Hypocrisy
continues to prevail in Texas, particularly in the area of health. Governor Perry and others continue to
lambast the effort of everybody who is being responsible and managing their own
health care by way of insurance.
Republicans also go bonkers attacking every organization which has
ever favored allowing legal abortions--so-called "protecting the unborn."
Unfortunately, at the same time, the
already-born do not fare so well. Somehow, our governor and our legislators ignore the fact that Texas leads
the nation in under-insured or non-insured children. Worse yet, a recent study has shown that Texas also leads the nation in
children’s deaths due to abuse--and this occurs while the Texas Legislature continues to underfund
Children’s Protective Services.
Poor
folks in Texas seeking help with their health are in for another body
blow. Not only poor folks, but
middle-class Texans also are about to suffer a major difficulty. If the legislative mandate stays in
place--Texans particularly elderly Texans--can forget the friendly service of
their corner drug store, as well as home delivery of pharmaceuticals.
Texas,
through our governor, has decreed that Medicaid payments, including
pharmaceuticals, will be controlled by private benefit managers. Unfortunately, several of these also
own their own chain of retail pharmacies such as CVS. These so-called managers are now offering contracts which
would only reimburse independent pharmacists rates per prescription which cause
the corner drugstore to lose anywhere from $5 to $11 per prescription.
These so-called managers are attempting
to do away with the independent pharmacy and force Texans to either deal with
Walgreens, CVS or mail order pharmacies. The local corner drug store is not only a major convenience and friend to many Texans,
but it is a good thing for our health.
The local pharmacist generally knows his customers, knows their needs,
and in addition to filling prescriptions, can give decent advice related to
medications. In most cases the
corner pharmacist does not require you to stand in line and treats you more like
a real human than simply a number waiting to be served.
Policies
being adopted by our state at this time will also have another devastating
effect on Texas--it will send
about 36,000 employees’ jobs out of state. A recent study commissioned by independent pharmacy groups
predicted 1,300 stores in Texas will be out of business in the next few
months. While Texas politicians
will state to the public they are looking out for us, it gives me little
comfort to know the state law requires that an all-night pharmacy must be
within 70 miles from my home.
If
the way the state of Texas has chosen to deal with Medicaid pharmaceuticals is
any indication of future policies, Texans would be ill-served to follow
Governor Perry’s recommendation that we do away with Medicare and simply have
the federal government send block grants to the states and let the states
devise a plan for health. Such a
scenario is almost sure to short Texans even further on health care, even
though we now rank near the bottom of all of the states.
It
seems like the same ol’ same ol’--rich folks, well connected with the governor’s
office, are gonna get richer. And the rest of us will have to shift for
ourselves, being at best inconvenienced, and at worst deprived, of adequate
health resources.