4 ms·

I prefer brevity over irrelevant information, but mentioning the specific type of drug, the name of the insurance and the type of coupon being applied would be

I prefer brevity over irrelevant information, but mentioning the specific type of drug, the name of the insurance and the type of coupon being applied would be highly relevant in determining whether the story has merit. Leaving it deliberately unspecified triggers all my bullshit detectors.

Consultant32452 5y ago
- zdragnar 5y ago
  You alledge "multiple layers of corruption" when the reality is that manufacturers of specialty medicines often offer steel discounts to patients whose insurance companies don't cover their cost. For example, I took Taltz injections; my insurer wouldn't cover them unless I first tried cheaper options with much more serious side effects. Even if they did cover it, the co-pay would have been cost prohibitive for me. The reason my doctor prescribed it is simple- the manufacturer had a program that let you get it for $25 a dose if your insurance didnt cover it, or would cover all but $5 of the co-pay if you did. To be blunt, there's no conspiracy or corruption here. You don't get to throw out wild allocations with no specifics.
  - saghm 5y ago
    You didn't name the type of insurance despite the fact that you argued the parent comment not naming the type of insurance as evidence their story was "bullshit". I point this out not because I'm saying your story is bullshit, but to point out the unnecessarily high standard you put on them. If you don't even remember to do it merely minutes after calling someone else for it, how could you possibly require that standard on a complete stranger who _hasn't_ brought that up as a standard when starting their own discussion?
    - PebblesRox 5y ago
      You're accusing zdragnar of hypocrisy but it was codewiz who called bullshit on the lack of insurance details.
    - zdragnar 5y ago
      Type of insurance is irrelevant to getting the manufacturer discount. If you dont have any insurance at all, you still get it. The point is if you are going to claim that there is corruption, it needs to be backed up by something. Serious claims require serious evidence.
      - alphabettsy 5y ago
        > Type of insurance is irrelevant to getting the manufacturer discount. This part isn’t true most of the time. Generally Medicaid and/or Medicare recipients aren’t eligible for these coupons. See these Terms and Conditions for example: https://www.gileadadvancingaccess.com/copay-coupon-card https://www.gileadadvancingaccess.com/copay-coupon-card
        zdragnar 5y ago
        That is because any form of discounting of medicine to a patient on medicare / medicaid is illegal; under current law, the discount is considered a "kickback" even though the person benefiting from the discount is the consumer, not the doctor. Actual commercial insurances are all covered AFAICT.
klyrs 5y ago
Please familiarize yourself with the site guidelines. > Have curious conversation; don't cross-examine. > Please respond to the strongest plausible interpretation of what someone says, not a weaker one that's easier to criticize. Assume good faith.

Consultant32452 5y ago

zdragnar 5y ago
You alledge "multiple layers of corruption" when the reality is that manufacturers of specialty medicines often offer steel discounts to patients whose insurance companies don't cover their cost. For example, I took Taltz injections; my insurer wouldn't cover them unless I first tried cheaper options with much more serious side effects. Even if they did cover it, the co-pay would have been cost prohibitive for me. The reason my doctor prescribed it is simple- the manufacturer had a program that let you get it for $25 a dose if your insurance didnt cover it, or would cover all but $5 of the co-pay if you did. To be blunt, there's no conspiracy or corruption here. You don't get to throw out wild allocations with no specifics.
- saghm 5y ago
  You didn't name the type of insurance despite the fact that you argued the parent comment not naming the type of insurance as evidence their story was "bullshit". I point this out not because I'm saying your story is bullshit, but to point out the unnecessarily high standard you put on them. If you don't even remember to do it merely minutes after calling someone else for it, how could you possibly require that standard on a complete stranger who _hasn't_ brought that up as a standard when starting their own discussion?
  - PebblesRox 5y ago
    You're accusing zdragnar of hypocrisy but it was codewiz who called bullshit on the lack of insurance details.
  - zdragnar 5y ago
    Type of insurance is irrelevant to getting the manufacturer discount. If you dont have any insurance at all, you still get it. The point is if you are going to claim that there is corruption, it needs to be backed up by something. Serious claims require serious evidence.
    - alphabettsy 5y ago
      > Type of insurance is irrelevant to getting the manufacturer discount. This part isn’t true most of the time. Generally Medicaid and/or Medicare recipients aren’t eligible for these coupons. See these Terms and Conditions for example: https://www.gileadadvancingaccess.com/copay-coupon-card https://www.gileadadvancingaccess.com/copay-coupon-card
      - zdragnar 5y ago
        That is because any form of discounting of medicine to a patient on medicare / medicaid is illegal; under current law, the discount is considered a "kickback" even though the person benefiting from the discount is the consumer, not the doctor. Actual commercial insurances are all covered AFAICT.

klyrs 5y ago

Please familiarize yourself with the site guidelines. > Have curious conversation; don't cross-examine. > Please respond to the strongest plausible interpretation of what someone says, not a weaker one that's easier to criticize. Assume good faith.