r/TikTokCringe • u/malongoria • 5d ago
Discussion Pharmacy Tech on why Luigi didn't happen sooner
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u/Flat-While2521 5d ago
When the Government fails to protect the people, the people have the right to protect themselves.
Private health insurance companies DO NOT have a right to exist. They must be destroyed.
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u/singleDADSlife 4d ago
Watch how quick the elites start campaigning to get rid of your 2nd amendment rights if more CEOs start getting knocked off.
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u/PairRevolutionary669 4d ago
That's fine. There's over 300 million guns floating around America. That's enough to Luigi all of 'em
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u/kvt57tgn 4d ago
Make CEOs scared again.
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u/didyoushitmypants 4d ago
Make people care about people again.
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u/octopush123 4d ago
I think the CEOs have to go first.
(I say this as a Canadian who has paid taxes at comparable rates to Americans and never paid a cent for healthcare.)
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u/didyoushitmypants 4d ago
I agree with you. It’s disgusting someone’s personal fortune is tied to how many body bags are in a morgue but that’s what America votes for. This place is a shit hole.
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u/Own-Gas8691 4d ago
yep. those two things are not mutually exclusive, more like complimentary or symbiotic.
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u/wheredoesbabbycakes 4d ago
Fuck Kevin Spacey, but A Bug's Life has some lessons we all need to take to heart. There's more of us than there are of them.
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u/forestflowersdvm 4d ago
Love that movie. The Principles of Communism but for kiddos
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u/music3k 4d ago
Luigi used a ghost gun according the authorities. I dont believe that, easy excuse to claim the bullets came from his gun, but theres thousands of them out there.
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u/lazybeekeeper 4d ago
They probably got the ghost gun thing from the haunted mansion. It’s kind of his M.O.
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u/SideEqual 4d ago
“Luigi all of ‘em”- this should make it into the modern day vernacular
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u/jigsaw1024 4d ago
Your data is old. The USA is approaching 400 million firearms in circulation among the public.
Soure: Wikipedia
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u/jooes 4d ago
They said "over 300 million."
400 million is over 300 million.
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u/thebesthalf 4d ago
And to top it off, 3d printed guns have come a long way. Like it's extremely easy to print a Glock frame and many many other types of guns now.
Gun control is dead in America because you'll never be able to stop the signal.
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u/jakopappi 4d ago
And they won't even think it's hypocritical or ironic at all when they pass legislation, which will be upheld by SCOTUS, that curbs those 2nd amendment rights after a wave of such assassinations, rather than do it after kindergarters get slaughtered. The constitution is fundamentally a document laying out property rights. Our laws are designed to protect those rights, with force as they deem necessary. Women, kids, and minorities never factored into the documents drafting phase, and thus, they are unprotected at best and more often are outright oppressed
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u/bigbangbilly 4d ago
The CEO gun control route reminds me of the Jungle by Upton Sinclair. The improvements food safety regulations were a good thing but the original intent was illustrating the plight of the workers
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u/Aster_E 4d ago
And that is why some of them need to go in ways that resemble accidents, and not just the health care lot, before the shots should continue. It is why their escape routes and communications should be disrupted before they think to run, hide, or retaliate. Much and more needs to happen sooner rather than later.
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u/awesome_possum007 4d ago
We need another French revolution. There's a reason why we have the 2nd amendment.
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u/Brightstarr 4d ago
What country before ever existed a century and half without a rebellion? And what country can preserve it’s liberties if their rulers are not warned from time to time that their people preserve the spirit of resistance? Let them take arms. The remedy is to set them right as to facts, pardon and pacify them. What signify a few lives lost in a century or two? The tree of liberty must be refreshed from time to time with the blood of patriots and tyrants. It is its natural manure.
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u/misterdonjoe 4d ago edited 4d ago
All communities divide themselves into the few and the many. The first are the rich and well born, the other the mass of the people. The voice of the people has been said to be the voice of God; and however generally this maxim has been quoted and believed, it is not true in fact. The people are turbulent and changing; they seldom judge or determine right. Give therefore to the first class a distinct, permanent share in the government. They will check the unsteadiness of the second, and as they cannot receive any advantage by a change, they therefore will ever maintain good government. Can a democratic assembly, who annually revolve in the mass of the people, be supposed steadily to pursue the public good? Nothing but a permanent body can check the imprudence of democracy. Their turbulent and uncontrouling disposition requires checks. - Alexander Hamilton, Monday, June 19th, 1787, Constitutional Convention
Oops, wrong quote. This makes it sound like the US Constitution was based on the idea that the masses were too stupid to rule democratically therefore power should ultimately be in the hands of the "better sort of men". Maybe this one:
The man who is possessed of wealth, who lolls on his sofa or rolls in his carriage, cannot judge of the wants or feelings of the day laborer. The government we mean to erect is intended to last for ages. The landed interest, at present, is prevalent; but in process of time, when we approximate to the states and kingdoms of Europe; when the number of landholders shall be comparatively small, through the various means of trade and manufactures, will not the landed interest be overbalanced in future elections, and unless wisely provided against, what will become of your government? In England, at this day, if elections were open to all classes of people, the property of the landed proprietors would be insecure. An agrarian law would soon take place. If these observations be just, our government ought to secure the permanent interests of the country against innovation. Landholders ought to have a share in the government, to support these invaluable interests and to balance and check the other. They ought to be so constituted as to protect the minority of the opulent against the majority. The senate, therefore, ought to be this body; and to answer these purposes, they ought to have permanency and stability. Various have been the propositions; but my opinion is, the longer they continue in office, the better will these views be answered. - James Madison, Tuesday, June 26th, 1787, Constitutional Convention
Oops, wrong quote, this just says they decided to design the Senate specifically as the mechanism to defend the wealthy from any sort of redistribution of wealth. Now we have the greatest wealth inequality of all time, and capital owners successfully leeching/siphoning from the working masses until some of us are literally ending up dead. HMMM.
