#HCLDR Transcript

Healthcare social media transcript of the #HCLDR hashtag.
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See #HCLDR Influencers/Analytics.

ProfileTweet
HCLDR Moderator @hcldr
Hello and welcome everyone to the weekly Healthcare Leadership Tweet Chat #hcldr
HCLDR Moderator @hcldr
Behind this blue box is @JoeBabaian โ€“ your #hcldr chat moderator tonight calling in from Houston.
Colin Hung @Colin_Hung
@GraceCordovano Discovered about 40min from where I'm tweeting tonight #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@TextraHealth @JoeBabaian @pfanderson @SusannahFox @RBlount @nickisnpdx @mikebiselli @TomVargheseJr @jhoronjeff @choo_ek @jamcbride @garyleethompson @andrewintech This is what resonated with me too Megan. #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
RT @TextraHealth: @JoeBabaian @pfanderson @SusannahFox @RBlount @nickisnpdx @mikebiselli @TomVargheseJr @jhoronjeff @choo_ek @jamcbride @garyleethompson @andrewintech โ€œCare is not defined by its absence, but by its presence.โ€ #hcldr https://t.co/XTVCM6sOUH
Bob @RBlount
RT @hcldr: Behind this blue box is @JoeBabaian โ€“ your #hcldr chat moderator tonight calling in from Houston.
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
RT @DavisJamie77: Can I just say I'm amped for tonight's #hcldr chat? After fighting over $3k/month cancer meds for my dad, I'm so in this fight. I'm moved - you should be, too: https://t.co/S11Y8aE4Fb
Colin Hung @Colin_Hung
@susanwoolner Hello Susan. Great to see you #hcldr
HCLDR Moderator @hcldr
Tonight Colin will my amazing wingman @colin_hung #hcldr
HCLDR Moderator @hcldr
For the next hour weโ€™ll be discussing: $50 To Live, $50 to Die. #hcldr blog has more - https://t.co/Fu9pYwhehY https://t.co/eIPEChO4ni
Jamie Roger @JamieRoger8
so glad to be part of the #hcldr chat tonight. This is Jamie, from CT representing @SalemOaks Can't wait to engage with all of you tonight! #TuesdayNightFever
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
This is the #Whisky Librarian dipping in for #hcldr with "Writer Tears" in Hand Light, sweet Irish whiskey made using a mix of single pot still and single malt whiskeys, resulting in oodles of honey'd, fruity notes #Tonightstipple https://t.co/W1tfkmLy6B
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
Food for thought. Wanted Shkreli to visit tonight, but he's in PRISON. #hcldr https://t.co/eVmz3lAPfk
Mariah Obiedzinski @MariahWrites
Mariah from @MedTouch here! #content #HCLDR #justkeepsmiling
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Chuck! #hcldr https://t.co/VcSzCVauVx
Susan Woolner, CPXP @susanwoolner
RT @susanwoolner: Checking in to #hcldr chat. Susan neurosciences patient and caregiver community manager in Michigan
Colin Hung @Colin_Hung
@JamieRoger8 @SalemOaks Hello Jamie. Welcome to the chat tonight. Thanks for being here. #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
Good evening #hcldr! Grace, private cancer patient advocate & #PtExp enhancer, joining from NJ. Heartbroken & infuriated reading $50 to Die. Must chip away at this!
Sally James @jamesian
Hi - waving from #seattle. Journalist and reviewer of health news for @HealthNewsRevu #hcldr
Heather McCullen @H_SalemOaks
Hi #hcldr, checking in from Ann Arbor(-ish). Super excited for tonights topic!
HCLDR Moderator @hcldr
Letโ€™s start off with some introductions! #hcldr
HCLDR Moderator @hcldr
For those new to #hcldr - every week we gather at 8:30pm ET to discuss interesting & relevant healthcare topics
Colin Hung @Colin_Hung
@MariahWrites @MedTouch Hello Mariah! Will you be in SLC for #HMPS18 next week? #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@MariahWrites @MedTouch Great to see yo Mariah #hcldr
Mariah Obiedzinski @MariahWrites
RT @GraceCordovano: Good evening #hcldr! Grace, private cancer patient advocate & #PtExp enhancer, joining from NJ. Heartbroken & infuriated reading $50 to Die. Must chip away at this!
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@drnic1 Nick, that's a winning choice! c @BrowofJustice @RBlount @nickisnpdx @MsWZ @ProfAmyE @MarkMilliganDPT #hcldr
Mariah Obiedzinski @MariahWrites
RT @jamesian: Hi - waving from #seattle. Journalist and reviewer of health news for @HealthNewsRevu #hcldr
Colin Hung @Colin_Hung
@drnic1 Hello Nick. Great to see you my friend. Always appreciate your insights #hcldr
Susan Woolner, CPXP @susanwoolner
@JoeBabaian He also only likes to use a video cam and that's just plain creepy! #hcldr
Bob @RBlount
RT @hcldr: For the next hour weโ€™ll be discussing: For the next hour weโ€™ll be discussing: $50 To Live, $50 to Die. #hcldr blog has more - https://t.co/Fu9pYwhehY https://t.co/eIPEChO4ni
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@GraceCordovano @MariahWrites @MedTouch Hello Grace and Mariah! #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@H_SalemOaks Hi Heather! #hcldr
Jamie Martin @DavisJamie77
Health IT passionate marketer & patient advocate diving in tonight from south Louisiana! Hello, all! #hcldr
Inspire @InspireIsHealth
Hello, #hcldr, John Novack checking in from Inspire.
ElizabethKelly, Ph.D @Elizabe85727641
Hello everyone, Liz Kelly, eager to learn from/with others on this timely & costly HC issue. Another elephant to address. #hcldr
Amanda G @LAlupusLady
Amanda from LA lurking tonight #hcldr
Mark Milligan @MarkMilliganDPT
Hey @JoeBabaian and @Colin_Hung Incredibly important topic tonight! Mark Milligan, physical therapist in Austin TX here! #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@JamieRoger8 @SalemOaks Jamie, welcome, thanks for coming tonight! #hcldr
Chelsea Friend @kiwifreund
Chelsea from #StPaul, #Minnesota. #RareDisease patient, always on the verge of ____. #hcldr
HCLDR Moderator @hcldr
We usually have 4 topics/questions that we discuss together as a community. #hcldr
HCLDR Moderator @hcldr
The #hcldr chat lasts 1hr and is designed to educate and promote professional development in healthcare.
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@susanwoolner Hi Susan! Welcome! #hcldr
Mark Milligan @MarkMilliganDPT
@GraceCordovano Hey Grace! #HCLDR
Colin Hung @Colin_Hung
@H_SalemOaks Hello Heather. Appreciate you being on the chat tonight. We love our MI friends @StorkBrian @BFMack @pfanderson so many others! #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@JoeBabaian HI Joe! Sadly, he's still fairing better than so many desparately trying to make ends meet. #pricegouging #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@susanwoolner Do more than check in, jump in! :) #hcldr
Sally James @jamesian
@GraceCordovano @MariahWrites @MedTouch Nice to see you, Grace. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @MarkMilliganDPT: Hey @JoeBabaian and @Colin_Hung Incredibly important topic tonight! Mark Milligan, physical therapist in Austin TX here! #hcldr
Amanda G @LAlupusLady
RT @JoeBabaian: $50 to live. Everyone in the #pinksocks & #hcldr communities needs to read this now. It's not comfortable nor is it easy. It's not a meme. It's real & folks like us can stop this, I know we can. HT @pfanderson @SusannahFox #SDoH โœ”๏ธ Story: https://t.co/98zGFPiHz4 https://t.co/nX1cKIIekN
Colin Hung @Colin_Hung
@MarkMilliganDPT @JoeBabaian Hello Mark. Thanks for joining the conversation! So nice to see you #hcldr
HealthSparq @HealthSparq
Such an important chat tonight on #HCLDR - join in if you can! #patientchat #patientsincluded #HITsm #WTFix #PWchat #PatientsHavePower https://t.co/xJ7xjytTwj
Susan Woolner, CPXP @susanwoolner
RT @PatientOrator: I think #healthcare should be more affordable, It should be more attainable for #veterans also" L'zerek #PatientOrator #ThoughtsOnUsHealthcareSystem #civicengagement #PopHealth #SDOH #SDOHEPC #s4pm #hcldr #Baltimore #Maryland https://t.co/Y3XutPcpJc
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@MarkMilliganDPT @Colin_Hung Hi Mark! #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@jamesian @MariahWrites @MedTouch Hi Sally! #hcldr
Mariah Obiedzinski @MariahWrites
@Colin_Hung @MedTouch Attention, @paul_griffiths ... โซโซ #testing #isthisthingon #hcldr
Mariam Jacob @MariamSJacob
Hello from Houston! Looking forward to tonight's chat! #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@MTL613 Welcome! #hcldr
Sally James @jamesian
@H_SalemOaks Nice to see you Heather. Sounds as if you know more than most of us about this. #hcldr #caregiver
Enlightening Results ๐Ÿ’ก @GraceCordovano
@MarkMilliganDPT Nice to see you Mark #hcldr
HCLDR Moderator @hcldr
While intros continue, Iโ€™ll go over some #hcldr tweetchat guidelines.
HCLDR Moderator @hcldr
You can read more about each weekโ€™s topic on the #hcldr blog https://t.co/Zgftfgc7HC
Laura Appel @lauradianeappel
Laura from East Lansing. Idea person and #healthpolicy wonk checking into #hcldr and reading the blog just now. #procrastination
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@MariamSJacob Hello my local friend! #hcldr
Mariah Obiedzinski @MariahWrites
@GraceCordovano @MedTouch Likewise! #hcldr
Colin Hung @Colin_Hung
@kiwifreund Hello Chelsea! So nice to see you. Looking fw to your perspective tonight. #RareDisease adds a whole new dimension to drug availability & pricing #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
Hey @Colin_Hung! #hcldr
Bonnie C. Sheeren, BCPA @bonniesheeren
Hello! Bonnie Sheeren one of the chapter leaders of the Houston Right Care Alliance. I invite everyone to join their local Right Care Alliance! https://t.co/gxwh03HOHD #hcldr #RightCareNow #TXRightCare
James A. Gardner @jamesagardner
Checking in to #hcldr chat. Watching and listening โ˜บ๏ธ
Heather McCullen @H_SalemOaks
@Colin_Hung @StorkBrian @BFMack @pfanderson Fun fact: if you tell someone you live in Michigan they will name at least 2 people who live near you. #hcldr
Colin Hung @Colin_Hung
@natarpr Hello Prashant! Hope you are doing well my friend. Great to see you and great to see you hook on with another company #hcldr
Susan Woolner, CPXP @susanwoolner
Back after a long semester coming to an end. I can see the closed books now! Good to be here Colin #hcldr https://t.co/v7AqzEY8Um
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@bonniesheeren Hello Bonnie! Welcome! #hcldr #insulin4all
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
Good evening everyone. I'm Shereese, HC strategist from Maryland's Eastern Shore. Prepping for #HDpalooza; stopped to participate in this evening's most promising convos. #hcldr https://t.co/i8HZOiqbO1
Mark Milligan @MarkMilliganDPT
@drnic1 Nick! We need to have a #HCLDR #whiskey party. Talk about solve the worlds problems...
Enlightening Results ๐Ÿ’ก @GraceCordovano
@lauradianeappel It's a read not to be missed! #hcldr
Jamie Roger @JamieRoger8
@QuinlanTurner @hcldr I always struggle with that too, trying to get more #creative #icebreakers were always start out #awkward #hcldr
Colin Hung @Colin_Hung
@HealthSparq Thanks for the tweet! #hcldr
HCLDR Moderator @hcldr
We assume all tweets during #hcldr are your own & not those of your employer (unless specifically expressed)
HCLDR Moderator @hcldr
We have 4 questions tonight labeled T1, T2, T3, & T4. Watch this blue circle to know which question we are on #hcldr
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
RT @hcldr: We have 4 questions tonight labeled T1, T2, T3, & T4. Watch this blue circle to know which question we are on #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@HealthSparq Howdy!! Great to see you guys (Anna or Burt?) #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@H_SalemOaks @Colin_Hung @StorkBrian @BFMack @pfanderson LOL #hcldr
Susan Woolner, CPXP @susanwoolner
Thank you Joe - Glad to be here. Great topic tonight. Couldn't miss it #hcldr https://t.co/uIuvkFmKbp
PF Anderson @pfanderson@disabled.social @pfanderson
@H_SalemOaks @Colin_Hung @StorkBrian @BFMack Unless they are a recluse like me ....... (or maybe I do this and haven't noticed) #hcldr
Colin Hung @Colin_Hung
@MariamSJacob Hello Mariam. So nice to see our friends from Houston! #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@natarpr My friend! High five! #hcldr
HealthSparq @HealthSparq
@annerskg here on a gorgeous evening in #PDX (storm troopers for emphasis) for @HealthSparq, couldn't miss such an important topic as a #WTFix'er! #hcldr https://t.co/qdvIN6YGjk
Mark Milligan @MarkMilliganDPT
@ShereesePubHlth Hey Shereese! #HCLDR
Enlightening Results ๐Ÿ’ก @GraceCordovano
@natarpr Long time no see Prashant! Great to see you. #hcldr
Bonnie C. Sheeren, BCPA @bonniesheeren
May 12th (Mother's Day weekend) will be a @RightCareNow action day to bring attention to this! #hcldr #RightCareNow #TXRightCare #insulin4all
Bingle @TheBingle
Hello all... Bingle joining in from NY... Putting my $50 on.... Oops... Forgot my money..... Guess that means..... #hcldr
HCLDR Moderator @hcldr
Please label your answers with the appropriate T1, T2, T3, or T4 label. This will make our transcript easier to read #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
Swimming in and out of #hcldr because my son is recovering from more dental work, poor kid. And the pooch wants a walk. Meh. Be back soon!
Enlightening Results ๐Ÿ’ก @GraceCordovano
@Elizabe85727641 Hi Liz! What a heartbreaking story. One of too many out there #hcldr
Colin Hung @Colin_Hung
@lauradianeappel Hello Laura. Another MI friend! @H_SalemOaks So many are here tonight ! #hcldr
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
@H_SalemOaks @Colin_Hung @StorkBrian @BFMack @pfanderson @MI_turnaround @jslentzclifton? #hcldr https://t.co/Il3wBH8RLL
Chelsea Friend @kiwifreund
@Colin_Hung You know it! #hcldr
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
@MarkMilliganDPT How are you? #hcldr https://t.co/esGg2ietEa
Enlightening Results ๐Ÿ’ก @GraceCordovano
@teaminspire Great to see you John! Hope all is well. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@RBlount @drnic1 Bob, you are so welcome. It's all about being together even when we are apart - friendship. #hcldr
Colin Hung @Colin_Hung
@bonniesheeren Hello Bonnie! #hcldr
Mariah Obiedzinski @MariahWrites
@MTL613 Welcome! #hcldr
Mark Milligan @MarkMilliganDPT
@Colin_Hung @JoeBabaian Thank you, Colin! Great topic! Great to be hear! #HCLDR
Colin Hung @Colin_Hung
@bbhomebody @Cpnervecenter Hello Becky. Thanks for being here tonight #hcldr Appreciate your time.
Susan Woolner, CPXP @susanwoolner
My absolute favorite quote of the whole heartbreaking piece as it speaks to what I have tried to build in the neuro community in West Michigan. #hcldr https://t.co/nAmxYmi2n6
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@pfanderson Take good care Patricia! Thanks for being here best you can! #hcldr
HCLDR Moderator @hcldr
We have a lot of remarkable folks on tonight & lots of ideas will be shared โ€“ please try to stay on topic. #hcldr
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
RT @hcldr: We have a lot of remarkable folks on tonight & lots of ideas will be shared โ€“ please try to stay on topic. #hcldr
Colin Hung @Colin_Hung
@jamesagardner Hello James! Can't wait to see you next week at #HMP18 Twice in 4 weeks. Awesome! #hcldr
Sarah Greene @researchmatters
#hcldr hi from Seattle, but Iโ€™m actually in the other Washington. Not invited to State dinner, would much prefer to hang with yโ€™all regardless!
Nathan Grunewald MD MBA FACS @NathanGrunewald
These are going to be some tough questions tonight. Healthcare access, rights, intersection with capitalism. Fasten ur seatbelts! #hcldr
burtrosen ๐ŸŸฆ @burtrosen
hey all, burt from @HealthSparq here in beautiful Buffalo NY and on my way to Detroit, i get all the cool trips! #HCLDR
Colin Hung @Colin_Hung
@ShereesePubHlth Hello Shereese!!! #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@bbhomebody @Cpnervecenter Welcome Becky! Great to see you! #hcldr
๐Ÿ’ฌJen Horonjeff | #askpatients @jhoronjeff
Hey friends! Gotta sit this one out tonight. Husband made me some delicious pre-birthday yummies before I head out for my next travel marathon. But super important topic. I trust you will put your best thoughts forward! โค๏ธโค๏ธโค๏ธ#hcldr
Jamie Martin @DavisJamie77
RT @susanwoolner: My absolute favorite quote of the whole heartbreaking piece as it speaks to what I have tried to build in the neuro community in West Michigan. #hcldr https://t.co/nAmxYmi2n6
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@TheBingle Welcome Bingle :) #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@MariamSJacob It WILL happen! #hcldr
Sally James @jamesian
@MTL613 Hi Michael. Welcome. Good to have fresh faces here. Do you use a CGM? #hcldr (Asking because @danamlewis is here in #seattle, the #weareotwaiting king. )
Mark Milligan @MarkMilliganDPT
@ShereesePubHlth Rocking and rolling this way!! #HCLDR #MYFAVORITEGIF!!! https://t.co/h8c1LJ4pC5
Susan Woolner, CPXP @susanwoolner
Hi Laura - great to see you tonight #hcldr https://t.co/9WhV3NribM
Colin Hung @Colin_Hung
@drlfarrell Hello Liam! So nice to have your comments on #hcldr Appreciate that you stay up late for us
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
T1 Take a deep dive into cost comparisons in this excllent interactive @tableau data set to see the disparity between the US and the Rest of the world #diabetes #hcldr https://t.co/KOUpdPsTL0 https://t.co/O21jwu1dyL
Chelsea Friend @kiwifreund
@H_SalemOaks @Colin_Hung @StorkBrian @BFMack @pfanderson Mackinac Island, anyone?? ๐Ÿ˜„ 3-year veteran. #hcldr
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
Good evening everyone!Great to be checking back in #hcldr after a long break! Iโ€™m Kayoko, in Maryland, a patient advocate at micro (private practice) as well as macro (activist) level!
