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Gunshow Poophole
Sep 14, 2008

OMBUDSMAN
POSTERS LOCAL 42069




Clapping Larry
US Politics October: Attempted Murder at 1400

White House Down The Street

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ufarn
May 30, 2009
USPOL: Don't panic, and use the stairs.

ReidRansom
Oct 25, 2004


I feel like we can work ebola in somehow.

Phone
Jul 30, 2005

親子丼をほしい。
Even Barrack Obama Loves America

Shageletic
Jul 25, 2007

ErIog posted:

He's up there with Maddow for me at this point, and maybe even better now that Maddow's show is on ISIS coverage auto-pilot. The recent show on the Cuban Embargo and Miss America was mind-blowing. I kind of want to know how that show is put together because they're doing much better journalism than even the Daily Show does at its peak. I was really involved with the Broadcast Journalism community at my university, and it just feels like there must be some news director they brought out of retirement with the instructions of, "go nuts."

Yeah, the article from a couple of pages ago mentions that a former guy at the New Yorker is head of the fact checking there, thin they got a lady from Washpo as well.

McAlister
Nov 3, 2002

by exmarx

snickles posted:

Being a pharmacist, I can tell you this is not true. Some do, but the ones that cover ED drugs in a meaningful manner are in the minority.


Again, this is incorrect. Insurance companies can (and do) require documentation indicating the purpose and medical need for medications. Some insurance companies will cover ED drugs for other indications with prior authorization.


This is sort of correct. Often times you can get the negotiated price even if a medication is not covered by your plan. However, if a tablet of Viagra is $35/pill and your negotiated price is $33/pill, that's not meaningful coverage. You will not get 50% off a brand name drug based on the negotiated discount.

I didn't work for an insurance company. I worked for a PBM.

Insurance companies paid us $10 per patient per year for admin overhead and we negotiated bulk purchase rates with pharmacies that every person on the insurance plan can access -unless the insurer specifically writes a rule in the system to tell my adjudicator to refuse to pass on the discount for a given drug in a given plan. Very few of those rules we're written for Viagra and I honestly don't know any other ed drug so I never queried anything else. But Viagra should be the canary in that coal mine as it is the best known.

In the statements to customers our discounts(front loaded rebates actually) are typically represented as money provided by the insurer even though it didn't cost the insurance plan anything more than the $10 a year for membership. We also negotiated lower rates for filling RX's from pharmacies so -unless the employer was a dick who demanded we not allow a given drug to be bought on plan - it also made that cheaper for everyone/thing.

Whether or not the insurance plan kicked in anything above and beyond the massive discounts (45% off would be the low end ... Some drugs were 90% off when bought by the PBM) varied from drug to drug. And not many did put anything on top for Viagra or BC. But that just makes refusal to cover at all more spiteful because the coverage litterally costs the plan nothing.

Furthermore. Our ability to negotiate discounts is contingent on our volume. The more drugs bought on plan the better deals we can negotiate. This is not done drug per drug but manufacturer by manufacturer. Some new drugs might get the individual treatment but the existing catalog would basically be divided into brand and generic and discounts(rebates really but we front load them to look like discounts) negotiated across the boards.

So when rear end in a top hat employer says we have to reject drug claims for something, and the manufacturer also makes other things like heart meds, they are raising everyone's price on the heart meds by lowering our total volume for that manufacturer and thus reducing the discount we can get on the heart meds.

It literally hurts everyone to refuse to offer at least the basic discount coverage on anything. Which is why it almost never happens except when control freak theocrats put the screws to us and say they won't use our service at all unless we shove their bible up their employees butts for them.

Insurers that don't use a PBM are also making everything more expensive for everyone by making the plan/patients pay way more out of pocket for drugs than they should.

Insurers smart enough to pay way less for drugs by using a PBM never refuse basic PBM drug coverage on anything unless an employer makes them.

Edit:

Also there is no possible way we could have refused coverage based on intended use because we have to process a claim in two seconds of the pharmacy submitting it and we literally didn't have that information in the database. According to my training it would have been illegal to collect or store that info for us as we have no need to know it. Now rear end in a top hat doctors absolutely can refuse to provide RX's based in religion but that's out of scope.

McAlister fucked around with this message at 15:33 on Oct 1, 2014

karlor
Apr 15, 2014

:911::ussr::911::ussr:
:ussr::911::ussr::911:
:911::ussr::911::ussr:
:ussr::911::ussr::911:
College Slice
USPOL: That's how we roll

Madmarker
Jan 7, 2007

radical meme posted:

You offer it to me freely? I do not deny that my heart has greatly desired this. In the place of a Dark Lord you would have a Queen! Not dark but beautiful and terrible as the Morn! Treacherous as the Seas! Stronger than the foundations of the Earth! All shall love me and despair!
Is there someone in this thread with good enough editing skills to make a video of Hilary saying this speech? Because that would be glorious.

