Philosophy of Health Management in the United States

Mariner is really old. He is a prime example of why the fiscal conservatives in government don’t like him. He is a drain on the world of dollars. One is not worth existence if one doesn’t generate dollars in some way. Insurance companies and the health industry have found a way to generate dollars in unhealthy people – especially old unhealthy people; the health industry has developed a cash producing model even for useless, expensive old folks like the mariner.

The model is: keep old folks alive for a few more years until their disabilities exceed insurance coverage and they must spend down their assets to continue treatment. Once the health industry has all the patient’s money and the patient is bankrupt, treatment ceases and the patient, who perhaps lived another few years than they might have, dies. After all, the patient is no longer a source of dollars.

Mariner recently had the experience of being prescribed a medicine that would slow the advancement of his disability, giving him another few years before the end. The prescription was administered in a matter of fact way by the physician with no warnings about the prescription being irregular in any way. Mariner and his wife stopped by the pharmacy to have the prescription filled.

“We can’t fill this prescription,” the pharmacist said. “It must come from a special pharmacy.”

Turns out the prescription will cost ten thousand dollars each month! That’s right – $10,000.00 each month. This is a good service because now the mariner can accurately project his life expectancy by dividing $120,000.00 per year into his total assets.

Even Big Pharma realized the cost was a bridge too far. A special charity will pay the monthly fee less copay. Mariner was advised by his insurance company that the copay is just under $3,000 each month. Whew!

To the mariner, this is blatant disregard for human value and respect. Jimmie Kimmel had it right when he admonished the health industry and Congress for making dollars more important than human life. Mariner researched the annual salary of CEOs for Big Pharma. They receive an average annual salary of $42 million. Apparently, health management has reverted to its mid-19th century practice of applying leeches.

Because of religious reasons, that is, believing in human life as the measure of supreme value, he will not take this drug – especially he will not allow anyone, charity or otherwise, to send this many dollars to prop up a leech’s salary.

Ancient Mariner