PF Anderson @pfanderson@disabled.social @pfanderson
RT @JoeBabaian: Food for thought. Wanted Shkreli to visit tonight, but he's in PRISON. #hcldr https://t.co/eVmz3lAPfk
Heather McCullen @H_SalemOaks
@burtrosen @HealthSparq My favorite intersection of topics! #hcldr (this doesn't mean I'll be any better at keeping up with the pace than usual)
PF Anderson @pfanderson@disabled.social @pfanderson
RT @JoeBabaian: $50 to live. Everyone in the #pinksocks & #hcldr communities needs to read this now. It's not comfortable nor is it easy. It's not a meme. It's real & folks like us can stop this, I know we can. HT @pfanderson @SusannahFox #SDoH โœ”๏ธ Story: https://t.co/98zGFPiHz4 https://t.co/nX1cKIIekN
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @drnic1: T1 Take a deep dive into cost comparisons in this excllent interactive @tableau data set to see the disparity between the US and the Rest of the world #diabetes #hcldr https://t.co/KOUpdPsTL0 https://t.co/O21jwu1dyL
Colin Hung @Colin_Hung
@TheBingle Hello! So great to see you. #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@jhoronjeff Glad you could peek in! Enjoy! Catch up soon. #hcldr
Heather McCullen @H_SalemOaks
@NathanGrunewald My favorite intersection of topics! #hcldr (this doesn't mean I'll be any better at keeping up with the pace than usual)
Colin Hung @Colin_Hung
RT @drnic1: T1 Take a deep dive into cost comparisons in this excllent interactive @tableau data set to see the disparity between the US and the Rest of the world #diabetes #hcldr https://t.co/KOUpdPsTL0 https://t.co/O21jwu1dyL
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
@Colin_Hung Always nice to see you Colin. #hcldr https://t.co/4XcqyVL3HI
HCLDR Moderator @hcldr
Letโ€™s get ready for T1 in just 1 minute #hcldr
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
T1 Insulin discovered 1921 by Canadian (yes @ColingHung) physician Frederick Banting & Med Student Charles Best & been under patent protection for 95 years! Small changes been deemed patentable preventing generic options from being offered #hcldr https://t.co/PHFwMOxqWK
Bingle @TheBingle
@JoeBabaian Glad to join in JB. Sad reality topic tonight. #hcldr
Colin Hung @Colin_Hung
@teaminspire Hello John! #hcldr
Erin Moriarty Wade @EMoriartyWade
RT @HealthSparq: Such an important chat tonight on #HCLDR - join in if you can! #patientchat #patientsincluded #HITsm #WTFix #PWchat #PatientsHavePower https://t.co/xJ7xjytTwj
Susan Woolner, CPXP @susanwoolner
Absolute truth Heather and they will also point to their right hand to show you were they live in relationship to where you live. Crazy funny! #hcldr https://t.co/s6uTywWuMQ
Heather McCullen @H_SalemOaks
@burtrosen @HealthSparq HEY! Buffalo and Detroit are lovely(-ish) #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@burtrosen @HealthSparq Seriously, your OOTO message was hysterical. Hope Buffalo is warm (wait never mind) #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@drlfarrell And we have Liam. The kind of doc I wish I always had ... or not? :) #hcldr Great to see you my friend - and I mean that not as the American calling everyone friend. Real friend. :)
Mariah Obiedzinski @MariahWrites
@ShereesePubHlth Hi there! #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @drlfarrell:
Bonnie C. Sheeren, BCPA @bonniesheeren
RT @drnic1: T1 Take a deep dive into cost comparisons in this excllent interactive @tableau data set to see the disparity between the US and the Rest of the world #diabetes #hcldr https://t.co/KOUpdPsTL0 https://t.co/O21jwu1dyL
Colin Hung @Colin_Hung
@researchmatters Hello Sarah. We're glad you're here. State Dinners are overrated...so I hear #hcldr :)
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@EMRAnswers @Colin_Hung Linda! HUGS. Thanks for being you, being here, being a true friend. #hcldr
HCLDR Moderator @hcldr
Time for T1: How should access to a drug that is necessary for life for ~1.5M Americans, such as insulin, be handled? What can we learn from other nations on this? #hcldr https://t.co/8OvgEnHOt4
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
@MarkMilliganDPT You mean a #whisky party :-) Iโ€™m in! #hcldr
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
T1 Oh and BTW: Insulin's Canadian discoverers sold the patent to their university for $1, stating that profit was not their goal #hcldr https://t.co/tmhgt1UhBx
Mariah Obiedzinski @MariahWrites
RT @hcldr: Letโ€™s get ready for T1 in just 1 minute #hcldr
Colin Hung @Colin_Hung
@NathanGrunewald Tough questions = good conversation #hcldr
Susan Woolner, CPXP @susanwoolner
@ShereesePubHlth Hi Shereese! Great to see you tonight #hcldr
Bingle @TheBingle
@Colin_Hung Always great to join with you and all great people in #hcldr
Sally James @jamesian
T1 #hcldr Great graphic from #insulin4all https://t.co/2DDyjavBvm
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@MariahWrites @ShereesePubHlth Hi Shereese and Mariah :) #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
#hcldr #insulin4all https://t.co/TWCPDYcJZh
Colin Hung @Colin_Hung
@EMRAnswers @JoeBabaian Hello Linda!!! So great to see you #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@drnic1 @MarkMilliganDPT In and done. #hcldr Crash at Bob's :) c @RBlount
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @GraceCordovano: #hcldr #insulin4all https://t.co/TWCPDYcJZh
Heather McCullen @H_SalemOaks
@MTL613 #dsma is so much more relaxing. I always need to go right to bed after #hcldr and #htreads
Jamie Roger @JamieRoger8
@QuinlanTurner @hcldr Maybe someday we will have more #interesting #openers haha, I guess we just have to keep participating in #tweetchats so we have to #practice #hcldr
Sally James @jamesian
@MTL613 @danamlewis Cool. ๐Ÿค–๐Ÿค– #hcldr At least, hypothetically, it seems like you are not waiting and I applaud. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @drnic1: T1 Insulin discovered 1921 by Canadian (yes @ColingHung) physician Frederick Banting & Med Student Charles Best & been under patent protection for 95 years! Small changes been deemed patentable preventing generic options from being offered #hcldr https://t.co/PHFwMOxqWK
HealthSparq @HealthSparq
RT @hcldr: Time for T1: Time for T1: How should access to a drug that is necessary for life for ~1.5M Americans, such as insulin, be handled? What can we learn from other nations on this? #hcldr https://t.co/8OvgEnHOt4
Colin Hung @Colin_Hung
@burtrosen @HealthSparq You're like down the highway from me Burt! At least you're having good weather. Say hi to our MI friends! #hcldr
Mariah Obiedzinski @MariahWrites
RT @hcldr: Time for T1: Time for T1: How should access to a drug that is necessary for life for ~1.5M Americans, such as insulin, be handled? What can we learn from other nations on this? #hcldr https://t.co/8OvgEnHOt4
Mark Milligan @MarkMilliganDPT
@drnic1 HAHA! I am Scot/Irish so I can spell delicious either way! #HCLDR
Laura Appel @lauradianeappel
@susanwoolner Susanโ€”still need to track you down. Doing some work on #Medicaid work requirements these days. #hcldr
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
.@MariahWrites @GraceCordovano @bbhomebody @DavisJamie77 @susanwoolner #hcldr https://t.co/qx7hW1ucEj
Susan Woolner, CPXP @susanwoolner
You and I always discover we were within the same theater or location on campus but only after the fact. #hcldr https://t.co/76XhNVzjvY
Enlightening Results ๐Ÿ’ก @GraceCordovano
@drnic1 @SGottliebFDA, hoping you have plans to tackle this situation! #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@burtrosen @HealthSparq Hi Burt! Counting down the days to #WTFix - Seems like it is going to be AWESOME! #hcldr
Dr. Victoria Dooley @DrDooleyMD
RT @drnic1: T1 Take a deep dive into cost comparisons in this excllent interactive @tableau data set to see the disparity between the US and the Rest of the world #diabetes #hcldr https://t.co/KOUpdPsTL0 https://t.co/O21jwu1dyL
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
Thanks so much for choosing this critical topic tonight! #insulin4all #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @burtrosen: hey all, burt from @HealthSparq here in beautiful Buffalo NY and on my way to Detroit, i get all the cool trips! #HCLDR
Colin Hung @Colin_Hung
@jhoronjeff Happy Birthday Jen. Relax you deserve it. You've been on the road A LOT. Take care. See you soon #hcldr
Bob @RBlount
RT @Colin_Hung: @NathanGrunewald Tough questions = good conversation #hcldr
Bingle @TheBingle
Guess things have changed..... Time was when Salk said vaccine belongs to the people also..... #hcldr https://t.co/KH5MIaXcop
Bonnie C. Sheeren, BCPA @bonniesheeren
RT @jamesian: T1 #hcldr Great graphic from #insulin4all https://t.co/2DDyjavBvm
Colin Hung @Colin_Hung
@mattbmartin Hello Matt. Welcome to the chat #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @NathanGrunewald: These are going to be some tough questions tonight. Healthcare access, rights, intersection with capitalism. Fasten ur seatbelts! #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@drlfarrell @Colin_Hung Hello #irishmed friend! Great to see you tonight! #hcldr
Mariah Obiedzinski @MariahWrites
T1: Attempting to be civil about this topic. No promises! We make sure kids get food. How the hell can anyone think it's ok to not give them lifesaving #insulin? #hcldr
Colin Hung @Colin_Hung
@drnic1 Though I'm sure they asked for the early ice time for hockey - it's the Canadian thing to do. ;) #hcldr
Susan Woolner, CPXP @susanwoolner
This is a swamp as you well know. I cannot believe that passed. As a parent of two boys on medicaid with disabilities. One will have a work requirement and one will not. It is a cluster #hcldr https://t.co/sSIITuNg8o
Laura Marston @Kidfears99
Hi #hcldr Iโ€™m Laura and Iโ€™ve had Type 1 going on 22 years. Iโ€™ve used Humalog the entire time. Itโ€™s remained unchanged, except the price has increased over 1200% since my diagnosis at age 14. #insulin4all
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@mattbmartin Thank you Matt. It resonated up from our community beginning with @pfanderson sharing it. I couldn't resist making it tonight's topic. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @mattbmartin:
Jamie Roger @JamieRoger8
T1 - if a medicine is #NECESSARY not just #recommended for an individual to #survive, #funding shouldn't even be part of the discussion. A world without #community and #availableresources is one where we are losing valuable human lives #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@misterchambo I can't wrap my head around this. Around almost a 100 years and no generic? Where did morals & ethics go? #hcldr
Laura Appel @lauradianeappel
@GraceCordovano The graphic post is terrific. Reinvigorates the work around #Medicaid expansion and trying to rewrite the proposed work requirements. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@Kidfears99 Welcome Laura, TY for joining. #hcldr
Mariah Obiedzinski @MariahWrites
RT @Kidfears99: Hi #hcldr Iโ€™m Laura and Iโ€™ve had Type 1 going on 22 years. Iโ€™ve used Humalog the entire time. Itโ€™s remained unchanged, except the price has increased over 1200% since my diagnosis at age 14. #insulin4all
Jeremy Coleman @jeremycoleman
We should reduce barriers to the market to increase competition and drive down prices. #hcldr https://t.co/vbRnQqFb8G
Erin Moriarty Wade @EMoriartyWade
@hcldr T1 Could we create a system to safely sell it over the counter (perhaps behind the pharmacy counter...with a required training or/and signature required like they do for cold medicines containing amphetamines)? #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@lollydaggle Hello Hannah! Thank you SO much for joining, welcome! #hcldr
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
@lollydaggle Hey Hannah So happy you made it tonight! (I just came on also :D) #hcldr
Sally James @jamesian
@Kidfears99 She's not exaggerating. #hcldr https://t.co/sicxzN5YUL
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @MariahWrites: T1: T1: Attempting to be civil about this topic. No promises! We make sure kids get food. How the hell can anyone think it's ok to not give them lifesaving #insulin? #hcldr
Mark Milligan @MarkMilliganDPT
@hcldr T1: Access to drugs that are necessary for life should be fair and equal for all. However, that's not how #access happens in the US. #HCLDR #SDoH
Colin Hung @Colin_Hung
@MTL613 T1 That's the paradox. Those in most need of access usually are the ones that can't afford it. Those that can afford it, usually have lifestyles that don't make them as susceptible to certain conditions. Gotta break that cycle #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@ShereesePubHlth @MariahWrites @bbhomebody @DavisJamie77 @susanwoolner Great to see you all! #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @Colin_Hung: @NathanGrunewald Tough questions = good conversation #hcldr
Chelsea Friend @kiwifreund
T1: Insulin should be one of the most accessibly prolific medications available. It is not a luxury. #hcldr
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
T1 As a society, we need to seriously revisit the Patient Access to Treatment Act. I had this convo earlier. If we exploit tools already in place, conversations will be spawned #hcldr
Bob @RBlount
Itโ€™s the kind of stuff that will make is all sick! #hcldr https://t.co/FmtRmhStxA
Dr. Victoria Dooley @DrDooleyMD
RT @Kidfears99: Hi #hcldr Iโ€™m Laura and Iโ€™ve had Type 1 going on 22 years. Iโ€™ve used Humalog the entire time. Itโ€™s remained unchanged, except the price has increased over 1200% since my diagnosis at age 14. #insulin4all
ElizabethKelly, Ph.D @Elizabe85727641
T1 Develop & require negotiation strategies for all Rx between patients/insurance companies, businesses, public health settings, and state/national legislators. Measure via improved health status rather than continued illness. #hcldr
Mariah Obiedzinski @MariahWrites
Preach. ๐Ÿ”ฝ๐Ÿ”ฝ #hcldr https://t.co/3PPuW7HNGC
HealthSparq @HealthSparq
RT @jamesian: @Kidfears99 She's not exaggerating. #hcldr https://t.co/sicxzN5YUL
Susan Woolner, CPXP @susanwoolner
It has to be different than it has been. There should be a class of drugs that are outside of those that prices can be raised and they should be available at very low cost of free with a prescription. #hcldr https://t.co/CgfjAU5q7p
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@jhoronjeff You'll be missed! Check your email tomorrow for some #hcldr planning stuff :) HUGS and Happy Birthday!
Susan Woolner, CPXP @susanwoolner
RT @EMoriartyWade: @hcldr T1 Could we create a system to safely sell it over the counter (perhaps behind the pharmacy counter...with a required training or/and signature required like they do for cold medicines containing amphetamines)? #hcldr
Susan Woolner, CPXP @susanwoolner
RT @MarkMilliganDPT: @hcldr T1: @hcldr T1: Access to drugs that are necessary for life should be fair and equal for all. However, that's not how #access happens in the US. #HCLDR #SDoH
Nathan Grunewald MD MBA FACS @NathanGrunewald
This is a lively bunch tonight! ๐Ÿฟ๐Ÿฅค ๐Ÿ˜€#hcldr
Jeremy Coleman @jeremycoleman
T1 Why should we treat drugs, without regard to necessity, any different tha food or shelter? #hcldr
Mark Milligan @MarkMilliganDPT
@JoeBabaian @drnic1 @RBlount Time to set a date!! #Whiskey #Whisky #HCLDR #ATX #SleepoveratBobs...
Mariah Obiedzinski @MariahWrites
RT @Colin_Hung: @MTL613 T1 That's the paradox. Those in most need of access usually are the ones that can't afford it. Those that can afford it, usually have lifestyles that don't make them as susceptible to certain conditions. Gotta break that cycle #hcldr
Jamie Roger @JamieRoger8
@MarkMilliganDPT @hcldr agreed, and this is why we have the #debates and #disagreements over #healthcare. It's causing us to lose people that could otherwise live healthy lives #hcldr
HealthSparq @HealthSparq
RT @drnic1: T1 Take a deep dive into cost comparisons in this excllent interactive @tableau data set to see the disparity between the US and the Rest of the world #diabetes #hcldr https://t.co/KOUpdPsTL0 https://t.co/O21jwu1dyL
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@susanwoolner Just one class? Or? #hcldr
Jamie Martin @DavisJamie77
RT @EMoriartyWade: @hcldr T1 Could we create a system to safely sell it over the counter (perhaps behind the pharmacy counter...with a required training or/and signature required like they do for cold medicines containing amphetamines)? #hcldr
Lisa Davis Budzinski @lisadbudzinski
Multi-tasking while trying to keep up with #hcldr https://t.co/OHqKOE7ejG
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @MarkMilliganDPT: @JoeBabaian @drnic1 @RBlount Time to set a date!! #Whiskey #Whisky #HCLDR #ATX #SleepoveratBobs...
Susan Woolner, CPXP @susanwoolner
RT @JamieRoger8: @MarkMilliganDPT @hcldr agreed, and this is why we have the #debates and #disagreements over #healthcare. It's causing us to lose people that could otherwise live healthy lives #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@lisadbudzinski Welcome Lisa! #hcldr
Erin Moriarty Wade @EMoriartyWade
@hcldr T1 Consider allowing import of manufactured insulin to boost supply in America...from what I can tell it looks like manufactured insulin is only made in US but I know plenty of life-saving drugs are imported. #hcldr
Colin Hung @Colin_Hung
@MariahWrites T1 I wonder if it's just b/c the outrage level hasn't reach the point where action is taken. We didn't want to see children going to school hungry & we did something. Now it's time to do something for access to life-saving drugs/therapies #hcldr
Heather McCullen @H_SalemOaks
@MelindaMWedding How do you balance the two? My husband has T1, and we recognize we're pretty privileged. Sometimes it's uncomfortable to get excited about new tech (even home made tech) when we know other people can't afford to literally stay alive. #hcldr
Michael Sinha @DrSinhaEsq
Hi all, Michael from Boston, thought I'd share photos from #insulin4all @RightCareNow march in Boston a few weeks ago, where we discussed Shane's tragic situation and other patient stories #hcldr @hcldr @JoeBabaian @Colin_Hung https://t.co/bHMBBtbony
Sally James @jamesian
@Kidfears99 @lollydaggle I like sharing it. Reminds me of the hockey-stick and climate but that's a different discussion. #hcldr
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
T2 I think the formidable barrier to remedy drug pricing is that Pharma industry, Insur Corps, PBMs & the govโ€™t (via lobbyists) managed to create v opaque structure for each patient, and when criticized they can use it as a smoke screen & point the finger at other parties.#hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@EMoriartyWade @hcldr Hi Erin, so happy to see you! #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @EMoriartyWade: @hcldr T1 Consider allowing import of manufactured insulin to boost supply in America...from what I can tell it looks like manufactured insulin is only made in US but I know plenty of life-saving drugs are imported. #hcldr
Mariah Obiedzinski @MariahWrites
T1: Not everyone can afford to go to Canada ... or take that risk. Shameful that people have to resort to being sneaky to STAY ALIVE. #diabetes #insulin4all #hcldr
Mark Milligan @MarkMilliganDPT
RT @jamesian: T1 #hcldr Great graphic from #insulin4all https://t.co/2DDyjavBvm
Susan Woolner, CPXP @susanwoolner
RT @DrSinhaEsq: Hi all, Michael from Boston, thought I'd share photos from #insulin4all @RightCareNow march in Boston a few weeks ago, where we discussed Shane's tragic situation and other patient stories #hcldr @hcldr @JoeBabaian @Colin_Hung https://t.co/bHMBBtbony
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@DrSinhaEsq @RightCareNow @hcldr @Colin_Hung Hello Michael! #hcldr
Jamie Martin @DavisJamie77
This. Exactly. #hcldr ๐Ÿ‘๐Ÿ‘๐Ÿ‘ https://t.co/IGM8T2ydeV
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
While I agree with the principle there is still a challenge as we could spend every last $$$ and resource on #healthcare on life saving Rx - it is never quite that simple #hcldr https://t.co/ZwwvOKrHNE
Erin Moriarty Wade @EMoriartyWade
RT @drnic1: T1 Take a deep dive into cost comparisons in this excllent interactive @tableau data set to see the disparity between the US and the Rest of the world #diabetes #hcldr https://t.co/KOUpdPsTL0 https://t.co/O21jwu1dyL
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @DrSinhaEsq: Hi all, Michael from Boston, thought I'd share photos from #insulin4all @RightCareNow march in Boston a few weeks ago, where we discussed Shane's tragic situation and other patient stories #hcldr @hcldr @JoeBabaian @Colin_Hung https://t.co/bHMBBtbony
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @drnic1: While I agree with the principle there is still a challenge as we could spend every last $$$ and resource on #healthcare on life saving Rx - it is never quite that simple #hcldr https://t.co/ZwwvOKrHNE
Enlightening Results ๐Ÿ’ก @GraceCordovano
@DrDooleyMD There are no words. #hcldr
Heather McCullen @H_SalemOaks
@jeremycoleman What would this look like in your opinion? Less regulation for drug companies? More insurance options? #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@ZHeatherChamp Glad you could join us! #hcldr
Colin Hung @Colin_Hung
@MTL613 T1 Agree. Some diseases (maybe most) don't care about ethno or socioeconomic boundaries, but it's hard to get rest when you are working 3 jobs vs when you can afford to take a month off to recover #hcldr
Jamie Roger @JamieRoger8
@EMRAnswers Even if it isn't life or death, no one should ever have to choose between meds and food, they should both be available in some way. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@DrDooleyMD Thank you for joining us tonight Victoria. #hcldr
Mark Milligan @MarkMilliganDPT
@JamieRoger8 @hcldr Too many people are dying over $$$$. #HCLDR
Laura Appel @lauradianeappel
