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How to make healthcare affordable
Allow recipients to shop for best price, just they do in "real life". Set up an online Medicare purchasing account for each person - similar to how one has online access to their bank account. This account will show each debit for medication, medical equipment, and services.

Reward shopping for best price with a feedback system
When you buy a medication or service a software program looks up the costs paid in your region of the country - from high to low. If you paid more than average your online medical account shows what price you could have achieved. If you consistently buy at cost saving prices, then gold stars, happy faces, or waving American Flags (whatever) appear with small "Thank you!" notes.

But, when you pay too much you receive a notice like the tongue in cheek one I made up below. The rip-off cost is not make up - it is real. This serves as a perfect example of how a simple $2 or $3 medication (actual wholesale cost) is invoiced to Medicare at $167. Multiplied by thousands of overcharges per week, month after month and you see why Medicare is dragging down the United States with billions of dollars in excessive prices.
Example of online medical account feedback system
WHOPPING EXCESSIVE CHARGE!
(above) actual invoiced cost to Medicare. Not a joke. The author has the original documentation. March, 2009
Dear Medicare recipient,

Are you aware that your government rip-off provider invoiced $166.79 for 90 zolpidem tartrate? This is very bad. That price is 1,688% higher than the same generic medication purchased at retail from Costco ($9.33). The taxpayers of the United States cannot afford such an extreme overcharge. Actual wholesale cost of the generic drug is but a few dollars. If Costco can make a profit selling it at $10 then your provider is deliberately ripping off the Medicare system with their $167 invoice.

Please cease doing business with this vendor.

How you can help effect permanent change
May we suggest that you mail a letter of protest to your provider? We do not recommend wasting time calling them as you will only speak to some high school drop out paid minimum wage at an outsourced phone service. Mail a letter instead. Demand that they cease these overcharges in writing. If you can find a fax number, also fax it to them. Also send your letter to them by email. Continue to do so until a representative of your rip-off provider replies in writing, on actual company letterhead issued by a titled individual who has a first and last name, etc. Do not be placated with a phone call from an untitled first name only person as these are only intended to make you feel better without the company actually doing anything about the matter.

If the rip-off provider will not reply in writing on company letterhead, sent USPS, then ignore any attempts to reach you by phone. If you speak with a so called "representative" tell them they are ripping off the government and that you are disgusted by their greed. Then hang up.
The rip-off in a nutshell
Medicare invoiced $167

Costco sells this for $9.33

Drugstore.com sells this for $46

Rite-Aid sells this for $69

Legal drugs are more profitable than illicit ones
Imagine what the actual wholesale cost is. A few dollars. Really. Maybe $2 or $3 worth of the chemical. Think this through: 10mg dose means 100 doses per gram. 100,000 pills per kilo. In the laboratory it is just as easy to make a 1 kilogram batch as a 2 or 3 kilogram batch. Its just chemistry. Like making methamphetamine, ecstasy, or synthetic heroin (fentanyl)

At the $167/90 price invoiced to Medicare you are paying $1.86 per 10mg pill. That is $185,556 per kilo. WOW! That makes cocaine, methamphetamine and heroin dirt cheap by comparison.

You paid too much!
Your price is 1,688% higher than the same generic medication purchased at retail from Costco.

And 263% higher than the same generic medication purchased at retail from Drugstore.com.

Please do not continue to purchase from the provider who invoiced $167 to Medicare because such rip-offs adversely affect the taxpayers of America.

Keeping healthcare affordable for everyone requires your assistance to police these medical provider pigs who have the nerve to invoice 1,688% more than retail.

Thank you for helping American give the boot to the medical supply rip-off pigs.

Sincerely,

The US Surgeon General

 

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