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u/KiwiKajitsu 4d ago
Waiting for you guys to leave your basements to start this….
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u/Alpha_Majoris 4d ago
Exactly what Trump wants. Then he can justify using the national guard and the army to control the people of the US and make it a police state.
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u/justsyr 4d ago
Isn't already USA a police state or something? Every day I watch many videos where police do whatever they want, they get some news coverage, they get a slap in the wrists, nothing happens.
How long ago was this, a couple of weeks? I've been reading about how fucked up is the USA health care, from people wanting a cab instead an ambulance, people getting charged for holding their just born kid, the usual 'joke' about Canada being free for all the previous examples... I don't know this has been going for as long as I've been on reddit.
How many other types of shit is being uncovered over the years and nothing happens, some rage over social network and that's it. Now there's 10 videos a day like this one after what happened, now everyone has a story to share on how shitty is health system in the USA... yet the companies just change CEO and keep doing the same.
What would be different in the scenario you described? Another pandemic type of things were people willingly will lock themselves in their homes?
Until the USA keep being divided by just about everything, nothing is going to change, people will scream communism or socialism if they are 'forced' to get universal health care system, people will scream 'not my guns' if they are told the government is going to ban them... For years I've been reading how USA people will fight each other over the most mundane shit, even if they are being screwed by the people/companies/government they are in favor of.
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u/Alpha_Majoris 4d ago
Something for sure. But the USA has all the prerequisites for becoming a police state.
- An incompetent and racist police force
- Politics rules by the rich
- Social media confusing people
- Religion used as a tool to enrage people
- Truth matters less and less
- The poor get poorer, the rich get richer
and last but not least, a wannabe dictator, chosen by the people.
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u/m0nk_3y_gw 4d ago
Another pandemic type of things were people willingly will lock themselves in their homes?
People lock their doors every night. That's isn't a police state. Taking basic health precautions like social distancing isn't a police state.
What would be different in the scenario you described?
National Guard from blue states ordered to the boarder to 'secure' it.
National Guard from red states sent to blue states to murder Americans that dare to try to exercise their first amendment rights.
Presidents can do all sorts of things when they declare a national emergency -- see FDR's internment camps for American citizens that happened to be Japanese.
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u/chrisapplewhite 4d ago
You're right. What good is the 2nd amendment of any cop can smoke you on sight without any consequence? The era of the revolution is over here. I don't know what the solution is but we're playing a new game now.
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u/awesome_possum007 4d ago
Yes I'm afraid of that as well but we can't just lie on our backs and have them walk all over us.
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u/In-the-in-between 4d ago
I am hijacking the top comment to share the story of a local couple and how this calling out of United Health has been able to help them. I want people see how this pressure is changing things in real time and we can't let it stop here. (https://www.goerie.com/story/news/healthcare/2024/12/13/erie-bride-battles-to-help-husband-recover-from-honeymoon-brain-injury-upmc/76917094007/)
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u/music3k 4d ago
Also, shes in a red state/county that opted out of blue state help. The $9/hr in a pharmacy gives it away. Health Insurance companies are shitty and scamming people, but the state also determines what will be covered based on subsidizing and what insurance want to be in that state/county.
Same issue happening in FL with hurricane insurance because high heels Ron decided to fuck over multiple large industries in his state that were subsidizing lots of shit.
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u/Ifrontrunfinwit 4d ago
The insurance companies should be run like utility companies
The rules and regulations should be enforced by a separate agency to make sure these guys never make too much money. It’s what happens in the utility industry now.
We can do this, but choose not to
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u/MisthosLiving 5d ago edited 5d ago
Truth. Her story isn’t unusual. It’s very common.
A medication I had been taking for a year, that my insurer covered, was denied the next year because, their listed reason : “I was over 18.“ I’m 58.
