Get this...I have been prescribing the heck out of the Zostavax. I do not stock it here in the office (can't afford the upfront cash lay out. In fact I stock no vaccines any more)So I write a script and send people to a local pharmacy that stocks it. They pick it up, bring it back here and I administer it. Only about 20% of the patients' insurances are paying anything at all for it...guess which one pays it all?? Indiana Medicaid!! Same thing for Chantix. I am sorry but this is just not fair. I had a MEdicaid patient ask me to write a script for an elastic ankle brace because shehas trouble wrapping an ACE. I told her she didn't need a script and she said "Oh but Medicaid will pay for it if I have a script". I refused, she got P.O.'d and I really don't care. My one employee with MS (full time, here every day, excellent worker) had to drop her insurance when it got too high for her to afford her contribution. How did we get to this point? Who let us down? How can we right things? Wish I knew. I guess the saying is right...the weak/poor shall inherit the Earth. They are the only one that will be able afford to pay the inheritance taxes.
Leslie, who broke her promise to get off the soapbox
