Sally Field Stole My Health Insurance

Sally Field Stole My Health Insurance

How useless drugs hurt us all.

Posted Thursday, February 26, 2009 - 1:15pm

Tell your sickly mother to watch her back. Thanks to President Obama's health care proposals, bureaucrats will soon be rifling through her medicine cabinet to confiscate the cancer medication keeping her alive. At least this is what Rush Limbaugh, Fox News, and the Washington Times want you to believe, pointing to measures like the $1.1 billion in the stimulus bill for research on which medical treatments work best. This, they say, is the first step toward health care "rationing."

Fox and friends don't scare me, though, because I know this research is the best way to fight back against a much bigger threat to my health care. I'm talking, of course, about Sally Field.

Every time I see Sally Field on TV hawking the osteoporosis drug Boniva, I have this nightmare: It's August of last year, right when my student health insurance is about to run out. I am self-employed and phoning insurance companies to find an individual policy I can afford. In my dream, Sally Field answers every number I call, and she tells me that my premiums will be $1,000 per month, almost as much as my rent.

Scary, right? The truly terrifying thing is that only a small part of this is fantasy—Sally Field was not the one telling me I wouldn't be able to afford insurance, but I really was facing premiums in the neighborhood of $12,000 per year. (Because I'm under a doctor's care for asthma and a cranky stomach, I was lucky to be able to buy health insurance at all.) Sally Field gets a cameo when I relive this horror show because pharmaceutical boondoggles like Boniva really are part of the reason it is so hard for Americans like me to afford health insurance.

Boniva's manufacturer, Roche, spent nearly $100 million last year on the ad campaign featuring Sally Field, making it the 18th most heavily advertised drug in 2008, according to Nielsen Media Research. As a result, Boniva is one of the nation's most frequently prescribed brand-name drugs, even though it cannot claim to be more effective than a generic medication that retails for less than half the price. Doctors prescribe Boniva, Dr. Timothy Cutler of the University of California-San Francisco pharmacy school told me, not because it works better but "because the pharmaceutical industry does such a good job of detailing the doctors on their product." Without comparative-effectiveness research of the kind funded by the stimulus bill, there's no independent source of information to counteract the more than $5 billion the drug industry spends advertising its products each year.

Why does this make my health care more expensive? Health insurance works because it pools costs: When you're healthy, the premiums you pay subsidize care for sick folks, and these people return the favor when their health is restored and you're the one needing care. If new drugs or other technology come into use for a certain illness, everyone's premiums go up a little. I'm happy to pay more when these new technologies cure previously fatal diseases or improve patients' quality of life just as I'm grateful to the others in my insurance pool who have helped make my care affordable. But spending on expensive treatments that add no value raises everybody's costs and prices millions out of health insurance altogether. Rising costs have already contributed to a doubling in insurance premiums since 2000, and 9 million more Americans have joined the ranks of the uninsured during this time, bringing the total to an estimated 48 million.

  • Lester Feder is a journalist and policy researcher based in Washington, DC. He is a regular contributor to the Columbia Journalism Review's Campaign Desk, and his work has appeared in The New Republic, The Nation, and NPR.

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Uninformed writing

I'm an attorney that represents generic pharmaceuticals, and this writing is so uninformed that I question why I visit Slate. Mr. Feder attacks the advertising spending on Boniva, but fails to mention what percentage of Roche's costs these constitute. Certainly, $100 million is a lot of money, but it pales in comparison to the amounts spent on clinical trials. Not having Sally Fields pitch this medicine won't change the price much (if at all). Mr. Feder notes that Boniva cannot claim to be more effective than the generics. Mr. Feder ignores the role of physicians in prescribing drugs. Most importantly, ignores that the generic osteoporosis medication is not a generic version of boniva, but rather a different drug. I look forward to the day one can buy a generic boniva, but there are many important reasons why a physician is required to prescribe one osteoporosis drug and not another. Certainly the detailing industry hires a disproportionate number of former cheerleaders, and there are concerns about industry influence on drug research. But at the end of the day, health care costs in this country rise because we are rarely willing to sacrifice quality of care. Boniva is simply a different drug than the generic, even though both treat osteoporosis. Personally, I believe it is reckless of Mr. Feder to say that the only difference is how often they are taken. As with any new drug, there are advantages to using it in certain situations, and this desire for better care drives up costs, not spokespeople.

alendronate sodium vs. ibandronate sodium

I am not a fan of insurance companies, drug companies, or drug ads on TV. Drug ads on TV have been shown to be ineffective to selling drugs - so why do drug companies continue to waste money in this way? It is name recognition. When a physician prescribes a drug, and the name is familiar to the patient, the patient is more likely to take the drug as prescribed. I was prescribed Boniva a little over a year ago. My most recent bone density tests show I am not worse, but also no better, than before I began taking the drug. The cost of Boniva (even with insurance) is ridiculously expensive, so I was excited to see a possible alternative to Boniva. Googling alendronate sodium, as mentioned in the article, I found it is a generic substitute for Fosamax, not Boniva. The active ingredient in Boniva is ibandronate sodium, but it is too new of a drug to have a generic. I thought I might change to the Fosamax generic instead of Boniva - but wanted to see if they are comparable. As we all know, no drug is free of side effects - so I had to weight all of the pros and cons. The bottom line is this: based on medical studies (not controlled by the drug companies), post-menopausal women taking Boniva have been found to have had 62% fewer fractures vs. 44-48% fewer fractures when taking Fosamax/alendronate sodium. The findings are significant and the reason, for now, I will stick with Boniva (and will look forward to the generic when it is approved). I feel I am worth the extra cost of Boniva to have extra fracture protection.

