drug plan

5:30AM
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National pharmacare program—the threat to patients and innovation

Canadians may experience more limited access to new drugs and poorer health-care outcomes.


11:29AM
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National pharmacare will be very expensive and likely unnecessary

Every province offers drug coverage to social assistance recipients at low or no cost.


2:00AM
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Worried about rising expenditures for prescription drugs, many states are employing preferred lists to encourage doctors to prescribe older, lower-priced drugs and forego the latest, more expensive medicines.

If Congress succeeds in passing a Medicare prescription drug benefit this year, the debate over preferred drug lists - now raging in numerous states - is likely to explode onto the national stage.

The lists - also known as formularies - are, whether we like it or not, a form of rationing. Ask any Canadian.


2:00AM
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The newspapers and airwaves are filled with people fuming about Fair Pharmacare. There are three major complaints (other than the challenge of getting through to Pharmacare to register). Firstly, that Fair Pharmacare forces patients to pay more of their own money for prescriptions. Secondly, that the requirement to report your income is a violation of privacy. Thirdly, that it is inappropriate to use income from 2001 to determine benefits in 2003.

2:00AM
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Faced with a crowd of 2,000 seniors protesting in front of the provincial legislature last Tuesday, the provincial government reneged on its commitment to a means test for Pharmacare benefits. This is a bad sign. Seniors currently pay a maximum 75 cents a day ($275 per year) for prescription drugs that are listed by Pharmacare, and taxpayers pick up the rest. If the government is afraid to take the baby step of means testing for Pharmacare, it is unlikely to make more significant reforms that are necessary to improve health care in British Columbia.

2:00AM
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The existence of independent provincial Pharmacare programs and private insurance for prescription drugs is considered by some to be a blot on Canadian medicare. They want these options abolished in favour of National Pharmacare.

Health care costs are rising, and prescription drugs are taking up a larger share of those costs, but the change is a lot less dramatic than people think. Prescription drug costs were 8 percent of total health costs in 1991, and 12 percent in 2001, an average increase of less than half a percentage point a year.


2:00AM
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In his opinion about reforming Pharmacare on October 3, Victor Vrsnik, of the usually sensible Canadian Taxpayers Federation, resurrected the fantasy of a national pharmacare plan. He supposes that the purchasing power of the federal government would somehow lead to lower prices. This is a surprising statement from the CTF, which has done great work exposing how incompetent the government is at purchasing other goods.