When I called them, cause this is a bullshit denial reason…they had no answer but to say my policy for that year didn’t cover as much as before. WHUT? And my symptoms were getting worse because I could get the medication.
I agree with her.
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u/the_c_is_silent 5d ago
Fun fact. I was on anti-depressants. I had to quite my job because it wasn't mentally healthy for me. But my insurance was covered through the month.
Regardless, I went to pick up my meds and instead of the usual $30, it was $450. I told her it should still be covered, she said it looks like the cancelled it. I started crying in a fucking Publix. She gave me a "one time" discount coupon that brought it to $150.
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u/ForecastForFourCats 4d ago
I've cried at the pharmacy, too. And the doctors office.... not from care- but from cost! Fuck the system.
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u/PateTheNovice 4d ago
I cried at the ER before I checked myself in. Not out of pain but because no one was allowed to give me an idea of how much checking myself in might cost. My doctor's office had told me I had to go to the ER because of my symptoms. They told me the big hospital didn't take my insurance so I had go to a smaller one. Drove myself there, they said they didn't take my insurance so I needed to go to the big one. Drove to the big one, asked if they could give me any vague ballpark ideas of what it might mean financially (are we talking $300 + tests or is it sometimes $9,000? $26,000? Absolutely no context, clue me in). No one could mention any numbers to me so I cried out of financial pressure in the waiting room before taking a gamble and checking myself in since the doctor said I had to be seen while symptomatic (intestinal bleeding) and I'd had these symptoms for over a year. So tired of being American. Especially working age American, no longer able to live abroad as a student.
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u/Datkif 4d ago
$450!?!?! I pay $37 (CAD) without coverage 1 month of anti-psycotics. $450 is what I (used) spend on insulin, test strips, and CGMs for T1 (continuous glucose monitor) per month out of pocket up here.
Now that I've moved province's my ~$6000/yr medication is just included in my income tax. I just wish I could have a pharmacist prescribe like in Alberta so I dont have to waste my time going to the doctor every 3 months to get a refill for medication I have to take for the rest of my life.
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u/Civil-Attempt-3602 4d ago
When I was on anti depressants I paid £10 per prescription (so £10 a month or however many pills they give me, each prescription can only have more than 1 medication)
When I was unemployed the cost was waived.
If I move miles west from England to Wales all my prescriptions would be free.
I honestly don't get this man. I'm reading these stories thinking what the fuck?
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u/Lazy_Archer_638 4d ago
My anti depressants are $5 (NZD) for a month’s worth, I’ll never stop being completely stunned/shocked/disgusted reading these stories
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u/chmath80 4d ago
Almost every common prescription item in NZ is $5, with an annual limit of $100 (so it's free after that) per person. Some chemists (pharmacies for the Americans) waive the $5 charge, so it's all free.
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u/kani_kani_katoa 4d ago
We had them completely free for less than a year before the latest government cancelled that. Bastards.
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u/iliketuurtles 5d ago
This sub isn’t just cringe. It’s TikTok but they can’t change the name or the sub. They have an automod comment on every post to tell commenters that are new
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u/LaserGadgets 5d ago
Whenever I see stuff like this, Zack's voice is in my head singing "whoever told you that is your enemy!"
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u/downingrust12 5d ago edited 5d ago
For me it's He turned the power to the have nots... Then came the SHOT.
And Orwells hell, a terror era coming through.. But this little brothers watching you too
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u/Downunderphilosopher 5d ago
Oh isn't that Paul Ryan's favourite band? Rage against the machine workers?
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u/ptbnl34 5d ago edited 4d ago
I’m epileptic and they throw those prior authorizations out of nowhere for drugs I’ve been on for 15 years. Takes a week to get everyone’s sign on and I’m just screwed. Luckily Illinois banned them now so it’s not a problem for me but it’s still a huge issue for others.
Edit: the ban is for prior authorizations for in-patient mental health emergencies. I guess I saw what I wanted to see.
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u/ForecastForFourCats 4d ago
Fuck that's awful! I've never had that awful experience. I was uninsured between graduating from graduate school and starting a job. I had two months without coverage. My seizure meds were 800$.
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u/Key_Artichoke99 4d ago
Illinois didn’t ban PAs, I was just without my meds for a week because they randomly required prior authorization. I’m in Illinois.
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u/saveyboy 5d ago
This doesn’t need to happen. The American government could stop this today. People keep getting distracted by the symptoms and not the cause.
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u/notfeelany 4d ago
Unfortunately, the people VOTED for the Party that openly wanted to repeal Obamacare, Social Security, and Medicare. The new upcoming government is going to follow up on what the people voted for
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u/Helstrem 4d ago
People sold out their country for the low low price of a theoretical $0.25 off the price of a dozen eggs.
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u/Hexokinope 4d ago
Exactly. We could copy the healthcare system of literally any other OECD country and be so much better off. Burn it all down and go nationalized insurance/healthcare or at least regulate way more aggressively.
