Free I’m free at last!

Today marks the first day of freedom from Express Scripts.

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Can I get a hallelujah!

No longer will I be forced into using generic drugs if I don’t want to. It’s once again my choice to manage MY own prescription world.

I once again can go to the LOCAL pharmacy. Where I can ask a pharmacist questions and know that I’ll actually be talking to someone that knows what the fuck they’re talking about.

No more talking to a moron on a telephone who obviously couldn’t give a shit about what they’ve sent, where they sent it, or that what they sent isn’t the right shit in the first place.

The down side is that I’ll be paying through the nose but that’s better than having to fight the fucking insurance company every time I need something.

Even if I was paying for a prescription out of pocket… I ended up wasting time (mine and the pharmacy staff) because I’d call in a prescription and the insurance assholes would override my request.

Then I’d go to the pharmacy and have to have the pharmacist take back the generic shit that doesn’t work on my body to replace it with the shit I wanted in the first place and was willing to pay cash for.

Generic drugs, with a different chemical make up aren’t the same as the real deal. Generics may work in a similar fashion but maybe not as well, that’s often why the generic was superseded in the first place.

Remember having to take an antibiotic 6 times a day? Now it’s not unusual to have a prescription antibiotic that you only have to take once a day and the new drug doesn’t give you the shits either.

Let me see… I have to take a handful of pills 6 times a day and I’ll need to have a diaper or I can take one pill a day and go on with my life without scoping out where the nearest toilet is.

UHH let me have option fucking B!

Now I can choose generics if they make sense and they’re effective otherwise I can pay for non generic and know the shit will work.

Yaaaahhhhooooo!

I’m fully aware that I may not be so thrilled the first month I get the bill. But at least I have freedom of choice instead of being told cheerfully that since a generic version of the drug I’d been taking for years was now available I would be forced to accept the generic. Oh and you’ll have to have your doctor jump through hoops to get that prescription filled.

With Express Scripts in my rear view mirror perhaps at least one portion of my life will get a little simpler.

If your HR department happens to mention Express Scripts as an option during your next open enrollment… Tell them in no uncertain terms you refuse.

Believe me if a conference room full of people say something like “We’re quitting if you force us to deal with that prescription coverage company” your HR people will probably listen.

In my case, I asked questions but the majority of the folks in the room just wanted to get through the presentation. After 3 years dealing with Express Scripts those same folks welcomed being laid off. We’d all had similar stories of horrific dealings with Express Scripts.

The classic was the guy whose meds had to be kept cold. Express Scripts sent his stuff in an uninsulated paper envelope in February to Los Angeles. At the time it was in the 80s and the drugs were ruined.

When he called Express Scripts asking for a replacement and explaining what happened the Express Script people told him its Winter, “We don’t ship in insulated packaging in Winter.” After Express Scripts had screwed up 3 consecutive shipments they finally sent him to his local pharmacy.

Good riddance to a fucked up company with a shitty customer service philosophy. Hello to freedom…

Bad habits

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I used to smoke. 

Yeah, I was a smoker. I was the evil puffing bastard everyone has come to hate! I put your children at risk! According to the nanny state I should have been taken out and shot.

Not to put me out of my misery but out of yours.

I quit years ago and I still miss it.

Now theres an un-PC admission in this day & age!

I’m glad I quit and everything, but I liked the nicotine rush! I also liked that it killed my appetite and it was a lot easier to stay skinny.

The health benefits outweighed the desire to smoke and so I was able to leave it, albeit with regret in my past.

I quit because my best friend asked me one day how it was that I could justify going to the gym 4 days a week and still smoke when I came out of the gym?

It was a good question and as usual his logic was completely irrefutable.

I quit that day…

I still miss it.

I miss smoking when I’m drinking at a bar. You can’t smoke at bars in California anymore but I still miss it.

I miss smoking after sex. I miss the ashtray on my belly, the red cherry of my cigarette glowing in the darkness and me thinking quietly about what I’d just done and knowing that I was going to do it again when I stubbed out my smoke. I miss having my arm wrapped around my partner, their head on my shoulder while I smoked that in between fuck cigarette.