Grouchio
Aug 31, 2014

Fried Chicken posted:

I've got an OP, suggest your titles
USPOL October - Trick or Teabag!

Shageletic
Jul 25, 2007

Joementum posted:

The GOP is out with a new ad to appeal to the kids.

https://www.youtube.com/watch?v=yu1MQZoz6zM

By kids, I'm of course referring to people in their 30s and 40s who remember an Apple ad campaign from over a decade ago.

Speaking of ads check out this incredibly current ad by the Republican candidate for governor: http://www.washingtonpost.com/posttv/politics/campaign-2014-rob-astorino-jail/2014/09/30/3fcacae8-48af-11e4-a4bf-794ab74e90f0_video.html

My thread title suggestion: GOP daisy chaining their way to a prosperous future

karlor
Apr 15, 2014

:911::ussr::911::ussr:
:ussr::911::ussr::911:
:911::ussr::911::ussr:
:ussr::911::ussr::911:
College Slice
USPOL- I guess it was worth crying over spilled milk

CroatianAlzheimers
Jun 15, 2009

I can't remember why I'm mad at you...


Madmarker posted:

Is there someone in this thread with good enough editing skills to make a video of Hilary saying this speech? Because that would be glorious.

Somebody get Everdraed on the case.

Amergin
Jan 29, 2013

THE SOUND A WET FART MAKES
USPol October: Obama Brought the e-BALLA Virus

USPol October: Airstrike Them Harder (no not THEM!)


Also I'm taking notes of all the pro-Hillary folks in here so I can quote you back at yourselves when she continues Bush's Middle East first strike/war on everyone policy.

Lights
Dec 9, 2007

Lights, the Peacock King, First of His Name.

USPOL October - gently caress you and your false patriotism.

zoux
Apr 28, 2006

Amergin posted:



USPol October: Airstrike Them Harder (no not THEM!)


Haha you do good titles man.

Islam is the Lite Rock FM
Jul 27, 2007

by exmarx

Amergin posted:

USPol October: Obama Brought the e-BALLA Virus

USPol October: Airstrike Them Harder (no not THEM!)


Also I'm taking notes of all the pro-Hillary folks in here so I can quote you back at yourselves when she continues Bush's Middle East first strike/war on everyone policy.

Go Hillary beat robotic suit v1.488.

Pythagoras a trois
Feb 19, 2004

I have a lot of points to make and I will make them later.
USPOL October- Let's Not Title The Thread Until After The Elections

FlamingLiberal
Jan 18, 2009

Would you like to play a game?



U.S. POL: Ebola breaks into 1400 Pennsylvania Ave

Timmy Age 6
Jul 23, 2011

Lobster says "mrow?"

Ramrod XTreme
Fundraising message from the DNC on Facebook this morning has its own suggestion:

USPOL October: #ShutDownForWhat

Raskolnikov38
Mar 3, 2007

We were somewhere around Manila when the drugs began to take hold

N00ba the Hutt posted:

Fundraising message from the DNC on Facebook this morning has its own suggestion:

USPOL October: #ShutDownForWhat

Bitchin glow-in-the-dark neon rings apparently

Mister Facetious
Apr 21, 2007

I think I died and woke up in L.A.,
I don't know how I wound up in this place...

:canada:
Obscure "Tea Party raver" joke?

Evil Fluffy
Jul 13, 2009

Scholars are some of the most pompous and pedantic people I've ever had the joy of meeting.

Madmarker posted:

Is there someone in this thread with good enough editing skills to make a video of Hilary saying this speech? Because that would be glorious.

Is Galadriel trying to cover up her role in the kinslaying? Elves have a right to know about their self-proclaimed queen all this and more tomorrow on Fingolfin and Friends.

Evil Fluffy fucked around with this message at 16:59 on Oct 1, 2014

zoux
Apr 28, 2006

Mister Macys posted:

Obscure "Tea Party raver" joke?

Uh seriously?
https://www.youtube.com/watch?v=HMUDVMiITOU

Amergin
Jan 29, 2013

THE SOUND A WET FART MAKES
USPol October: My Gun is NOT An Accessory, the Silencer is

USPol October: Democrat Slogan for 2014: "We Quit"

(Reposted I know, but I just love this - all credit to the brilliant Joementum)



Aves Maria!
Jul 26, 2008

Maybe I'll drown

Raskolnikov38 posted:

Bitchin glow-in-the-dark neon rings apparently

Ain't no party like the Republican party

Mister Facetious
Apr 21, 2007

I think I died and woke up in L.A.,
I don't know how I wound up in this place...

:canada:

"I don't listen to hip-hop." :shrug:

Radbot
Aug 12, 2009
Probation
Can't post for 3 years!
Why shouldn't Viagra be covered? Not being able to have sex is kinda of a debilitating thing.

