Regulation of the rising cost
of medicine
The rising cost of medicine influences what doctors prescribe for their patients, in that it creates a
fine-tuned balance of health care and medicine. There are numerous medical
professionals, as well as others, who are concerned that the health care system
is rapidly heading into a state of crisis, because of the sky rocketing cost of
medical prescriptions. Some insist that drug companies appear to control
the cost of medicine. Others argue that when there is corruption in the health
care system, it may open the door for drug companies to make unreasonable price
demands on doctors, pharmacists and patients.
In the light of the current, global
economic decline, it is increasingly evident that every area of health care is
affected. The cost of medicine is on the rise, but so is everything else. This
includes the cost of research and technology that ultimately allows continual
progress in the field of medicine and enhances the medical treatment of
patients by their doctors.
Drug manufacturing is a
complex, multi-level business, all around the world. The research and
development of any new medication, is only the starting point with regard to its
actual cost. The introduction and testing of experimental drugs, takes time and
money too. Then, there is the production of drugs, as well as worldwide
advertising, marketing and distribution.
Drug companies enter into the
global picture, when they produce, advertise and sell specific drugs. The
majority of drug companies have fierce competition, which acts as a form of
price control. If there is no competition,
there is always the possibility that there is no cap placed on the price
of the drugs that they produce and sell. The prices can skyrocket. There is a
justifiable outcry from the public with regard to price gouging.
Medication or drugs are sold
through pharmacies, which operate as legitimate businesses. In order to sell
medications, pharmacies purchase them from drug companies, at their
pre-determined prices. There is marked competition between pharmacies, which
helps to regulate and control the prices for drugs. Pharmacies expect to
operate on a profit basis, not a loss and they set their prices accordingly.
A patient, who receives a
prescription, deals directly with a pharmacist and pays the price set by him or
her, in conjunction with the pharmacy that he or she owns or operates. A
patient can choose to find a less expensive source of the same medication by
shopping around or shopping online, but a word of caution is advisable.
Doctor's hands are tied to a
certain extent, when it comes to what they prescribe. They know what drugs
patients can and should be prescribed for specific medical conditions. They are
regularly introduced to new drugs by drug company representatives or other
kinds of media and advertising, like videos, cds or medical journals.
Doctors receive free drug
samples they give to patients. They know the difference between brand name
drugs and generic drugs. They know which drugs are likely to be effective for
treatment and which ones are going to be less effective. Doctors are aware of
what the majority of medications cost, but not necessarily their cost, at every
pharmacy. They may be able to advise patients where to shop for less expensive
medications.
Patient health is the primary
objective in medical treatment and ideally, each doctor strives for the highest
possible level of health care for his or her patients. Most physicians know the
approximate financial status of their patients and prescribe drugs for them, so
that they can afford them. There are a number of ways they do this. Doctors
have the option of giving patients free samples of medication, if they are
aware that their patients may not able to purchase them. They may choose to
prescribe generic drugs instead of brand name drugs, in order to keep the
patient's cost at a minimum. They will prescribe only essential medications.
Insurance companies cover at
least part of the cost of patient's medications, but not all drugs. It is
advisable for patients to purchase insurance policies that cover basic
medications, though insurance policies may prove to be expensive too.
Doctors prescribe drugs in a
highly ethical manner, because for them not to do so, could result in the loss
of their medical licenses. They will not prescribe medication not
deemed appropriate for medical treatment, because prescribing non-appropriate
drugs could result in medical malpractice law suits. Doctors are aware that
every drug has the potential to cause side effects, positive or negative.
Most doctors will limit the
length of time that a drug is administered to a patient, because they are
knowledgeable about drugs, how long they take to work and when they reach their
peak effectiveness. After that time, the drug may not be appropriate in terms
of ongoing or continued treatment. They will avoid prescribing multiple
medications for patients unless indicated, because of the possibility of drug
interactions, which can prove to be fatal. They must be aware of patient's
allergies.
At the same time, doctors cope
with many unknowns like medication errors that arise on the part of pharmacies,
staff members in hospitals or other health care facilities, as well as the
patients and their families.
There may be times when certain drugs are not
available in various locations. Other drugs may have to be prescribed. There
may be drugs that have to be recalled for different reasons.
Physicians must take the level
of a patient's comprehension regarding medical directives regarding
prescriptions into consideration. A percentage of all patients, regardless of
age, are non-compliant. They cannot be relied upon to take their medications,
as directed. Many patients miss, skip their medications intentionally or take
more medication than they are directed to take. Patients may take accidental or
intentional overdoses of medication.
Medical ethics, as well as
specific drug protocols, are powerful deterrents that prevent doctors from
acting unethically, with respect to prescribing or administering medication.
Doctors do not accept kickbacks from drug companies. Adherence to
medical-ethical standards by doctors prevents the abuse and maltreatment of
patients, with regard to prescribing and administering medication.
Is it possible to regulate the
cost of medication globally, particularly the extremely expensive medications,
deemed essential for the treatment and elimination of specific diseases or
medical conditions? Again, this takes one back to the initial reality of drug
research and technology. Should medicine continue to progress in a positive
direction? Yes, of course. Are patients willing and able to pay the price?
There may not be any choice in
the matter, but one of the advantages of new research and technology, lies in
the reality that better medical solutions are being discovered daily and new
answers for medical problems, will continue to be found in the future. Other
methods of treatment or alternative medications may prove to render the same or
better medical results, than what is currently prescribed. Medicine is
continually progressing in a positive direction.
What doctors will continue to
prescribe, are the medications that they know will render the best possible
results for their patients. It is always in their best interest to do so, in
order to prevent health care crises from happening.
Continually maintaining and
improving medical and ethical health care guidelines, in conjunction with
ongoing competition, helps to regulate, control or eliminate drug companies
that cannot justify the cost of the medications that they are producing and
marketing.
Ethical doctors adhere to
medical guidelines and will not prescribe over-priced medications for their
patients. Patients, who feel that they are being gouged for the price of
medications, should consult their doctors regarding other possible medical
options. This may include referrals to specific organizations that are able to
assist them financially, with regard to essential drug therapy.
The rising cost of medicine
does affect what doctors prescribe for their patients and hopefully, over time,
it will prove to be in a more positive direction.
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