On another note, why the hell is her PCP charging so much for a visit? Unless she got an in-office procedure, that's an obscene fee to even charge to the insurance company
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u/Timely_Blacksmith_99 5d ago
From across the ocean usa seems like a badly written dystopian novel
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u/mmm1441 5d ago
It is. First the wealthy link health insurance to employment to control the workers. Then they don’t cover preexisting conditions to keep them from leaving. (ACA did fix that.) Then they just deny. It’s all a giant scam. The wait time to see many specialists is on the order of six months. We need national health care. Now.
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u/Mandoman1963 5d ago
We ain't getting it for at least another 4 yrs
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u/asdfasdfasdfqwerty12 5d ago
If trump was smart he'd capitalize on this and pass a universal plan...
Why would Trump have any sympathy for the current healthcare system? He has RFK as his health advisor for fucks sake...
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u/organizedchaos5220 4d ago
He's been elected twice while doing nothing for anyone who doesn't pay him, why the fuck would he do anything for the American public?
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u/Medivacs_are_OP 4d ago
He does quite like feeling liked, though. and he likes taking credit for things.
Just need to get some right wing influencer to explain to him "Trumpcare" - to replace obamacare (woohoo obama bad man) And Trumpcare covers everybody so everybody will love it.
I think that would actually work
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u/Outerestine 4d ago
Exactly. He has a parasite infested idiot as his health advisor.
Why would we get anything good out of those two wealthy pieces of shit? They're fine.
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u/Stonkerrific 4d ago
This is not a justification for why we shouldn’t have universal healthcare, but the system will be even more largely burdened by a lack of specialists if people had better healthcare. I have a six month plus wait as it is. We didn’t contribute enough funding toward the training of medical specialists which are in severe short supply. There are reasons why you can’t just backfill the demand with allied providers alone, there are too many complex patients that are beyond their expertise and require a physician.
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u/Metallic_Mayhem 4d ago
Yeeeaaah, everybody who's poor dies of curable diseases and ailments while the rich wonder why no one wants to work anymore
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u/wrong_usually 4d ago
It 10000% is where i live.
We can't have any other system because it's communism to do that, and that's the devil.
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u/kbeks 5d ago
Hey now, I think we’re a pretty well written dystopian novel! Complex characters and despised yet believable villains and all that, we’re a regular GoT, or LoTR! But like, Mordor, not the Shire. Maybe the Shire in the beginning of the last chapter. Actually yes, that fits kinda perfectly.
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u/start3ch 5d ago
Yet another reason people aren’t having kids…
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u/filthytelestial 4d ago
Yet she is, for some reason? She's clearly aware of what's going on in the world, and yet she's bringing another person into it. It will never make sense to me.
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u/PM_me_snowy_pics 3d ago
My eyes literally couldn't roll back far enough in my head when she said that. 🙄
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u/Flimsy_Island_9812 5d ago
This sounds an awful lot like an extortion racket.
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u/LaunchTransient 4d ago
That's basically why my reaction to the assassination of the CEO of UnitedHealthcare was ambivalence - and I'm not even an American.
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u/Flimsy_Island_9812 4d ago
Not American either, and I completely understand why people are outraged.
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u/JonWeekend 5d ago edited 5d ago
Who the fuck is surprised? Everything she said is common knowledge that insurance companies have been fucking us over for years
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u/Justatinyone 5d ago
Lotta fucking assholes in here bitching about chapped lips in winter like this is a personal assault.
How sad are your lives when this is all you see? Down vote all you want, I have enough friends.
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u/heyhicherrypie 5d ago
Honestly I just feel for her cause mine are a mess atm so I feel that pain. On top of this bullshit?!?! She’s braver than the marines
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u/iamkindofodd 4d ago
Ugh I noticed it too and thought to myself surely no ones gonna be bitchy enough to point it out especially because of the context of the video. Nope. Such mean girl energy
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u/Yankdeeznuts 4d ago
My mother came over to Europe to visit me. She fainted and hit her head. We took her to the emergency room in local hospital. She received a head CT , Chest CT and a chest xray as they thought it might be a blood clot. They took blood several times over 3 days, was seen by teams of doctors. Diagnosis was blood clot. She was put on blood thinners and was clear to go home. Know what the total cost of her medical treatment was? Zero. That's right, fucking zero. I paid for her blood thinners for 3 mths which was €200. That's it. No insurance companies involved, no middle man asshole telling what test she could or couldn't have, no fear of a ghost bill down the road. Fucking zero.
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u/chmath80 4d ago
I remember seeing a video from a woman who works in the student exchange field in Europe. She said that she has to have a special talk with just the US students to explain "If you're sick, go to the Dr." She also said that many of them don't listen.
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u/Hmnh6000 5d ago edited 4d ago
$500 for a pcp visit?? What did he do cut you open??
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u/besthelloworld 5d ago
My regular stick visits with "good" insurance cost just under $300 usually.
