so for those who have been following our chronicles of Holy Fuck Not A Week Has Gone By Without Something Going Terribly Wrong, we had a pipe burst which cost $2300 to fix and handle the water damage before mold set in, and then the plumber found another corroded pipe and pressure problems that will be $1400 to fix to make sure this doesn't happen again in a month. at this point I'm just flat-out not going to make it through the summer without some serious help.
(for those of you who have not: I am the sole reliable source of income in my household, my previous job broke the contract it negotiated with the union resulting in us not getting thousands of dollars of backpay we contractually should have and a class action lawsuit there will take years, we ran into $5000 unexpected extra moving costs, and my beloved 18-year-old cat nearly died last month resulting in $3600 vet bills. before. you know. a pipe burst last week.)
we never filled up the ko-fi fundraiser goal from last year, which is pinned here: https://ko-fi.com/savrenim. any help would be VASTLY appreciated. I'm fairly certain if I make that goal and manage to negotiate for more overtime at my current job I'll be able to make it through the summer. any bit helps.
I've also got a patreon https://www.patreon.com/savrenim although that's going to be a bit choppy with respect to what I usually try to do monthly there just given my mental health right now and everything I'm trying to juggle. If you're interested in my writing, I'm going to try to throw together some of the stuff I already have to try to self-publish an original novel before summer as one last hail mary.
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for those who are short on imagination:
Doctors take holidays.
Pharmacists take holidays.
Supply chains have hiccups, especially when everyone wants to take holidays.
You might be going away.
Bank holidays cause closures.
Prescription standards are set in working days, not calendar days.
There are a lot of non-working days at Christmas and New Year.
Many people cannot miss a single day of medication, because the medication directly keeps us alive, or has side effects if suddenly stopped, or both.
Emergency routes to get medication exist, but having to use them means you are having an emergency caused by lack of planning and preparation around the holidays.
Good planning can save you from being at the hospital on Boxing Day waiting twelve hours for an emergency doctor to prescribe you the meds you didn't have time to collect before you travelled to your mum's, a hundred miles away from the place where your repeat prescription is normally dispensed, and now everyone is miserable.
"Three weeks" is the amount you need so you won't have to ask for another repeat prescription until January, not the length of time everything will be closed for. it is not a description of pharmacy opening times. it is a trigger for action.
Thank you for not being a clown in my notes.
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Opinion Here’s how to get free Paxlovid as many times as you need it
When the public health emergency around covid-19 ended, vaccines and treatments became commercial products, meaning companies could charge for them as they do other pharmaceuticals. Paxlovid, the highly effective antiviral pill that can prevent covid from becoming severe, now has a list price of nearly $1,400 for a five-day treatment course.
Thanks to an innovative agreement between the Biden administration and the drug’s manufacturer, Pfizer, Americans can still access the medication free or at very low cost through a program called Paxcess. The problem is that too few people — including pharmacists — are aware of it.
I learned of Paxcess only after readers wrote that pharmacies were charging them hundreds of dollars — or even the full list price — to fill their Paxlovid prescription. This shouldn’t be happening. A representative from Pfizer, which runs the program, explained to me that patients on Medicare and Medicaid or who are uninsured should get free Paxlovid. They need to sign up by going to paxlovid.iassist.com or by calling 877-219-7225. “We wanted to make enrollment as easy and as quick as possible,” the representative said.
Indeed, the process is straightforward. I clicked through the web form myself, and there are only three sets of information required. Patients first enter their name, date of birth and address. They then input their prescriber’s name and address and select their insurance type.
All this should take less than five minutes and can be done at home or at the pharmacy. A physician or pharmacist can fill it out on behalf of the patient, too. Importantly, this form does not ask for medical history, proof of a positive coronavirus test, income verification, citizenship status or other potentially sensitive and time-consuming information.
But there is one key requirement people need to be aware of: Patients must have a prescription for Paxlovid to start the enrollment process. It is not possible to pre-enroll. (Though, in a sense, people on Medicare or Medicaid are already pre-enrolled.)
Once the questionnaire is complete, the website generates a voucher within seconds. People can print it or email it themselves, and then they can exchange it for a free course of Paxlovid at most pharmacies.
Pfizer’s representative tells me that more than 57,000 pharmacies are contracted to participate in this program, including major chain drugstores such as CVS and Walgreens and large retail chains such as Walmart, Kroger and Costco. For those unable to go in person, a mail-order option is available, too.
The program works a little differently for patients with commercial insurance. Some insurance plans already cover Paxlovid without a co-pay. Anyone who is told there will be a charge should sign up for Paxcess, which would further bring down their co-pay and might even cover the entire cost.
Several readers have attested that Paxcess’s process was fast and seamless. I was also glad to learn that there is basically no limit to the number of times someone could use it. A person who contracts the coronavirus three times in a year could access Paxlovid free or at low cost each time.
Unfortunately, readers informed me of one major glitch: Though the Paxcess voucher is honored when presented, some pharmacies are not offering the program proactively. As a result, many patients are still being charged high co-pays even if they could have gotten the medication at no cost.
This is incredibly frustrating. However, after interviewing multiple people involved in the process, including representatives of major pharmacy chains and Biden administration officials, I believe everyone is sincere in trying to make things right. As we saw in the early days of the coronavirus vaccine rollout, it’s hard to get a new program off the ground. Policies that look good on paper run into multiple barriers during implementation.
Those involved are actively identifying and addressing these problems. For instance, a Walgreens representative explained to me that in addition to educating pharmacists and pharmacy techs about the program, the company learned it also had to make system changes to account for a different workflow. Normally, when pharmacists process a prescription, they inform patients of the co-pay and dispense the medication. But with Paxlovid, the system needs to stop them if there is a co-pay, so they can prompt patients to sign up for Paxcess.
Here is where patients and consumers must take a proactive role. That might not feel fair; after all, if someone is ill, people expect that the system will work to help them. But that’s not our reality. While pharmacies work to fix their system glitches, patients need to be their own best advocates. That means signing up for Paxcess as soon as they receive a Paxlovid prescription and helping spread the word so that others can get the antiviral at little or no cost, too.
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