T1 The price increase for this โ€œoldโ€ drug is bizarre and threatening. But undoing market forces is tough through legislation/administration. What about a nonprofit buying an insulin producer and setting its own price? #hcldr https://t.co/f5ziWEM5m5
Dr. Victoria Dooley @DrDooleyMD
RT @GraceCordovano: @DrDooleyMD There are no words. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @lauradianeappel: T1 The price increase for this โ€œoldโ€ drug is bizarre and threatening. But undoing market forces is tough through legislation/administration. What about a nonprofit buying an insulin producer and setting its own price? #hcldr https://t.co/f5ziWEM5m5
Jamie Martin @DavisJamie77
@EMRAnswers Amen, my friend. Amen. #hcldr
Laura Marston @Kidfears99
Iโ€™ve been fighting for #insulin4all since 2012, when the owner of the law firm where I was practicing died suddenly and I became โ€œuninsurable.โ€ I paid $2,880 a month for the healthcare I need to stay alive, the largest portion of which was insulin. #hcldr
Colin Hung @Colin_Hung
@DrSinhaEsq @RightCareNow @hcldr @JoeBabaian Thanks for sharing Michael. We love that you are joining the conversation! #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@lauradianeappel Hi Laura, thanks for bringing you voice here tonight! #hcldr
Mariah Obiedzinski @MariahWrites
RT @Colin_Hung: @MariahWrites T1 I wonder if it's just b/c the outrage level hasn't reach the point where action is taken. We didn't want to see children going to school hungry & we did something. Now it's time to do something for access to life-saving drugs/therapies #hcldr
Susan Woolner, CPXP @susanwoolner
Welcome Laura - thanks for joining us tonight. Have you ever been without insurance or have you delayed or avoided changing jobs to keep the insurance you have? #hcldr https://t.co/lNidz8vqDk
Colin Hung @Colin_Hung
@MelindaMWedding Hello Melinda! #hcldr
Sarah Greene @researchmatters
Laura that is both unfathomable and unconscionable. #hcldr https://t.co/P1RlALvNkL
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
Oops sorry for tweeting the wrong topic! (It's been a long while and I'm already dizzy w. #HCLDR pace...๐Ÿ˜‚)
Jamie Roger @JamieRoger8
@drnic1 I meant #funding shouldn't be what is preventing a person from living if the disease/meds are common. Treatments should be #affordable #hcldr
Heather McCullen @H_SalemOaks
@EMoriartyWade @hcldr You can already get some older kinds of insulin over the counter. #hcldr
Nathan Grunewald MD MBA FACS @NathanGrunewald
T1: It is not a specialty drug that should be limited. Insulin IMO is a right, not a privilege. Decades ago we said dialysis is a right. #hcldr Insulin in America: A Right or a Privilege?: https://t.co/rgR8ccVzk7
Sally James @jamesian
T1 - Would campaign by parents/caregivers abt #insulin4all finally sway policy folks to order price controls? #hcldr
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
@Colin_Hung @MariahWrites Just donโ€™t think outrage is enough to solve complex #economic problems in #healthcare #hcldr
Susan Woolner, CPXP @susanwoolner
RT @jamesian: @Kidfears99 She's not exaggerating. #hcldr https://t.co/sicxzN5YUL
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @Kidfears99: Hi #hcldr Iโ€™m Laura and Iโ€™ve had Type 1 going on 22 years. Iโ€™ve used Humalog the entire time. Itโ€™s remained unchanged, except the price has increased over 1200% since my diagnosis at age 14. #insulin4all
Jamie Martin @DavisJamie77
RT @Colin_Hung: @MariahWrites T1 I wonder if it's just b/c the outrage level hasn't reach the point where action is taken. We didn't want to see children going to school hungry & we did something. Now it's time to do something for access to life-saving drugs/therapies #hcldr
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
T1 The legislation aims to remove the burden of excessive cost sharing for patients who need high-cost medications but we don't protect the protection. Patients & providers, IMHO, need to be better informed & empowered to ensure access is not stripped away #hcldr https://t.co/pop3PHUPYp
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
RT @DrSinhaEsq: Hi all, Michael from Boston, thought I'd share photos from #insulin4all @RightCareNow march in Boston a few weeks ago, where we discussed Shane's tragic situation and other patient stories #hcldr @hcldr @JoeBabaian @Colin_Hung https://t.co/bHMBBtbony
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
T1 I strongly feel essential life-sustaining drugs like insulin must be protected by the govโ€™t from price gouging, as weโ€™ve been seen over & over, free market will take advantage of peopleโ€™s desperate needs! #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@EMRAnswers It's so true Linda! So many patients have strategies to simply try to survive: cutting doses, using old/expired doses, purchasing drugs from people whose loved ones have passed away. All to simply survive. #hcldr
Mariam Jacob @MariamSJacob
@hcldr T1 Access to life saving drugs shouldn't be tied to profitability for Pharma companies. In order to live we need food, water, shelter, and access to life saving drugs. #hcldr
Chelsea Friend @kiwifreund
T1: This is a constant topic for my bank account. Meds or rent? Meds or food? Meds or utilities? #hcldr https://t.co/tk7tIKi7pc
Laura Marston @Kidfears99
Iโ€™ve made every decision in my life based on whether I would be able to afford insulin. And without insurance, even as a DC attorney, I couldnโ€™t. Thatโ€™s not freedom. #hcldr #insulin4all
Susan Woolner, CPXP @susanwoolner
RT @Colin_Hung: @MTL613 T1 That's the paradox. Those in most need of access usually are the ones that can't afford it. Those that can afford it, usually have lifestyles that don't make them as susceptible to certain conditions. Gotta break that cycle #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@danmunro Dan, thank you for joining, I know the time is tight - means a lot to me personally. #hcldr
Jamie Roger @JamieRoger8
@MarkMilliganDPT @hcldr Agreed #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
RT @NathanGrunewald: T1: T1: It is not a specialty drug that should be limited. Insulin IMO is a right, not a privilege. Decades ago we said dialysis is a right. #hcldr Insulin in America: A Right or a Privilege?: https://t.co/rgR8ccVzk7
Jeremy Coleman @jeremycoleman
@drlfarrell Not to mention NHS, marke it clear today that free care isn't guaranteed care. #hcldr
Bingle @TheBingle
@hcldr T1 I'm caught up in too much bureaucracy to think about it with any clarity. However, no person in America or any other country should be w/o necessary medications. Has to be a change in medicine of today! #hcldr
Nirav J. Modi @NiravJModi
Hi everyone! Nirav @cariumcares joining from Chicago... Sorry I am a bit late. #hcldr
Colin Hung @Colin_Hung
@MariahWrites T1 We have yet to see a flood of healthcare refugee claims in Canada, but I often wonder how long before that happens. Not all drugs are affordable up here, but insulin prices have not risen as much as they have in other countries. #hcldr
Jamie Roger @JamieRoger8
@NathanGrunewald always is #hcldr
Mariah Obiedzinski @MariahWrites
@drnic1 @Colin_Hung Obviously. But group outrage can incite change. #hcldr
Sally James @jamesian
@MarkMilliganDPT @JamieRoger8 @hcldr Seattle's @fredhutch published this story https://t.co/3EJoIpAo9g #bankruptcy #cancer #hcldr
TJ Fitzpatrick @tj_fitzpatrick
RT @jamesian: @Kidfears99 She's not exaggerating. #hcldr https://t.co/sicxzN5YUL
Mariah Obiedzinski @MariahWrites
RT @Colin_Hung: @MariahWrites T1 We have yet to see a flood of healthcare refugee claims in Canada, but I often wonder how long before that happens. Not all drugs are affordable up here, but insulin prices have not risen as much as they have in other countries. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@NiravJModi @cariumcares Welcome Nirav! Great seeing you. No worries :) #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
RT @drlfarrell:
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @kiwifreund: T1: T1: This is a constant topic for my bank account. Meds or rent? Meds or food? Meds or utilities? #hcldr https://t.co/tk7tIKi7pc
Jamie Roger @JamieRoger8
@jamesian @MarkMilliganDPT @hcldr @fredhutch I'll check it out! #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @kkcorbet: T1 I strongly feel essential life-sustaining drugs like insulin must be protected by the govโ€™t from price gouging, as weโ€™ve been seen over & over, free market will take advantage of peopleโ€™s desperate needs! #hcldr
Lisa Davis Budzinski @lisadbudzinski
RT @jamesian: @Kidfears99 She's not exaggerating. #hcldr https://t.co/sicxzN5YUL
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @drnic1: @Colin_Hung @MariahWrites Just donโ€™t think outrage is enough to solve complex #economic problems in #healthcare #hcldr
Colin Hung @Colin_Hung
@drnic1 @MariahWrites T1 I can see that. I wish outrage wasn't needed, but it does seem to be a precursor to action in many cases. Are we there? or is the outrage still too "niche" for widespread action to take hold? #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @NathanGrunewald: T1: T1: It is not a specialty drug that should be limited. Insulin IMO is a right, not a privilege. Decades ago we said dialysis is a right. #hcldr Insulin in America: A Right or a Privilege?: https://t.co/rgR8ccVzk7
HCLDR Moderator @hcldr
Just 1 minute until T2! #hcldr
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
T2 The Shkreli effect that demands profit and return to investors above all else will continue to drive #pharma behavior and all #healthcare - the model for payment and return on investment has to be changed #hcldr #diabetes https://t.co/B4MtEbKdsP
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @drnic1: T2 The Shkreli effect that demands profit and return to investors above all else will continue to drive #pharma behavior and all #healthcare - the model for payment and return on investment has to be changed #hcldr #diabetes https://t.co/B4MtEbKdsP
Mark Milligan @MarkMilliganDPT
@MariahWrites @drnic1 @Colin_Hung Consumers are going to be the ones that have to bring the outrage. They have to learn that change is only going to come if demanded. #HCLDR
Jamie Martin @DavisJamie77
@MariahWrites Dealt with this last fall for my dad. Diagnosed w/ cancer & prescribed med at $3K/mo after insurance. Found out it's cheaper to fly to Canada once a month and get them there - where same drug costs $9. Insanity. #hcldr
Susan Woolner, CPXP @susanwoolner
RT @Elizabe85727641: T1 Develop & require negotiation strategies for all Rx between patients/insurance companies, businesses, public health settings, and state/national legislators. Measure via improved health status rather than continued illness. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@drnic1 I love this picture. #hcldr https://t.co/XKrqHgOsUk
Bonnie C. Sheeren, BCPA @bonniesheeren
RT @Kidfears99: Iโ€™ve made every decision in my life based on whether I would be able to afford insulin. And without insurance, even as a DC attorney, I couldnโ€™t. Thatโ€™s not freedom. #hcldr #insulin4all
Susan Woolner, CPXP @susanwoolner
RT @RBlount: Itโ€™s the kind of stuff that will make is all sick! #hcldr https://t.co/FmtRmhStxA
Bingle @TheBingle
RT @jamesian: @MarkMilliganDPT @JamieRoger8 @hcldr Seattle's @fredhutch published this story https://t.co/3EJoIpAo9g #bankruptcy #cancer #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @MarkMilliganDPT: @MariahWrites @drnic1 @Colin_Hung Consumers are going to be the ones that have to bring the outrage. They have to learn that change is only going to come if demanded. #HCLDR
Nirav J. Modi @NiravJModi
@jhoronjeff Happy Birthday in advance and enjoy your family time. #hcldr
Chelsea Friend @kiwifreund
Something to think about: When a med is OTC, then Medicaid refuses to cover it. When you don't have cash, Medicaid is a huge help. When they rescind their help, you have to go without. Speaking from direct experience. #hcldr https://t.co/PpWwmSx9rR
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @hcldr: Just 1 minute until T2! #hcldr
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
RT @drnic1: T2 The Shkreli effect that demands profit and return to investors above all else will continue to drive #pharma behavior and all #healthcare - the model for payment and return on investment has to be changed #hcldr #diabetes https://t.co/B4MtEbKdsP
Mariam Jacob @MariamSJacob
@Kidfears99 I'm so sorry. I agree with you. That's a prison. #insulin4all. #hcldr
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
@DrDooleyMD I believe this is true for many drug Rx ordered on mail order vs bought innpharmacy #hcldr
HCLDR Moderator @hcldr
Time for T2: What do you see as the major impediments to effective change of the current drug pricing paradigm? #hcldr https://t.co/gKCK45cfdh
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @hcldr: Time for T2: Time for T2: What do you see as the major impediments to effective change of the current drug pricing paradigm? #hcldr https://t.co/gKCK45cfdh
Colin Hung @Colin_Hung
@kkcorbet @JoeBabaian T1 So tricky. Agree that something needs to be done, but there is a lesson to be learned from the debacle that has become Dialysis. https://t.co/cVUd4RCh2q #hcldr
Jamie Martin @DavisJamie77
RT @ShereesePubHlth: T1 The legislation aims to remove the burden of excessive cost sharing for patients who need high-cost medications but we don't protect the protection. Patients & providers, IMHO, need to be better informed & empowered to ensure access is not stripped away #hcldr https://t.co/pop3PHUPYp
Colin Hung @Colin_Hung
RT @hcldr: Time for T2: Time for T2: What do you see as the major impediments to effective change of the current drug pricing paradigm? #hcldr https://t.co/gKCK45cfdh
Jamie Roger @JamieRoger8
@lollydaggle I like the thought of creating a safety net to catch those who are unable to afford #medicine or #treatment. Not a funding campaign but a plan in place to help them #hcldr
Erin Moriarty Wade @EMoriartyWade
@hcldr T1 Could we let physicians and clinics sell insulin directly to their patients (much like some urgent care clinics can fill basic prescriptions for antibiotics etc at reasonable prices)? #hcldr
Sarah Greene @researchmatters
I hate to admit it, but chats like this one always leave me incredibly disheartened. We need collective volition to tackle #healthcare costs. But I have yet to see true stakeholder alignment. #frustrated #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @EMoriartyWade: @hcldr T1 Could we let physicians and clinics sell insulin directly to their patients (much like some urgent care clinics can fill basic prescriptions for antibiotics etc at reasonable prices)? #hcldr
Jeremy Coleman @jeremycoleman
@drnic1 There is also a need for IP law reform so companies stop playing the patent game to drive up prices without creating better outcomes. #hcldr
Mariah Obiedzinski @MariahWrites
@Colin_Hung @drnic1 I'd certainly hope not. #Diabetes is a major risk factor for #heartdisease, and #type2diabetes is running rampant in children. CHILDREN. It's shameful. No other word for it. #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@JoeBabaian @drnic1 Couldn't agree more Joe! #hcldr
Susan Woolner, CPXP @susanwoolner
Yes, this! #hcldr https://t.co/5lbZOb0vKP
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
@QuinlanTurner @hcldr But despite his incarceration Daraprim prices remain stratospheric #hcldr
Michael Sinha @DrSinhaEsq
A1: Essential drugs should not be cost prohibitive to those who need them. Period. #hcldr https://t.co/GlshWvsp4D
Sally James @jamesian
@DavisJamie77 @MariahWrites We have research center here has institute devoted to studying financial side of #cancer https://t.co/bhUksKElSA #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@EMRAnswers This is true. Not off topic - this matters. It's a function of access, education and oh, the #SDoH #hcldr
KLAS Research @KLASresearch
RT @EMoriartyWade: @hcldr T1 Could we let physicians and clinics sell insulin directly to their patients (much like some urgent care clinics can fill basic prescriptions for antibiotics etc at reasonable prices)? #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @DrSinhaEsq: A1: A1: Essential drugs should not be cost prohibitive to those who need them. Period. #hcldr https://t.co/GlshWvsp4D
Rachel Lewin @MedEdUnicorn
@Colin_Hung @drnic1 @MariahWrites Joining late! I do think visibility is part of the problemโ€”Iโ€™d imagine that most people donโ€™t know about drug pricing, let alone specific drug pricing, unless theyโ€™re personally impacted. Perhaps more effective PR is the first step? #hcldr
Susan Woolner, CPXP @susanwoolner
RT @jeremycoleman: T1 Why should we treat drugs, without regard to necessity, any different tha food or shelter? #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
@JamieRoger8 @H_SalemOaks @Colin_Hung @StorkBrian @BFMack There is so much stuff I share and want folk to see, but this one practically BELLOWED at me! #hcldr
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
@JoeBabaian @drnic1 You know, admittedly he's a bad guy but if we're being honest, he was doing what all CEO's are hired to do, make money for shareholders. Patients need to escape the notion that healthcare in this country is anything but a business model. #hcldr
Erin Moriarty Wade @EMoriartyWade
@H_SalemOaks @hcldr I heard an NPR episode about that a long time ago but I remember it was very limited and most diabetics were not aware of it. #hcldr
Patient Critical Co-op @PatientCritical
Sorry to miss #hcldr tonight, still finishing work to travel to #hdpalooza tomorrow. Look forward to catching up on what looks like a great discussion!
Colin Hung @Colin_Hung
T2 Big barrier is the $$$ involved. So many are incented to keep the status quo in place...or even to exploit the drug pricing free-for-all. Hard to change #hcldr
Chelsea Friend @kiwifreund
T2: Executives and shareholders love their profits in the pharmaceutical world. They don't want to give that up. There are no laws capping the profits. The sky is the limit. #hcldr
HealthSparq @HealthSparq
RT @hcldr: Time for T2: Time for T2: What do you see as the major impediments to effective change of the current drug pricing paradigm? #hcldr https://t.co/gKCK45cfdh
Bingle @TheBingle
@QuinlanTurner @hcldr They used him as an example which took pressure off the other executives which have raised Rx prices quietly for a long time. #hcldr
Mariah Obiedzinski @MariahWrites
@EMoriartyWade @hcldr If all doctors and nurses were trustworthy, then yes. But unfortunately, they're humans like the rest of us and susceptible to immoral behavior like price gouging. #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
This ๐Ÿ‘‡๐Ÿ‘‡. For those that continue to call #patients consumers...it's an act of survival that drives decisions. Survival. #hcldr https://t.co/9OqubnQk0I
Colin Hung @Colin_Hung
RT @kiwifreund: T2: T2: Executives and shareholders love their profits in the pharmaceutical world. They don't want to give that up. There are no laws capping the profits. The sky is the limit. #hcldr
Bob @RBlount
Iโ€™d like to see Fortune 500 bring it too! #hcldr https://t.co/6jiC2Vj05C
Heather McCullen @H_SalemOaks
@DrDooleyMD It needs to be easier to navigate the system. My preference would be a simpler system where insurers have less power, but in the meantime we at least need to provide assistance to ANYONE who is struggling to navigate the system. #hcldr
KLAS Research @KLASresearch
@Colin_Hung @kkcorbet @JoeBabaian Looks like a great read. Thanks for sharing, Colin! Adding it to the "for after the chat" list. #hcldr
Sally James @jamesian
@GraceCordovano @EMRAnswers Patients-caregivers too overwhelmed (often) with immediate coping to launch #lobbying for policy change. #hcldr
Mariah Obiedzinski @MariahWrites
RT @DrSinhaEsq: A1: A1: Essential drugs should not be cost prohibitive to those who need them. Period. #hcldr https://t.co/GlshWvsp4D
PF Anderson @pfanderson@disabled.social @pfanderson
@kiwifreund @H_SalemOaks @Colin_Hung @StorkBrian @BFMack I know @SPINNpeddler used to live not too far from there. I bet he knows folk #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@MTL613 A lot of folks talking the transparency angle over the past few days. Check the tweets from @danmunro with #hcldr tag for more. Healthy discussion for sure.
Todd Davenport @sunsopeningband
RT @ShereesePubHlth: @JoeBabaian @drnic1 You know, admittedly he's a bad guy but if we're being honest, he was doing what all CEO's are hired to do, make money for shareholders. Patients need to escape the notion that healthcare in this country is anything but a business model. #hcldr
Dr. Nancy Kusmaul @nancy_kusmaul
RT @TextraHealth: @JoeBabaian @pfanderson @SusannahFox @RBlount @nickisnpdx @mikebiselli @TomVargheseJr @jhoronjeff @choo_ek @jamcbride @garyleethompson @andrewintech โ€œCare is not defined by its absence, but by its presence.โ€ #hcldr https://t.co/XTVCM6sOUH
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
@Colin_Hung @JoeBabaian Thanks Colin for this- will have to get back on this later! #hcldr
Colin Hung @Colin_Hung
RT @EMoriartyWade: @H_SalemOaks @hcldr I heard an NPR episode about that a long time ago but I remember it was very limited and most diabetics were not aware of it. #hcldr
Mark Milligan @MarkMilliganDPT
@researchmatters II agree Sarah but conversations like these can start the path! Consumers are going to have to rise up because all the people making money aren't going to stop on their own... #HCLDR
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
@JoeBabaian @drnic1 If patients and providers looked at drugs, the same as industry, they could shift the market. #hcldr
Jamie Roger @JamieRoger8
@pfanderson @H_SalemOaks @Colin_Hung @StorkBrian @BFMack SO THANKFUL FOR THIS ONE #hcldr #opendialogue This is a topic that taps into the $$$ aspect of all of healthcare, not just insulin. I loved the comic writeup as well!
