As
part of my annual physical yesterday, the nurse had me complete a checklist on
depression. The doctor looked at the form when entering the exam room. My wife
commented that the depression checklist was new. The doctor said it is now a
Medicare requirement. All patients must be checked for depression. I commented
that we now would see depression medicines prescribed, just as pain medicines
have been for the last few years, leading to the opioid crisis. My wife said
she had read of congressional hearings held a few years before the advent of
opioid addiction. From the hearings, Congress decided people with no health
insurance and people too poor to afford drugs were being cheated of their right
to be free from pain. Therefore, Congress declared, Medicare would pay for pain
drugs. The doctor said that before opioid prescriptions became national news,
Medicare made pain questionnaires part of physical exams. Billions of dollars
later, we have a deadly opioid crisis.
So,
we had: Medicare mandating pain checklist for all patients, Congress deciding
Medicare would pay for opioids, and a national death toll from opioid
addiction.
And
now, with hearings and lawsuits concerning opioids, and a possible loss of
billions to pharmacy companies, Medicare requires depression checklist for
patients.
How
long before there are congressional hearings on poor people being deprived of
depression medication?
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