Articles Posted in Primary Care

drugs-300x179How has Big Pharma responded to the dire and uncertain circumstances facing American’s health and pocketbooks? By jacking up prescription drug prices and likely jabbing patients not just in the arm but also the wallet for a prospective coronavirus vaccine.

As the online news and politics site Politico reported:

 “Drug makers raised the price of hundreds of medicines during the coronavirus pandemic, even in the face of Trump administration vows to crack down on surging drug costs and efforts to tack price controls on Covid-19 relief packages. Pharmaceutical companies logged more than 800 price increases this year and adjusted the cost of 42 medicines upward by an average of 3.3% so far in July, according to GoodRx, which tracks the prices consumers pay at pharmacies.

covidSEvetcenter-300x200To paraphrase the late, great writer and activist Maya Angelou, nursing homes and other long-term care facilities are showing the public in the middle of this pandemic just truly what they are.

It is hard to believe, still, the shabby way they are treating the aged, sick, and injured. Just consider this sampling of recent news reports:

“Care” facilities — including centers dealing with veterans — have been too willing to subject residents to risky medical experimentation to fight the novel coronavirus, including what appear to be  inappropriate treatments with a much-promoted anti-malarial drug. This echoes a situation involving nursing home residents in Galveston, Texas,  and their facility’s dosing them with hydroxychlorquine without their loved ones’ knowledge and iffy circumstances about their individual capacity to consent to receiving the drug. As the Washington Post reported of a Philadelphia area veterans’ facility (shown in federal photo above):

covidukschoolandyfalconer-300x240The nation’s biggest health worry now has fallen on the country’s little people: As Covid-19 infections have exceeded 3 million and the disease has killed at least 134,000, how many parents will send their kids back to school soon, especially as the coronavirus pandemic spikes in the South and West?

President Trump and Education Secretary Betsy DeVos, as poker players say, have pushed all (their chips) in, insisting that schools reopen and return to fall normality. The president assailed his own health experts at the federal Centers for Disease Control and Prevention for putting forth guidance on schools that he deemed too costly and complicated.

In doing so, however, he and his administration have only further muddied a profound decisions confronting parents and educators about keeping kids safe while also ensuring they don’t lose the invaluable personal and educational experiences of learning together with peers — IRL (in real life or in person), as young people say.

drugnovartislogo-300x127Big Pharma focuses relentlessly on always making a buck, no matter the cost to the rest of us, and even a viral pandemic that infects 2.8 million Americans and kills roughly 130,000 of us won’t interrupt the corporate rapaciousness.

That’s the reality that federal prosecutors have reminded the public about with an announced $678 million settlement with Novartis over the drug maker’s doctor prescribing- and kickbacks-scheme.  And it is what Gilead has shown with its planned pricing for remdesivir. It is an anti-viral drug that has shown modest effect in shortening the course of Covid-druggileadlogo-300x11519 infections and was developed with taxpayer funding.

The Novartis case also paints a damning picture of doctors’ complicity in taking bribes to defraud taxpayers (specifically the Medicare, Medicaid, and Veterans Affairs programs) by pushing company products, including the high blood pressure drugs Lotrel, Diovan, Exforge, Tekturna, Valturna and Tekamlo, and the Type 2 diabetes medication Starlix.

drugcrisisjulyodwoes-300x219With the novel coronavirus crushing the economy and helping to fuel joblessness, individuals’ isolation, and increasing hopelessness and despair among the already troubled, the opioid drug abuse and overdose crisis again is worsening — and fast.

As the Washington Post reported of what had been one of the nation’s leading public health nightmares before the Covid-19 pandemic:

“In Roanoke County, Va., police have responded to twice as many fatal overdoses in recent months as in all of last year. In Kentucky, which just celebrated its first decline in overdose deaths after five years of crisis, many towns are experiencing an abrupt reversal in the numbers. Nationwide, federal and local officials are reporting alarming spikes in drug overdoses — a hidden epidemic within the coronavirus pandemic.

covidcasesus4july-300x154The nation shudders into the second half of 2020, months deep into an unchecked Covid-19 pandemic that has infected 2.8 million Americans and killed roughly 130,000 of us.

America has become the coronavirus’s outbreak epicenter, its would-be travelers shunned by leading nations around the world as too risky to allow without quarantines or outright bans.

Five states set new infection records, and 40 of the 50 states report worrisome spikes in detected coronavirus cases (see New York Times graphic, above, of newly reported U.S. Covid-19 cases).

covidpleasantview-home-300x111Owners and operators of nursing homes and other long-term care facilities have mounted a “nimfy” (Not My Fault) defense for the tens of thousands of deaths and infections of their residents during the Covid-19 pandemic. They claim they did the best they could under tough circumstances. And now they want not only special legal protections from those who suffered harms but also taxpayer bailouts.

But the industry’s disingenuous bleating has a big problem: It gets undercut by the second by infuriating actions — including by profit-mongering facilities “dumping” thousands of aged, sick, and injured residents on the streets or into flophouses, and by homes that still fail — despite warnings and penalties — to take basic steps to safeguard the vulnerable.

The New York Times — conducting the kind of sleuthing that real federal watchdogs could be taking on — reached out to “more than 80 state-funded nursing-home ombudsmen in 46 states” to detail “involuntary discharges.” As the newspaper explained of these inappropriate evictions by care giving centers, which may number more than 6,400 nationally:

bayerlogo-150x150Leave it to corporations, even with the pressure of the civil justice system, to figure billions of ways to never say they are sorry — and to leave consumers hanging about problematic products and practices.

Johnson and Johnson just won a pyrrhic victory, prevailing in an appeals court, so a Missouri record $4.69 billion loss now has become $2.1 billion.

jjlogo-300x116That is the sum the court said the company owed women who developed female reproductive cancers after long use of the company’s famed baby powder. J&J insists its product is safe. But the appeals judges, while reducing the award against the conglomerate, also affirmed that J&J knew its talc was tainted with cancer-causing asbestos.

acavote-300x200In the middle of a pandemic with a novel virus that has infected at least 2.5 million Americans and killed roughly 127,000, and with 20 million people jobless, what is a prime Republican response? They are advancing yet again a court case to strip tens of millions of poor, working poor, and middle-class Americans of  health insurance.

By the way, when doing so — by seeking a total repeal of the Affordable Care Act — the Trump Administration and a collection of states led by Republican attorneys general also would put at huge risk key health insurance safeguards that Americans embrace, including:

  • They no longer would be guaranteed the protection of insurers denying them coverage based on pre-existing conditions.

fourth-225x300The United States heads into a long weekend celebrating 244 years of its independence in the deepening thrall of a microscopic killer. And political partisans, with their failure to deal with the Covid-19 pandemic, will push further still in the days ahead to divide what has been a remarkable, diverse union of states. Unlike virtually every other advanced country on earth, the pandemic in the United States has become politicized and partisan, to the detriment of our nation.

The novel coronavirus has infected more than 2.5 million in this country, killing at least 127,000 — more individuals than the U.S. casualties in World War I or the combined deaths the nation tallied in prolonged campaigns, combined, in Vietnam, Korea, and Iraq. The disease also may be far more widespread than believed — an even more worrisome possibility, health officials warn.

Despite the unfounded and magical assertions by President Trump, the summer has offered no letup to the predicted sickness and dying.

Patrick Malone & Associates, P.C. listed in Best Lawyers Rated by Super Lawyers Patrick A. Malone
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