Jamie Martin @DavisJamie77
a social worker once told me that the average American family is one serious illness away from homelessness - simply not prepared for the cost of getting sick. #hcldr https://t.co/kHxyku3zrk
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@natarpr @danmunro Two amazing cheats, I agree. :) #hcldr
Sarah Greene @researchmatters
My โ€œtalking pointโ€ for intractable issues like this is that there needs to be a compelling business case, evidence base, and human face. #T1D has all three. #hcldr
Mariam Jacob @MariamSJacob
@hcldr T2: Lack of transparency. How much does it REALLY cost to make those drugs? As long as there's a lack of transparency, Pharma companies can continue to profit while patients experience fewer choices, higher premiums, and higher deductibles. #hcldr #insulin4all #ptexp
Heather McCullen @H_SalemOaks
RT @DavisJamie77: a social worker once told me that the average American family is one serious illness away from homelessness - simply not prepared for the cost of getting sick. #hcldr https://t.co/kHxyku3zrk
Mariah Obiedzinski @MariahWrites
RT @DavisJamie77: @MariahWrites Dealt with this last fall for my dad. Diagnosed w/ cancer & prescribed med at $3K/mo after insurance. Found out it's cheaper to fly to Canada once a month and get them there - where same drug costs $9. Insanity. #hcldr
Susan Woolner, CPXP @susanwoolner
RT @MariamSJacob: @hcldr T2: @hcldr T2: Lack of transparency. How much does it REALLY cost to make those drugs? As long as there's a lack of transparency, Pharma companies can continue to profit while patients experience fewer choices, higher premiums, and higher deductibles. #hcldr #insulin4all #ptexp
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@KLASresearch @Colin_Hung @kkcorbet Hey, almost missed you! Welcome! :) #hcldr
Colin Hung @Colin_Hung
RT @MariahWrites: @Colin_Hung @drnic1 I'd certainly hope not. #Diabetes is a major risk factor for #heartdisease, and #type2diabetes is running rampant in children. CHILDREN. It's shameful. No other word for it. #hcldr
Bingle @TheBingle
Possibly if done correctly. #hcldr https://t.co/7JadIY0kQA
KLAS Research @KLASresearch
T2: Lack of transparency, patient education, and adequate regulation of price gouging. #hcldr https://t.co/zNwIYLV2Cl
Colin Hung @Colin_Hung
RT @jeremycoleman: @drnic1 There is also a need for IP law reform so companies stop playing the patent game to drive up prices without creating better outcomes. #hcldr
Bob @RBlount
RT @TextraHealth: @JoeBabaian @pfanderson @SusannahFox @RBlount @nickisnpdx @mikebiselli @TomVargheseJr @jhoronjeff @choo_ek @jamcbride @garyleethompson @andrewintech โ€œCare is not defined by its absence, but by its presence.โ€ #hcldr https://t.co/XTVCM6sOUH
Erin Moriarty Wade @EMoriartyWade
@MariahWrites @hcldr Agreed. But the current situation is pretty immoral already so Iโ€™m not sure thatโ€™s a strong enough deterrent. #hcldr
Mark Milligan @MarkMilliganDPT
@RBlount When will companies understand that #healthy employees are better for everyone!!! #HCLDR
Nathan Grunewald MD MBA FACS @NathanGrunewald
@mattbmartin @MTL613 try this: https://t.co/UaU4AwlJzS (turn off retweets, much easier to follow) #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
@susanwoolner We really need to plan this. :) We can fix that, I'm sure #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @JoeBabaian: @mattbmartin Thank you Matt. It resonated up from our community beginning with @pfanderson sharing it. I couldn't resist making it tonight's topic. #hcldr
Mariah Obiedzinski @MariahWrites
RT @TheBingle: Possibly if done correctly. #hcldr https://t.co/7JadIY0kQA
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@MTL613 @danmunro Expanding the groups that are talking is the key - blow the silos open and pull more folks in until it clicks. :) #hcldr
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
This. Price transparency requires cost transparency. However, in general, healthcare does not know the true costs of the workflows necessary to support its services. But then I would say that. #hcldr https://t.co/AvMteFeujI
Jamie Martin @DavisJamie77
YES. #hcldr https://t.co/S8NmjmZofG
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
RT @TheBingle: @QuinlanTurner @hcldr They used him as an example which took pressure off the other executives which have raised Rx prices quietly for a long time. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @JamieRoger8: @pfanderson @H_SalemOaks @Colin_Hung @StorkBrian @BFMack SO THANKFUL FOR THIS ONE #hcldr #opendialogue This is a topic that taps into the $$$ aspect of all of healthcare, not just insulin. I loved the comic writeup as well!
Jamie Roger @JamieRoger8
@kiwifreund You shouldn't be put in that situation. When you can afford at least the basics in life, adding medication costs to that equation, SHOULDN'T be the tipping point. I am #heartbroken that those are your choices. #hcldr
Rachel Lewin @MedEdUnicorn
@JamieRoger8 @lollydaggle The problem there is that we canโ€™t agree as human beings that this is a priority! Isnโ€™t this the goal of #medicaid? which we keep reducing, and increasing vulnerability. A safety net needs to catch everyone and be divorced from ideology (ha) #hcldr
Mark Milligan @MarkMilliganDPT
@hcldr T2: MONEY, MONEY, MONEY. #HCLDR
Jamie Roger @JamieRoger8
RT @Kidfears99: Iโ€™ve made every decision in my life based on whether I would be able to afford insulin. And without insurance, even as a DC attorney, I couldnโ€™t. Thatโ€™s not freedom. #hcldr #insulin4all
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@MTL613 Well @Colin_Hung and I do have an #AI to help. NOT! Never easy! :) #hcldr
Susan Woolner, CPXP @susanwoolner
RT @Colin_Hung: @MariahWrites T1 I wonder if it's just b/c the outrage level hasn't reach the point where action is taken. We didn't want to see children going to school hungry & we did something. Now it's time to do something for access to life-saving drugs/therapies #hcldr
Bob @RBlount
Clearly a good avenue to drive change. #hcldr https://t.co/iMpqSDjogY
Colin Hung @Colin_Hung
@researchmatters It can be, but do we need complete alignment or to just enough people need to get motivated and move the needle together? I believe that if we can get enough people pulling on the rope we can make a small difference. Enough people and enough ropes, then real change happens #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @MarkMilliganDPT: @hcldr T2: @hcldr T2: MONEY, MONEY, MONEY. #HCLDR
Erin Moriarty Wade @EMoriartyWade
@MelindaMWedding @H_SalemOaks @hcldr I donโ€™t know a lot about that but it sounds like it could be promising. #hcldr
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
RT @researchmatters: My โ€œtalking pointโ€ for intractable issues like this is that there needs to be a compelling business case, evidence base, and human face. #T1D has all three. #hcldr
Colin Hung @Colin_Hung
RT @JoeBabaian: @MTL613 Well @Colin_Hung and I do have an #AI to help. NOT! Never easy! :) #hcldr
ElizabethKelly, Ph.D @Elizabe85727641
T2 Major barrier is federal government who do not allow Medicare/Medicaid to negotiate Rx prices. This group have limited voice, a few organizations try to advocate for them (AARP) who are also associated with health insurance companies.#hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
@JamieRoger8 @H_SalemOaks @Colin_Hung @StorkBrian @BFMack Comics in healthcare is really quite effective at getting messages across, storytelling, empathy building. #GraphicMedicine is an emerging health literacy tool #hcldr
Colin Hung @Colin_Hung
RT @JoeBabaian: @MTL613 @danmunro Expanding the groups that are talking is the key - blow the silos open and pull more folks in until it clicks. :) #hcldr
Dr. Victoria Dooley @DrDooleyMD
RT @drnic1: T2 The Shkreli effect that demands profit and return to investors above all else will continue to drive #pharma behavior and all #healthcare - the model for payment and return on investment has to be changed #hcldr #diabetes https://t.co/B4MtEbKdsP
Nathan Grunewald MD MBA FACS @NathanGrunewald
T2: Limiting competition in a for profit environment to treat life threatening conditions results in high demand with limited supply. That puts the price point at the top. Not saying I agree, but that is where we are in USA. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @drnic1: T1 Oh and BTW: Insulin's Canadian discoverers sold the patent to their university for $1, stating that profit was not their goal #hcldr https://t.co/tmhgt1UhBx
PF Anderson @pfanderson@disabled.social @pfanderson
RT @hcldr: Time for T1: Time for T1: How should access to a drug that is necessary for life for ~1.5M Americans, such as insulin, be handled? What can we learn from other nations on this? #hcldr https://t.co/8OvgEnHOt4
Bingle @TheBingle
T1 Fascinating. I believe @ShereesePubHlth would be great with the SALE SIGNS for the patients to see! So They Know... #hcldr https://t.co/aUGcc9EIBx
Laura Appel @lauradianeappel
T2 Strength of those companies/individuals served by the system as is. Even #transparency wonโ€™t change things fast enough for people like Shane. And philosophical opposition to #Medicaid as insurance. #hcldr https://t.co/bYaUo5Ksbm
Colin Hung @Colin_Hung
RT @wareFLO: This. Price transparency requires cost transparency. However, in general, healthcare does not know the true costs of the workflows necessary to support its services. But then I would say that. #hcldr https://t.co/AvMteFeujI
Mark Milligan @MarkMilliganDPT
@RBlount The #data is there. #HCLDR
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
RT @drlfarrell:
Colin Hung @Colin_Hung
@MTL613 @mattbmartin It's definitely flying tonight. Even Tweetdeck having trouble keeping up #hcldr
Inspire @InspireIsHealth
RT @hcldr: Time for T2: Time for T2: What do you see as the major impediments to effective change of the current drug pricing paradigm? #hcldr https://t.co/gKCK45cfdh
Heather McCullen @H_SalemOaks
T2: The main barrier I see is lack of creativity. Too many people say "but company's need to make money!" and then don't change anything. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @H_SalemOaks: T2: T2: The main barrier I see is lack of creativity. Too many people say "but company's need to make money!" and then don't change anything. #hcldr
Jamie Roger @JamieRoger8
#yass the safety net that once #existed (to some degree) is being taken away without a backup in place. The systemic problems that exist in all areas of the #healthcare system are unreal. #hcldr https://t.co/P22jO8oc8c
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @lauradianeappel: T2 Strength of those companies/individuals served by the system as is. Even #transparency wonโ€™t change things fast enough for people like Shane. And philosophical opposition to #Medicaid as insurance. #hcldr https://t.co/bYaUo5Ksbm
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @RBlount: Clearly a good avenue to drive change. #hcldr https://t.co/iMpqSDjogY
Sally James @jamesian
@JoeBabaian @MTL613 @danmunro What if @walmart or @amazon tried to negotiate cheaper #insulin for their employees? Kind of bulk-buy technique? #hcldr
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
T1 Also, why don't we have patients, providers & advocates educating on PAPs? Through patient assistance programs, many pharmaceutical cos offer limited quantities of free or low-cost meds to pts who either don't qualify for or aren't aided by other forms of assistance #hcldr https://t.co/T0hIfNYU8k
Kentucky #insulin4all @KYinsulin4all
Hello! We are volunteer #Insulin4All advocates working to get pricing transparency legislation in Kentucky, Ohio, and Indiana. We would appreciate any retweets and follows. #hcldr
Michael Sinha @DrSinhaEsq
@hcldr #hcldr Each graph shows prices -- two comparable insulin products made by two different manufacturers -- rising almost exponentially over time. Can't see two lines most of the time? Neither can I. Prices rising in lock-step, raising antitrust concerns. Source: @businessinsider https://t.co/7WpqshCW5J
Sarah Greene @researchmatters
Maybe some veryvisuble long-form journalism from @POLITICOPulse team, @statnews or other @AHCJ journalists would bring overdue attention? @jamesian @rachanadixit @jenhab @ddiamond #hcldr #T1D #Insulin4all
Jamie Roger @JamieRoger8
@pfanderson @H_SalemOaks @Colin_Hung @StorkBrian @BFMack and an awesome title #graphicmedicine Love this and the universality of comics. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @drnic1: T1 Oh and BTW: Insulin's Canadian discoverers sold the patent to their university for $1, stating that profit was not their goal #hcldr https://t.co/tmhgt1UhBx
Enlightening Results ๐Ÿ’ก @GraceCordovano
@QuinlanTurner @hcldr Many guilty parties here. Pharma, payers, government, PBMs, pharmacies. Many in need are powerless. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @NathanGrunewald: T2: T2: Limiting competition in a for profit environment to treat life threatening conditions results in high demand with limited supply. That puts the price point at the top. Not saying I agree, but that is where we are in USA. #hcldr
Kentucky #insulin4all @KYinsulin4all
RT @Kidfears99: Iโ€™ve been fighting for #insulin4all since 2012, when the owner of the law firm where I was practicing died suddenly and I became โ€œuninsurable.โ€ I paid $2,880 a month for the healthcare I need to stay alive, the largest portion of which was insulin. #hcldr
Colin Hung @Colin_Hung
RT @DrSinhaEsq: @hcldr #hcldr Each graph shows prices -- two comparable insulin products made by two different manufacturers -- rising almost exponentially over time. Can't see two lines most of the time? Neither can I. Prices rising in lock-step, raising antitrust concerns. Source: @businessinsider https://t.co/7WpqshCW5J
Mariah Obiedzinski @MariahWrites
T2: As many have suggested, a unified voice is lacking. Enough people have to be moved, educated, and vocal to effect societal change - look at the kids in Florida and the #gunsafety revolution! Timing and #data are key. #hcldr
Susan Woolner, CPXP @susanwoolner
It would be interesting if one of the mega drug chains @Walgreens @cvspharmacy or even @amazon decided that insulin would be $10 (for example) with transfer of 2 or more prescriptions or free with @amazon prime. That would shake the market #hcldr
Susan Woolner, CPXP @susanwoolner
RT @GraceCordovano: @QuinlanTurner @hcldr Many guilty parties here. Pharma, payers, government, PBMs, pharmacies. Many in need are powerless. #hcldr
Kentucky #insulin4all @KYinsulin4all
RT @NathanGrunewald: T1: T1: It is not a specialty drug that should be limited. Insulin IMO is a right, not a privilege. Decades ago we said dialysis is a right. #hcldr Insulin in America: A Right or a Privilege?: https://t.co/rgR8ccVzk7
Rachel Lewin @MedEdUnicorn
RT @pfanderson: @JamieRoger8 @H_SalemOaks @Colin_Hung @StorkBrian @BFMack Comics in healthcare is really quite effective at getting messages across, storytelling, empathy building. #GraphicMedicine is an emerging health literacy tool #hcldr
Lisa Davis Budzinski @lisadbudzinski
RT @EMRAnswers: T2:
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@MTL613 @SharonLeeMoon Yes they have and it gives me hope! #hcldr cc @GilmerHealthLaw
Amanda G @LAlupusLady
A2 Profit$ for the Rx companies major hurdle. #hcldr https://t.co/Hlmf6sRebd
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @pfanderson: @JamieRoger8 @H_SalemOaks @Colin_Hung @StorkBrian @BFMack Comics in healthcare is really quite effective at getting messages across, storytelling, empathy building. #GraphicMedicine is an emerging health literacy tool #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@pfanderson @JamieRoger8 @H_SalemOaks @Colin_Hung @StorkBrian @BFMack I'll say! #hcldr
Mariah Obiedzinski @MariahWrites
T2: I could definitely see this happening! #hcldr https://t.co/QyvFSWCuF3
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @Elizabe85727641: T2 Major barrier is federal government who do not allow Medicare/Medicaid to negotiate Rx prices. This group have limited voice, a few organizations try to advocate for them (AARP) who are also associated with health insurance companies.#hcldr
Lisa Davis Budzinski @lisadbudzinski
RT @DrSinhaEsq: @hcldr #hcldr Each graph shows prices -- two comparable insulin products made by two different manufacturers -- rising almost exponentially over time. Can't see two lines most of the time? Neither can I. Prices rising in lock-step, raising antitrust concerns. Source: @businessinsider https://t.co/7WpqshCW5J
Jamie Martin @DavisJamie77
Exactly. Every other product we purchase, we know exactly how much we're paying - except for healthcare. #hcldr https://t.co/D5qipAFpkB
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@paul_griffiths Just a bit! #hcldr
Sally James @jamesian
@NathanGrunewald T2 - For anyone who wishes to go deeper - https://t.co/gEcQMCclrL @UniofOxford analysis of #international #insulin prices #hcldr
Jamie Roger @JamieRoger8
@DavisJamie77 such a true statement from that social worked #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @researchmatters: I hate to admit it, but chats like this one always leave me incredibly disheartened. We need collective volition to tackle #healthcare costs. But I have yet to see true stakeholder alignment. #frustrated #hcldr
Erin Moriarty Wade @EMoriartyWade
@hcldr T2 This might be small potatoes but...the limited supply (and choices) of insulin. Create incentives for the development of new forms of insulin. #hcldr
Nirav J. Modi @NiravJModi
T2: Complexity and misalignment of incentives; there is no backstop. The buck never stops upstream...it just passes thru to the individual. #hcldr.
Susan Woolner, CPXP @susanwoolner
WTH? That doesn't even make sense. The bait and switch of formulary changes are the bain of my existence. Seriously so much angst that makes people sicker #hcldr https://t.co/zZpkpajgUf
Bingle @TheBingle
T2 Where we are in USA ... You've said it all! And how far down is USA on overall Healthcare? #hcldr https://t.co/e5ZzQ12vwk
Colin Hung @Colin_Hung
@jamesian @JoeBabaian @MTL613 @danmunro @Walmart @amazon T2 I think that's what will happen, but then we'll have uneven distribution of medication (again) but if costs continue to rise, at what point do alternatives become attractive? or perhaps new innovation will replace a high priced option? #hcldr Wishful thinking?
Sally James @jamesian
@MTL613 @JoeBabaian @danmunro @Walmart @amazon @t1international Agree. Just seeing the employer self-interest as a stepping stone that reveals inherent injustice for policy level change. #hcldr
Mariah Obiedzinski @MariahWrites
@natarpr @JoeBabaian @danmunro How is #insulin distributed in other countries? #hcldr
Chelsea Friend @kiwifreund
@JamieRoger8 Thank you. But as we know, there is nothing special about me, and everyone is one major illess away from being in the same position - unfortunately! That is why we gather and brainstorm. โ˜บ #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@researchmatters I understand! But the good news remains that we see folks that can and WILL make change happen. They are here, now :) #hcldr Great seeing you my friend!
Rachel Lewin @MedEdUnicorn
@jamesian @JoeBabaian @MTL613 @danmunro @Walmart @amazon This is what Medicare and Medicaid do, right? Negotiate for the lowest price? #hcldr
Jamie Roger @JamieRoger8
@mattbmartin @MTL613 try #tweetdeck, makes it SO MUCH EASIER . #hcldr #ialwaysneedhelp
Enlightening Results ๐Ÿ’ก @GraceCordovano
@ShereesePubHlth This is an excellent place where more can be done to improve point-of-care discussions. Hesitancy to openly & outwardly disseminate PAP in treatment planning. Tsk Tsk #hcldr
Camea @Kamiyamay
A2. Lack of real transparency. #hcldr
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
RT @DrSinhaEsq: @hcldr #hcldr Each graph shows prices -- two comparable insulin products made by two different manufacturers -- rising almost exponentially over time. Can't see two lines most of the time? Neither can I. Prices rising in lock-step, raising antitrust concerns. Source: @businessinsider https://t.co/7WpqshCW5J
Dr. Victoria Dooley @DrDooleyMD
RT @DrSinhaEsq: @hcldr #hcldr Each graph shows prices -- two comparable insulin products made by two different manufacturers -- rising almost exponentially over time. Can't see two lines most of the time? Neither can I. Prices rising in lock-step, raising antitrust concerns. Source: @businessinsider https://t.co/7WpqshCW5J
HCLDR Moderator @hcldr
Just 1 minute until T3! #hcldr
Susan Woolner, CPXP @susanwoolner
Agree. We will plan on FB or FB messenger. I am over at Ann and Main at least once a week now for care of my step father with advanced dementia #hcldr https://t.co/etPFGP784y
Sarah Greene @researchmatters
@KLASresearch Lobbyists. #hcldr
Lisa Davis Budzinski @lisadbudzinski
RT @susanwoolner: It would be interesting if one of the mega drug chains @Walgreens @cvspharmacy or even @amazon decided that insulin would be $10 (for example) with transfer of 2 or more prescriptions or free with @amazon prime. That would shake the market #hcldr
Amanda G @LAlupusLady
RT @Colin_Hung: @jamesian @JoeBabaian @MTL613 @danmunro @Walmart @amazon T2 I think that's what will happen, but then we'll have uneven distribution of medication (again) but if costs continue to rise, at what point do alternatives become attractive? or perhaps new innovation will replace a high priced option? #hcldr Wishful thinking?