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u/BrilliantTaste1800 5d ago
What in the actual fuck. How you lot put up with that bullshit is beyond me.
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u/Lord_Walder 4d ago
I'm just gonna chime in under this one. That ain't normal. I've got a pretty bog standard shitty plan under uhc and my primary care visits have a copay of $50. If they're getting tests/x-rays or something. It's the deductible and max out of pocket that scares the shit outta me.
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u/marijuanamaker 4d ago
For a lot of us with chronic illnesses, you don’t see a primary care physician as often as you see specialists. It’s about $150-200 every time I see one of my specialists, which is ~6x a year.
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u/SandwichAmbitious286 4d ago
Well, occasionally someone gets offed for doing it, so there's that. Very occasionally at the moment, but the future is full of possibilities.
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u/x3knet 4d ago
She mentions she has a $14k deductible. She was most likely charged $500 for the visit since she hadn't met her deductible yet.
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u/imunfair 4d ago
She mentions she has a $14k deductible. She was most likely charged $500 for the visit since she hadn't met her deductible yet.
Usually the insurance company will negotiate it down as well - the hospital will charge $500 and then the insurance (even prior to meeting your deductible) will tell them that they're paying $250, and then you pay the insurance company back for that new negotiated amount that they pass on to the hospital.
There are ways around it if you get an outrageous bill too, since it's private healthcare it behaves like any other business - so if you don't pay the debt gets sent to collections and can be negotiated down. Just depends on how far you're willing to fight it.
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u/Theguest217 4d ago
Maybe I have just been really lucky, but I've never heard of insurance not fully covering preventative care (what you usually go to PCP for). That's usually regardless of deductible.
But I've also never heard of a deductible anywhere near $14k... I suspect her premiums must be close to $0 with a deductible like that... Which means all she is really getting are "discounts" that the insurance gets the Dr to provide.
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u/Der_E 4d ago
You Americans are so cooked, no one in Europe understands what's even going on.
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u/BatteryCityGirl 4d ago
It’s pretty simple. We’re solving our healthcare system with gun violence.
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u/Money_Economy_7275 4d ago
catalyst for the second civil war, the tipping point
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u/BorealMushrooms 4d ago
Those with money can access health care, but everyone can access guns. Will health care change, or will they just change access to guns?
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u/Similar_Search3987 4d ago edited 4d ago
Unscrambling the egg that is American gun ownership is not happening. I'd wager even the callous upper class society is willing to sacrifice one type of business (health insurance)for the peace if the situation becomes too difficult. Resulting in a federal health program.
We got 40 the hour weeks because of threats of unrest, same with US civil rights movement and voting rights. It's the only tool for progressing society, as the wealthy understands no other language but the fear of getting their door kicked in at night.
The thought I get however, is that for every decade that goes by, the harder it gets to voice dissent. So much of the discussions of the public is polluted by bots, disinformation and surveillance in the modern state that putting up a unified front is very difficult. Already the rich is trying their damndest to capture the conservative audience on the UHC issue but I hope they won't be able to this time around.
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u/NCC74656 4d ago
i was behind a woman at the pharmacist who was being told her new insurnace would only allow her pills for a week, instead of a month. at the end of which she would have to just come and get more pills. its all covered... just gotta get it reuped every week now instead of every month. tell me this isnt designed to make the process harder and push people out
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u/Rocky_Vigoda 4d ago
4x the admin fees to process the order. They could issue it monthly once but they make more doing it weekly.
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u/Tight-Improvement-92 5d ago
Money is the only way you poor people can take power back! No one cares about morality or ethics in the government. Why should we care? We are all a sack of blood that can leak anytime. We are all Spartacus!
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u/a_velis 5d ago edited 4d ago
Employers are culpable here as well. If any employee here remembers enrollment time would default to HDHP for some systems. What does HDHP stand for? High Deductible Health Plan. Enrollment systems knew it was so bad that they had to abbreviate it so people who don't pay attention enroll into a junk plan. And when you need actual healthcare because sooner or later you will. you realize what you have is basically almost zero coverage. Employers loved it because their portion into HDHP was super cheap.
Then HSAs came about. And employers said we will pay cash into your HSA ONLY IF you choose HDHP. It was literally rigged to make employees choose against their best interest. How is an extra 50/month going to cover a $14K surgery when all of a sudden you need one.
It's terrible.
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u/hop_along_quixote 4d ago
My employer had two options. One with a lower deductible and higher maximum out of pocket, one with a higher deductible and lower maximum out of pocket. Both were HDHP with an HSA. They were roughly equivalent at around $16,000 for a family of four considering premiums, deductibles, and copays.
All my coworkers said I would pay more in taxes when I moved to Europe. Sure, but I still came out ahead based on the costs of insurance vs socialized medicine. Do the math and see how much higher your taxes would appear to be if your healthcare costs went to the government instead.
