Government

Conundrum in the bedroom

If you are a forty year old working woman, federal law mandates that your birth control must be covered by your health insurance and it must be “free” regardless of your ability to pay. 

If you are a 65 year old man, federal law mandates that your insurance (Medicare Part D) cannot cover a prescription medication for ED. 

Somehow our lawmakers have concluded that not getting pregnant is a medical condition while having a disabled body part isn’t.  The “free” part presents a conundrum. Given the cost of a months supply of birth control pills costs less than one ED pill, perhaps if there were a co-pay for the birth control pill, the Feds would be able to afford subsidies for the ED pill?  LOL

Can there be any doubt who has the better lobby in Congress?

There is a bright spot for taxpayers though. If a forty year old women married a 65 year old man, taxpayers would not be paying for the husbands medication and there would be no need to pay for the wife’s “free” pills either 😎

Effective January 1, 2007, P.L. No. 109-91, section 103, amended section 1860D-2(e)(2)(A) of the Act to exclude from the statutory definition of a Part D drug “… a drug when used for the treatment of sexual or erectile dysfunction, unless such drug were used to treat a condition, other than sexual or erectile dysfunction, for which the drug has been approved by the Food and Drug Administration” (FDA). An erectile dysfunction (ED) drug meets the definition of a Part D drug when it is prescribed for medically accepted indications other than sexual or erectile dysfunction (such as pulmonary hypertension) for which the drug has been approved by FDA.

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3 replies »

  1. It is not just the health insurance and drugs companies that have a stake in blurring the lines. Have you listened to car insurance commercials lately? It is ok to get into accidents, we will forgive you without raising your rates. Then who is going to pay? How about the blurring between homeowner’s insurance and basic home maintenance / warranty items such as is your dryer is broken?

    I am not sure how America became a nation of wieners wanting other people to pay. Maybe it is left over from the socialist movements of the last century. I do know one thing is that the politicians and Madison Avenue have figured out how to make people believe that they are entitled and somebody else should pay. If you wait long enough, the politicians will make it so to buy your votes. The problem is people do not understand that they are paying and that their children and unborn grandchildren will pay the price.

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  2. “An erectile dysfunction (ED) drug meets the definition of a Part D drug when it is prescribed for medically accepted indications other than sexual or erectile dysfunction (such as pulmonary hypertension) for which the drug has been approved by FDA.”

    I guess that high blood pressure can have it’s benefits. Pass me the salt please.

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