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
@TheBingle I like to keep things real. Supply and demand for medications is not driven by consumers, it's driven by regulation, unfortunately. And #pharma special interest is all over regulators. I'm just pointing out the obvious #ComeOnSon #hcldr https://t.co/CKXl1fKDre
Mark Milligan @MarkMilliganDPT
@RBlount In! #HCLDR #WTFix #whisky
Pat Rich @pat_health
T1 What national government that can afford it will let its citizens die through lack of a relatively inexpensive medication? #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
Exactly! Mike drop. We need direction not always the same exact path. Together, now, here. Well said @Colin_Hung - no wonder we are friends :) #hcldr https://t.co/F76GfUD6QY
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
Can we possibly (even tho v hard) get rid of some tiers, as well as transparency?? I think we need a radical change in Healthcare! #HCLDR https://t.co/pyj8x1LWM6
Jamie Martin @DavisJamie77
You know, how is it that a gas station owner can be punished for price gouging a couple bucks on his gas prices, but there's no penalty for the drug company that price gouged thousands on a life-saving drug? Makes no sense. #hcldr
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
RT @GraceCordovano: @ShereesePubHlth This is an excellent place where more can be done to improve point-of-care discussions. Hesitancy to openly & outwardly disseminate PAP in treatment planning. Tsk Tsk #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @pat_health: T1 What national government that can afford it will let its citizens die through lack of a relatively inexpensive medication? #hcldr
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
RT @jamesian: @NathanGrunewald T2 - For anyone who wishes to go deeper - https://t.co/gEcQMCclrL @UniofOxford analysis of #international #insulin prices #hcldr
HCLDR Moderator @hcldr
Time for T3: Where should our most urgent focus be: medication access, improved healthcare coverage/access, pricing transparency, or? #hcldr https://t.co/cfDf0GQ8Ll
Bob @RBlount
RT @lauradianeappel: T2 Strength of those companies/individuals served by the system as is. Even #transparency wonโ€™t change things fast enough for people like Shane. And philosophical opposition to #Medicaid as insurance. #hcldr https://t.co/bYaUo5Ksbm
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
T3 Solutions do not lie in access or coverage but rather in price transparency that relates this to the actual cost of development, production and #innovation for development of #diabetes treatments #hcldr https://t.co/30rZnKjleX
Colin Hung @Colin_Hung
@EMoriartyWade @hcldr T2 The market does correct itself, but the problem is the gap in between - too many patients suffer while the market sorts itself back to equilibrium #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@pat_health Uhhhh. #hcldr
Susan Woolner, CPXP @susanwoolner
RT @JamieRoger8: @kiwifreund You shouldn't be put in that situation. When you can afford at least the basics in life, adding medication costs to that equation, SHOULDN'T be the tipping point. I am #heartbroken that those are your choices. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @hcldr: Just 1 minute until T3! #hcldr
Dr. Victoria Dooley @DrDooleyMD
RT @ShereesePubHlth: T1 Also, why don't we have patients, providers & advocates educating on PAPs? Through patient assistance programs, many pharmaceutical cos offer limited quantities of free or low-cost meds to pts who either don't qualify for or aren't aided by other forms of assistance #hcldr https://t.co/T0hIfNYU8k
Bingle @TheBingle
T2 Whatever the Market will bear...... #hcldr https://t.co/Sc2I7d3Vw2
Jamie Roger @JamieRoger8
@kiwifreund Truth, but doesn't mean I don't feel just as bad for you as I do for the next person in that position. That's why I entered this discussion and path in life in the first place. #empathy #community #supporteachother #unique #human #hcldr
Erin Moriarty Wade @EMoriartyWade
RT @Elizabe85727641: T2 Major barrier is federal government who do not allow Medicare/Medicaid to negotiate Rx prices. This group have limited voice, a few organizations try to advocate for them (AARP) who are also associated with health insurance companies.#hcldr
Heather McCullen @H_SalemOaks
@susanwoolner My husband's insurance likes to switch the brand of insulin they cover a couple times a year ... just to keep things interesting. #hcldr
Colin Hung @Colin_Hung
RT @hcldr: Time for T3: Where should our most urgent focus be: Time for T3: Where should our most urgent focus be: medication access, improved healthcare coverage/access, pricing transparency, or? #hcldr https://t.co/cfDf0GQ8Ll
Mariah Obiedzinski @MariahWrites
RT @jamesian: @DavisJamie77 @MariahWrites We have research center here has institute devoted to studying financial side of #cancer https://t.co/bhUksKElSA #hcldr
Mark Milligan @MarkMilliganDPT
RT @JoeBabaian: Exactly! Mike drop. We need direction not always the same exact path. Together, now, here. Well said @Colin_Hung - no wonder we are friends :) #hcldr https://t.co/F76GfUD6QY
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@MTL613 Dan provides me with hours of reading, learning, and calls to arms. :) #hcldr
Erin Moriarty Wade @EMoriartyWade
RT @jamesian: @JoeBabaian @MTL613 @danmunro What if @walmart or @amazon tried to negotiate cheaper #insulin for their employees? Kind of bulk-buy technique? #hcldr
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Regardless of where you fall on spectrum from healthcare is a right & universal government insurance to healthcare is a scarce economic good subject to market forces, w/o knowing the true costs of healthcare at a granular level, systems of healthcare allocation will fail #hcldr https://t.co/8JyoshyJMU
Bingle @TheBingle
RT @MariamSJacob: @hcldr T2: @hcldr T2: Lack of transparency. How much does it REALLY cost to make those drugs? As long as there's a lack of transparency, Pharma companies can continue to profit while patients experience fewer choices, higher premiums, and higher deductibles. #hcldr #insulin4all #ptexp
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
T3 But to be fair to #pharma the cost of development and #innovation is high given the low rate of return adn success in drug development - without a return there will be no ongoing and future Drug Development for #diabetes or any other disease #hcldr https://t.co/VIyYR75en6
Amanda G @LAlupusLady
@Colin_Hung @jamesian @JoeBabaian @MTL613 @danmunro @Walmart @amazon T2 what if the price of PT became more effective treatment than an Rx? Nice if wellness and maintaining ROM to improve QOL would be the bottom line. (why isn't that way now?) #hcldr
Erin Moriarty Wade @EMoriartyWade
RT @DrSinhaEsq: A1: A1: Essential drugs should not be cost prohibitive to those who need them. Period. #hcldr https://t.co/GlshWvsp4D
Colin Hung @Colin_Hung
T3 Access without transparency leads to inefficiency. We had that for years here in Canada. Led to a lot of cost overruns and waste. Transparency is the foundation IMHO #hcldr
Erin Moriarty Wade @EMoriartyWade
RT @NathanGrunewald: T1: T1: It is not a specialty drug that should be limited. Insulin IMO is a right, not a privilege. Decades ago we said dialysis is a right. #hcldr Insulin in America: A Right or a Privilege?: https://t.co/rgR8ccVzk7
Dr. Victoria Dooley @DrDooleyMD
@MelindaMWedding I had one patient who had to get a P.O. Box b/c his insulin would be stolen from his home. ๐Ÿ˜ข๐Ÿ˜ก #hcldr
Chelsea Friend @kiwifreund
@JamieRoger8 Well put! #hcldr #empathy #love
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
T3, TRUE Price transparency, because unless we can all see whatโ€™s going on and WHOโ€™s profiteering, better access (unless we can cover 100% of people!) wonโ€™t address the root cause. #HCLDR
Bingle @TheBingle
@DavisJamie77 Yup. Should be simple comparisons w/pricing. #hcldr
โž–Dustin Millerโž– @spdustin
@hcldr T2: 1) Drug and genomic patents. The former survives longer than needed to help pharma companies recoup R&D costs; the latter practically ensures monopolies on gene therapy. 2)Transparency in actual costs (inc. R&D) vs retail price. #hcldr
โž–Dustin Millerโž– @spdustin
RT @spdustin: @hcldr T2: @hcldr T2: 1) Drug and genomic patents. The former survives longer than needed to help pharma companies recoup R&D costs; the latter practically ensures monopolies on gene therapy. 2)Transparency in actual costs (inc. R&D) vs retail price. #hcldr
Mariam Jacob @MariamSJacob
@danmunro @MTL613 @JoeBabaian How can you support a company who places profitability over human suffering? I think as a society, we tend to go for the underdog when egregious behavior is brought to the open and pushed in our face. #hcldr #insulin4all
Enlightening Results ๐Ÿ’ก @GraceCordovano
@DavisJamie77 Guilty of tax evasion? Tracked down & behind bars. Double standard is crippling. #hcldr
Laura Appel @lauradianeappel
@MedEdUnicorn @jamesian @JoeBabaian @MTL613 @danmunro @Walmart @amazon I believe (check me on this) that #Medicare is not allowed to do drug price negotiation. Maybe through Part C managed care plans. #hcldr
Bob @RBlount
I love this. If weโ€™re going to address the root to most of our healthcare problems it starts with #HEALTH #hcldr https://t.co/f8HgoCiCV4
Erin Moriarty Wade @EMoriartyWade
RT @Colin_Hung: @EMoriartyWade @hcldr T2 The market does correct itself, but the problem is the gap in between - too many patients suffer while the market sorts itself back to equilibrium #hcldr
Susan Woolner, CPXP @susanwoolner
But I think all of US #hcldr believe this is a priority. If you think this is priority, chime in. https://t.co/S4jrYcB0cG
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
Isn't that the best!? It's like Russian Roulette. Here Heather, try THIS, it might be the SAME or it might NOT work, or maybe just give you HIVES. Are you ready? #casinohealthcare @danmunro #hcldr https://t.co/gr4jE9zd5g
PF Anderson @pfanderson@disabled.social @pfanderson
RT @Kidfears99: Hi #hcldr Iโ€™m Laura and Iโ€™ve had Type 1 going on 22 years. Iโ€™ve used Humalog the entire time. Itโ€™s remained unchanged, except the price has increased over 1200% since my diagnosis at age 14. #insulin4all
PF Anderson @pfanderson@disabled.social @pfanderson
RT @pat_health: T1 What national government that can afford it will let its citizens die through lack of a relatively inexpensive medication? #hcldr
Nirav J. Modi @NiravJModi
RT @Colin_Hung: T3 Access without transparency leads to inefficiency. We had that for years here in Canada. Led to a lot of cost overruns and waste. Transparency is the foundation IMHO #hcldr
Mariah Obiedzinski @MariahWrites
@drnic1 It's curious how prices can spike more than 1000% and everyone just grins and bears it. Shouldn't technology get less expensive over time? #hcldr
Janae Sharp @CoherenceMed
RT @Colin_Hung: T3 Access without transparency leads to inefficiency. We had that for years here in Canada. Led to a lot of cost overruns and waste. Transparency is the foundation IMHO #hcldr
Camea @Kamiyamay
Where is our share humanity? It seems to only exist in the positive brainstorming chats, the other public events but is lacking in the general corporate structure-Humanity. #hcldr https://t.co/1HDlhNFmcR
PF Anderson @pfanderson@disabled.social @pfanderson
RT @DrSinhaEsq: @hcldr #hcldr Each graph shows prices -- two comparable insulin products made by two different manufacturers -- rising almost exponentially over time. Can't see two lines most of the time? Neither can I. Prices rising in lock-step, raising antitrust concerns. Source: @businessinsider https://t.co/7WpqshCW5J
Jamie Martin @DavisJamie77
@DrDooleyMD I think having doctors like you who are willing to educate patients about RX options is a major plus. Thank you for doing that! I wish there were more like you - bc you're right, sometimes patients just don't know what options they have. #hcldr
Nathan Grunewald MD MBA FACS @NathanGrunewald
@researchmatters It's good. Talking about it, acknowledging the barriers, and discussing solutions will lead to the solution. It's why we are here tonight. We all appreciate u being here too. #pinksocks #hcldr
Mariah Obiedzinski @MariahWrites
RT @hcldr: Time for T3: Where should our most urgent focus be: Time for T3: Where should our most urgent focus be: medication access, improved healthcare coverage/access, pricing transparency, or? #hcldr https://t.co/cfDf0GQ8Ll
Pat Rich @pat_health
T2 is it the government? (Assume the answer has to be framed as a question) #hcldr
Bob @RBlount
T3: All the above. #hcldr https://t.co/zDEhX0IwKd
Colin Hung @Colin_Hung
@drnic1 T3 In Canada there is a law that gas stations have to disclose exactly where the cost of gas goes. ie: X to refinery, Y to taxes, Z to transportation company, etc. We have it for GAS but not for drugs which cost WAAAAY more #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @susanwoolner: But I think all of US #hcldr believe this is a priority. If you think this is priority, chime in. https://t.co/S4jrYcB0cG
PF Anderson @pfanderson@disabled.social @pfanderson
RT @MedEdUnicorn: @JamieRoger8 @lollydaggle The problem there is that we canโ€™t agree as human beings that this is a priority! Isnโ€™t this the goal of #medicaid? which we keep reducing, and increasing vulnerability. A safety net needs to catch everyone and be divorced from ideology (ha) #hcldr
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
RT @Colin_Hung: @researchmatters It can be, but do we need complete alignment or to just enough people need to get motivated and move the needle together? I believe that if we can get enough people pulling on the rope we can make a small difference. Enough people and enough ropes, then real change happens #hcldr
Lisa Davis Budzinski @lisadbudzinski
RT @DavisJamie77: You know, how is it that a gas station owner can be punished for price gouging a couple bucks on his gas prices, but there's no penalty for the drug company that price gouged thousands on a life-saving drug? Makes no sense. #hcldr
Kentucky #insulin4all @KYinsulin4all
@Colin_Hung @researchmatters Yes! We are a group trying to get a collective voice in the tri-state KY OH IN area. We joined our voices because there is power in numbers. @t1international has been instrumental in guiding us in our advocacy #Insulin4all #hcldr
Jamie Roger @JamieRoger8
@kiwifreund Thank you #hcldr
Michael Sinha @DrSinhaEsq
Brand new from my colleagues @PORTAL_Research: Strategies to improve the affordability of insulin in the USA #hcldr https://t.co/s4gN8EbqRp via @TheLancetEndo
Heather McCullen @H_SalemOaks
T3: Getting rid of the word "access", I have ACCESS to a Ferrari 488, that doesn't mean I can get one. #hcldr
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
RT @JoeBabaian: Exactly! Mike drop. We need direction not always the same exact path. Together, now, here. Well said @Colin_Hung - no wonder we are friends :) #hcldr https://t.co/F76GfUD6QY
PF Anderson @pfanderson@disabled.social @pfanderson
RT @lauradianeappel: @MedEdUnicorn @jamesian @JoeBabaian @MTL613 @danmunro @Walmart @amazon I believe (check me on this) that #Medicare is not allowed to do drug price negotiation. Maybe through Part C managed care plans. #hcldr
Susan Woolner, CPXP @susanwoolner
@danmunro @BernieSanders Purdue University is an accompiice as well. #hcldr
Janae Sharp @CoherenceMed
This is a great question. #HCLDR I am not sure. https://t.co/fKu6xdItG6
Nirav J. Modi @NiravJModi
@Colin_Hung Agree. Transparency enables many downstream positive behaviors. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @spdustin: @hcldr T2: @hcldr T2: 1) Drug and genomic patents. The former survives longer than needed to help pharma companies recoup R&D costs; the latter practically ensures monopolies on gene therapy. 2)Transparency in actual costs (inc. R&D) vs retail price. #hcldr
Amanda G @LAlupusLady
A3 Making accessible/affordable treatment and medication for all (esp. the underserved rural/urban populations) a priority. #hcldr https://t.co/82Lq1iz4wU
Susan Woolner, CPXP @susanwoolner
RT @Colin_Hung: @researchmatters It can be, but do we need complete alignment or to just enough people need to get motivated and move the needle together? I believe that if we can get enough people pulling on the rope we can make a small difference. Enough people and enough ropes, then real change happens #hcldr
Jamie Martin @DavisJamie77
RT @EMRAnswers: T2:
PF Anderson @pfanderson@disabled.social @pfanderson
RT @H_SalemOaks: T3: T3: Getting rid of the word "access", I have ACCESS to a Ferrari 488, that doesn't mean I can get one. #hcldr
Dr. Victoria Dooley @DrDooleyMD
I think โฌ‡๏ธ shows my stance on T3 #hcldr https://t.co/ZrXlJGV2Wp
Angela Lautner #insulin4all @ARLinsulin4all
@hcldr T3: I am not sure we will ever have improved healthcare coverage/access without transparency first. We canโ€™t improve coverage/care when the price to produce some drugs necessary for life and care is purposefully hidden #insulin4all #hcldr
Dr. Victoria Dooley @DrDooleyMD
RT @drlfarrell:
Bingle @TheBingle
@LAlupusLady @Colin_Hung @jamesian @JoeBabaian @MTL613 @danmunro @Walmart @amazon T2 There's too much money to be made. In a Real Patients Included World your effective working treatment would be more than welcomed. #hcldr
Chelsea Friend @kiwifreund
T3: In the words of Queen, "I want it all." #hcldr
Jamie Roger @JamieRoger8
@DrDooleyMD @MelindaMWedding That is downright terrifying. #blackmarketinsulin #insulin4all #hcldr
Colin Hung @Colin_Hung
@drnic1 T3 It's so tricky isn't it Nick. Pharma should recoup costs and make a profit. I think the problem is outsized profits or using a handful of drugs to mask failed bets. You wouldn't invest in a financial institution that was making money on just 1 stock would you? #hcldr
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
@MariahWrites I donโ€™t believe most people grin or accept this #hcldr
taking tickets at the theme park of the damned @thebkwyrm
RT @NathanGrunewald: T1: T1: It is not a specialty drug that should be limited. Insulin IMO is a right, not a privilege. Decades ago we said dialysis is a right. #hcldr Insulin in America: A Right or a Privilege?: https://t.co/rgR8ccVzk7
HealthSparq @HealthSparq
RT @hcldr: Time for T3: Where should our most urgent focus be: Time for T3: Where should our most urgent focus be: medication access, improved healthcare coverage/access, pricing transparency, or? #hcldr https://t.co/cfDf0GQ8Ll
Sarah Greene @researchmatters
@JoeBabaian @Colin_Hung Thank you both for endeavoring to pull me out of my cynical doldrums. In 2018, stories like โ€œ$50 or dieโ€ Should. Not. Hapoen. I cling to optimism because of the #hcldr community.
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
T3 Insurance reform!!!! Pay attention friends. Increases in OOP costs, such as deductibles, & higher specialty pharmacy tiers, have outpaced premium increases, a result of tactics used by health plans and their pharmacy benefit managers. #hcldr https://t.co/07pM4fmokI
Enlightening Results ๐Ÿ’ก @GraceCordovano
T3) Focus should be removing as many barriers & points of friction. 3D printing a functional pancreas may be easier than working through this mess. #hcldr
Rachel Lewin @MedEdUnicorn
@susanwoolner Oh, yes, I donโ€™t doubt at all that everyone attending this chat and probably all #hcldr and #pinksocks and #Insulin4All folk agree! Iโ€™m just saying that ideological disagreements are a significant hurdle
Susan Woolner, CPXP @susanwoolner
I have never understood this stupid policy and I wonder whether there are economic triggers in place now that could erase this stupid rule. #hcldr https://t.co/d2n0COmS2h
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
The mitigating factor - not grinning, but suffering silently, feeds from the #SDoH that remove folk's voices, limits power, destroys self-esteem to SHOUT. #hcldr https://t.co/Zyv0Is1DYi
Colin Hung @Colin_Hung
@researchmatters @JoeBabaian I cling to optimism because the alternative sucks ;) #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @kiwifreund: T3: T3: In the words of Queen, "I want it all." #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @researchmatters: @JoeBabaian @Colin_Hung Thank you both for endeavoring to pull me out of my cynical doldrums. In 2018, stories like โ€œ$50 or dieโ€ Should. Not. Hapoen. I cling to optimism because of the #hcldr community.
