On Sunday I went to Walgreens. I currently take about 6 different prescription medications, and I needed several of them filled.
I dropped off my prescriptions (which I had previously got from my doctor), and told the guy at the cash register that I would "wait" (since I didn't want to drive back home, and back - big waste of fuel). The dude told me they would be ready in 15-20 minutes, so I perused the store like a loser, after 30 minutes they still had not called me to counter, and I went to check, and the pharmacist was still going through them, repackaging them, and putting all of these labels on. I spent a total of about 1 hour in the Walgreens getting my prescriptions filled. I don't really have a better way to spend an hour, especially on Sunday, but I know some people do.
Are all American pharmacies this backwards, or this a Walgreens thing?
I've gotten prescriptions in several third-world countries many times before. Usually the only person behind the counter is a girl, maybe 18 years old, who may or may not have finished high school, and who lives with her extended family in a cinder-block house, which may or may not have hot water, and takes the dilapidated city bus to work, and doesn't earn $10 in a day. You tell her the name of the drug you want (no prescription, and therefore, no doctor visit is needed, unless you're getting something like Morphine), and she pulls the box off the shelf and hands it to you in the original package from the manufacturer. She rings up the order, and you pay her. The whole transaction takes less than 2 minutes.
In the US you have to interact with about three people just to get medication. First, your doctor, who probably lives in a giant sprawling property in the hills and drives a Lamborghini to work. Second, the pharmacist, who probably lives in a giant McMansion, and drives her Hummer about twenty-miles round trip to the store, pays $300 to get her hair styled and highlighted every month, and yet still cannot correctly pronounce the names of half of the medications I take. Finally, the cashier, who probably lives in an expensive apartment complex, and drives his shiny new Civic Hybrid to work. And I didn't even mention the doctor's receptionist, nurse, the huge insurance bureaucracy behind the scenes, and so on. And people wonder why price of medical care in the US is skyrocketing?
What exactly does a pharmacist do? These people have some sort of advanced training, and earn around $150K a year, but as far as I can tell they do nothing but break up boxes of prescriptions from the factory and put labels on them, and repackage them. What a waste! As far as I'm concerned these people are completely useless and their job can be totally outsourced. How many tens of billions of dollars do Americans waste on pharmacists and the extravagant super-sized lifestyles they lead?
As for doctors, are they really needed for prescriptions? I am a grown man and don't really need a doctor to tell me whether I can get a certain medication or not, particularly for refills which I've been taking for years, and for medications with minimal to no risk of complications. I can buy cigarettes and alcohol without anybody's approval but I can't get eye drops unless my use of them is blessed by a medical professional? True, medication with potential for abuse should be controlled, but that does not justify the whole broken pharmacy system. For pretty much any prescription I take, Google tells me much more info about the medication than my doctor can.
Tuesday, March 25, 2008
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6 comments:
I'm with you here.
They have advanced chemistry knowledge and perhaps know about possible interactions between drugs (but that should all be computerized and "in the system"). They will gladly explain to you how to use your medication (um, not necessary), or help you pick which medication you need for OTC medications. I usually can just read the box and find something that says it treats my symptoms, but maybe some people are confused.
I wonder how much money my parents wasted each time one of their children got strept throat. My mom quite obvious can diagnose it (she is a nurse, but really, I bet most moms could), but we still had to go to the doctor, get a prescription, go to the pharmacy....
Stupid.
I agree that Walgreens is not the epitome of speedy service. However, the pharmacist is supposed to act as a check to the doctor. If you go to more than one doctor, have more than one prescription but neglect to tell the doctor about the other meds, the pharmacist can see that the combination of drugs he fills are a bad idea. He can also advise you about interactions between prescription and over the counter drugs.
You are right Google can tell you alot, but there is something to be said for human interaction and experience.
I always have wondered why pharmacists make the big bucks now a days. They used to be able to tell you if the combination of your drugs is going to kill you...but now that's all computerized and I bet most have had the computer doing it this whole time that they wouldn't be able to tell you anything if the precious computers broke down.
Frugal Bachelor for president.
In the UK a pharmacist can advise you on what medications to take and warn you about side effects. They also sell medicines over the counter which you can have without prescription but not in huge amounts. In the country a lot of people say that they are doctors who failed their exams, but I am sure this isn't really true!
As someone who is uninsured you should try it. For birth control, (I am a 33 yr old woman who has been on BC for 15 years), I still have to go to the doctor and shell out $100+ to have them "approve" my prescription (not to mention the time cost of probably 4 hours), then pay $20+ per month for a presciption that is over the counter in some countries and only about $5 in Mexico. It makes me insane with rage. Not to mention I would like the ability to stock up on some for the future, because if for some reason we had a depression or bad recession, birth control is something that I don't want to even contemplate going without.
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