Beginning in 2012, a $1-per-person fee is going to be charged by the government to your healthcare provider for drug research. The fee goes up to $2-per-person in 2013 and then adjusts based on inflation from there on out.
This is a part of the Patient Protection and Affordable Care Act, commonly referred to as "Obamacare", devised to ensure that prescription drugs work as advertised. It is a well-known fact that drug manufacturers currently pay for their own drug testing to get FDA approval. The FDA drug testing is also tested against a placebo; whereas this new testing will compare one drug against another to determine which is the most effective. Is it un-constitutional to charge every insured a fee for this testing? Should there be a limit set on how high the fee can go?
The new drug testing is commissioned by a government organization called "Patient-Centered Outcomes Research Institute." PCORI is supposed to conduct independent research to find the most effective drugs for patients. However, there is concern that insurance companies will use this information to charge higher fees to the insured people who choose healthcare providers that do not prescribe the "approved" drugs based on PCORI reports.
Do you think it is worth it to pay a fee for "independent" drug research? And do you think it's truly independent?








Comments: 56
ObamaCare, contrary to what is being peddled (and bought), will only decrease effective Care, and increase costs.
We agree, for once. :)
There are some good points to this legislation but this fee that will be based on the rate of inflation in 2014 -- and passed on to the insured -- is not right and I sure do not want to pay for it because it's all BS. Just another way for insurance companies to FORCE us to accept substandard care under their coverage and pay extra to get the "good" care.
I am not part of this argument over whether health care should be administered through the government or through insurance companies because it's just a red-herring, anyway. The public continues to be duped even though the facts are right before them, but they still argue like kids on a playground, the government side vs. the insurance side. This is not health care reform. How the same horrible health care is administered is not health care reform. What Palin called death panels are inevitable without private insurance or with it. It's a matter finite money and money that we do have used the wrong way. Here's an example of exactly that.
"However, there is concern that insurance companies will use this information to charge higher fees to the insured people who choose healthcare providers that do not prescribe the 'approved' drugs based on PCORI reports."
This is the kind of sentence that people take off on, some defending the insurance companies and others defending government. If you've got experts telling you that one drug is more effective than another, those who are prescribed what experts say is the less effective drug will most certainly have to be charged more. Why would anyone say they would USE this as an excuse to charge more? It's not an excuse; they're charging for a liablity that your government experts are telling them is risky. How can they possibly do otherwise but to cover the risk by charging more?
So sure, there should be concern that prices are going to rise, but the problem is not solved until you look beyond to the waste, the corruption and the malpractice in the medical industry. That's how you reform health care.
I have to disagree with you only on this: "I am not part of this argument over whether health care should be administered through the government or through insurance companies because it's just a red-herring, anyway." --
I understand that you don't wish to be a party to that discussion; however, it is an important part of the discussion. If we are looking for efficiency, both in Care and in Cost, allowing the Government to handle it is a fools folly. We all know that Government can't handle anything efficiently.
Therefore, how do we look beyond, to the waste, the corruption and the malpractice? What do you suggest?
Of course, none of this is going to answer your how question because all this only provides the facts that show you what needs reforming. How to go about it requires representatives of the people without their own elitist interests conflicting with that representation. Since even medicine has become so polticized, it's probably not going to happen that real health care reform will ever come about. The public will continue to fight about the red-herring talking points.
http://www4.dr-rath-foundation.org/features/death_by_medicine2.html
Well, really, how am I to know what you think about solving it, if we don't scratch one-anothers eyes out over it? :)
I disagree that common sense is a red herring. It is a problem to be solved, and Government cannot solve it. YOU may have the solution, Sue...you owe it to the NATION! :)
It's a flippin' given that they're incompetent, but you have to understand that there is huge collusion between the government and medicine. I, for a time, dabbled in scientific recruitment, chemistry and biotech. One of the jobs I took on initially, because it didn't involve a lot of technical jargon, was to find a Director of Regulatory Affairs for a large pharma company. This guy used to call me and talk to me for hours because he liked me for some reason or other. I used to put him on speaker phone sometimes. He bragged about his history of convincing the FDA that they should approve drugs that had no business being approved. In essence, that's exactly what they wanted, a drug salesman for the FDA, but they called it Director of Regulatory Affairs because the person handling it needed extensive knowledge of CFR regulations and how they could be circumvented for drugs to pass "the test."
