The S.C. House last week hit upon a great way to fight the high
prescription prices that vex so many S.C. seniors of modest means:
the power of pooling. It's hard to imagine a more necessary
legislative initiative.
Many older South Carolinians lack the income to comfortably pay
retail rates for their medications but are too "wealthy" to qualify
for prescription help under Medicaid. Some may take half doses to
extend their prescriptions while others may scrimp on food or
utility bills. These good folks are frequent patrons of Web sites
selling prescriptions under the low-cost Canadian national health
plan.
At the behest of S.C. Rep. Alan Clemmons, R-Myrtle Beach, the
House proposes creating a prescription-buying club. The idea,
brainchild of the S.C. Silver Haired Legislature, is that folks 65
and older would sign up to be part of a pool, at $10 to $25 per
year. Then, the state would negotiate with pharmaceutical companies
in members' behalf. If legislators, as they should, combine this
plan with Gov. Mark Sanford's buying-pool approach for prescriptions
for South Carolinians who quality for Medicaid, state leverage
against high drug costs would be even more formidable.
The plan is part of a bill that reforms S.C. health care programs
to stretch state tax dollars while leveraging more federal Medicaid
money. It moves now to the Senate, which may dismantle parts of the
bill - for instance, the House's decision to re-refinance tobacco
bonds to meet Medicaid costs in fiscal 2004.
Regardless of what becomes of the reform bill's other components,
Clemmons' pooling plan deserves to survive. The good news there is
that Sen. Dick Elliott, D-North Myrtle Beach, also is pushing for
passage of a pooling bill.
S.C. seniors need to push their legislators to resist
pharmaceutical lobbying aimed at depriving them of marketing
leverage. If reminded constantly where their best political
interests lie, S.C. legislators can be counted upon to do the right
thing for the home
folks.