NO! HELL NO!

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I got a call from Express Scripts yesterday.

God, I thought I was done with those fuckers!

It turns out that my new Obamacare sanctioned, lemon scented medical policy apparently has some kind of alliance or affiliation with Express Scripts.

I told the machine “NO! FUCK NO! I Hate you People” and hung up.

I do hope they were recording the user responses. I’d love to be in the room when someone hears that response. I’m equally sure that they hear it all the time, given the number of hits my other Express Scripts posts get on this blog.

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Express Scripts is not to be used, In fact, if my new Obamacare approved insurance policy forces me to deal with Express Scripts, I’ll change insurance carriers.

That is how strongly I feel about Express Scripts.

These people are scum and their service is best thought of as a really, really, bad Indian call center for drugs.

You might get the right information or drug… But odds are better that you’re going to get the wrong shit.

These are the people that sent me a cholesterol drug, which as it turned out I was allergic to and, oh by the way, was recalled because it was contaminated with ground glass.

Would they swap it? NOPE! The bitch on the phone actually said I’d have to put up with hives until I ran out of my 90 day supply.

I didn’t know it at the time but hives can be very dangerous.

However since I’m also not a masochist I simply didn’t take the drug. Then when the recall got announced on TV I called Express Scripts AGAIN and asked why the hell they hadn’t contacted me about the contamination of the drug.

Their answer… oh that’s the patients responsibility.

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No, I will not deal with them, not now and unless I have no other choice, NOT EVER!

I’m contacting my Doc, to find out what it would take for me to get off the few medications I take.

Yes, I know I could simply stop taking them, but I’d like to do this safely and am willing to change my habits enough so that I could stay healthy and off meds hopefully for a decade or so.

Of course, this could mean Obamacare is working…

As I’ve said elsewhere, there wont be any death panels. There will simply be people that don’t get the right meds, or effective treatments.

It will be totally random and take years for the Government to investigate why so many people are dying of “Illneses for which they were taking the correct meds.

The answer will ultimately be; players like Express Scripts and their crappy record keeping, horrible shipping policies, and sloppy fulfillment of prescriptions caused the death of thousands.

Then there’ll be another decade of discussion and voting to improve laws governing big pharmaceutical distributors like Express Scripts during which thousands more will die.

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All the while players like Express Scripts will be driving real pharmacies and real pharmacists out of local neighborhoods and making a fortune doing it.

The inner city poor will be decimated first, when their neighborhood pharmacies close. Then it will spread to the suburbs.


Fight Companies like Express Scripts!

Refuse to cooperate, don’t comply. Raise hell if your HR department even mentions Express Scripts. Tell your insurer that you don’t want to have to deal with Express Scripts

If you’re already stuck with these bastards, check every single prescription. Question everything about them, make them earn their money, tie up phone lines and don’t use their website

Don’t take their word for anything about generics, or drugs they substitute without talking to you.

Make sure they have cleared every substitution with your physician. In my case Express Scripts lied repeatedly!

They’d never contacted my Doctor about any substitutions. I’m not talking just generics, I’m saying Express Scripts changed the drug they sent me entirely.

RESIST!

Save your neighborhood pharmacy. Save your life.

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Yeah, I’m passionate about it.

There’s something to be said for walking into your local pharmacy and actually talking to a real pharmacist who has records of what you’re taking and knows if you’re looking at a drug interaction.

Express Scripts couldn’t keep it straight, and I was using their automated reorder system.

That system was ALWAYS wrong! To make matters worse, the phone people aren’t pharmacists and they have no better access to information about what they’ve sent you than their web site, which as I’ve said was always wrong.

Medications are serious business. Get the wrong combination and you wake up in the hospital. If you wake up at all.

Yet no-one you speak to at Express Scripts has any accountability or training to answer questions other than accounting related stuff.

Worse yet, if you have a problem with a medication, when you call your doctor you’ll  have to read him or her the name of whatever it is you were taking because of the substitution some “Medical Board” made without actually examining or seeing you. Odds are they didn’t bother to send him or her any information about what you’re actually taking instead of what your doctor prescribed.

That of course presumes you can reach your doctor. What if you can’t? What if the drug interaction is severe? Do you wait it out, or do you go to an Emergency Room?

I like being able to talk to my local pharmacist. I like being able to ask questions and appreciate being warned of potential problems to watch out for. I like being forewarned and being told what to do If X, Y, or Z happen.

There are some things that big nameless, faceless, corporations simply shouldn’t be involved in.

Dispensing drugs is one of them.

In other Insurance news…

UnknownWow!

Spent hours on the phone again with the insurance company.

This time it’s not about getting my insurance back on-line. It was about figuring out what policy would be best for me to migrate to.

Got that all sorted out, I think. The new lemon scented Obamafresh plan will take effect March 1.

But here’s the really interesting thing I found out.

Obamacare hasn’t really helped anybody.

Oooops! Big surprise! Yeah, I’m behind the times.

Here’s the thing that rebooted my brain.

I’m not making any income. So when I get ahold of an insurance rep I point this out and ask what can be done to lower my insurance rate.

