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View Full Version : Obama Medicare: Not gonna cover best new therapies. Sorry.


HonestChieffan
08-15-2010, 04:18 PM
That Was Quick… For First Time Ever Obama Administration Cuts Medicare Treatment For Cancer Patients
Posted by Jim Hoft on Sunday, August 15, 2010, 9:31 AM
HERE COME THE DEATH PANELS…

For the first time in history Medicare will not cover an FDA-approved anti-cancer therapy.
Doug Ross reported:

Just days after the recess appointment of Donald Berwick, the controversial new head of Medicare and Medicaid, the Ovarian Cancer National Alliance posted the following grim news: for the first time in history, an FDA-approved anti-cancer therapy may not be covered by Medicare.

Provenge, a vaccine to treat the recurrence of prostate cancer, has been approved by the Food and Drug Administration (FDA)… Medicare usually covers the cost of FDA-approved anti-cancer therapies. However, the Centers for Medicare and Medicaid Services (CMS) is still reviewing whether it will cover Provenge, and at what rate.

The CMS statute states that Medicare must cover therapies that are reasonable and necessary, while the FDA is instructed to approve drugs that are safe and effective. Because of the conflicting Federal coverage and approval requirements, there are some non-FDA approved drugs (called off-label drugs) that are paid for by CMS. However, with respect to Provenge, it appears that CMS is arguing that while the treatment is safe and effective, it may not be reasonable and necessary. For the first time, an FDA approved anti-cancer therapy may not be covered by Medicare.

A life-saving cancer treatment “may not be reasonable and necessary”? Gee, that kind of decision-making by an unelected federal bureaucracy certainly sounds like a death panel to me.


http://directorblue.blogspot.com/2010/08/berwicks-first-strike-susan-g-komen.html

Chiefspants
08-15-2010, 05:18 PM
I was worried that this may have come from a questionable source, but then I saw it was from http://directorblue.blogspot.com/ and all of my fears subsided.

HonestChieffan
08-15-2010, 05:25 PM
...In a joint letter sent to the FDA and key Congressional lawmakers Thursday, Komen for the Cure and the OCNA wrote, "We are particularly concerned about patients who are presently receiving bevacizumab and the message that this decision sends about drug development for women with advanced breast cancer."

...According to Komen, the decision to use Avastin should be made between a woman and her doctor after a thoughtful conversation that carefully considers the drug's benefits and risks. Komen does not want to see access limited by Medicare and Medicaid.



Now lets attack the source and ignore the content....again?

FD
08-15-2010, 08:03 PM
The Centers for Medicare and Medicaid Services (CMS) is still reviewing whether it will cover Provenge, and at what rate.


Good. If we don't get control over costs eventually, Medicare will bankrupt this country. Every new treatment should get reviewed like this.

BucEyedPea
08-15-2010, 08:07 PM
Good. If we don't get control over costs eventually, Medicare will bankrupt this country. Every new treatment should get reviewed like this.

ROFL :LOL: Pssst! We're bankrupt now!

So much for private insurance denying some people coverage.

irishjayhawk
08-15-2010, 08:22 PM
Ugh, where to start.

1) Nowhere does it say it's the "best" new therapy.

2) They're still reviewing it.

3) They are evaluating the necessity of the drug.

4) Have to laugh at people's hypocrisies. The naturalists making noise because insurance won't cover something. The FDA-haters who then complain that an FDA approved drug isn't covered. The private industry can't compete bullshitters.

5) It is most likely a hyperbole to say the drug is "life saving" in the way they mean it. The drug treats the RECURRENCE, which means they've defeated it once with DIFFERENT drugs, which makes it more preventative than life saving, in the high-alert-sounding usage the article employs.

Chiefspants
08-15-2010, 08:42 PM
...In a joint letter sent to the FDA and key Congressional lawmakers Thursday, Komen for the Cure and the OCNA wrote, "We are particularly concerned about patients who are presently receiving bevacizumab and the message that this decision sends about drug development for women with advanced breast cancer."

...According to Komen, the decision to use Avastin should be made between a woman and her doctor after a thoughtful conversation that carefully considers the drug's benefits and risks. Komen does not want to see access limited by Medicare and Medicaid.



Now lets attack the source and ignore the content....again?

Good job quoting the part of the article which is talking about a different drug, also, not only was this about a different drug, but this particular drug isn't any kind of "best new therapy." or "Cure for cancer" for that matter.

What were you saying about the source again?

healthpellets
08-15-2010, 09:44 PM
this seems like a perfectly good spot to point out how shitty the FDA is and how the FDA kills far more people that it saves.

BucEyedPea
08-15-2010, 09:46 PM
this seems like a perfectly good spot to point out how shitty the FDA is and how the FDA kills far more people that it saves.

:thumb: Ayup! How many people die from properly prescribed from prescription drugs every year?

Keeping us safe.

Mr. Kotter
08-15-2010, 10:11 PM
Sorry....government "coverage" for the "best 'new' therapies"???

If you RELY entirely on govenment coverage, don't expect a Mercedes or a DeLorean. Duh.

If you want a Mercedes or a DeLorean--you better have "supplemental" coverage and assets.

This AIN'T complicated. Just sayin'. :rolleyes:

That SHOULD be the "end of the thread"...

healthpellets
08-15-2010, 10:14 PM
Sorry....government "coverage" for the "best 'new' therapies"???

If you RELY on govenment coverage, don't expect a Mercedes or a DeLorean. Duh.

If you want a Mercedes or a DeLorean--you better have "supplemental" coverage and assets.

This AIN'T complicated. Just sayin'. :rolleyes:

too bad that's not how people relying on the government view the situation.

if you ever want a chuckle, go over to democraticundergound.com sometime and check out the healthcare forum and listen to the people bitch because HCR didn't include the public option of everyone joining medicare. these people actually want to GET IN to a system that is failing and falling apart instead of finding a true alternative.

boogblaster
08-15-2010, 10:16 PM
you will die anyway

healthpellets
08-15-2010, 10:24 PM
you will die anyway

this.

Mr. Kotter
08-15-2010, 11:01 PM
you will die anyway

IF one RELYS SOLELY on government funded healthcare, this is a given.

If it is NOT, we must make it one. Period.