Mariah Obiedzinski @MariahWrites
T3: Access and #prevention of #type2diabetes. Access and coverage for people with type 1. Then flush out more rats like Shkreli through price transparency. There's a difference between profits and poaching! #hcldr
Jamie Roger @JamieRoger8
RT @RBlount: I love this. If weโ€™re going to address the root to most of our healthcare problems it starts with #HEALTH #hcldr https://t.co/f8HgoCiCV4
Rachel Lewin @MedEdUnicorn
@lauradianeappel @jamesian @JoeBabaian @MTL613 @danmunro @Walmart @amazon I 100% defer to your knowledge โฌ†๏ธ #hcldr
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
#hcldr https://t.co/XUY2HbTZB7
Sally James @jamesian
RT @H_SalemOaks: T3: T3: Getting rid of the word "access", I have ACCESS to a Ferrari 488, that doesn't mean I can get one. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @hcldr: Time for T3: Where should our most urgent focus be: Time for T3: Where should our most urgent focus be: medication access, improved healthcare coverage/access, pricing transparency, or? #hcldr https://t.co/cfDf0GQ8Ll
Camea @Kamiyamay
T3. All of the above. One cannot work without the other. A visit is not obtained without covereage. Meds are not obtained without a visit. Meds are no good if they cannot be afforded or accesses. Perverbial Merry go round. #hcldr
ElizabethKelly, Ph.D @Elizabe85727641
T3 The strategy needs multi-focus for each task. Like a juggler it is important to keep all 3 balls in the air to show what collaboration/cooperation look like. Do not allow distraction or conquer & divide by the special interests/goals. #hcldr
Jamie Martin @DavisJamie77
T3: I think it will take a combination of all those factors. This is a problem perpetuated by many and at many levels. No single silver bullet can fix the mess that's been made. #hcldr
Erin Moriarty Wade @EMoriartyWade
@hcldr T3 Access to affordable meds *specifically* for those in need. Not all diabetics need help. My dad is Type 2 diabetic and pays $75 a month for insulin through Medicare supplemental insurance and lives comfortably. But he said it would cost $2300/month if he had to pay cash!#hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@researchmatters @Colin_Hung You just made it all worthwhile my friend :) #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @NiravJModi: @Colin_Hung Agree. Transparency enables many downstream positive behaviors. #hcldr
Pat Rich @pat_health
@JoeBabaian @Colin_Hung @MTL613 @danmunro So you are saying that @Colin_Hung is not a twitter bot? #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @EMoriartyWade: @hcldr T3 Access to affordable meds *specifically* for those in need. Not all diabetics need help. My dad is Type 2 diabetic and pays $75 a month for insulin through Medicare supplemental insurance and lives comfortably. But he said it would cost $2300/month if he had to pay cash!#hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @DavisJamie77: T3: T3: I think it will take a combination of all those factors. This is a problem perpetuated by many and at many levels. No single silver bullet can fix the mess that's been made. #hcldr
Heather McCullen @H_SalemOaks
@nicki21n @MelindaMWedding @EMoriartyWade @hcldr Oh definitely. My point wasn't that people SHOULD switch to it, but if it can be OTC better insulins could be too with a little effort. #hcldr
Rachel Lewin @MedEdUnicorn
RT @JoeBabaian: The mitigating factor - not grinning, but suffering silently, feeds from the #SDoH that remove folk's voices, limits power, destroys self-esteem to SHOUT. #hcldr https://t.co/Zyv0Is1DYi
Mariah Obiedzinski @MariahWrites
@JoeBabaian Well said, @JoeBabaian #hcldr
KIBSOL.com | Solutions for Business Growth Future @KibSolFuture
RT @drnic1: T3 But to be fair to #pharma the cost of development and #innovation is high given the low rate of return adn success in drug development - without a return there will be no ongoing and future Drug Development for #diabetes or any other disease #hcldr https://t.co/VIyYR75en6
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @Kamiyamay: T3. All of the above. One cannot work without the other. A visit is not obtained without covereage. Meds are not obtained without a visit. Meds are no good if they cannot be afforded or accesses. Perverbial Merry go round. #hcldr
Michael Sinha @DrSinhaEsq
See this from my colleagues @PORTAL_Research: Strategies to improve the affordability of insulin in the USA #hcldr https://t.co/InzWgLjnAU via @TheLancetEndo
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @MariahWrites: T3: T3: Access and #prevention of #type2diabetes. Access and coverage for people with type 1. Then flush out more rats like Shkreli through price transparency. There's a difference between profits and poaching! #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
RT @JoeBabaian: The mitigating factor - not grinning, but suffering silently, feeds from the #SDoH that remove folk's voices, limits power, destroys self-esteem to SHOUT. #hcldr https://t.co/Zyv0Is1DYi
Bob @RBlount
RT @drnic1: T3 Solutions do not lie in access or coverage but rather in price transparency that relates this to the actual cost of development, production and #innovation for development of #diabetes treatments #hcldr https://t.co/30rZnKjleX
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @Colin_Hung: @researchmatters @JoeBabaian I cling to optimism because the alternative sucks ;) #hcldr
Chelsea Friend @kiwifreund
@susanwoolner So how do you really feel about it? #hcldr
Dr. Victoria Dooley @DrDooleyMD
RT @DavisJamie77: @DrDooleyMD I think having doctors like you who are willing to educate patients about RX options is a major plus. Thank you for doing that! I wish there were more like you - bc you're right, sometimes patients just don't know what options they have. #hcldr
Jamie Roger @JamieRoger8
RT @DavisJamie77: @DrDooleyMD I think having doctors like you who are willing to educate patients about RX options is a major plus. Thank you for doing that! I wish there were more like you - bc you're right, sometimes patients just don't know what options they have. #hcldr
Heidi Grabenstatter @PatientIntv
@Elizabe85727641 @MarkMilliganDPT @RBlount I love the idea of the measuring the number of good days in complex diseases in lieu of or to complement current metrics. #hcldr
Mariah Obiedzinski @MariahWrites
@natarpr @JoeBabaian @danmunro Thank you. #hcldr
Lisa Davis Budzinski @lisadbudzinski
@Colin_Hung @drnic1 I e always wondered why itโ€™s not considered or fall under the law of โ€œprice gougingโ€ in the USA? ๐Ÿค” #hcldr
Amanda G @LAlupusLady
@MTL613 apologies for the misunderstanding, was not referring to diabetics for many with fibro, arthritis and other pain conditions PT would be a better/cost effective treatment option #hcldr
Bingle @TheBingle
@drnic1 T3 To be very, very fair..... Look at Monies given to NIH, CDC, Others.... from patien... Oops, I mean taxpayers. #hcldr
Colin Hung @Colin_Hung
@NiravJModi T3 It is the balancing factor. I have no problem paying a high price if what I'm getting is valuable and I can see it cost a lot to make (ie: whiskey) but without that insight there is too much incentive to play bad games with pricing & efficacy #hcldr
Nathan Grunewald MD MBA FACS @NathanGrunewald
T3: Not of this matters if we don't suffer from disease. Prevention is most important. However, since we all get sick, we need realistic, accessible, affordable care across the entire care continuum. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
@NiravJModi @Colin_Hung We were just talking today at #LHSCollaboratory about need for #SDOH interventions to make upstream solutions viable & sustainable #hcldr
OpenNotes @myopennotes
The team at @KPWestLA is gearing up for #OpenNotes! We made 10 presentations in 8 hours, talked with primary care, internal medicine, OB/GYN, surgery, pediatrics, and tons of sub-specialties. Big thanks to @GregDSacconeMD & Dr. Brittaney Belyeu for leading the effort! #hcldr https://t.co/wmEeQ426ac
Susan Woolner, CPXP @susanwoolner
@Colin_Hung @MTL613 @mattbmartin I am having the same lag affect happen to me #hcldr
Mariam Jacob @MariamSJacob
@hcldr T3 All of the above plus increased investment in health technology innovations so that entrepreneurs/scientists are compensated fairly and patients have access to drugs with affordable prices. #hcldr #Insulin4all
Laura Appel @lauradianeappel
@MarkMilliganDPT @Elizabe85727641 @RBlount Completely agree, but will still have people with the bad luck of Type 1 diabetes, cystic fibrosis, cancers, heart disease. Problems of cost and access continue, even if the volume declines dramatically. #hcldr
Mariah Obiedzinski @MariahWrites
@drnic1 Perhaps not grin, but definitely no choice but to bear it. That's the sick part. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@MariahWrites Thank you and to you as well - I love how we find the truths, together. #hcldr
Colin Hung @Colin_Hung
@lisadbudzinski @drnic1 T3 So hard to prove so I wonder if people just give up and try to find ways around the system #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @Colin_Hung: @NiravJModi T3 It is the balancing factor. I have no problem paying a high price if what I'm getting is valuable and I can see it cost a lot to make (ie: whiskey) but without that insight there is too much incentive to play bad games with pricing & efficacy #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
T3: Curious, are there payers that support & reimburse medical tourism when the difference in cost is astounding? #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @MariamSJacob: @hcldr T3 All of the above plus increased investment in health technology innovations so that entrepreneurs/scientists are compensated fairly and patients have access to drugs with affordable prices. #hcldr #Insulin4all
PF Anderson @pfanderson@disabled.social @pfanderson
RT @NathanGrunewald: T3: T3: Not of this matters if we don't suffer from disease. Prevention is most important. However, since we all get sick, we need realistic, accessible, affordable care across the entire care continuum. #hcldr
Colin Hung @Colin_Hung
RT @PatientIntv: @Elizabe85727641 @MarkMilliganDPT @RBlount I love the idea of the measuring the number of good days in complex diseases in lieu of or to complement current metrics. #hcldr
Mariah Obiedzinski @MariahWrites
RT @JoeBabaian: @MariahWrites Thank you and to you as well - I love how we find the truths, together. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @LAlupusLady: @MTL613 apologies for the misunderstanding, was not referring to diabetics for many with fibro, arthritis and other pain conditions PT would be a better/cost effective treatment option #hcldr
Sally James @jamesian
RT @Kamiyamay: T3. All of the above. One cannot work without the other. A visit is not obtained without covereage. Meds are not obtained without a visit. Meds are no good if they cannot be afforded or accesses. Perverbial Merry go round. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @susanwoolner: I have never understood this stupid policy and I wonder whether there are economic triggers in place now that could erase this stupid rule. #hcldr https://t.co/d2n0COmS2h
Enlightening Results ๐Ÿ’ก @GraceCordovano
@myopennotes @KPWestLA @GregDSacconeMD @TheLizArmy Incredible! #GSD #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @Elizabe85727641: T2 Major barrier is federal government who do not allow Medicare/Medicaid to negotiate Rx prices. This group have limited voice, a few organizations try to advocate for them (AARP) who are also associated with health insurance companies.#hcldr
Jamie Martin @DavisJamie77
RT @EMRAnswers: @hcldr T3:
Susan Woolner, CPXP @susanwoolner
@JamieRoger8 This is a great description of what I see and hear from patients and caregivers. #hcldr
Mariah Obiedzinski @MariahWrites
RT @GraceCordovano: T3: T3: Curious, are there payers that support & reimburse medical tourism when the difference in cost is astounding? #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@natarpr @Kamiyamay Bingo! #hcldr
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
T3 But the genius is, insurers sell this to us as a cost-saving measure. And patients flock to these plans. Plans also lobby against states allowing #DirectPrimaryCare as an insurance model #hcldr https://t.co/uTDuurptkV
Mark Milligan @MarkMilliganDPT
RT @RBlount: I love this. If weโ€™re going to address the root to most of our healthcare problems it starts with #HEALTH #hcldr https://t.co/f8HgoCiCV4
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@susanwoolner @Colin_Hung @MTL613 @mattbmartin It's flooding Twitter. I am lucky to be on a backbone here in #Houston - but it Twitter has its limits sadly. Transcript awaits! :) #hcldr
Rachel Lewin @MedEdUnicorn
@Colin_Hung @NiravJModi But also in healthcare many donโ€™t have the ability to pay moreโ€”should they receive less good treatments/less treatment just because they have fewer resources at their disposal? I feel like this is where healthcare as business breaks down #hcldr
Mariah Obiedzinski @MariahWrites
RT @MariamSJacob: @hcldr T3 All of the above plus increased investment in health technology innovations so that entrepreneurs/scientists are compensated fairly and patients have access to drugs with affordable prices. #hcldr #Insulin4all
Kentucky #insulin4all @KYinsulin4all
RT @chickiepilot: @hcldr T3: @hcldr T3: I am not sure we will ever have improved healthcare coverage/access without transparency first. We canโ€™t improve coverage/care when the price to produce some drugs necessary for life and care is purposefully hidden #insulin4all #hcldr
Colin Hung @Colin_Hung
@pat_health @JoeBabaian @MTL613 @danmunro Wait can you repeat that, my algorithm didn't catch it. #hcldr ;) Hope you are doing well my friend!
Bingle @TheBingle
@EMRAnswers @MarkMilliganDPT @hcldr How True. #hcldr
Susan Woolner, CPXP @susanwoolner
RT @KOIInsulin4All: Hello! We are volunteer #Insulin4All advocates working to get pricing transparency legislation in Kentucky, Ohio, and Indiana. We would appreciate any retweets and follows. #hcldr
โž–Dustin Millerโž– @spdustin
@hcldr T3: Pricing transparency is a prerequisite to the first two. Why does Respiclick cost $67 unless someone has the means to discover the manufacturer's special $25 pricing? What percentage of patients pay what price for medications? #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
One of the topicsbrought up at #LHSCollaboratory was that saving money for payers doesnโ€™t equal savings for patients or care providers #hcldr
Mike Mackert @mackert
If you're interested in #healthcomm and leadership, you should join @uthealthcomm HCLI this summer! The agenda is our best yet: https://t.co/8gvtvVN8Do #hcldr @texmed @texashospitals @Health4Texas @CentralHealthTX @OneVoiceCtrlTX @texasyoungpros @TXPHA https://t.co/UXu3ojQhaw
Heidi Grabenstatter @PatientIntv
@LAlupusLady @Colin_Hung @jamesian @JoeBabaian @MTL613 @danmunro @Walmart @amazon Starts when we ask what outcome measures matter most to patients and caregivers, would lead to development of products and services that addressed those endpoints. #hcldr
Mark Milligan @MarkMilliganDPT
@PatientIntv @Elizabe85727641 @RBlount So many way to look at how people are doing and living even with complex diseases. Love this!! #hcldr
Heather McCullen @H_SalemOaks
@paul_griffiths I'm not sure I follow. #hcldr
Jamie Martin @DavisJamie77
RT @GraceCordovano: T3: T3: Curious, are there payers that support & reimburse medical tourism when the difference in cost is astounding? #hcldr
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
@Colin_Hung @drnic1 Call me naive butโ€ฆ I fundamentally feel healthcare and related researches cannot be for profit. It has be because you feel awesome to help someone (w. small profit ;)!! #hcldr
Jamie Roger @JamieRoger8
@JoeBabaian The fear of #sharing your #patientstory is terrifying. When our voices and experiences are taken away or devalued, the fear of sharing again is real. WE need to #support each other and show that #sufferingsilently is not a feasible option #hcldr
Lisa Davis Budzinski @lisadbudzinski
@Colin_Hung @drnic1 It seems no different than when a hurricane is coming to Florida and prices go up on all preparedness items like plywood #hcldr
Bob @RBlount
T3: The hard truth. #hcldr https://t.co/3WOVGl5XIR
Susan Woolner, CPXP @susanwoolner
I love this idea Sarah. #hcldr https://t.co/xmFU7eOSdz
Jamie Roger @JamieRoger8
@susanwoolner Thank you! #hcldr
Pat Rich @pat_health
T3 How about #sdoh and then access to things that are needed to keep people alive #hcldr
mElon Husk @jia_ba
RT @Kidfears99: Iโ€™ve been fighting for #insulin4all since 2012, when the owner of the law firm where I was practicing died suddenly and I became โ€œuninsurable.โ€ I paid $2,880 a month for the healthcare I need to stay alive, the largest portion of which was insulin. #hcldr
Erin Moriarty Wade @EMoriartyWade
@hcldr T3 Instead of focusing only on the cost/supply side, focus on reducing *demand* for insulin! I wrote about many Type 2 diabetics who reduced or eliminated their need for insulin with diet/lifestyle changes. #hcldr https://t.co/h616EC3VMy
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@MTL613 @LAlupusLady Actually we welcome the wide view - no worries. Not just about insulin, this about medication access in the wide view also :) Glad to have the open dialog! #hcldr
Laura Appel @lauradianeappel
Read @aaronecarroll about changing participating labs, pharmacies for his chronic disease. A doc with benefit from a Big 10 university has trouble keeping prescription filled. #hcldr https://t.co/kiEq49ueTw
Sarah Greene @researchmatters
So brilliant, especially in contrast to the convoluted over-supply of measures we deal with in#healthcare everyday. #hcldr #measurewhatmatters @QualityForum https://t.co/iMVp9iKgOo
Jamie Martin @DavisJamie77
RT @JamieRoger8: @JoeBabaian The fear of #sharing your #patientstory is terrifying. When our voices and experiences are taken away or devalued, the fear of sharing again is real. WE need to #support each other and show that #sufferingsilently is not a feasible option #hcldr
Bingle @TheBingle
@H_SalemOaks @susanwoolner Insurance is a whole other animal ..... sadly also growling & attacking the patient. #hcldr
Amanda G @LAlupusLady
RT @JoeBabaian: @MTL613 @LAlupusLady Actually we welcome the wide view - no worries. Not just about insulin, this about medication access in the wide view also :) Glad to have the open dialog! #hcldr
โž–Dustin Millerโž– @spdustin
RT @spdustin: @hcldr T3: @hcldr T3: Pricing transparency is a prerequisite to the first two. Why does Respiclick cost $67 unless someone has the means to discover the manufacturer's special $25 pricing? What percentage of patients pay what price for medications? #hcldr
Heather McCullen @H_SalemOaks
@EMoriartyWade @hcldr This literally isn't an option for many people. #hcldr
Pat Rich @pat_health
@Colin_Hung @JoeBabaian @MTL613 @danmunro Good (midway between Kingston and the swamps of Eastern Ontario on a train right now which is why I am behind of the chat answers) #hcldr
Rachel Lewin @MedEdUnicorn
RT @pfanderson: One of the topicsbrought up at #LHSCollaboratory was that saving money for payers doesnโ€™t equal savings for patients or care providers #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@LAlupusLady @MTL613 No worries Amanda! We are talking about drug access including insulin and other therapies for other conditions as well! Your point, as always, is well taken my friend! :) #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
@EMoriartyWade @hcldr Pondering. If we actually reduced the need for insulin due to prevention of diabetes, ... would that mean they'd raise the price more to cover the difference? #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @LAlupusLady: @MTL613 apologies for the misunderstanding, was not referring to diabetics for many with fibro, arthritis and other pain conditions PT would be a better/cost effective treatment option #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @JamieRoger8: @JoeBabaian The fear of #sharing your #patientstory is terrifying. When our voices and experiences are taken away or devalued, the fear of sharing again is real. WE need to #support each other and show that #sufferingsilently is not a feasible option #hcldr
Susan Woolner, CPXP @susanwoolner
T3: pricing transparency and improved healthcare coverage/access to start with #hcldr https://t.co/nkEDcPCVvt
Bob @RBlount
T3: That clearly creates issues for many - access complexity. #hcldr https://t.co/0EVVC468t5
Sarah Greene @researchmatters
@susanwoolner I would love it better w/o typos #hcldr #thanks
HCLDR Moderator @hcldr
RT @JoeBabaian: @MTL613 @LAlupusLady Actually we welcome the wide view - no worries. Not just about insulin, this about medication access in the wide view also :) Glad to have the open dialog! #hcldr
HCLDR Moderator @hcldr
Just 1 minute until T4! #hcldr
Mariah Obiedzinski @MariahWrites
@lisadbudzinski @Colin_Hung @drnic1 Disgusting. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @drnic1: T3 Solutions do not lie in access or coverage but rather in price transparency that relates this to the actual cost of development, production and #innovation for development of #diabetes treatments #hcldr https://t.co/30rZnKjleX
Mark Milligan @MarkMilliganDPT
@lauradianeappel @Elizabe85727641 @RBlount Could not agree more. I think shifting the needle on our population could help with the prevalence of other conditions. Some people will have health care issues and we need to support all. #HCLDR
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @Colin_Hung: @drnic1 T3 In Canada there is a law that gas stations have to disclose exactly where the cost of gas goes. ie: @drnic1 T3 In Canada there is a law that gas stations have to disclose exactly where the cost of gas goes. ie: X to refinery, Y to taxes, Z to transportation company, etc. We have it for GAS but not for drugs which cost WAAAAY more #hcldr
Lisa Davis Budzinski @lisadbudzinski
@JoeBabaian @MTL613 @LAlupusLady Thank you Joeโœจ Drug prices are outrages for many different areas of health #hcldr
Colin Hung @Colin_Hung
@MTL613 @TheBingle @LAlupusLady @jamesian @JoeBabaian @danmunro @Walmart @amazon It's always been puzzling to me why there are so many BRANDS of insulin. Oh and I think the statement was made not in reference to insulin but to all drugs that treat specific diseases #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
