There was an article in the Wall Street Journal about how Walgreen's will pull its Delaware pharmacies from the provider list for Delaware Medicaid. When reimbursement rates from the state are so bad that a chain pharmacy will not take the loss for thousands of prescriptions for the destitute to receive medicine we have a serious problem.
I see several causes of this problem:
1. Contrary to popular belief, wholesale drug costs do go up just like the cost of things like food every year.
2. Companies who use pharmacy as a loss leader for their business allow lawmakers to operate under the false assumption that all pharmacies can afford $4 prescriptions and thus lower reimbursement rates should be acceptable.
3. Increasing numbers of people on welfare stretch the money further and further to the point where states like California will probably go bankrupt.
4. Reimbursement rates from all insurance and welfare providers keep decreasing as copays increase to the point where many can no longer afford medications thus fewer prescriptions are being filled which can result in an increase of hospital stays and complications from people who should be taking maintenance meds but see the need to eat and have a roof over their heads as a higher priority, because it is...
I really hate the current medical system we have in the US today. The entire system is broken and there is no way our government will be able to fix it without a complete overhaul. Don't be fooled and think there is a solution out there. Ours is a profit based system and that will never change. There are way too many hands in the cookie jar that love love love those cookies. This means that no American will ever be sure that they have appropriate or adequate care unless they are a member of Congress and get a sweet sweet deal with their health plan or move to Canada, England, France, etc. and marry into citizenship.
The whole point to this rant is that even with pharmacies refusing to take state plans the system will not get better. It just makes it harder for people dependent on the state to get their treatment. Crap, I have just ruined my whole day thinking about it. Time for Chinese take out and Vodka, my meds for the day...