Cost of Treatment May Influence Doctors

[Jesus Malverde]

Saying they can no longer ignore the rising prices of health care, some of the most influential medical groups in the nation are recommending that doctors weigh the costs, not just the effectiveness of treatments, as they make decisions about patient care.

The shift, little noticed outside the medical establishment but already controversial inside it, suggests that doctors are starting to redefine their roles, from being concerned exclusively about individual patients to exerting influence on how health care dollars are spent.

“We understand that we doctors should be and are stewards of the larger society as well as of the patient in our examination room,” said Dr. Lowell E. Schnipper, the chairman of a task force on value in cancer care at the American Society of Clinical Oncology.

In practical terms, new guidelines being developed by the medical groups could result in doctors choosing one drug over another for cost reasons or even deciding that a particular treatment — at the end of life, for example — is too expensive. In the extreme, some critics have said that making treatment decisions based on cost is a form of rationing.

http://www.nytimes.com/2014/04/18/business/treatment-cost-could-influence-doctors-advice.html?hp&_r=0

[NightWatcher]

1. it sucks. I take a cheaper drug when my doctor has said that there are better ones

My annual drug cost is 2400-3000 a year but there are drugs out there for my conditions that cost 35, 48, & 65 thousand dollars a year respectively that my doctor think would work better. It's a shame that money still determines level of care.

[Jesus Malverde]

2. would they not be covered if your doctor wrote the script for the other drug.

Who limited his choices, it seems this is a more recent phenomena?

[NightWatcher]

3. I'm uninsured as of now but will be on Medicare after the summer

Even after I get insured, I still cannot afford to cover the 20% of those 30-65K treatments.

I've even had to stop filling one of my drugs for a month or two at a time when I couldn't afford them.

[Jesus Malverde]

4. Ok that makes sense. 2-3 K out of pocket beats paying parasitic

insurance companies.

Hang in there!