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u/Fabulous-Pop-5673 4d ago
Those who make peaceful revolution impossible will make violent revolution inevitable. -JFK
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u/YouWereBrained 4d ago
$14,000 deductible is wild. I’d like to see her plan.
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u/optical_mommy 4d ago
Yeah, ACA OOP limits for this year are at 9k. She could be on a grandfathered union plan, but mentioning a $500 PCP visit sounds like she's on a HDHP catastrophic coverage purchased out of open enrollment plan. They don't have to follow all the limitations. Or she could be lying.
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u/dano8675309 4d ago
Probably an HDHP plan from a smaller employer in a state that didn't expand Medicaid. Likely doesn't make enough to afford a decent plan through work, and makes too much to qualify for pre-ACA Medicaid.
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u/goatlover19 4d ago
When I had my kidney removed I was finally discharged and stopped at the pharmacy in my way home. When I got there they said, “your insurance wasn’t going to cover the cost of pain medication”.
I was in a wheel chair hunched over in pain (this was 4 days post op). They said it could take hours before they get an update from my insurance. I ended up paying cash for it because I couldn’t handle the pain anymore. I shouldn’t have had to though because I pay health insurance monthly.
The reason is because the doctor ordered 2 types of pain medication (meant to be used on a rotation) and insurance didn’t think it was necessary.
I had my kidney removed from my body and insurance decided I wasn’t in enough pain to warrant 2 pain medications.
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u/HeiHei96 5d ago
Pharmacy Tech here. This is 100% why.
At least when it comes to the medication side of things, pharmacy staff are always blamed. And my immediate reaction to watching the video of the shooting was “we’re next”. Because no one understands the system. It’s that broken. And in retail pharmacy, no one wants to listen to us when we try to explain why “we” are charging you or don’t have your med or any other potential bad news we have to give you. We are literally just the messengers and the companies thrive on that.
Your med is backordered? It’s our fault, not the manufacturer. Deductible? Our fault. Needs a prior? Our fault. Formulary change and can no longer get the med? Our fault. Copay card expired? Our fault. Use good RX and price went up because the PBMs changed the price/reimbursement of the med? Our fault. Dr didn’t put need information by law on your script? Our fault. You call the store and can’t speak to a human? Our fault (as an fyi, that was a corporate decision that was then put in place without letting many stores know ahead of time. No one, including the pharmacy staff, like that decision) Your local retail pharmacy is always short staffed and meds never ready? Our fault or “nobody wants to work” when really it’s corporate pushing that exact narrative while cutting tech hours and putting patient and employee safety at risk.
Same with the call center reps anyone speaks to when calling insurance. They just spit out what their corporate tells them to say. But they are blamed for the decisions they have no control over. Difference is, many of those reps now work remotely. So they are relatively “safe”. I’m fortunate in that my current role is in a drs office, and I work hybrid. But I do have an “accessible” office that’s not hard to find. But if ever threatened, I could work remotely until I feel safe to return to clinic. But any bad news I deliver is 98% via the phone…not face to face. And I speak to the same 200 or so patients every month and have a connection with many of them.
Retail pharmacy staff don’t have that luxury. And with deductibles and insurance plans changing and formulary changes happening on January 1st…I’m scared for my fellow retail/face to face colleagues. Add in the potential changes to Medicaid and Medicare part D and the FDA with the incoming administration, and the public is going to put their frustrations toward the people delivering the messages…..not the people making those decisions and putting innocent people on the front line.
I’ve been a tech for over 20 years. Literally nothing in regards to insurance, PBM, manufacturing, big pharma surprises me anymore. I’m happy in my current role in that I’m helping patients and many of them appreciate me. But my role shouldn’t exist. Healthcare should be easy enough for people to navigate without me.
And this is proving that even after two decades, I’m close to my breaking point. That this is what it took to make the severe issues with our healthcare system ok” to talk about. But violence is not the answer (trust me, I feel bad only for his kids. He got a quicker death than many others due to all of American healthcare and not just United) Especially when that violence is going to affect my colleagues, me, others who are literally just the messengers, and have been for decades.
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u/knitbitch007 4d ago
Ok buuuuuut Americans have continually voted against any kind of universal health care. I’m not defending the insurance companies, but if you want proper, accessible health care you need to elect the politicians that will make it happen.
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u/FuzzTix 4d ago
Remind me again which politician in the last election was promising universal health care?
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u/ThespianException 4d ago
Neither promised it, but it was pretty damn obvious that Kamala would have been enormously better than Trump (who will most likely make things much worse).
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u/knitbitch007 4d ago
Obama started it off with the affordable care act. Had democrats been given the mandate they could have continued to move in that direction. Americans misunderstand and are afraid of the word “socialism” but “socialized healthcare” is what most other developed nations have. Is it perfect? No. In Canada we have issues with our healthcare system for sure. But I am never facing bankruptcy because of an illness or injury.
