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Good thing he lived in a country with a sane healthcare system. Imagine getting this in the US and having poor or no health insurance and having no family nearby.


Yep, that he had a healthcare worker visit him weekly after his diagnosis is huge. I have ADD, and when I get on new health care, the options they provide for treatment/care are really really poor. When I was at university, it was much different though, they offered weekly sessions with a psychologist as well as hands on time and task management training.

The larger health care options in the US are basically: go to a group meeting once every 4 months, and meet with a doctor maybe once a month at most, and receive a lot of suspicion. It's pretty shitty, hugely time consuming and offers very little in the area of actually improving my condition and behaviors.


I didn't notice the article mention which country he lived in, did I miss it?


They also mentioned NHS throughout the article.


It's one of the tags at the bottom, the UK


One of the drugs for bipolar disorder is ~$1000 without insurance, $200 with. What is a person suppose to do?


I am a forensic psychiatrist. What happens too often here in the US is that the person who needs treatment ends up doing something that gets them arrested. Then they may (or may not) get treatment through the justice/correctional system.

In the wake of the closing of thousands of psychiatric beds, we call this "trans-institutionalization." It has also become more difficult to hospitalize and treat people against their will. Both of these changes were well-meaning, and sought to curb abuse (some real, some imagined). Some old psychiatric hospitals were bad places, but after they were closed there has not been an effective replacement. That makes jail/prison the default result for far too many people.


My sister wasn't qualified for $1 Abilify, because it's refunded only for schizophrenia, not other related disorders. Full price was $130.

We were buying it second hand on internet (on classifieds site), for $15. So it's a good alternative.

Unfortunately when she learned about this site with drugs, she bought some barbiturates for suicide in forest. She was 4 days in coma but survived without any problems.


I'm glad she survived and is okay. Good luck to your family.


When I was without insurance, I got by on places that offered sliding pay scales and drug samples. There's always options. But the far better option is to not let the population suffer without basic health care.


You mean like denying schizophrenics access to the best drugs?[1] Sure the article is from 10 years ago, but NICE does have the reputation for denying access to new drugs.

"Thousands of people with schizophrenia are being denied modern medicines on the NHS, according to campaigners."

[1]http://news.bbc.co.uk/2/hi/health/2538621.stm


You post a link to an article that has guidelines from NICE recommending the use of newer atypicals and health authorities not funding those and going against the NICE guidance.

I'm not sure how you get to "NICE deny access to latest drugs".

Do you have any examples where it was NICE not recommending latest drugs, and not health authorities failing to buy those drugs? Especially more recent than ten years ago, and especially if the meds work?



That's a much better link.

Even though Breast Cancer Campaign receive funding from Roche they place the blame pretty squarely on Roche for unrealistic pricing.

Of course NICE rejected this medication - one of the functions of NICE is to drive costs of medication down. There was, and still is, a problem where drug companies make drugs that offer a few months of extra life and who then fund patient activist groups to advocate for those drugs to be prescribed. (This drug provides a bit less than six months of extra life so it's pretty good. Other drugs were about as expensive and it wasn't clear whether they offered a week or so extra life, or none.)

The drug is still available through the cancer drugs fund. And even if the price dropped to a point that NICE would recommend it it would still be so expensive that it would be available through specialist commissioning.

http://donate.breastcancercampaign.org/document.doc?id=82


You are oversimplifying the issue.

For instance, we actually have tried something like the NHS in the US, it's called the VA, and it's much, much worse than the regular US healthcare system.


Yes, it is much worse and poorly run, but the VA isn't exactly open to everyone - they only take Veterens. In contrast, NHS is open to everyone, though people do have the option to pay more for private care and/or private health insurance.




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