@MTL613 @LAlupusLady It still counts, though, as an example of how the problems with #insulin4all can be models for what could happen in other conditions. That was part of the conversations leading to today's chat #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @spdustin: @hcldr T3: @hcldr T3: Pricing transparency is a prerequisite to the first two. Why does Respiclick cost $67 unless someone has the means to discover the manufacturer's special $25 pricing? What percentage of patients pay what price for medications? #hcldr
Laura Appel @lauradianeappel
@NathanGrunewald By if we could avoid the avoidable illness we would have immense resources for the rest of our needs. Preserving the health we have is so key. #hcldr
HCLDR Moderator @hcldr
Time for T4: What action steps should we all be taking right now to get change moving vs just more โ€œtalkโ€ about the problem? #hcldr https://t.co/VT4uSSy8kD
Michael Sinha @DrSinhaEsq
A3 #hcldr Other: market entry of affordable generics. Luo et al. @PORTAL_Research article explains it well (see above for link). We are paying high prices for incremental innovation when the drug's discoverers wanted to ensure universal access and #insulin4all https://t.co/OW66wk40sN
Rachel Lewin @MedEdUnicorn
RT @lauradianeappel: Read @aaronecarroll about changing participating labs, pharmacies for his chronic disease. A doc with benefit from a Big 10 university has trouble keeping prescription filled. #hcldr https://t.co/kiEq49ueTw
Heidi Grabenstatter @PatientIntv
@researchmatters @QualityForum Listen to the parents of children with rare diseases, multi-system involvement. Drugs improve one outcome, but don't touch others. Their greatest wish is for countable "good days" for their child. #hcldr
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
T4 @SecAzar: Tear down those walls on pricing for Insulin Rx for #Diabetes and expose the disparity of pricing that is harming American Patients #hcldr https://t.co/Wap0VRSC3c
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@lisadbudzinski @MTL613 @LAlupusLady By far! Too many people dying - slowly and quick - without access to medicines that should be - must be - within reach. #SDoH #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @lisadbudzinski: @JoeBabaian @MTL613 @LAlupusLady Thank you Joeโœจ Drug prices are outrages for many different areas of health #hcldr
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
Contextual to #hcldr this evening and diabetes Rx https://t.co/kZsDQdTXEU
Mariah Obiedzinski @MariahWrites
@researchmatters @susanwoolner Typos means you're human, not a chatbot :-) #hcldr
Sally James @jamesian
@drlfarrell There is a yawning gap in #healthliteracy and understanding that plays to the #commercial advertisers who exploit msgs #hcldr Context is everything. #scicomm
Erin Moriarty Wade @EMoriartyWade
@H_SalemOaks @hcldr The DPP program is amazing and very do-able at the community level. It worked in rural Georgia in communities without much income or prior knowledge about anything like this. #hcldr
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
RT @lauradianeappel: Read @aaronecarroll about changing participating labs, pharmacies for his chronic disease. A doc with benefit from a Big 10 university has trouble keeping prescription filled. #hcldr https://t.co/kiEq49ueTw
Bob @RBlount
RT @PatientIntv: @Elizabe85727641 @MarkMilliganDPT @RBlount I love the idea of the measuring the number of good days in complex diseases in lieu of or to complement current metrics. #hcldr
Jamie Roger @JamieRoger8
@spdustin @hcldr When people are paying #outofpocket it shouldn't be able finding the #loophole, if a lower price is somehow offered, everyone should just be charged that lower price #hcldr #Ridiculous #CAREaboutHealth
Nirav J. Modi @NiravJModi
@MedEdUnicorn @Colin_Hung Yes, I should clarify. Downstream could mean patient behavior as well as market dynamics/competition etc. Information os an enabler across multiple dimensions. #hcldr
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
@drnic1 R&D costs are high but the break even point is realized sooner, and the ROI+ is greater than 1000% in some cases. Most studies to the contrary are paid for by #pharma but not necc. disclosed. #hcldr
Heather McCullen @H_SalemOaks
@Colin_Hung @MTL613 @TheBingle @LAlupusLady @jamesian @JoeBabaian @danmunro @Walmart @amazon What part is puzzling? This could be an entirely separate chat. #dsma #hcldr
Amanda G @LAlupusLady
RT @JoeBabaian: @lisadbudzinski @MTL613 @LAlupusLady By far! Too many people dying - slowly and quick - without access to medicines that should be - must be - within reach. #SDoH #hcldr
Pat Rich @pat_health
@paul_griffiths Are we allowed to use words like โ€˜obfuscatedโ€™ in this chat? #hcldr
Bingle @TheBingle
@Colin_Hung @EMoriartyWade @hcldr Kinda like a spaceship out of control in the Twilight Zone........ and sometimes the patient doesn't come back #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@Colin_Hung @MTL613 @TheBingle @LAlupusLady @jamesian @danmunro @Walmart @amazon Not puzzling when small tweaks are used as justifications that wouldn't hold up in the light of day....eh? #hcldr
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
So true ....for so many drugs #hcldr https://t.co/Oo8BrhYNb1
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @Colin_Hung: @MTL613 @TheBingle @LAlupusLady @jamesian @JoeBabaian @danmunro @Walmart @amazon It's always been puzzling to me why there are so many BRANDS of insulin. Oh and I think the statement was made not in reference to insulin but to all drugs that treat specific diseases #hcldr
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
RT @drlfarrell:
PF Anderson @pfanderson@disabled.social @pfanderson
@MTL613 Bravo. Well said. We need a multipronged approach โ€”prevention, improved management, improved human & social services, but ALWAYS first, the foundational requirements to preserve lives #insulin4all #hcldr
Colin Hung @Colin_Hung
@DrDooleyMD @MelindaMWedding Okay that's about the most terrible thing I've heard tonight. This is really a thing now?!! Stealing medications! #hcldr
Camea @Kamiyamay
RT @drnic1: T4 @SecAzar: T4 @SecAzar: Tear down those walls on pricing for Insulin Rx for #Diabetes and expose the disparity of pricing that is harming American Patients #hcldr https://t.co/Wap0VRSC3c
Jamie Roger @JamieRoger8
RT @TheBingle: @H_SalemOaks @susanwoolner Insurance is a whole other animal ..... sadly also growling & attacking the patient. #hcldr
Chelsea Friend @kiwifreund
Plus some of us were born with our diseases, so "prevention" in our cases would have been solely focused on preventing us from being born, so...yeah. Next stop: realism. Healthcare for all. #hcldr https://t.co/ZiJusn9Iu7
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
@drnic1 Yes, that is pharma's STANDARD line but how much profit do they need?? #hcldr
Mariah Obiedzinski @MariahWrites
RT @drnic1: Contextual to #hcldr this evening and diabetes Rx https://t.co/kZsDQdTXEU
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@DrDooleyMD @MelindaMWedding Agree with @Colin_Hung - this is bridge too far. Symptom for sure. #hcldr
Erin Moriarty Wade @EMoriartyWade
@pfanderson @hcldr Possibly...but the patients I interviewed who got off metformin and/or insulin completely would probably say itโ€™s worth the effort. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
Hoping that @joyclee can visit for tonight's #hcldr chat on #insulin4all
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @Colin_Hung: @DrDooleyMD @MelindaMWedding Okay that's about the most terrible thing I've heard tonight. This is really a thing now?!! Stealing medications! #hcldr
Colin Hung @Colin_Hung
@H_SalemOaks @MTL613 @TheBingle @LAlupusLady @jamesian @JoeBabaian @danmunro @Walmart @amazon Clearly I need to learn more about what the different brands do. #hcldr
Rachel Lewin @MedEdUnicorn
@EMoriartyWade @H_SalemOaks @hcldr Right but type 1 diabetics canโ€™t physiologically produce insulinโ€”without it they will die. So this issue needs to consider that we will not change their need for insulin until we cure diabetes #hcldr
Jamie Roger @JamieRoger8
Can't wait to hear everyone's input on this! #hcldr https://t.co/6vk3Dd4JJf
Bob @RBlount
RT @drnic1: T4 @SecAzar: T4 @SecAzar: Tear down those walls on pricing for Insulin Rx for #Diabetes and expose the disparity of pricing that is harming American Patients #hcldr https://t.co/Wap0VRSC3c
PF Anderson @pfanderson@disabled.social @pfanderson
RT @kiwifreund: Plus some of us were born with our diseases, so "prevention" in our cases would have been solely focused on preventing us from being born, so...yeah. Next stop: realism. Healthcare for all. #hcldr https://t.co/ZiJusn9Iu7
Sally James @jamesian
@JoeBabaian @Colin_Hung @MTL613 @TheBingle @LAlupusLady @danmunro @Walmart @amazon Anybody want to enter the rabbit hole of #noninferiority trials? https://t.co/xcSzeZc1Oo How to prove tweaks are not important? #hcldr
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
RT @ShereesePubHlth: @drnic1 R&D costs are high but the break even point is realized sooner, and the ROI+ is greater than 1000% in some cases. Most studies to the contrary are paid for by #pharma but not necc. disclosed. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @DrDooleyMD: @MelindaMWedding I had one patient who had to get a P.O. Box b/c his insulin would be stolen from his home. ๐Ÿ˜ข๐Ÿ˜ก #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@Colin_Hung @H_SalemOaks @MTL613 @TheBingle @LAlupusLady @jamesian @danmunro @Walmart @amazon Oh, I am sure the differences are NOT Earth-shattering (sarcasm off). But yea. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @Colin_Hung: @DrDooleyMD @MelindaMWedding Okay that's about the most terrible thing I've heard tonight. This is really a thing now?!! Stealing medications! #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
T4: What drives the decision to provide a drug, such as Naloxone(Narcan) free of charge vs insulin? These are real discussions that need to be taking place. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @JamieRoger8: Can't wait to hear everyone's input on this! #hcldr https://t.co/6vk3Dd4JJf
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@JamieRoger8 Yours too! :) #hcldr
Bob @RBlount
RT @drnic1: So true ....for so many drugs #hcldr https://t.co/Oo8BrhYNb1
Colin Hung @Colin_Hung
@drlfarrell Have a good night Liam! #hcldr
Jamie Martin @DavisJamie77
T4: What can the average person/patient do? There's no option of boycotting like we might with any other product. Big Pharma owns the policy makers. Doctors are overwhelmed. Leaves a helpless feeling. #hcldr
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
@kkcorbet @drnic1 As my MBA mentor would say, more. They need more. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @EMoriartyWade: @pfanderson @hcldr Possibly...but the patients I interviewed who got off metformin and/or insulin completely would probably say itโ€™s worth the effort. #hcldr
Susan Woolner, CPXP @susanwoolner
RT @MedEdUnicorn: @EMoriartyWade @H_SalemOaks @hcldr Right but type 1 diabetics canโ€™t physiologically produce insulinโ€”without it they will die. So this issue needs to consider that we will not change their need for insulin until we cure diabetes #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
@Colin_Hung @DrDooleyMD @MelindaMWedding I knew someone who did that. A postal employee who stole medications he was supposed to deliver. Good for all of us they fired him. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @EMoriartyWade: @hcldr T3 Instead of focusing only on the cost/supply side, focus on reducing *demand* for insulin! I wrote about many Type 2 diabetics who reduced or eliminated their need for insulin with diet/lifestyle changes. #hcldr https://t.co/h616EC3VMy
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @hcldr: Time for T3: Where should our most urgent focus be: Time for T3: Where should our most urgent focus be: medication access, improved healthcare coverage/access, pricing transparency, or? #hcldr https://t.co/cfDf0GQ8Ll
Jamie Roger @JamieRoger8
@TheBingle @Colin_Hung @EMoriartyWade @hcldr I totally followed that anaology #keepitreal #hcldr
Bingle @TheBingle
RT @PatientIntv: @researchmatters @QualityForum Listen to the parents of children with rare diseases, multi-system involvement. Drugs improve one outcome, but don't touch others. Their greatest wish is for countable "good days" for their child. #hcldr
Lisa Davis Budzinski @lisadbudzinski
RT @JoeBabaian: @lisadbudzinski @MTL613 @LAlupusLady By far! Too many people dying - slowly and quick - without access to medicines that should be - must be - within reach. #SDoH #hcldr
Laura Appel @lauradianeappel
T3 Work at all angles. Nothing is isolated enough to come first on its own. Complex but necessary. #threedimensionalchess #hcldr https://t.co/z6bqn1Ntqy
PF Anderson @pfanderson@disabled.social @pfanderson
RT @ShereesePubHlth: @drnic1 R&D costs are high but the break even point is realized sooner, and the ROI+ is greater than 1000% in some cases. Most studies to the contrary are paid for by #pharma but not necc. disclosed. #hcldr
Bingle @TheBingle
RT @DrSinhaEsq: A3 #hcldr Other: A3 #hcldr Other: market entry of affordable generics. Luo et al. @PORTAL_Research article explains it well (see above for link). We are paying high prices for incremental innovation when the drug's discoverers wanted to ensure universal access and #insulin4all https://t.co/OW66wk40sN
Heather McCullen @H_SalemOaks
T4: I'm not an expert on it by any means, but there is a lot of state level legislation in process right now. Check out what's going on in your state. Also, don't vote for people who don't believe healthcare is a right #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @GraceCordovano: T4: T4: What drives the decision to provide a drug, such as Naloxone(Narcan) free of charge vs insulin? These are real discussions that need to be taking place. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@lollydaggle @t1international Thank you Hannah! Yes! #insulin4all #hcldr
Susan Woolner, CPXP @susanwoolner
So accurate Jamie #hcldr https://t.co/ItPulwlzUH
PF Anderson @pfanderson@disabled.social @pfanderson
RT @jamesian: @JoeBabaian @Colin_Hung @MTL613 @TheBingle @LAlupusLady @danmunro @Walmart @amazon Anybody want to enter the rabbit hole of #noninferiority trials? https://t.co/xcSzeZc1Oo How to prove tweaks are not important? #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @lauradianeappel: T3 Work at all angles. Nothing is isolated enough to come first on its own. Complex but necessary. #threedimensionalchess #hcldr https://t.co/z6bqn1Ntqy
Erin Moriarty Wade @EMoriartyWade
@MedEdUnicorn @H_SalemOaks @hcldr Yes, I am obviously referring to only Type 2 diabetics since that is not an option for Type 1. #hcldr
Mariah Obiedzinski @MariahWrites
#Diabetes leads to eye problems, #kidney disease, #heartfailure (the No. 1 killer of women! in the U.S.!), and so many more issues. What more ammo do people need to get vocal? #hcldr https://t.co/3GcExzk8GD
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @JamieRoger8: @TheBingle @Colin_Hung @EMoriartyWade @hcldr I totally followed that anaology #keepitreal #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @DavisJamie77: T4: T4: What can the average person/patient do? There's no option of boycotting like we might with any other product. Big Pharma owns the policy makers. Doctors are overwhelmed. Leaves a helpless feeling. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @MedEdUnicorn: @EMoriartyWade @H_SalemOaks @hcldr Right but type 1 diabetics canโ€™t physiologically produce insulinโ€”without it they will die. So this issue needs to consider that we will not change their need for insulin until we cure diabetes #hcldr
Mariam Jacob @MariamSJacob
@hcldr T4 Take a seat at the table. Be an active part of the legislative conversation as laws are being made. #hcldr #Insulin4all
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @GraceCordovano: T4: T4: What drives the decision to provide a drug, such as Naloxone(Narcan) free of charge vs insulin? These are real discussions that need to be taking place. #hcldr
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
@kkcorbet Drug development is not free nor is it cheap under the current regulatory framework #hcldr
Amanda G @LAlupusLady
A4 If patients asked Drs. is this the only alternative? are there other meds or treatments that could work for me? what is the difference? HCPs need to be asked #patientshavepower (oops wrong chat) #hcldr https://t.co/2XaiBxJpR6
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @clayforsberg:
ElizabethKelly, Ph.D @Elizabe85727641
T4 Get to know health staff of congressional office holders, who are the lobbyist for medical groups & who lobbies on behalf of health interests. Research issues & keep a stream of letters, data, and meetings with these various groups. Speak out!๐Ÿ˜ฏ #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@clayforsberg @JamieRoger8 Clay, TY for joining us tonight #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@Colin_Hung @DrDooleyMD @MelindaMWedding I know of individuals who search in their communities/network for people who have died of same diagnosis, looking to purchase unused prescriptions from their loved ones. This is happening every day. #hcldr
Colin Hung @Colin_Hung
@DavisJamie77 T4 Again that's the horrifying quirk about healthcare. You can't boycott and the alternative may not be covered under your plan so you are stuck. In no other aspect of our lives does this consumer/supplier disparity exist for long #hcldr
Mariam Jacob @MariamSJacob
RT @DavisJamie77: Exactly. Every other product we purchase, we know exactly how much we're paying - except for healthcare. #hcldr https://t.co/D5qipAFpkB
Jamie Roger @JamieRoger8
@GraceCordovano AMEN! #healthinsurance charges less for #preventative care than for #emergency care yet we are allowing a medication that is only used in emergencies to be given for free and the preventative med is expensive. #backwardslogic #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @Colin_Hung: @DavisJamie77 T4 Again that's the horrifying quirk about healthcare. You can't boycott and the alternative may not be covered under your plan so you are stuck. In no other aspect of our lives does this consumer/supplier disparity exist for long #hcldr
Mariah Obiedzinski @MariahWrites
RT @hcldr: Time for T4: Time for T4: What action steps should we all be taking right now to get change moving vs just more โ€œtalkโ€ about the problem? #hcldr https://t.co/VT4uSSy8kD
Bingle @TheBingle
@hcldr T4 If possible find exact company cost for products and then see % profit. Perhaps not just insulin but many Rx's #hcldr
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
@DavisJamie77 But they can push for limited patents on drugs. Many don't know that even generic drug patents are owned by big pharma. It's a market-controlling measure. Ex. When the EpiPen patent was due to expire, the company filed patents under 5 additional generic names. #hcldr
Heather McCullen @H_SalemOaks
@MTL613 Good to have you here though. See you tomorrow when we talk about diabetes and fluffy bunnies (or whatever tomorrow night's topic is) #hcldr #dsma
Lisa Davis Budzinski @lisadbudzinski
RT @DavisJamie77: T4: T4: What can the average person/patient do? There's no option of boycotting like we might with any other product. Big Pharma owns the policy makers. Doctors are overwhelmed. Leaves a helpless feeling. #hcldr
Gloriaโ˜ฎ๏ธ @GloCrne
RT @Kidfears99: Hi #hcldr Iโ€™m Laura and Iโ€™ve had Type 1 going on 22 years. Iโ€™ve used Humalog the entire time. Itโ€™s remained unchanged, except the price has increased over 1200% since my diagnosis at age 14. #insulin4all
Lisa Davis Budzinski @lisadbudzinski
RT @GraceCordovano: T4: T4: What drives the decision to provide a drug, such as Naloxone(Narcan) free of charge vs insulin? These are real discussions that need to be taking place. #hcldr
Gloriaโ˜ฎ๏ธ @GloCrne
RT @Kidfears99: Iโ€™ve been fighting for #insulin4all since 2012, when the owner of the law firm where I was practicing died suddenly and I became โ€œuninsurable.โ€ I paid $2,880 a month for the healthcare I need to stay alive, the largest portion of which was insulin. #hcldr
Nathan Grunewald MD MBA FACS @NathanGrunewald
T4: The most important right we have in the USA is to VOTE! Every election matters. Every vote matters. We seen seas change when voters mobilize. #hcldr
Jamie Martin @DavisJamie77
RT @EMRAnswers: @hcldr T4:
Mariah Obiedzinski @MariahWrites
@GraceCordovano @Colin_Hung @DrDooleyMD @MelindaMWedding Heartbroken. #hcldr
Colin Hung @Colin_Hung
@GraceCordovano @DrDooleyMD @MelindaMWedding T4 WHAT?!!! I am both impressed and outraged at the same time. This is amazing resourcefulness but terrible that people are driven to having to resort to this. #hcldr
Gloriaโ˜ฎ๏ธ @GloCrne
RT @Kidfears99: Iโ€™ve made every decision in my life based on whether I would be able to afford insulin. And without insurance, even as a DC attorney, I couldnโ€™t. Thatโ€™s not freedom. #hcldr #insulin4all
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
From @Colin_Hung - Must Read: Again that's the horrifying quirk about healthcare. You can't boycott and the alternative may not be covered under your plan so you are stuck. In no other aspect of our lives does this consumer/supplier disparity exist for long #hcldr #insulin4all https://t.co/plXC8vchMn
Chelsea Friend @kiwifreund
T4: Vote. Talk to your representatives and senators; they make laws, they're due to make more. Talk to your doctors and online support group about immediate (legal) affordable alternatives. #hcldr
Susan Woolner, CPXP @susanwoolner
@lauradianeappel @aaronecarroll Thanks for pointing me to him. I just followed him and will dig into that story. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @lauradianeappel: Read @aaronecarroll about changing participating labs, pharmacies for his chronic disease. A doc with benefit from a Big 10 university has trouble keeping prescription filled. #hcldr https://t.co/kiEq49ueTw
Bingle @TheBingle
Definitely. Thanks Joe! #hcldr https://t.co/OIHmLpXs6d
Lisa Davis Budzinski @lisadbudzinski
RT @jamesian: @JoeBabaian @Colin_Hung @MTL613 @TheBingle @LAlupusLady @danmunro @Walmart @amazon Anybody want to enter the rabbit hole of #noninferiority trials? https://t.co/xcSzeZc1Oo How to prove tweaks are not important? #hcldr
Jamie Martin @DavisJamie77
RT @Colin_Hung: @DavisJamie77 T4 Again that's the horrifying quirk about healthcare. You can't boycott and the alternative may not be covered under your plan so you are stuck. In no other aspect of our lives does this consumer/supplier disparity exist for long #hcldr
Susan Woolner, CPXP @susanwoolner