Boniva

After over 5 years of taking Fosamax (the alendronate sodium you refer to) and two years on Actonel, my bone density scans were headed downhill. Having had a hystorectomy at the age of 31, my history indicates osteoporosis and I was there in my late 50's. Today, at the age of 61, after just over two years on Boniva, my reduction in bone density has been reversed. I am a healthy, active person who skis, hikes, and works full-time. I totally understand the effects of unneeded prescriptions on health care. If it were not for the fact that I work full-time and have large-group health insurance, my bill would be $1500 a month--if I could get it--and I cannot find any. I have a modest income--$31,000/year. Just over the hump for most health care programs such as the one you have just received. I think $260/month for health care insurance is cheap! Very cheap! What state do you live in? Should I quit my job and thrown myself on the mercy of other taxpayers? I am not for unneeded health care costs. But what are the alternatives? A broken hip that incapacitates me and places me in an assisted-living facility long before needed; broken bones that cause pain; a hump-back that could preclude employment in my 70's? yes, I am looking forward to being employed in my 70's. I'm told that it will be possible for me to be active well into my 90's; I think it is for the best that I stay as healthy as I can for as long as possible. Hopefully, I will not be a burden on society, which I would be if I had osteoporosis. For those who say Boniva is a drug of convenience, I have to disagree; for most women it accomplishes what Actonel and Fosomax did not--it increases their bone density. I have discussed the side effects with my dentist and dental hygienist; they do not think it is a problem. Before surgery, you need to stop taking it, and that can be planned for. I would urge your Mother to take it. Hopefully she will not be a burden on you, and can rid herself of someone who does not care for her health sooner, rather than later. Your article has inspired me, and I will now tell everyone I can about the benefits of Boniva. Way to go, Sally Field!

~ Sally Field Stole my Health Insurance.

I couldn't help commenting on this subject, because I so, detest the Sally Field advertisement. The first reason being I'm a 58 year old white married female. I was told several years ago to take Actonel another type of Osteoporosis treatment drug, because I'm post menopausal. I did take it, as prescribed for over a year, actually 2 1/2 years. I still showed up as having Osteopenia, on my bone density scan, that's pre-Osteoporosis. I had to jump through insurance loops to stay on the silly drug (that didn't work anyway) because it's a name brand and there is no generic name comparable. By the way this goes back a few years 2000, anyway, I got very aggravated with having to explain to the insurance company that Actonel was the only approved drug for this condition at the time, or should I say to prevent the condition from further advancing to Osteoporosis. I stopped taking it because it was a pain in the you know what, to take this one pill every Sunday morning (that at the time was the day of my choice) and then stand around or sit for a 1/2 hour, I used to take it early when I got up to go to the bathroom, and I wanted to go back to bed but I couldn't because your not supposed to lay down. Also it say's if you have indigestion, which I have had most of my life. Now there are at least 5 other drugs on the market. The most recent being a once a year injection. Then I started paying better attention to all of the ads and side effects and started to research on the internet information on these drugs. I was horrified. In a majority of cases women get jaw necrosis. Yep, that's where too much of the stuff goes to the jaw, and kills the bone tissue circulation, and a part of the law dies! Isn't that lovely? So madam Field like many other top celebrities get sold a bill of goods, and get huge pay checks to hawk their product. That's just a crying shame. When like you say some people really need a drug, for a proven ailment, like in your case asthma. Not a possible preventative for a possible condition, that can have possible sever side effects. What the hell did women do in the old days anyway? Are there millions of women running around today in their 80's and 90's with bone fractures or broken bones, as a result of Post Menopausal Osteoporosis? These drugs have only been on the market 15 - 20 years, perhaps. So all those women who didn't get/take therapy, should be dropping like flies, right?

The writeoff effect

The Sally Field ads make me laugh a bit. "I can't be bothered more than once a month to maintain my health!" Paging NuvaRing... Don't these drug companies get to write off the cost of these ad campaigns as R&D, tax-wise, as well? Ah, lobbyists...they are all-powerful.

Boniva

There are so many flaws in this argument the least of which is the fact that Boniva has some horrible side effects that it will be interesting to see just how long Sally Fields lives taking it. Google the side effects sometime and see what it really does. Second, there are not 48 million American's without health insurance. That figure includes an estimated 15- 20 million aliens -legal or otherwise and 8 million child covered under Schip programs. Actually 18 million since the new legislation was passed a few weeks ago. As far as charging what they want, pharma companies are just as entitled to do that as General Motors or Apple Computer are. If you don't like price of an Apple Computer buy a Dell. The difference between computers and medicine is that you will research the computer, but not the medicine. you know, whatever Doc says, right? The best way to make insurance affordable- right now- is to eliminate state mandates and let insurance companies offer national programs- a Geico or Safe Auto of health insurance. Let them offer a variety of coverage so the college student can buy one type of plan and the 55 year old another. We don't all drive Chevy's you know.

Prescription drug ads

I agree with you about the Boniva ad. It's downright bizarre. But there are many drug ads out there that are almost as wacky. Some of those commercials go right over my head. They spend so much time on soothing sounds and atmosphere, they forget to tell us what the drugs are FOR. Who ever came up with the idea of advertising prescriptions drugs, anyway? It goes against all common sense, yet there they are, and we're paying for them. I depend on my doctor to do the research and find the best meds for me, and I can't just go into his office with a grocery list of medications I might like to try. We're all paying for grossly overpriced health aids so that drug companies can expand their advertising budgets even more, creating an ever-expanding flurry of ads that are getting nuttier and nuttier in the extreme. And the really nutty part is that there is no real movement out there to put a stop to it. We don't NEED all those drugs. We don't WANT all those drugs. Yet we're paying for them. And paying for them. And paying for them. http://ramonasvoices.blogspot.com

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