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Chillyrabbit
Oct 24, 2012

The only sword wielding rabbit on the internet



Ultra Carp

DynamicSloth posted:

It was always the NDP negotiating strategy to seek a limited number of medications as long as they were covered on a truly universal basis. Two kinds of pretty important medication, is definitely half a loaf but the Liberals at least aren't going to rip insulin or contraception away from people if the program gets up and running. The Liberal pharma care "pilot" is less than nothing, most people would not notice if it was instituted nationally, which pointedly they have not done, they just need something to run on that doesn't make the lobbyists mad.

I posted about this earlier but I'm not well versed on reading healthcare stuff.

Chillyrabbit posted:

To pull the emergency lever to not post about posters.

I don't understand the tabled Pharmacare bill as reported by CTV

I get that medical care and stuff is provincial responsibility, so the Feds and this bill can't force them to do it. But my first take is this is a nothing bill to make a committee to study national pharmacare and they don't have to actually implement right?

quote:

What does the pharmacare bill say?
In paving the way for a full-fledged pharmacare program, Bill C-64, "An Act Respecting Pharmacare," indicates the Liberals' "commitment to consulting widely about the way forward," and intent to establish a committee of experts to make recommendations "on the operation and financing," within 30 days of the bill becoming law.

The committee would then have an entire year from the bill's passage to provide a report to the health minister with its recommendations.

The legislation also includes a series of underlining guiding factors for a future pharmacare program, including improving the accessibility, affordability and appropriate use of pharmaceutical products, as well as providing "universal coverage… across Canada."

It also provides for the Canadian Drug Agency announced in late 2023 to work on developing a national formulary and bulk purchasing strategy. Should the bill pass, this agency would have to also provide a list of essential prescription drugs within a year.
How did the Dental care plan unfold in the HoC did it start off like this? A report first then some hand waggling at each other, then a funding plan?

Does the bill actually say that insulin and contraceptives (birth control) are 100% going to be funded once the bill passes, or is it only just reports and studies about how pharmacare is too expensive please buy private insurance?

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PT6A
Jan 5, 2006

Public school teachers are callous dictators who won't lift a finger to stop children from peeing in my plane
Honest question: pharmacare is obviously a huge issue, but if they wanted broad appeal, why didn't they go for vision care? Many more people need it, and it probably costs less per person. Cynically, that's the way to go, no questions asked.

a primate
Jun 2, 2010

PT6A posted:

Honest question: pharmacare is obviously a huge issue, but if they wanted broad appeal, why didn't they go for vision care? Many more people need it, and it probably costs less per person. Cynically, that's the way to go, no questions asked.

Because it’s much less of a financial burden and isn’t an immediate necessity of life in the same way most medications are. More importantly I don’t think people would really care, particularly not people without glasses.

PT6A
Jan 5, 2006

Public school teachers are callous dictators who won't lift a finger to stop children from peeing in my plane

a primate posted:

Because it’s much less of a financial burden and isn’t an immediate necessity of life in the same way most medications are. More importantly I don’t think people would really care, particularly not people without glasses.

Most people need glasses (like, literally, a majority of humans), and if the alternative is being functionally blind and/or unable to work, I think most people would consider them necessary.

Not very many people need drugs by comparison.

That's why I said "cynically." Of course we should support people who need drugs to live, as we should support people who can't see properly without corrective lenses and such. But one group is way, way larger than the other.

Muscle Tracer
Feb 23, 2007

Medals only weigh one down.

I guarantee you that the number of people who cannot afford drugs, or have to make painful sacrifices to afford them, is infinitely larger than the number of people that need glasses but can't afford them. Glasses are also something that even the most bottom of the barrel guaranteed-acceptance insurance already covers. I can't imagine anyone I know even noticing, much less caring.

Aces High
Mar 26, 2010

Nah! A little chocolate will do




Yeah, insurance companies hate paying for drugs. Doubly, so if you have a pre-existing condition or develop one

yippee cahier
Mar 28, 2005

I do agree it’d be a no brainer for universal coverage and probably relatively cheap to implement. I just wouldn’t stake the NDP election campaign on having pressured the libs for years to provide us with it.

