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Caps or spreading of maximums throughout the year a person who wouldnt spend 0 more than a certain amount in one year or shift the burden there are two bills pending before the state legislation ab 39 prevents the copies from a tier and assemblyman bill requires the companies to report medications that costs more 10,000 just to conclude it is clear it matters in San Francisco but that helps to put a finer point on this is a chart showing element san franciscans living with hiv we dont have good numbers for multiply scleras and other disease but necessary need access to treatment that is why it...

He showed up to get his monthly drug and he showed me a photo its beyond me why Insurance Companies financial incentives it strikes me it is illegal. I have a little bit of Additional Information that gets to that point here. Okay. So you laid out the speciality tiering as you stated supervisor wiener they may violate the Affordable Health care act provisions for protecting people that have preexisting conditions and maybe discriminatory and for patient it puts a substantial financial strain on people and the costs cannot can be unexpected may be a person needs a drug for a disease and its on ...

Insurance plan. This is important one conversation we were having in the community there are people that opt for the high digestible plans and find the dedublt are noted manageable were ask them to go to a silver plan were talking about spll silver plans having drugs that are effectively unaffordable for people thats a real problem. Absolutely and i didnt mention when i was talking about the unexpected nature of the health costs brauj plans you pay a lower amount but the minute you need health care it is far more expensive 2, 3, 4 a baggage plan the cost sharing for speciality plans can be 40 ...

A drawing as a quote unquote specialist drugs instead of a a patient paying a typical copay of 1b or 25 or 50 conflict of interests a month the patient in addition must pay a significant percentage of the drug when means a copay insurance of 6,000 or more the explosion important drug costs our hiv and cancer and Rheumatoid Arthritis denies the folks the Insurance Benefits and remain on those medications that is clear here for many most people that havetions and need access to life saving drugs that requiring them to pay six or eight hundred or 6,000 a month is the same as saying they cant have...

Cost medication i think more of the issues are being seen oral medication that dont require special handling or special knowledge by the patient. So basically an Insurance Companies will say this drug is extensive so youre going to have to pay 40 percent of the drug costs. Thats right its not just health plans but the means to an end has the same definition. It is like baffling i suspect im preaching to the choir to say shocking that Insurance Companies you think you buy insurance so our covered and then all of a sudden i mean literally someone be sent me a photo with a Cash Register and he sh...