prudent to hold down health care costs. Up here a doctor can override that prudence by writing "No substitutions" on the prescription. I don't like the substitute Ventolin they supply here, it doesn't seem as effective as the name brand, but I haven't applied to my doctor yet for the "No Substitution" prescription so that should take care of my bona fides. On the other hand I am enormously glad for Effexor, a new generation anti-depressant with additional effects which is very expensive (like nearly $300 a month), but there are no other drugs in its class, and I've been through all the SSRI meds and they just don't do the job as well. Thank god for extra insurance.
My point, Evie, since you missed it was that the increase in the cost of medication in no way indicates a weakness in the Canadian Health Care System. It is mostly a problem outside that system except for seniors, and possibly the indigent. The reccommendation to avoid prescribing reformulations of existing drugs, or where older drugs have proven as effective as newer drugs viz. Vioxx and the whole cox-inhibitor range which in study after study did no better than Naproxen or Ibuprofen, both of which are available over the counter without the lethal side-effects, is merely prudent and is intended to save the consumer and the insurance companies money, not just the Canadian Health Care System. Nor have I ever slammed US insurers for keeping the costs of medication down, just cutting people off from treatment, and not covering pre-existing conditions like asthma, which I've had since 1948 long before health insurance. Healthcare is not free here, everybody pays for it rather like an insurance plan, though some tax revenue does occasionally top up the plan. But it works well if you could experience it for yourself. The woman who spoke at the Run to End Breast Cancer was diagnosed one week and operated on the next. So much for the horror stories of waiting times, at least for cancer. A friend of ours on the other hand waited 4 months for a hip replacement, a non-critical problem you see. You seem determined to misconstrue what I say or try to put me in the wrong. I'm just telling you what I see here, and what I know to be true from the experience of my wife, and our circle of friends. I don't have to make anything up.
(Please note however to use Enteric Coated Naproxen, it's really tough on the lining of your stomach, it's one of the things that keeps my wife in business, injecting bleeding arteries in the stomach from too many Non Steroidal Anti-Inflammatories or NSAIDs. Should you develop a bleed in the stomach they will inject it with adrenaline which will cause the artery to close down, they also use cyano-acrylate glue, assuming it doesn't harden the second it hits the injection catheter which is a common problem and expensive at $75 an injection catheter). I trust Dr. Bill will agree at least somewhat with what I say since it has been in the literature from the States, which is where I read it (Yes, I read my wife's mail, but only after she's finished with it, survival you know).