Bleck
Jan 7, 2014

No matter how one loves, there are always different aims. Love can take a great many forms, whatever the era.

Muscle Tracer posted:

Glasses are also something that even the most bottom of the barrel guaranteed-acceptance insurance already covers. I can't imagine anyone I know even noticing, much less caring.

have you tried asking poor people

Muscle Tracer
Feb 23, 2007

Medals only weigh one down.

Bleck posted:

have you tried asking poor people

It's never come up, unlike diabetes meds or contraceptives.

TheCenturion
May 3, 2013
HI I LIKE TO GIVE ADVICE ON RELATIONSHIPS

PT6A posted:

Most people need glasses (like, literally, a majority of humans), and if the alternative is being functionally blind and/or unable to work, I think most people would consider them necessary.

Not very many people need drugs by comparison.

That's why I said "cynically." Of course we should support people who need drugs to live, as we should support people who can't see properly without corrective lenses and such. But one group is way, way larger than the other.

Sure. But you can go to Zenni or such like and get fully functional glasses very cheap, if you're willing to not have designer frames. Or you can wear somebody else's glasses if they happen to have the same prescription. And those glasses will last until broken, or until your eyesight changes. It's not a monthly recurring charge.

If you're expecting to get new glasses every two years, say, put ten bucks a month in an envelope, and you'll be just fine.

Insulin, however, doesn't work the same way. I can't take your hand-me-down insulin. The insulin I left in the back of the drawer when I got a new prescription doesn't still mostly work two years later. Insulin is perishable. Insulin is frequent. Insulin isn't made to order at InsulinCrafters at the mall.

Slotducks
Oct 16, 2008

Nobody puts Phil in a corner.


Why not both and dental care?

they're all loving valid things out of our control and it's absolutely asinine that we have to pick and choose

Saalkin
Jun 29, 2008

Bro you can't give them vision care yet. Need to promise something for the next election (then not deliver)

Mad Hamish
Jun 15, 2008

WILL AMOUNT TO NOTHING IN LIFE.



Muscle Tracer posted:

Glasses are also something that even the most bottom of the barrel guaranteed-acceptance insurance already covers. I can't imagine anyone I know even noticing, much less caring.

LOL

LMAO

Either you have some very fancy benefits package or you barely need glasses, because I have never worked at a place where you get more than $200 every 2 years for vision.

Let's see. The glasses I am wearing right now cost me about $450 ( before tax), after the $200 I got from my benefits package at the time. That's with the very cheapest frames at the optician's ($50). I have a hilariously strong prescription which necessitates special manufacture that really jacks up the price (even through the usual online places, these cost savings do not apply to people with high prescriptions), so obviously I am an outlier here with my Coke bottle lenses. Not everyone will need such pricey lenses, but the fact remains that even an additional $200 can be a major stumbling block for a lot of people.

TheCenturion posted:

Sure. But you can go to Zenni or such like and get fully functional glasses very cheap, if you're willing to not have designer frames. Or you can wear somebody else's glasses if they happen to have the same prescription.

LMAO oh my God you really don't know what you're talking about here.

sass menagerie
Nov 29, 2008

Dear Diary, I'm sorry for all those hateful, racist things I said about you.
How many different prescriptions can there really be? Three? Four? Eyes are spheres — the simplest shape!

Muscle Tracer
Feb 23, 2007

Medals only weigh one down.

Slotducks posted:

Why not both and dental care?

they're all loving valid things out of our control and it's absolutely asinine that we have to pick and choose

Absolutely agree, I'm responding to PTA6's weird hypothetical.


Mad Hamish posted:

Either you have some very fancy benefits package or you barely need glasses, because I have never worked at a place where you get more than $200 every 2 years for vision.

Let's see. The glasses I am wearing right now cost me about $450 ( before tax), after the $200 I got from my benefits package at the time. That's with the very cheapest frames at the optician's ($50). I have a hilariously strong prescription which necessitates special manufacture that really jacks up the price (even through the usual online places, these cost savings do not apply to people with high prescriptions), so obviously I am an outlier here with my Coke bottle lenses. Not everyone will need such pricey lenses, but the fact remains that even an additional $200 can be a major stumbling block for a lot of people.

