The prices for generic for one seizure medication are like this:
Membership warehouse (cough, Costco) – $90/month
Walmart – $100
CVS and everywhere else without magic Internet coupon cards – $800, give or take a couple hundred (went down to $350 at CVS with the coupon)
This is why pharmaceutical/health care legislation is so frustrating, because the Yes people say that voting No is gonna let companies charge whatever they want like that Shkreli piece of work, while No people say that voting Yes is gonna make companies just withhold important medical therapies from everyone. I personally think that both sides could plausibly be correct. So you’re damned if you do and damned if you don’t.
And this is “just” a dog we’re talking about. If owners really can’t afford it then there’s no ethical obligation against putting pets “out of their misery”. Which sounds AWFUL and is not an option that I’m willing to consider for my dog but not everyone has Costco membership and not everyone can spare an annual cost of $2K ($10K if you’re going to CVS or Rite Aid without the magic card) on an animal.
But PEOPLE are using the SAME medicines, you know? What happens when somebody has to say, “This medicine works better than the other ones but because it’s not locally available, or because of the prohibitive price, I’m gonna soldier on with a different medicine that doesn’t help as much or gives me more side effects or both”?
As a public sector employee, I have pretty darn good health insurance coverage and basically don’t have to worry about myself but I’m sure many people don’t have that. They’re no less at risk of having to live with lifelong conditions than I am. Some of them are covered through private employers (but the success of private companies, a.k.a. their ability to provide those benefits, can be mercurial even without the risk of sudden termination when like Microsoft decides to prune some branches) but some (like small business owners, the self-employed) have to wrangle it out with insurance companies on their own, like the little old lady in The Incredibles trying to understand how her policy doesn’t cover what she needs. They’re not that much better than a pet with no pet insurance (or a pet with pet insurance, honestly, as many pet insurances only cover accidents).
What do you say to them? Good luck?