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Week of March 1, 2009 - March 7, 2009

Amores Perros


No political or economic content ahead.  Read on if you must.


The desert town had come to fit almost too comfortably.  As he sat on his terrace overlooking the Alameda, he realized he was beginning to know a lot of people here, as well as their cars, trucks, and horses.  It was unusual now when he spied an unknown dog wandering the plaza.  As the season advanced he kept to the side of the street bathed in sombra, (shadow).  How many years had passed since his acquaintance with the she-wolf of that name?  Pleasant memories of that canine and her son, Sol, flooded his waking mind.  In a linear universe the shadow would be born of the sun.  This once, the sombra had given birth to the sol.  What delight it had been to watch them run together over the desert mesas those many years ago.

Something about sun-baked lands draws one's self down to an empirical kernal of...  hard to put a finger on really...  The line between delusion and consciousness is baked to a thin and brittle membrane in these climates.  Osmoses betwixt the two can become a torrent of tidal surges between synchronous shores with only a dimly perceived chronology to lend order to the day. 

He couldn't remember when he began listening to the song.  It had remained a repeating soundtrack for some of his finer moments;  bringing him back to a center of sorts.  It became harder to judge... anything.   Empiricism had grabbed hold of him as it does inevitably in all harsh climates.  Still, the question nagged.  Nibbling about his consciousness with a determination and thoroughness that would not be stopped.  Like a cerebral mouse infestation the crumbs of perception fell to the desert heat. 


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What's wrong with this picture? Healthcare abroad.


I wrote in a previous blog putting forth my arguments for a single payer healthcare system and in another critiquing lost healthcare dollars in the pharmaceutical industry.  This will be a shorter blog, largely anecdotal, describing some of the realities of the current healthcare system in the US contrasted with Mexico, in which I'm currently travelling.   I decided to extend my trip here from a 2 week jaunt to a 6 week trip after I arrived, necessitating getting some of my ongoing heart medications' prescriptions filled here in Mexico.  Without further embellishment, here are the results of filling those four medications.

Medication     cash price Mexico    cash price US      Copay US with my previous health plan

     A                      $13 US                   $63  US                                  $30 US

     B                      $71 US                   $51 US                                   $15 US

     C                      $16                        $12 US                                   $15 US

     D                      $36                        $208 US                                 $30 US

TOTAL COST/MO.  $136 US                 $333 US                                 $90 US

 

Disregarding import tariffs, (probably not a factor), distribution costs, and advertising costs, the differential between the monthly cost in the US and Mexico would indicate a Peso that contrary to reality, is stronger than the dollar.  Alternatively, something else is amiss in this particular subsection of our health care 'system' and I'd be delighted to hear whatever explanation/rationalization anyone out there can offer to account for the supposed 'anomaly'.  It's interesting that my insurance plan copays, (a plan for which I paid a monthly premium of $270, and was recently raised to $1700/mo), paid  all but $46 of the cost of the same meds in Mexico.  If I was a skeptic, I'd think somebody was trying to sharp me.   For what it's worth, I should note that I filled these prescriptions without a physician's signature, thereby reducing the overall cost of supplying ongoing medications such as mine by reducing the number of patient-doctor visits.  This also eliminates the ongoing Three-way conversation and expense between patient, physician, and pharmacist. 

It is significant that the two medications that are still patent protected, (A & D), account for the biggest differentials in cost between the US and Mexico.  Which leads me to conclude that the higher US price is due solely to an effort to maximize profits by extorting the highest price the market will bear in the US, while touting the benefits of the latest and the greatest of the industry's offerings.  Many new drugs have had clinical trials suppressed in the medical literature in order to project a more 'marketable' picture of the new drugs.

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miguelitoh2o

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  • Location Rocky Mountain states
  • Party WORLD
  • Politics No thanks, I've had enough.

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  • Favorite Blogs http://www.talkingpointsmemo.com/ http://www.shavemyyeti.com/
  • Favorite Books Authors: Robertson Davies, Isaac Asimov, Bill Bryson, Margaret Atwood, Michael Connelly, Salmon Rushdie.
  • Favorite Quotes A good traveler has no fixed plans, and is not intent on arriving. - Lao Tzu Every now and then when your life gets complicated and the weasels start closing in, the only cure is to load up on heinous chemicals and then drive like a bastard from Hollywood to Las Vegas ... with the music at top volume and at least a pint of ether. - Hunter S. Thompson To me, boxing is like a ballet, except there's no music, no choreography, and the dancers hit each other. - Jack Handey "If everything seems under control, you're just not going fast enough" - Mario Andretti 'Somebody at one of these places ... asked me: "What do you do? How do you write, create?" You don't, I told them. You don't try. That's very important: not to try, either for Cadillacs, creation or immortality. You wait, and if nothing happens, you wait some more. It's like a bug high on the wall. You wait for it to come to you. When it gets close enough you reach out, slap out and kill it. Or if you like its looks you make a pet out of it. - Charles Bukowski

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Since I was a kid, I've always favored dogs and more especially, underdogs. Career in the arts by way of biology/pharmaceuticals. Currently trying to make my way in the world by tying balloon animals, although the competition is fierce now that the official unemployment rate has topped 10%.

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