LMAO oh my God you really don't know what you're talking about here.

Yeah, a couple hundred dollars every few years is not nothing. It's also not really comparable to insulin.

e: like just to be clear, all of this poo poo should be free and paid for by the government, but I feel like "costs thousands a year, miss it for a week and you have a seizure and die" is the right place to be starting if we have to start somewhere.

Muscle Tracer fucked around with this message at 15:11 on Mar 13, 2024

flashy_mcflash
Feb 7, 2011

I'm a public servant and my benefits plan covers my contacts for the year or an annual optometrist visit (which I need for a condition), but not both. Thanks Greenshield!

ZShakespeare
Jul 20, 2003

War gives the right to the conquerors to impose any condition they please upon the vanquished.
eyes are luxury organs

stab
Feb 12, 2003

To you from failing hands we throw the torch, be yours to hold it high

sass menagerie posted:

How many different prescriptions can there really be? Three? Four? Eyes are spheres — the simplest shape!

Not if you have keratoconus :eng101:

Slotducks
Oct 16, 2008

Nobody puts Phil in a corner.


My wife's benefit plan cut the vision coverage because the coworkers without glasses out numbered the ones with glasses lmfao


Muscle Tracer posted:

Yeah, a couple hundred dollars every few years is not nothing. It's also not really comparable to insulin.

e: like just to be clear, all of this poo poo should be free and paid for by the government, but I feel like "costs thousands a year, miss it for a week and you have a seizure and die" is the right place to be starting if we have to start somewhere.

100%

Simiain
Dec 13, 2005

"BAM! The ole fork in the eye!!"

TheCenturion posted:



If you're expecting to get new glasses every two years, say, put ten bucks a month in an envelope, and you'll be just fine.


Is this a MikeC post?

Anyway,, I can only speak to my own experience and tell you that if I broke my glasses it would kinda gently caress me for the month.

a primate
Jun 2, 2010

You can get glasses at Zenni optical for like $50 that will last you years (yes I’m cheap). Meanwhile $50 doesn’t even cover three months of one of the prescription drugs I’m on. It’s not even close.

Simiain
Dec 13, 2005

"BAM! The ole fork in the eye!!"
I'm sure it's not entirely comparable. I don't have diabetes so I'm not going to tell people how it is. I can, again, only speak for myself and say that glasses for a family of four is a pretty major expense. Some kind of national vision plan would be absolutely noticeable to me and probably an awful lot of other people.

Toalpaz
Mar 20, 2012

Peace through overwhelming determination

flashy_mcflash posted:

I'm a public servant and my benefits plan covers my contacts for the year or an annual optometrist visit (which I need for a condition), but not both. Thanks Greenshield!

Same, this is why I don't understand why other people say we need pharmacare.

ZShakespeare posted:

eyes are luxury organs

Truly feels this way after talking to 5 specialists over 5 years to get strabismus surgery as an adult and having nearly everyone suggest prisms or 'living with it' instead of a relatively quick, minor, safe, effective and necessary procedure (almost 50% of people who get it done once need it a second time sometime in their life).

Toalpaz fucked around with this message at 17:03 on Mar 13, 2024

Willatron
Sep 22, 2009
Vision care is super important, and decent lenses and frames are loving expensive without coverage which I know because I didn't always have coverage. All I can say is the people itt telling me I'd be fine getting around in life drat near legally blind if I had to makes me very happy to be a union employee with a good benefits package.

Syfe
Jun 12, 2006


Every place I've worked, where I am now included has lovely vision coverage. This year we got my husband his first pair of glasses, I need an updated prescription. He went through an online glasses store so it would be affordable.

It sucks, but even then I have to admit I'd rather people have contraception and insulin, if I'm forced to choose.

Everything should be covered and companies should be taxed more. Naturally doing so would leave conservatives lying about how it's worse for people. (Just like the carbon tax, they claim it's worse for the average person, but they're really just speaking up for companies.)

My teeth are super messed up because teeth are luxury bones. I had a tooth that has been possibly dead for a decade. When it was taken care of I lost the pulsatile tinnitus and my tonsils swelling went down. I have gone to so many doctors appointments trying to figure out what was wrong with my ear and tonsils, nobody, not one person suspected my teeth.

