• linkedin
  • Increase Font
  • Sharebar

    The consequences of high out-of-pocket medication costs

    Aging baby boomers with chronic conditions face tough treatment choices


    Bill RemakBill RemakAdherence to doctor-prescribed treatment regimens is critical to the health of many baby boomers living with chronic conditions such as rheumatoid arthritis, multiple sclerosis, diabetes, lupus, hepatitis C, and many others. Increasingly, however, the cost of treatment is unnecessarily forcing this population — many of whom have limited incomes and are close to retirement — to choose between paying for their medications and paying for food, rent, or other necessities for their families and themselves. 

    See also: Generic drug price hikes cause hardships for pharmacies, patients


    At present, a number of barriers stand between the more than 65 million U.S. baby boomers and affordable, timely access to medical care.

    See also: Raw deal for pharmacists causes backlash for liver patients

    Some health insurers, for example, have begun driving up patients’ out-of-pocket costs for vital medications, which is putting the cost of treatment beyond the reach of many patients.

    Rather than pay a fixed, predictable copayment, many patients are now often forced to pay coinsurance — or a percentage of the total cost of the drugs.  For some patients, the cost of a single medication may mean hundreds or thousands of dollars in additional out-of-pocket costs every month. 

    When patients cannot afford their medications, they either undertreat their conditions or stop treatment altogether. Nonadherence to physician-prescribed treatment regimens can lead to more rapid disease progression and deterioration in health.


    Unfortunately, the effects of burdensome out-of-pocket costs are not limited to the health of individual patients. When patients are forced to abandon their prescriptions, it can lead to increased healthcare costs to the system, in the form of unnecessary hospitalizations, emergency services, and physician visits.

    Nonadherence results in $100 billion in annual direct costs to the healthcare system and $2 billion in annual lost patient earnings and productivity. 


    You must be signed in to leave a comment. Registering is fast and free!

    All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

    • No comments available
    Your 10 Worst Pharmacy Mistakes
    Your 10 Worst Pharmacy Mistakes

    In pharmacy, mistakes are serious, but they still happen. You wrote in with the mistakes that have stuck with you—and ...

    10 Old Remedies You Won't Find ...
    2018 Novel Drug Approvals: The First ...
    Five Tips for Surviving a 12-Hour ...