Unknown-1Medi-Cal is the answer.

But Medi-Cal I point out, severely limits my choices of Doctors, Hospitals, Drugs, and provides far less care than I, or anyone should consider acceptable. I thought Obamacare was supposed to make that better. I thought that’s what the whole subsidies thing was about.

I thought the subsidies were designed to allow people at the lowest end of the income bracket to purchase decent coverage and look forward to not waiting for care.

Obviously, I’m some kind of moron.

If, on the other hand I was making 90K I’m eligible for a subsidy? WTF?

First and foremost, I’m a capitalist pig. Even I think that’s obscene!

That being said, as a general rule I have no problem helping out those folks that are less fortunate than I am.

I believe that we should help the folks in our own country before we start sending bloody fortunes to 3rd world cesspools where hatred of America is taught in the damn schools. That however, is another topic.

I believe today and have believed for the majority of my life that NO CHILD in this country should ever go wanting for food, clothing, medical, or dental care. It’s an obscenity that so many children do go without such things.

This is not to say everyone should have a free ride either. Eventually, everyone should be employed.

However, children that don’t get enough to eat, who are sick, whose teeth are rotting out of their heads typically don’t do well in school. Without basic education we doom those kids as adults to be forever poverty stricken.

This must change. I don’t believe in grand sweeping changes which our politicians love to engage in for political purposes. I believe in evaluating the problem then solving that  problem. Often the correct answer is the simplest, arrived at by the straightest path.

Obamacare had potential. It could have fixed a problem by simply making sure the people most at risk, had care available to them.

So what the hell is Obamacare doing aside from throwing the medical care system into chaos?

If anyone should have subsidized care it’s those at the lowest rungs of the economic ladder. That’s just simple common sense. What are the politicians smoking?

I stuck with paying for my policy. I’d rather deprecate my 401K than put up with shitty medical care. But what of those less fortunate?

Where do they turn? Who is their advocate?

Lets ride the Obamacare merry-go-round again!

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I swear, A LOT!

Especially when I’m having to deal with the complete and utter Bullshit that Obamacare is causing in average folks lives.

But I really start swearing when I’m having to clean up the mess Obamacare has introduced into my nice neat life. For the second time in less than a month it appears that my insurance is in an indeterminate state.

The primary hitch seems to be in the prescription coverage.

I spoke to a nice young lady a few weeks ago and she gave me the proper string of numbers and letters to have a prescription filled. I found out today that string of letters and numbers doesn’t work anymore.

Which loops me back to the problem that I was trying to solve several weeks ago that required me being on hold for 5 hours or so.

At the time I asked the nice young lady if there was a problem with my policy. She said nope, you’re paid up until March.

Uhh, it’s Feb 3rd and apparently there is something wrong with my insurance.

I’ve now been on hold for another hour and aside from the same repeating loop of music and a female voice saying,

“All agents are still assisting other callers please continue to hold and your call will be answered as soon as possible.  Thank you for your patience.”

Nothing much has changed.

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As I sit here on hold I realized that if someone was trying to sort out this problem from their place of employment, they’d have to take a day off from work.

Think about the people in retail or the waiters and waitresses. Do you think their employers would accept the fact that they need to be on hold for hours on end just to sort out getting a prescription for their sick child?

Why should I as an independent business person have to ignore my clients and not get any work done because I’m dealing with Obamacare or the ramifications of Obamacare?

Does all this lost time get factored into the cost equations of implementing Obamacare? It should!

The boondoggle of Obamacare is not only canceling insurance for people that were previously insured, it’s creating a backlog of clients like myself who cannot get assistance when they need it.

People signing up doesn’t mean jack shit if those people can’t actually access the policy or services that they’ve bought and paid for.

Sarah Palin was wrong, there won’t be death panels.

There will simply be people dying of neglect. If you’d like to see how that plays out I suggest that you get hold of a movie called “The Hospital” sorry it’s not available on Netflix.  The movie has, George C Scott, Diana Rigg, Barnard Hughes, and Richard Dysart. It was made in 1971. The blurb on IMDB doesn’t sound like much but it’s really well done.

Well this time, it turns out the computers cancelled me on Jan 1st.

Might have been bloody nice if they’d told me I was cancelled. Of course that cancellation wasn’t supposed to have happened. Then again neither was my migration to another policy that wouldn’t have taken effect until March of this year, leaving me with no coverage for 2 months.

Again it would have been really nice if the insurance company had, oh… I don’t know, MENTIONED something to me about it.

Instead my only indications were that I suddenly didn’t have prescriptions coverage. Thank God I didn’t need to go to a hospital.

All this has been absolutely wonderful raising my blood pressure.

Everything is sorted out until Feb 15th When I get to go through another enrollment process and figure out if I’m eligible for subsidies.

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Subsidies?!?!? to pay a bill that I was capable of paying without assistance before Obamacare. I’m very confused about that. After all where does the money for subsidies come from?

Oh yeah from our tax dollars.

I guess this is what redistribution of wealth looks like.