Everything is healthcare, it's all connected. Acting like teeth aren't living active parts of our health that have knock on effects is absolutely wild.

MNIMWA
Dec 1, 2014

PT6A posted:

Most people need glasses (like, literally, a majority of humans)

Is this true? Am I really outnumbered by you dorks?

TheCenturion
May 3, 2013
HI I LIKE TO GIVE ADVICE ON RELATIONSHIPS

Mad Hamish posted:


LMAO oh my God you really don't know what you're talking about here.

You're going to have to back this one up, champ. A lot of people are straight diopter, no real necessity for axis or cyl. My daughter has massive astigmatism and all that, but somehow my old prescription sunglasses still worked great for her when her diopters happened to match them.

Fundamentally, the point I'm trying to make is that the market realities behind glasses and behind insulin are very very different.

ZShakespeare
Jul 20, 2003

War gives the right to the conquerors to impose any condition they please upon the vanquished.
Spending the $2k to get my eyes lasered out was a really great investment because now I don't have to buy glasses or contacts.

flashy_mcflash
Feb 7, 2011

ZShakespeare posted:

Spending the $2k to get my eyes lasered out was a really great investment because now I don't have to buy glasses or contacts.

I don't know if the tech has changed but my optometrist has always told me that my prescription/condition is bad enough that even with laser I'd still need a mild prescription. For what it costs and still having to wear glasses or contacts it's just not worth it for me.

ZShakespeare
Jul 20, 2003

War gives the right to the conquerors to impose any condition they please upon the vanquished.

flashy_mcflash posted:

I don't know if the tech has changed but my optometrist has always told me that my prescription/condition is bad enough that even with laser I'd still need a mild prescription. For what it costs and still having to wear glasses or contacts it's just not worth it for me.

yeah, it depends on the thickness of the lens which determines its ability to be reshaped. Also the recovery sucks and I could understand why someone wouldn't want to do it. Also the healthcare system should just cover it.

Mad Hamish
Jun 15, 2008

WILL AMOUNT TO NOTHING IN LIFE.



TheCenturion posted:

You're going to have to back this one up, champ. A lot of people are straight diopter, no real necessity for axis or cyl. My daughter has massive astigmatism and all that, but somehow my old prescription sunglasses still worked great for her when her diopters happened to match them.

Fundamentally, the point I'm trying to make is that the market realities behind glasses and behind insulin are very very different.

Hi, I have a prescription that's - 8.5 in my left eye and - 10 in the right (this means: I can see clearly 13cm in front of my face and past that is a total blur), where exactly do you expect me to miraculously find a previously-enjoyed pair of glasses with this exact combination but also has a matching PD that isn't my old pair somewhere in a box under the bed that I replaced after eight years of wear because they were de-laminating?

Like, for some people it's not "Oh, poo poo, I forgot my glasses, can you tell me what these cooking directions say," it's not being able to function in society.

TheKingofSprings
Oct 9, 2012

ZShakespeare posted:

Spending the $2k to get my eyes lasered out was a really great investment because now I don't have to buy glasses or contacts.

Look at this dipshit that didn’t shell out the 2 million to get eye lasers

a primate
Jun 2, 2010

ZShakespeare posted:

Spending the $2k to get my eyes lasered out was a really great investment because now I don't have to buy glasses or contacts.

That’s what my wife did as well. Loves it.

Willatron
Sep 22, 2009

Mad Hamish posted:

Hi, I have a prescription that's - 8.5 in my left eye and - 10 in the right (this means: I can see clearly 13cm in front of my face and past that is a total blur), where exactly do you expect me to miraculously find a previously-enjoyed pair of glasses with this exact combination but also has a matching PD that isn't my old pair somewhere in a box under the bed that I replaced after eight years of wear because they were de-laminating?

Like, for some people it's not "Oh, poo poo, I forgot my glasses, can you tell me what these cooking directions say," it's not being able to function in society.

Yeah, and it doesn't even need to be a strong prescription. I'm -3.0 in both eyes and without my glasses my eyes are useless at seeing anything clearly beyond a couple feet away.

