an update on how we pay for our treatments

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Quelly, S. B. (2017). Characteristics Associated with School Nurse Childhood Obesity Prevention Practices. Pediatric Nursing, 43(4). Retrieved from

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Our healthcare needs an update on how we pay for our treatments. There are four ways to pay for insurance in the United States. The way we pay for our healthcare is Medicare, Medicaid, Private insurance, or out of pocket (Laureate, 2012). My parents are from the Baby Boomer generation and they are living longer than their parents. Insurance companies whether private or government inform doctors to push patients through healthcare as fast as possible to cut down costs (Laureate, 2012).  I have seen working in the emergency room this does not work. Patients are returning to the ER due to insurance not paying for them to stay longer. These patients are sicker on their second admit. This is doing a disservice to patients and causing our patients to think we are in it for money and not to help people.

As healthcare provider, we took an oath to do no harm to patients while they are in our care. I am not a fan of drug companies over pricing medications for the sole purpose to get rich. Walgreens is in a class action lawsuit and accused of overpricing generic medications to patients (Berman & Shapiro, 2017).  There should be a better way to regulate and prevent this if the accusation is true.  In the case of Provenge, medication for prostate cancer, these patients should have the choice to use it. If it was your own family member you would want as much time as possible to spend with them. Studies show that this medication will extend life by at least four months (Stein, 2010). There has to be a better way to deliver this medication in a cheaper way. 

Another option is to bypass our drug company in the United States all together. Canada’s online pharmacies were lower than our Medicare drug coverage (Sean, Young, Na-Eun, Andy, & Jongwha, 2017). I have had patients in the Emergency room who had prescription bottles from Canada and they stated it was the only way they could afford their prescriptions. 


Laureate Education (Producer). (2012c). Healthcare economics and financing. Baltimore, MD: Author.

Stein, R. (2010), November 8). Review of prostate cancer drugs Provenge renews medical cost-benefit debate. The Washington Post. Retreived from

Berman, H., & Shapiro, S. (2017, August 7). Hagens Berman: Walgreens Sued for Alleged Hidden Generic Drug Overpricing Scheme with PBMs. Ebsco. Retrieved from

Sean, K., Young, R., Na-Eun, C., Andy, K., & Jongwha, C. (2017). Prescription Drug Price 

Paradox: Cost Analysis of Canadian Online Pharmacies versus US Medicare Beneficiaries for 

the Top 100 Drugs. Ebsco, 37, 957-963.

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