Health care reform is not contingent on who administers the funding. If you have a genius and a moron greeting customers at Walmart, it doesn't matter which one does the greeting. The result is the same.
And, I want to work on your cynical component; there are crimes going on with Pharma; but I disagree with you that we have terrible Healthcare. It is some of the best in the World. We need to solve the corruption. If looking at it strictly on a Constitutional basis, Government has NO BUSINESS being the arbiter of our Health Care. So, I don't agree with your WalMart analogy. We can't have the moron greeting the customer, in this case.
We shouldn't make the perfect the enemy of the good.
Power is the Mother of corruption; we must find a way to drain the swamp.
The Constitution.
Of course, you don't want to admit that we have a terrible health care system because like millions of other Americans, you're deluded into thinking that because we have the most advanced technology we also have excellent health care, but excellent compared to what? We supposedly have the best justice system in the world too. How's that working out for you?
If you even read the first two pages of that book you would understand that we need health CARE reform that is not ever going to be addressed if you people insist on focusing on the talking points, pandering to the politicians who have no interest in representing the public other than satsifying what they want to hear. You want to hear that insurance companies and private enterprise are going to administer the money to fund the bad health care and they want to hear that government is going to administer the money to fund the bad health care. Personally, I don't give a damn for myself becasue I don't buy into the impending doom of the horrible health care and death panels offered, one way or another. I have to pay for my naturopath, and she is not covered under my health care plan, and won't be whether the government or the insurance companies supply the means of payment.
We supposedly have the most democratic election process too. I won't ask you how that's working out for you until November 7, 2012, just to be extra fair, though.
(Smile). I'm not deluded, Sue. I have no trouble admitting that there is room for (usually massive!) improvement in everything. The enemy of the good, remember?
Compared to what? Compared to anywhere else in the World.
And, of course this Justice System sucks! It should more accurately be called an Injustice System! Just ask any Divorced Man! (no, I don't refer to me).
Unfortunately, Sue, Sir Winston Churchill was correct. Aside from all others, we have the worst Systems in the World.
"You want to hear that insurance companies and private enterprise are going to administer the money to fund the bad health care and they want to hear that government is going to administer the money to fund the bad health care. Personally, I don't give a damn for myself because I don't buy into the impending doom of the horrible health care and death panels offered, one way or another."
No. I simply want it to be given a fighting chance of being streamlined and improved by getting it the HELL out of the hands of the Government, and into the Free Markets. And I submit that you may be quite surprised, Sue, at the chilling and DEADLY effects this legislation has coming for us...
(This goes to something deeper and more personal for you, I sense...but I won't hold my breath that you'll confide it).
...what ever possessed him? :)
What you are not understanding is that the health care issue is a separate issue from the administration of the funds that promote bad health care and that is why I have no hope that the problem will ever be solved. You ask how when there is no way and you and others like you make it impossible. No one seems to even understand what needs to be addressed. Do any search on this site and find people complaining about their medical problems, many of which would not exist if they had proper care. So they continue to die while they pay money to die and they want to make sure they're always going to have enough money to delay the inevitable while they live in pain and misery.
How many times and in how many ways do I have to tell you that if you are going to continously insist that health care reform involves the administration of money under the guise of health care instead of the administration of good and responsible care, there is no one who will even feign an attempt to solve the problem? You yourself said that you think we have the best health care in the world. If that's what you think, there's no reason for reform and you are part of the problem because it is only a change in your focus and the focus of millions of others that will implement a real solution. There's no hope for that because you don't see the problem.
Didn't you see the comment below it?
Here's the URL again. Copy and paste it and at least read the first two pages to understand what I am talking about.
http://www4.dr-rath-foundation.org/features/death_by_medicine2.html
Yes, of course I read the first few pages already, as I had said; but it clearly states that it merely discusses the problems...not the solutions.
I'm asking for your solutions.
OK, levity aside, this is serious, and dire...just as everything else is...
Now do you understand why, in my latest piece, I've said that we're stupid? The piece wasn't just about Socialised Medicine...
...it was about the fact that we're stupid...and screwed.
Bring on the Lord.
I'm all a-quiver...and that's a difficult thing for a Man to admit.
Off I go, for my surprise (I should be terribly worried about this, if I was any smart kind of Man... ;)
Taxes, properly administered, are the way a civilized nation pays for its needs and wants. For the last 30 some years, the tax code has been skewed to favor the rich very disproportionately to their stake in the economy and now income inequality is at least as high as it was just before the Great Depression.