Hidden agenda compromises care

The U.S. health care system is one of the best in the world - and yes, one of the most expensive. Some erroneously say it's because of the cost of medicine, but that is simply not the case. Medications used appropriately are the most cost effective form of health care and one of the best values.

However, you need to be aware of process called "cost-based switching."

When taken appropriately as prescribed by your doctor and under the eye of your pharmacist, the right medication will keep you out of the hospital, decrease doctor visits and procedures, and lower our overall health care costs.

Cost-based switching changes that dynamic by using practices that no longer individualize your health care. It is a silent, unseen entity attempting to influence the physician to change your medicine with a healthy profit margin in mind for the insurer.

A coalition of national organizations representing health care professionals, government, and business leaders agree that decisions should be based on scientific and economic considerations that achieve appropriate, safe, and cost-effective drug therapy. Prescription decisions can be based on cost factors only after the safety, efficacy, and therapeutic need have been established.

Financial incentives or pressures on practitioners that may interfere with the delivery of medically necessary care are unacceptable. Be wary of those who try to influence your medication choice. Cost-driven switching must be stopped and patient safety must be our health system's top priority. Insurers, and their middlemen, should leave the courage, heart and brains to the doctors and pharmacists who are focusing on comprehensive medication goals and optimal outcomes for the patient, not for someone's bottom line.

J. Michael Patton

Executive Director

Illinois Pharmacists Association