Trabisnikof
Dec 24, 2005

Radbot posted:

Why shouldn't Viagra be covered? Not being able to have sex is kinda of a debilitating thing.

The arguments Republicans use is that things that only Women use shouldn't be covered because Men can't use it. If they weren't insane, they would also argue that things Men use that Women don't shouldn't be covered either. Really, they're just being dumb about the way insurance pooling works to come up with a "witty" argument.

However, the vast majority of posters in this thread range between full healthcare coverage for all to single payer to socialized medicine.

Khisanth Magus
Mar 31, 2011

Vae Victus

Trabisnikof posted:

The arguments Republicans use is that things that only Women use shouldn't be covered because Men can't use it. If they weren't insane, they would also argue that things Men use that Women don't shouldn't be covered either. Really, they're just being dumb about the way insurance pooling works to come up with a "witty" argument.

However, the vast majority of posters in this thread range between full healthcare coverage for all to single payer to socialized medicine.

Anything would be better than these HDHPs they are making everyone use these days. Should be loving criminal.

Raskolnikov38
Mar 3, 2007

We were somewhere around Manila when the drugs began to take hold

Radbot posted:

Why shouldn't Viagra be covered? Not being able to have sex is kinda of a debilitating thing.

I dunno goons seem to do okay.

Joementum
May 23, 2004

jesus christ
Click here to see Jim McDermott (D-WA) dressed up in a Bruce Lee yellow jumpsuit.

Trabisnikof
Dec 24, 2005

Looks like the Republican Arkansas State AG Candidate has some issues with her voter records: http://www.arkansasonline.com/news/2014/sep/30/ag-hopeful-rutledge-not-registered-vote-state-cler/

quote:

The Republican candidate for Arkansas attorney general is no longer a registered Arkansas voter.

Pulaski County Clerk Larry Crane on Tuesday canceled the voter registration for Leslie Rutledge of Little Rock after confirming that the former Gov. Huckabee legal aide is registered to vote in Washington, D.C., and possibly Virginia.

After the matter was drawn to his attention late last week, Crane confirmed that Rutledge had registered in multiple locations after registering in Pulaski County in 2006 and canceled her registration.

Rutledge registered to vote in Washington in July 2008 but voted absentee in Arkansas in the 2008 general election.


Its a case of voter fraud guys, why aren't the Republicans jumping on this....

Caros
May 14, 2008

Joementum posted:

Click here to see Jim McDermott (D-WA) dressed up in a Bruce Lee yellow jumpsuit.

Why did I click there. What did I think was going to happen?! :psyduck:

Joementum
May 23, 2004

jesus christ
Quote of the day: "I am a little shocked quite frankly looking at the AP course in American history that's being taught in high schools across out country right now...There's only two paragraphs in there about George Washington. George Washington! Little or nothing about Dr. Martin Luther King...I think most people when they finish that course, they'd be ready to go sign up for ISIS. I mean, this is what we're doing to the young people in our nation...We have got to stop crucifying ourselves. Have we made mistakes as a nation? Of course we have. Why? Because we're people. And all people make mistakes." ~ Ben Carson.

Jerry Manderbilt
May 31, 2012

No matter how much paperwork I process, it never goes away. It only increases.
I took APUSH in high school, got a 5 on the exam. I still think Islamic State is horrific. Checkmate, Doctor :smug:

got any sevens
Feb 9, 2013

by Cyrano4747

Joementum posted:

Oh boy. The USSS agent who finally tackled the fence jumper was off duty and just happened to be there.

This story keeps getting weirder.

zoux
Apr 28, 2006

I hate how politcians inject topical references into their statements like hack stand up comedians putting local landmarks in their act to pander to the crowd. "I was driving down RAINWOOD BOULEVARD when I saw MAYOR JOHNSON'S reelection sign, that guy looks like a REAL PIECE OF WORK"

Joementum
May 23, 2004

jesus christ
Today is the one year anniversary of the government shutdown :toot:

Pohl
Jan 28, 2005




In the future, please post shit with the sole purpose of antagonizing the person running this site. Thank you.

Joementum posted:

Quote of the day: "I am a little shocked quite frankly looking at the AP course in American history that's being taught in high schools across out country right now...There's only two paragraphs in there about George Washington. George Washington! Little or nothing about Dr. Martin Luther King...I think most people when they finish that course, they'd be ready to go sign up for ISIS. I mean, this is what we're doing to the young people in our nation...We have got to stop crucifying ourselves. Have we made mistakes as a nation? Of course we have. Why? Because we're people. And all people make mistakes." ~ Ben Carson.

Haha, where is that from? He sounds like a Liberal. I want to see how he qualified his remarks, however. Except for that ISIS part, obviously.

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Brute Squad
Dec 20, 2006

Laughter is the sun that drives winter from the human race

Caros posted:

Why did I click there. What did I think was going to happen?! :psyduck:

I thought it was going to be a dead dove.

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