I doubt I’m the only man who feels that way.

I miss getting up from my desk and walking outside to have a smoke and bitch with my co-workers about the boss or the latest political fuck-up in the company.

I smoked because I enjoyed the taste, and the hit. Not because I was lured into it by unscrupulous corporations. (Their ads were enticing, who didn’t want to be the Marlboro Man?)  I knew damn well what I was doing.

My Dad smoked. It killed him, you’d think that I wouldn’t wax lovingly about cigarettes.

I didn’t start smoking until I was 18. Near the end of my smoking days, I was doing almost a pack a day.

The nicotine was one thing. I think I was self medicating a bit. Nicotine acts as a stimulant and because it’s a stimulant it has a very specific effect on persons who happen to have been treated in their childhood with drugs like Ritalin.

The child may have outgrown the reasons they were put on Ritalin but their bodies will always have an affinity for stimulants in general.

I’ve known more than one smoker who had been on Ritalin in their childhood, of those more than a few who really liked pharmaceutical grade stimulants. 

Interesting thing is that if their Doctor was smart and recognized certain traits they’d end up back on Ritalin and suddenly they’d stop smoking.

But sure… Ritalin is completely safe for your unruly child, we’ve been using it for 50 years on kids just like yours… (with no or generally undocumented, unproven ill effects.)

Moving on…

I recently had the opportunity to try one of those e-cigarettes. For those of you that don’t know, these are things that look like cigarettes and that provide a nice flavor and optionally a selectable hit of nicotine without the tar, and other nasty chemicals associated with combustion in a “real” cigarette.

It was nice…

Not exactly like smoking a cigarette, but it was pleasant.

Since then, I’ve done a lot of reading and investigation The jury is out about the negative effects of these devices.

About the only consistent thing is that they’re less unhealthy than a cigarette. The “Smoke” is essentially water vapor, there’s no smell, but there is a good taste (at least in the one I tried). You can choose the nicotine leveNewImagel and they’re also a lot cheaper than cigarettes. 

I’m not sure that I’m ready to start up with one of these things all the time but I do like the option.

The only problem I could see is that unlike a real cigarette you don’t know when you’re done. 

I’d smoke a real cigarette in about 10 -15 minutes if I wasn’t in a hurry. These e-cigs don’t burn down so you could find yourself completely losing track of time if you weren’t paying attention.

For someone like me that really enjoyed smoking even when I quit… these things might be a neat option. I could also see how they might assist in quitting for some people.

But I suspect that there will be a larger number of folks who switch over to this option. At least until the government starts to regulate them and drives the prices up to normal cigarette levels.

There’s also the fact that cigarettes used to be, and e-cigs still are cheaper than a monthly prescription of Ritalin.

I don’t know if that’s still the case. I haven’t looked into Ritalin in a very long time.

Ok, I’ve got nothing!

Nothing to say.

Still looking for insurance that I can afford.

THuhhe search isn’t going well.

On the one hand I’d like to be covered, on the other hand I have a fundamental problem paying another mortgage payment to have medical coverage.

The primary problem I have is this, with a mortgage I have something that’s tangible. With health insurance I’m pissing money away to provide for coverage that I may or may not use.

At the rate I’m paying right now for COBRA, if I paid that same rate for 10 years it would come to $72,000 not including interest.

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When the  men in my family break at end of life we don’t typically last very long.

I’m actually fortunate in that as long as we stay active we live a long fairly trouble free life. Our sinuses are for shit but nothing is perfect.

When our time comes we tend to go out like Don Corleone in The Godfather. We’re playing with the grandkids or great grandkids in the garden then we drop dead.

If I’m going to pay the equivalent of another mortgage, I might as well take advantage of the lower mortgage rates and buy another piece of property. At least I could rent it out and have an income, with a potentially higher rate of return.

I was thinking about it and realized that were I to go to a bank to apply for a mortgage for another piece of property they’d tell me I can’t afford to make the payment. Yet our government says that not only must I afford the payment but that they will enforce it under the law.

