated over the years as a part of my
curiosities, I guess it’s no surprise that with my new Parkinson’s medication
being Azilect, I would often move to tell people that I’m on Aztlan. At least
that’s what my mind tells me until I realize the Azilect has nothing to do with
the Aztecs and everything to go with being more mobile and fully treated to
continue to enjoy my life as I know it for as long as I can.
All the same, if you’ve
never seen the Aztec archaeological sites outside of Cancun, which include
Chichen Itza, Coba, and Tulum, you’re missing out. They’re the bee’s knees, but
I digress. That’s a blog for another page.
What
Azilect is would be an MAO-B inhibitor. Put more simply, there is some dopamine
in my brain, but not as much of it is doing what it needs to be doing. Dopamine
is a neurotransmitter in my big ol’ brain. It sends messages. Because of evil
nasty enzymes, which we will liken to the zombie hordes on The Walking Dead, my dopamine doesn’t get where it’s going. Thus,
these pathways are dried up. It took some time to get to 60-80% damage levels
where the tremors began, but silently, “crap happened.”
What Azilect does to
fight this is it acts like a kinder, gentler, and more altruistic Negen providing
protection with Lucille for my brain. I pay for this, and it does the work I can’t
do without it. In no uncertain terms, it clears up the bad and lets my brain
use its own good stuff to make my signals work where they can.
I have to say, I’m happy
with this arrangement.
Mind you, this is not
Levodopa, which is used in conjunction with Carbidopa. Levodopa is a medication
for when things really progress. It gets magically turned into dopamine and another
medication called Carbidopa protects it from getting broken down before it is
absorbed. That’s a whole different game than a person in my early stages of
Parkinson’s is operating at. When I mentioned this to my doctor, he looked at
me with that look that respectfully says, “Stop going on Internet sites unless
you know what you’re looking at; you’ll just scare yourself if you keep this
up.” Of course, I looked back at him with that look that says, “I’m sorry for
being a dumbass. Teach me, Jedi Master. I am your padawan learner.”
Since
that time, I have learned. According to my doctor, the CVS pharmacist, Azilect’s
site, and RXList.com, these are some of the problems for people taking the
medication: joint pain, cough, dizziness, joint & muscle pain, headache,
depression, heartburn, nausea, fever, loss of interest in sex, constipation /
diarrhea, vomiting, weight loss, rashes, numbness, strange dreams (as if I don’t
have enough strange and lucid dreams already), dry mouth (that I can’t quench
with beer), flu symptoms, and an inability to sleep. Of course, there are
extremes like “strange thoughts” (whatever they are) and hallucinations, as
well as passing out, but yeah… these things are on many medicines that are
advertised in between innings of the World Series so that people can ask to
take them and feel like the energized and happy people on the Otezla commercials.
I’m not sure how I’d be
featured on an Azilect commercial. I’m thinking climbing waterfalls at Sullivan
Run next July. Then again, maybe I’d just be extending my underwear radius,
dancing around the living room to make my wife Heather laugh. Either way, it
wouldn’t be to Katrina and the Waves. I’m thinking more Michael Franti’s “Sound
of Sunshine.”
Nevertheless,
for all this medication is, one thing that Azilect isn’t is cheap. According to
Drugs.com, 30 of these bad boys can fetch up to $680.37, give or take.
Fortunately, I have insurance, so I don’t pay full price. Fortunately, I have
good insurance, so I pay a lot less, but I’m not all people. Many people go
broke on these prices, especially with limited capabilities, options, support
systems, and advanced conditions.
Cue
that I’m trying to affect your heart and mind.
Yes, I get that research
takes talent and talent equals cost, but at the same point, I have serious
issues with the ethics of Martin Shkreli and Heather Bresch. Yes, I get that we
live in a capitalistic country, but I have the audacity to think that prices
can be balanced with profit.
Fortunately,
on February 7, 2017, this drug goes generic. This is with regard to the 20 year
patent on drugs to recoup research expenses and to profit. Fair enough. That said,
I know that on that day, a lot of people with average to poor health insurance
will be celebrating good times with Kool and the Gang that their lives will be
getting easier as they continue to recover from their condition with the
medicine that their doctors feel they need.
Until
then, we wait.
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