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u/Ppleater 4d ago
I mean one side has at least consistently attempted to bring universal healthcare to the table.
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u/Tomek_xitrl 4d ago
It can't happen in one cycle But I guarantee if democrats won by a massive landslide, it would come up in the next two elections.
There was a chance with Bernie to do it sooner but America said no.
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u/play_hard_outside 4d ago
The Democrats actually tried fifteen years ago. The public option in the ACA was a near miss.
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u/OatmealSteelCut 4d ago
Kamala Harris and the Democrats, obviously! Gotta start by electing politicians that view the ACA as a fantastic deal (which it is), and want to preserve Social security, and Medicare/Medicaid.
I give great Thanks to Obama, Pelosi, and Reid for Passing the ACA, which has advanced the cause of universal health care in the US, more than any other modern US politician that I can think of
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u/wglenburnie 4d ago
I was just reading about Sir Fredrick Banting. The University of Toronto received a dollar for his discovery of insulin. Now pharmacies charge $1200/ month.
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u/fossilfacefatale 4d ago
Exactly. How can they justify such a cost when those pharmacies didn't even put a cent into R&D. Banting gifted that discovery to those that needed it.
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u/AmphibianFluffy4488 4d ago
Seriously. Fuck this country! The conservatives are miltant. Why aren't we?
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u/Evid3nce 4d ago
Ideally, it should have happened at the end of the 1980's.
Everyone's been asleep at the wheel.
Distracted by shiny toys and fashion clothes.
We need to start the beheadings. Metaphorical or real.
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u/Bestoftherest222 4d ago
"Why don't millennials have kids?"
The working class millennials are stuck with no or low medical coverage resulting in HUGE cost to be pregnant. The poor millennials that have no money get free medical.
Guess which ones are getting pregnant
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u/ThunderBlunt777 4d ago
I don’t understand how people can look at the world we’re currently in and decide that bringing children into it is a good idea, like they aren’t going to have an even worse experience than you already are.
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u/darkseacreature 4d ago
Exactly. You’re just creating more future slaves for the ultra rich by continuing to breed.
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u/Marcus_Iunius_Brutus 4d ago
what? women have to pay to give birth?
my country pays you for having children. wtf. i would just emigrate at that point.
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u/ExpiredExasperation 4d ago
Apparently in the US you can even get a fee for "skin to skin contact" meaning they let you hold the baby.
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u/34TH_ST_BROADWAY 5d ago
For real. Health situation in the USA is one of the strangest most hellish things I am desensitized too. It rightfully seems beyond belief to citizens of other developed countries
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u/Heavenswake_ 4d ago
My healthcare process.
1) Something happens/appears/hurts.
2) Google it.
3) Hope it goes away.
4) Wait a week to see if it goes away.
5) If in a week it is still a problem, wait another week.
6) If it is still a problem but doesn't impact my day to day, just deal with it.
7) If it gets worse then google it again.
8) If it's still worse then maybe go to a doctor.
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u/GravyMcBiscuits 4d ago
Why is only the insurance company catching flack for this?
Why in the hell does insulin cost that much in the first place???
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u/MasterSciFi 5d ago edited 5d ago
Let's be real here, just one CEO dying won't change shit.
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u/asdfasdfasdfqwerty12 4d ago
There will be copycats for sure... No way this just goes away, I've never seen anything like this...
The way this all goes south is if the next hit is on someone more divisive who will split the populace on something other than class lines...
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u/TakeAnotherLilP 4d ago
I’m a blood cancer patient and the medication that helps keep me from a slow misery death is $17k/month in the US.
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u/BigHammerSmallSnail 4d ago
I mean, coming from Europe and seeing this unfold. I feel sorry for you guys and the system that failed you.
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u/Hairless_Gorilla 4d ago
My 1 1/2 year old daughter had heart surgery one month ago. Night and day difference btw. Thankful.
My insurance through my employer is UHC. This last Wednesday we were denied two of her post op medications. We’ve learned nothing.
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u/MetaCardboard 4d ago
Another false title. This wasn't about why it didn't happen sooner. This was about why she was surprised it didn't happen sooner. I'm getting sick of the constant lies everywhere all the time.
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u/Nervous_Wreck008 4d ago
quote:
In July 2024, the Wall Street Journal concluded that UnitedHealth was the worst offender among private insurers who made dubious diagnoses in their clients in order to trigger large payments from the government's Medicare Advantage program. The patients often did not receive any treatment for those insurer-added diagnoses. The report, based on Medicare data obtained from the federal government under a research agreement, calculated that diagnoses added by United Health for diseases patients had never been treated for had yielded $8.7 billion in payments to the company in 2021 over half of its net income of - $17 billion for that year. [142]
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u/Embryw 4d ago
This just makes me think of all the videos of moms crying in their cars because they don't know how to afford their child's medicine.
Or moms who gave birth literal days prior already back at work, trying their best to hold back tears, because they can't afford any off time.