It’s a lose, lose proposition. If I were still in my 20s I’d be applying for citizenship in other countries. Not because I hate America, I love this country, but because I wouldn’t be able to afford the cost of American citizenship as I got older.

Today if I could communicate with my younger self… I’d say go find a decent country with good people and a system that works. Move there, become a citizen and plan for a decent retirement.

I look at my parents and their retirement isn’t at all what they’d planned for because they trusted in a system that didn’t really protect them. Remember Enron? There were a lot of 401K investments that got wiped out due to them. Then just a few years later you have the housing implosion and the devaluation of their retirement savings has really cut into what they can do. I know they’re on Medicare and Social Security I know they’re paying for health care supplementary insurance I just don’t know how long they’re going to be able to afford it.

I’ve spoken to younger insurance agents who don’t have health insurance because they don’t have an extra 600 – 800 dollars a month in their budgets.

NewImageYet in 2014 we’re all supposed to be carrying insurance and we’ll be penalized for not having a policy in force.

I’m still OK,  yeah I’m using my savings to pay the bills but I can go for a while longer with careful spending. I keep wondering how the hell can people less fortunate than myself come close to affording health insurance?

It really messes with your head. You want to do the right thing, but you can’t afford to do the right thing.

Obviously if you didn’t bother to pay for your housing, and didn’t eat you could afford to pay for health insurance. Then you’d only have to worry about paying for health insurance for a few weeks.

This is seriously wrong. And yet the government is in a position to make us all face this choice.

I’ve said it before. Contrary to what President Obama would have us believe. The problem isn’t that American Citizens are irresponsible about medical coverage. The problem is that health insurance companies and to some extent the medical providers are raping the American People.

If our government was truly interested in taking action on health care they’d address the source of the problem not penalize the victims.

Humm, I guess I did have something to say after all.

OUCH! (Maybe a better title is it hurts so Good!)

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Had a massage yesterday.

The masseur does really deep tissue and I needed it.

But the day after I really don’t want to move.

I scream like a little girl while he’s working me over and keep thinking to myself, “I’m paying for this?”

The trick is to drink plenty of water before and after and try to relax.

The day after, I keep drinking tons of water and take a couple aspirin.

I knew that I was really tight, I’d been waking up hurting but hadn’t been able to get in to the massage guy. 

Well I paid for it yesterday.

You know you’re tight when your masseur is bearing down with his elbow in the middle of your shoulder and laughing.

Sadist!!!!

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I go to him because he works my whole body even all the small muscles in my hands and feet. It makes walking and typing a little tough the day after.

I spent years in chiropractic care and honestly get more out of a good massage than I did from chiropractors. 

The down side is I’m moving like a really old man…

The pups need to have a walk this afternoon, that will probably help me too. At the very least it will get blood flowing which will reduce the ache.

If you can find a decent massage, I’d recommend it. Look for a certified massage person. There’s nothing worse than a massage that all about a “Happy Ending” when you really wanted a real massage. 

Happy endings are really nice if that’s what you want… but you shouldn’t have to pay for one of those. Find a good friend, trade massages, give each other happy endings, shower together, then go have dinner. That way you get the emotional and physical fulfillment that we all need so much.

Today is a Bright Cold Beautiful Day

Yeah,

22F When I got up this morning. Looks like the Low may have been colder.

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Got some more work to do in the office and It’s good to be back in my own space again.There’s a stack ‘O shit piled in the middle of the desk that I need to sort through, but that can wait.

Still a slight glitch in that I’ve got more devices than I have place to set those devices. One of these is the photo printer which delays Christmas cards.

On the other hand I can always send them as PDFs via Email. It’s not that I’m not thinking of my friends it’s just that I’ve… well… mismanaged my time a bit.

A seriously good thing of note today is that I’m feeling better. A lot better!

For the first time in more than a week I’m a bit on the horny side. For a guy, that’s the sign that we’re healing and on the way the health again. For me, the first sign of being really sick is that I’m not horny at all. So this is a welcome sign if a bit frustrating.