Like it should all be covered, I think we all agree on that, but acting like not having access to your glasses is a mild inconvenience and not rendering people effectively disabled is dumb. And no, I don't happen to know anybody with my exact prescription who would have a loaner pair ready to go if I didn't have my glasses for whatever reason.

Dreylad
Jun 19, 2001

DynamicSloth posted:

It was always the NDP negotiating strategy to seek a limited number of medications as long as they were covered on a truly universal basis. Two kinds of pretty important medication, is definitely half a loaf but the Liberals at least aren't going to rip insulin or contraception away from people if the program gets up and running. The Liberal pharma care "pilot" is less than nothing, most people would not notice if it was instituted nationally, which pointedly they have not done, they just need something to run on that doesn't make the lobbyists mad.

I am glad insulin is covered. It's ridiculous that it isn't completely covered and my heart still breaks for all the Americans who bought insulin from Canada when I worked for a pharmacy. Not that they'd be covered obviously just, the difference between the two countries for diabetics is really jarring.

The discussion about vision care (my eyes also suck rear end) is good reminder that our understanding of healthcare has certainly evolved since UHC was introduced. I don't think anyone would have thought of dental as critical to someone's well being as it is now. Could be wrong on that though.

Dreylad fucked around with this message at 19:25 on Mar 13, 2024

TheCenturion
May 3, 2013
HI I LIKE TO GIVE ADVICE ON RELATIONSHIPS

ZShakespeare posted:

Spending the $2k to get my eyes lasered out was a really great investment because now I don't have to buy glasses or contacts.

I'd seriously considered it when I was younger, but something about 'carve bits of your eyes out with lasers' just never sat right with me.

Now I have a pair of bifocals, and another pair of glasses for sitting at my computers. That I still take off sometimes so I can really squint at something.

The song lied, you should absolutely fear the reaper.

Mad Hamish posted:

Hi, I have a prescription that's - 8.5 in my left eye and - 10 in the right (this means: I can see clearly 13cm in front of my face and past that is a total blur), where exactly do you expect me to miraculously find a previously-enjoyed pair of glasses with this exact combination but also has a matching PD that isn't my old pair somewhere in a box under the bed that I replaced after eight years of wear because they were de-laminating?

Like, for some people it's not "Oh, poo poo, I forgot my glasses, can you tell me what these cooking directions say," it's not being able to function in society.


So, because you're an outlier, nobody else on the planet can wear second-hand glasses. Gotcha.

And yeah, I know. I'm -5someodd myself, and need glasses to function on a daily basis. Nevertheless, I'd rather be worried about having to not get Guess frames on my glasses than have to worry about how I'm going to pay for insulin.

folytopo
Nov 5, 2013

Dreylad posted:

I am glad insulin is covered. It's ridiculous that it isn't completely covered and my heart still breaks for all the Americans who bought insulin from Canada when I worked for a pharmacy. Not that they'd be covered obviously just, the difference between the two countries for diabetics is really jarring.

The discussion about vision care (my eyes also suck rear end) is good reminder that our understanding of healthcare has certainly evolved since UHC was introduced. I don't think anyone would have thought of dental as critical to someone's well being as it is now. Could be wrong on that though.

The high tide of social democracy in Saskatchewan did include universal dental for kids. There was some hope to expand it but that all changed with the rise of neoliberalism. My elementary school a very weird room that used to be a dentist/ healthcare room.

Bleck
Jan 7, 2014

No matter how one loves, there are always different aims. Love can take a great many forms, whatever the era.

TheCenturion posted:

Fundamentally, the point I'm trying to make is that the market realities behind glasses and behind insulin are very very different.

Nobody should have to pay for either of those and this is an obvious fact to everyone that isn't hastily making posts in between voraciously choking down boots.

flakeloaf
Feb 26, 2003

Still better than android clock

Great now do food

Seriously though vision care is tremendously important and wanting for it correlates directly with advance of dementia in the elderly and avoidable hardships for everyone else, that cost society way more than it would to buy designer moon goggles for everyone biennially.

flakeloaf fucked around with this message at 21:29 on Mar 13, 2024

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Argas
Jan 13, 2008
SRW Fanatic




Look, a functioning labourer worker drone just needs to vacate their position if they aren't healthy and operational

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