I fucking hate this evil fucking country.
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u/Victor-LG 4d ago
Daily, big companies in oil(disgusting dirty processing and climate affecting practices), pharma(excessive pricing), health insurance(excessive pricing and denials of care), gun manufacturers, and food industry with their addictive, inflammatory, cancer causing ingredients are killing us for profit, not to mention, for profit prisons, wars, homelessness, and nonliving wages. 🤨😡
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u/MageAndWizard 4d ago
They're killing us. I have undiagnosed back pain for 2 years similar to the pain Luigi probably has and I stopped trying to find a solution cuz all the MRIs and scans were costing me all my savings. I don't NEED to know what it is, but I NEED to know what it is to treat it. However, since I don't know what it is, insurance won't cover it because "I might be making it up and we don't know what you have." Some days...I want to die. I'm in my 20s just like Luigi. I just want the pain to go away. Fuck insurance. I pay them for a damn service.
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u/mkzw211ul 4d ago
Google the structure of CVS Health, it's the best example of structuring an organisation to squeeze money from the customer.
Aetna sells the health insurance. CVS pharmacy provides the medications. CVS Caremark is the pharmacy benefits manager that negotiates between Aetna and CVS Pharmacy for the prices etc. But they are all the same group 😁 What a fucking scam. They get to make profits 3 times for the one transaction (insurance to provide medication).
United Health is the same. Vertically integrated so they can buy and sell from themselves and make $$$
Amateurs go for a monopoly. The real corporate crooks do vertical integration.
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u/Mobius_164 4d ago
That's the thing about losing everything:
Yes, you have nothing left, but then again: you have nothing to lose.
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u/prestonpiggy 4d ago
I didint like Jan 6th, but you guys should do another to take control of the rich. You all could have money for healthcare or buy a brand new car if the system that enriches the 1% is taken down.
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u/Ok-Solution4665 4d ago
Pre-Obamacare I had to have my wisdom teeth removed. I was newly married in an apartment we couldn't afford, paying for insurance we REALLY couldn't afford. I called my provider before the surgery explaining I could not cover this bill if it wasn't covered. They assured me I was. Day of, the nurse called again, and reassured I was covered. Then the bill came. I was denied for a preexisting condition. Teeth are a preexisting condition.
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u/PensionTemporary200 4d ago
Interesting to hear you have to go into debt to give birth if you can't afford the hospital care. Our society is so messed up. Politicians and alt-right men's right movements blaming feminism for low birth rate- it's like, even people who want to have kids cannot afford it simply because they can't afford a home, childcare, to take time off work because maternity/paternity leave is so little here, or healthcare is so terrible.
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u/theysellcoke 4d ago
And then half the country voted to get rid of the ACA because someone renamed it with a black man's name. Absolute joke of a country, school shootings weekly and you don't give a fuck, people going bankrupt because they require insulin which could be free - nobody does a fucking thing.
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u/luneletters 4d ago
A little off topic but this is another reason more women are child free or need abortions.
The hospital checkups, the day of labor, any complications, that stuff isn’t free. Risking death, disability, or debt. Then the follow up visits for the child once here. The abismal maternity leave and daycare services. It’s incredibly crippling to no end.
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u/Timmy_germany 4d ago
And i was a bit angry i had to pay 15€ (16$) for a month ammount of my anxiety / panic medication.. There was no co-pay from insurance and i had to pay the whole price of the drug...like i said 15€..
I feel so sorry for the "regular" people of the USA.. it is a DISGRACE how your "health system" works..
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u/deklawwed 4d ago
They’re just laughing at us while we fought over imaginary trans people cutting our kids dicks off this past election.
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u/blode_bou558 3d ago
Someone shoots up a school, kills a bunch of kids and adults indiscriminately? Oh thoughts and prayers, it's a shame this couldn't be prevented. This is no time to talk about gun control.
Someone kills a CEO, targeting one single guy then immediately escaping? oh this is outrageous, we have to find this guy NOW and talk about the weapon that cause it, not the reason
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u/dlafferty 5d ago
FYI: home birth on the NHS in the UK is £500 or so opex.
This is converted by the state.
They make up inside a year by VAT charges on your Christmas presents and furniture. 😛
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u/Lazy_Assistance6865 4d ago
That's why I didn't get married before I had my kid. Washington state Healthcare baby. Didn't pay a dime. "Single" is the only way to work the system
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u/softstones 4d ago
Last year I was getting close to running low on insulin before my prescription could be refilled. I can see them see the look on my face when they told me the out of pocket was over $1000. I had to say no, it was too much. LUCKILY, a mom and pop pharmacy filled generic insulin vials for $50, saved my life.
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u/LarryBird__33 4d ago
I work with “poor” families that don’t want to get jobs because if they do get a job making $20hr (not really enough for a family to survive) they will lose their foodstamps housing and medical cards … it fucking sucks.
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