*times the jump rope... back and forth, back, forth...and jump in!*
Gromit wrote:
I think you put your finger on it right there. It doesn't need a conspiracy theory. Psychological research shows that people who accept favours feel obliged to reciprocate, even if they imagine they don't. The pharmaclological industry spends huge amounts of money doing favours to doctors, because they know it works.
It is bad enough that it goes that far but unfortunatly it dosen't stop there. I work in retail pharmacy and therefor have to deal with insurance companies for a large portion of my day. The doctors arn't the only ones making deals with the pharmacutical companies. After you get the script and take it into the pharmacy you are very likely to find out that your insurance does not prefer that drug and will either not cover it at all or pay so little that you can't affort it anyway.
If they won't pay they hide it as a "Prior Authorization". This means that the pharmacy has to put together a form with a phone number for the doctor to call. This is faxed to the doctor who has to take time out of his day of seeing patients and driving his fancy car to lunch to call the insurance company and awnser questions. These questions try to convince him to change your medication to something they prefer while he explains that he has a degree in this field and feels that you neally need to take what he prescribed. Ofcourse he may be working in your best intrest or further his connection with a different drug manufacturer.... or he may not call at all!
On top of that it is still up the insurance company and they may not approve the doctors request if they so choose. Ofcourse I've seen them get an approval for a medication and them the next month when the dose is changed to twice a day the insurance company says, "Plan limitations exceeded. Only 30 capsules allowed per 30 days." Ahrg!
Lets recap:
You want to feel better.
The doctor wants to make more money and maybe make you feel better as a side-effect of that.
The insurance company wants to keep as much money as possible.
I know this comes across as pesimestic but it is meant to be informative of the factors that are in play.
In the end your best and maybe only advocate is yourself.
(okay, I'll try and stop ranting now.
)