RT @researchmatters: So brilliant, especially in contrast to the convoluted over-supply of measures we deal with in#healthcare everyday. #hcldr #measurewhatmatters @QualityForum https://t.co/iMVp9iKgOo
Rachel Lewin @MedEdUnicorn
@MariahWrites I think we havenโ€™t done effective PR on this issue. Think about breast cancerโ€”I bet the pink ribbon pops into your head ASAP. If the average person is going to connect with this, it needs to be catchy and relatable #hcldr
Amanda G @LAlupusLady
RT @kiwifreund: Plus some of us were born with our diseases, so "prevention" in our cases would have been solely focused on preventing us from being born, so...yeah. Next stop: realism. Healthcare for all. #hcldr https://t.co/ZiJusn9Iu7
Laura Appel @lauradianeappel
T4 Recommend focus on the #insulin issue rather than general price transparency. The insulin pricing is relatable, understandable by policymakers, and timing is good. #hcldr https://t.co/I74o2T8U32
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@susanwoolner @lauradianeappel @aaronecarroll Pretty good stuff, eh Susan?! :) #hcldr
Rachel Lewin @MedEdUnicorn
RT @LAlupusLady: A4 If patients asked Drs. is this the only alternative? are there other meds or treatments that could work for me? what is the difference? HCPs need to be asked #patientshavepower (oops wrong chat) #hcldr https://t.co/2XaiBxJpR6
Michael Sinha @DrSinhaEsq
A4: One idea from Luo et al. -- consider prescribing (much cheaper) human insulin over the newest/latest (and most expensive) insulin pens/devices. #hcldr #insulin4all https://t.co/TCDUPjF1Sb
PF Anderson @pfanderson@disabled.social @pfanderson
@MTL613 @LAlupusLady I was copied on many messages leading up to the chat. This is an issue of urgent importance for the #insulin4all community, but is an example of famous Neimรถller quote, "First they came for ..." https://t.co/xtWeKFrKNd If we don't all stand up for insulin, we ALL suffer #hcldr
Pat Rich @pat_health
T4 At a loss. That people in the US even need to have this conversation about diabetes and insulin is unbelievably sad. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @TheBingle: Definitely. Thanks Joe! #hcldr https://t.co/OIHmLpXs6d
Fred Goldstein @fsgoldstein
T4 Hammer congress. We need a political movement #hcldr
Colin Hung @Colin_Hung
@MTL613 Thanks for being here. Appreciate your sincere thoughts and tweets. Clearly insulin and access to it is your passion and area of expertise. #hcldr
Bingle @TheBingle
RT @Colin_Hung: @MTL613 @TheBingle @LAlupusLady @jamesian @JoeBabaian @danmunro @Walmart @amazon It's always been puzzling to me why there are so many BRANDS of insulin. Oh and I think the statement was made not in reference to insulin but to all drugs that treat specific diseases #hcldr
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
T4 How Pharma Companies Game the System to Keep Drugs Expensive https://t.co/5HZzSz27BP #hcldr
IrmaRaste โœจ InfluenceThroughStorytellingโ„ข @IrmaRaste
A commentary & perspective on the #ACOs and #ValueBasedCare from a #healthcare #COO that knows how that is done. #HCLDR @evankirstel @eViRaHealth @Gil_Bashe @corbinpetro @HlthExec @TeresaLitton @AADeanCHDA @StephenOndra @Change_HC @unclenate @DJK_HC https://t.co/djTKPkT3kL
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
RT @DrSinhaEsq: A4: A4: One idea from Luo et al. -- consider prescribing (much cheaper) human insulin over the newest/latest (and most expensive) insulin pens/devices. #hcldr #insulin4all https://t.co/TCDUPjF1Sb
Erin Moriarty Wade @EMoriartyWade
RT @GraceCordovano: T4: T4: What drives the decision to provide a drug, such as Naloxone(Narcan) free of charge vs insulin? These are real discussions that need to be taking place. #hcldr
Mariah Obiedzinski @MariahWrites
Absolutely, 100% yes. #hcldr https://t.co/T7kK2oThyr
Rachel Lewin @MedEdUnicorn
RT @JoeBabaian: From @Colin_Hung - Must Read: Again that's the horrifying quirk about healthcare. You can't boycott and the alternative may not be covered under your plan so you are stuck. In no other aspect of our lives does this consumer/supplier disparity exist for long #hcldr #insulin4all https://t.co/plXC8vchMn
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
@drnic1 I acknowledge that but I truly believe they are in business to MAKE PROFIT which is my fundamental philosophical issue for healthcareโ€ฆ #hcldr
Rachel Lewin @MedEdUnicorn
RT @GraceCordovano: @Colin_Hung @DrDooleyMD @MelindaMWedding I know of individuals who search in their communities/network for people who have died of same diagnosis, looking to purchase unused prescriptions from their loved ones. This is happening every day. #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@Colin_Hung @DrDooleyMD @MelindaMWedding There are many less than desirable tactics patients use to get access to various medications they can not afford. This is just an example of why I cringe every time people call patients "consumers". It's survival, not consumerism. #hcldr
Tom Boyle @TBHome
@drnic1 Pricing should be more transparent but drug development cost is different than production like the gas example. I no longer know the stats but only a small % of research targets actually ever come to market The cost of research for them has 0 ROI #hcldr
Colin Hung @Colin_Hung
@ShereesePubHlth Huh. Haven't seen that one. Thanks for sharing Shereese. Will definitely read it after the chat #hcldr
Bingle @TheBingle
RT @Colin_Hung: @DrDooleyMD @MelindaMWedding Okay that's about the most terrible thing I've heard tonight. This is really a thing now?!! Stealing medications! #hcldr
Jamie Martin @DavisJamie77
@Colin_Hung So frustrating. I've spent years educating providers on how to engage patients, and educating patients on how to be engaged, and then these situations rob us of our choices. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
@EMoriartyWade @hcldr Don't tell me. I'm the only adult in my family and my generation w/o diabetes. Large family. But we can't take insulin away while we try to solve the larger issue of why folk have diabetes #hcldr
Lisa Davis Budzinski @lisadbudzinski
@GraceCordovano @Colin_Hung @DrDooleyMD @MelindaMWedding So true! I live around retired folks up to 100 yrs old & this happens quite often. A lot more to estate sales than most people realize #hcldr
Ivey McClelland(she/her)โคโคโคโค @iveyjanette_207
RT @JoeBabaian: @lisadbudzinski @MTL613 @LAlupusLady By far! Too many people dying - slowly and quick - without access to medicines that should be - must be - within reach. #SDoH #hcldr
Heather McCullen @H_SalemOaks
RT @pfanderson: @EMoriartyWade @hcldr Don't tell me. I'm the only adult in my family and my generation w/o diabetes. Large family. But we can't take insulin away while we try to solve the larger issue of why folk have diabetes #hcldr
Mariam Jacob @MariamSJacob
@MedEdUnicorn @MariahWrites I was just thinking the same thing! I hear a marketing campaign developing! ๐Ÿ™‚ #hcldr #Insulin4all
Bingle @TheBingle
@Colin_Hung @DrDooleyMD @MelindaMWedding I've heard Sharing.....but not Stealing! #hcldr
Colin Hung @Colin_Hung
@bonniesheeren @GraceCordovano @DrDooleyMD @MelindaMWedding I guess I was naive about this. I suspect it's happening all over the world no matter if single payer or gov't funded system or not. Affordability or lack of access will drive necessity for this. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @ShereesePubHlth: T4 How Pharma Companies Game the System to Keep Drugs Expensive https://t.co/5HZzSz27BP #hcldr
Fred Goldstein @fsgoldstein
Needs to be a return, but when US prices are so much higher than the rest of the world, we can be benevolent and pay more than others, but need to be able to take care of our own too. #hcldr https://t.co/kVq0UgrUtN
Bonnie C. Sheeren, BCPA @bonniesheeren
T4: Looking for all sorts of ideas for #RightCareNow Action Day, May 12th! Join your local Right Care Alliance and bring your energy and creativity to addressing the insulin pricing problem! https://t.co/gxwh03HOHD #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@Colin_Hung @MTL613 MTL is amazing, right!? Such a voice that matters and is always welcome! Tonight's chat is super speed and often the transcipt is the great alternative! We'll keep the topic going. Never can have too many voices on this subject. #hcldr
Susan Woolner, CPXP @susanwoolner
I will and I am going to dig into the work you are doing. Sorry you were overwhelmed. It happens to me on this chat too, especially with the @twitter lag. #hcldr https://t.co/ks4rMVLZ2T
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @fsgoldstein: T4 Hammer congress. We need a political movement #hcldr
Amanda G @LAlupusLady
RT @pfanderson: @MTL613 @LAlupusLady I was copied on many messages leading up to the chat. This is an issue of urgent importance for the #insulin4all community, but is an example of famous Neimรถller quote, "First they came for ..." https://t.co/xtWeKFrKNd If we don't all stand up for insulin, we ALL suffer #hcldr
Mariah Obiedzinski @MariahWrites
This is why words matter. ๐Ÿ”ฝ๐Ÿ”ฝ #hcldr https://t.co/FVVFso1wru
Jamie Roger @JamieRoger8
@pfanderson @Colin_Hung @DrDooleyMD @MelindaMWedding #crazytalk #terrifying #hcldr
๐Ÿ‡บ๐Ÿ‡ฆEvan Kirstel #B2B #TechFluencer @EvanKirstel
RT @IrmaRaste: A commentary & perspective on the #ACOs and #ValueBasedCare from a #healthcare #COO that knows how that is done. #HCLDR @evankirstel @eViRaHealth @Gil_Bashe @corbinpetro @HlthExec @TeresaLitton @AADeanCHDA @StephenOndra @Change_HC @unclenate @DJK_HC https://t.co/djTKPkT3kL
PF Anderson @pfanderson@disabled.social @pfanderson
RT @IrmaRaste: A commentary & perspective on the #ACOs and #ValueBasedCare from a #healthcare #COO that knows how that is done. #HCLDR @evankirstel @eViRaHealth @Gil_Bashe @corbinpetro @HlthExec @TeresaLitton @AADeanCHDA @StephenOndra @Change_HC @unclenate @DJK_HC https://t.co/djTKPkT3kL
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@fsgoldstein Fred, first, HELLO my brother. Second, YES. Period. Now. Do it. #hcldr
Bob @RBlount
T4: Agree. Itโ€™s hard to jump in when things are moving so fast and โ€œhowโ€ will take more time - maybe fewer questions when we take that path. #hcldr https://t.co/UQzSmnMvBg
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
@TBHome @drnic1 If only we knew which were a waste of time #hcldr https://t.co/gnE0kc6o9O
Rachel Lewin @MedEdUnicorn
YES #hcldr https://t.co/H8ZuWN2l9F
ร‘ick van Terheyden, MD -Dr ร‘iรงk ๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ฎ๐Ÿ‡ช๐Ÿ‡ณ๐Ÿ‡ฌ๐ŸŒ @drnic1
Slainte everyone - gotta blast #hcldr https://t.co/NMU0jDpQ0W
Mariah Obiedzinski @MariahWrites
@MariamSJacob @MedEdUnicorn Count me in - happy to work on this with you. DM me! #hcldr
Erin Moriarty Wade @EMoriartyWade
RT @MariamSJacob: @hcldr T4 Take a seat at the table. Be an active part of the legislative conversation as laws are being made. #hcldr #Insulin4all
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
#hcldr https://t.co/0kaZ9FdtDN
Dr. Victoria Dooley @DrDooleyMD
RT @Colin_Hung: @DrDooleyMD @MelindaMWedding Okay that's about the most terrible thing I've heard tonight. This is really a thing now?!! Stealing medications! #hcldr
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Another great #hcldr chat! (loyal participant since March, 2012) Checkout my Health System Chats in Social VR Series (actually occurring IN #socialVR, but #VR headset NOT required) next event during #ata18 Tuesday noon EST (today's #NatCon18 big success) https://t.co/eRBZ5UOaxK https://t.co/RihrxPXUck
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
#hcldr https://t.co/3EVlEzUsIx
Fred Goldstein @fsgoldstein
Thanks @JoeBabaian, Flight was delayed just got to hotel in New Havenโ€ฆ #hcldr https://t.co/lxARMMuui1
Susan Woolner, CPXP @susanwoolner
amen to that. #hcldr https://t.co/OgqgLsQrky
Heather McCullen @H_SalemOaks
@GraceCordovano @Colin_Hung @DrDooleyMD @MelindaMWedding This happens a lot in the diabetes community. People with really good insurance get far too many supplies, and they send them to people who are in need. They also pass around old medical devices. #hcldr
โž–Dustin Millerโž– @spdustin
@hcldr @blinkhealth But with full transparency in costs as well as prices paid by cohort group, we may have enough information to lobby our legislators more effectively. Hell, maybe we can band together and create a web app that lists all the manufacturer discounts. I'm a coder. Why not? #hcldr
Lisa Davis Budzinski @lisadbudzinski
RT @ShereesePubHlth: @DavisJamie77 But they can push for limited patents on drugs. Many don't know that even generic drug patents are owned by big pharma. It's a market-controlling measure. Ex. When the EpiPen patent was due to expire, the company filed patents under 5 additional generic names. #hcldr
Shereese Maynard, MS; MBA ๐Ÿ˜ท She/Her @ShereeseMayMba
Ok friend, I'm #htreads bookclub bound. "Get it, #bookclub..., bound," lol. Anyway, if I don't see you at #HDpalooza or #Wtfix, I'll see you around social #hcldr https://t.co/7KTHNksqkf
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
#hcldr https://t.co/tNMSXkuOjY
Rachel Lewin @MedEdUnicorn
@kkcorbet @drnic1 I agreeโ€”profit as a goal and health/care as a goal donโ€™t jive well #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@fsgoldstein No worries. :) #hcldr
Nathan Grunewald MD MBA FACS @NathanGrunewald
RT @GraceCordovano: @Colin_Hung @DrDooleyMD @MelindaMWedding There are many less than desirable tactics patients use to get access to various medications they can not afford. This is just an example of why I cringe every time people call patients "consumers". It's survival, not consumerism. #hcldr
HCLDR Moderator @hcldr
Thatโ€™s a wrap. Thank you to everyone who joined in on tonightโ€™s #hcldr chat! Your time, tweets and comments are greatly appreciated.
Bingle @TheBingle
Best Reply.... Solve the larger issue of why! #hcldr https://t.co/MRDpiDDo99
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
T4 No just talk! Must keep pressuring PhRMA 4 lower prices, but perhaps more importantly we must work w. state level legislators for price transparency laws or drug cost commission (MD just failed but weโ€™ll try next year!) #HCLDR
Bob @RBlount
Tonight was real and really fast. Thank you, @JoeBabaianand @Colin_Hung for your tireless efforts to lead the way #hcldr
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
#hcldr https://t.co/6Z3aO7x7Ux
Jamie Roger @JamieRoger8
@clayforsberg @JoeBabaian Love that. I look forward to reading that after the tweetchat. #hcldr #supportsystem #PatientExperience
Colin Hung @Colin_Hung
@pfanderson @MTL613 @LAlupusLady T4 We need to do *something* but there is a cautionary tale of dialysis which is also life-saving, but now over-prescribed because it was made widely accessible and being exploited. Hoping we can find an answer. #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@lisadbudzinski @Colin_Hung @DrDooleyMD @MelindaMWedding I always wonder what happens with medications that are purchased but are never taken. There's millions of prescriptions across the nation that are paid for and wasted. Could there be a safe way to reuse? #hcldr
Jamie Roger @JamieRoger8
@JoeBabaian shishkabob - I missed a hashtag! #hcldr
Mariah Obiedzinski @MariahWrites
Time to plan some action and run off some feels. Motivating chat, peeps. Keep fighting the good fight. #hcldr
HCLDR Moderator @hcldr
Donโ€™t forget to use the #hcldr hashtag during the rest of the week for interesting healthcare/leadership posts, pics, articles & news
Amanda G @LAlupusLady
alternative topic for those that need "saline IVs" the price and availability of saline bags has skyrocketed since Puerto Rico is where supply comes from... #hcldr
Bingle @TheBingle
RT @JoeBabaian: #hcldr https://t.co/tNMSXkuOjY
PF Anderson @pfanderson@disabled.social @pfanderson
"Extrapolating these results to the whole T2DM population in France, total direct costs of diagnosed T2DM in 2013 was estimated at over โ‚ฌ8.5 billion. This estimate highlights the substantial economic burden of this condition on society." https://t.co/KdcOYjZz90 #hcldr
Vince, aka AvilerED || #BlackLivesMatter @AvilerED
RT @DrSinhaEsq: A1: A1: Essential drugs should not be cost prohibitive to those who need them. Period. #hcldr https://t.co/GlshWvsp4D
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
@Colin_Hung @pfanderson @MTL613 @LAlupusLady Okay Colin! Iโ€™ll def check out your article! Thanks much :) #hcldr
Colin Hung @Colin_Hung
@Elizabe85727641 @DrDooleyMD @MelindaMWedding T4 This is definitely something that more and more docs/clinicians will have to be aware of - that affordability is a factor in the recovery #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
This #hcldr on drug access and a special focus on #insulin4all was passionate, way too fast, and important. I want to thank each of you - your voices matter. We care. We want to make changes, not just talk about it. Grateful! Period. https://t.co/CNbKIpEKmL
Heather McCullen @H_SalemOaks
@MariahWrites I got a beer before the chat because I knew it would be intense ... I guess running is a slightly healthier option. #hcldr
Erin Moriarty Wade @EMoriartyWade
@hcldr T4 Donโ€™t forget about the power of small, grassroots change while we work for systemic change. Some orgs are providing reduced-price care and meds. Volunteer an hour of your time or donate to a group like this one that Iโ€™m writing about this week. #hcldr https://t.co/f7hcTjlcH7
Bingle @TheBingle
RT @susanwoolner: amen to that. #hcldr https://t.co/OgqgLsQrky
Enlightening Results ๐Ÿ’ก @GraceCordovano
@H_SalemOaks @Colin_Hung @DrDooleyMD @MelindaMWedding Many medications are adjusted/changed and drugs that have been purchased are no longer needed. There must be a better, safe way to repurpose? #hcldr
Amanda G @LAlupusLady
Wow! @hcldr @JoeBabaian and @Colin_Hung = #hcldr rockstars https://t.co/4d8iIgnUbL
Lisa Davis Budzinski @lisadbudzinski
@GraceCordovano @Colin_Hung @DrDooleyMD @MelindaMWedding Right?! Even when a pharmacy makes a mistake, they legally will not take it back. So here Iโ€™m stuck with a med that will not help me in any way but it sure would someone else #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
Irony. Lower costs led to lower Rx use "A uniform capped low co-payment may give rise to a major reduction in drug consumption to a much greater extent among those who previously had free prescriptions." https://t.co/BRyVoYk8v5 #hcldr
Amanda G @LAlupusLady
RT @JoeBabaian: This #hcldr on drug access and a special focus on #insulin4all was passionate, way too fast, and important. I want to thank each of you - your voices matter. We care. We want to make changes, not just talk about it. Grateful! Period. https://t.co/CNbKIpEKmL
Mariah Obiedzinski @MariahWrites
@H_SalemOaks Carb-loading for your future run. Totes. ;-) #hcldr
Jamie Roger @JamieRoger8
@MelindaMWedding @pfanderson @Colin_Hung @DrDooleyMD That's UNREAL! The #cost of #healthcare blows my mind, and the indecency that someone has to take that away from someone is far more #mindblowing #hcldr
Jamie Martin @DavisJamie77
Thanks for the convo tonight - please keep up the good fight. Too many patients need the war to be won. #hcldr
Laura Appel @lauradianeappel
@JoeBabaian @susanwoolner @aaronecarroll Story here. https://t.co/x2hRrdLcs1 Originally in @nytimes but could be behind pay wall. #hcldr
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
Thanks so much for the awesome chat! and TY again for discussing this challenging topic! Good night all~ :) #HCLDR
Fred Goldstein @fsgoldstein
Import from Canadaโ€ฆ 4 States are looking at it now, allowed per the Medicare Part D Bill of 2003โ€ฆ #hcldr https://t.co/dlhOyNSjgT
PF Anderson @pfanderson@disabled.social @pfanderson
RT @Colin_Hung: @pfanderson @MTL613 @LAlupusLady T4 We need to do *something* but there is a cautionary tale of dialysis which is also life-saving, but now over-prescribed because it was made widely accessible and being exploited. Hoping we can find an answer. #hcldr
Bingle @TheBingle
@DrDooleyMD @Colin_Hung @MelindaMWedding Knowledge is profitable also ....even to thieves who happen to be...... #hcldr
Lisa Davis Budzinski @lisadbudzinski
@GraceCordovano @Colin_Hung @DrDooleyMD @MelindaMWedding Thereโ€™s so many unused meds but the regulations are very tight and restricted #hcldr
Bingle @TheBingle
RT @lauradianeappel: @JoeBabaian @susanwoolner @aaronecarroll Story here. https://t.co/x2hRrdLcs1 Originally in @nytimes but could be behind pay wall. #hcldr
Susan Woolner, CPXP @susanwoolner
Completely agree Clay. One of the disturbing trends I see happening in HC Marketing is the use of patient stories in an exploiting way. Patient voice is authentic and shouldn't be used to monetize products and services. Educate yes, exploit no #hcldr https://t.co/UTa5qvatfZ
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
RT @MedEdUnicorn: @kkcorbet @drnic1 I agreeโ€”profit as a goal and health/care as a goal donโ€™t jive well #hcldr
Bingle @TheBingle
RT @JamieRoger8: @MelindaMWedding @pfanderson @Colin_Hung @DrDooleyMD That's UNREAL! The #cost of #healthcare blows my mind, and the indecency that someone has to take that away from someone is far more #mindblowing #hcldr
Erin Moriarty Wade @EMoriartyWade
@pfanderson @hcldr Absolutely! I understand that completely since my dad is Type 2 diabetic! But we can still empower Type 2 diabetics to make changes, too...I have seen it work and itโ€™s incredibly inspiring. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
@Colin_Hung @MTL613 @LAlupusLady There is some fascinating research looking at how folk who don't have to worry about whether they can get or afford meds when they need them, tend to actually use less. https://t.co/BRyVoYk8v5 #hcldr
Colin Hung @Colin_Hung
@RBlount Thanks Bob. Hope to see you soon my friend! #hcldr
Bingle @TheBingle
RT @pfanderson: Irony. Lower costs led to lower Rx use "A uniform capped low co-payment may give rise to a major reduction in drug consumption to a much greater extent among those who previously had free prescriptions." https://t.co/BRyVoYk8v5 #hcldr
Heather McCullen @H_SalemOaks
Hi #HTreads, I'm exhausted from #hcldr. My favorite podcast lately is The Readout Loud from @statnews
Secovich @hugoallanmori
RT @IrmaRaste: A commentary & perspective on the #ACOs and #ValueBasedCare from a #healthcare #COO that knows how that is done. #HCLDR @evankirstel @eViRaHealth @Gil_Bashe @corbinpetro @HlthExec @TeresaLitton @AADeanCHDA @StephenOndra @Change_HC @unclenate @DJK_HC https://t.co/djTKPkT3kL
Mariam Jacob @MariamSJacob
@hcldr Already!?!?!?! Awww....until next week! Good night everyone! Thank you @JoeBabaian and @Colin_Hung #hcldr https://t.co/51koL3j2qJ
Enlightening Results ๐Ÿ’ก @GraceCordovano
@lisadbudzinski @Colin_Hung @DrDooleyMD @MelindaMWedding So much talk about poor patient compliance & adherence. Has anyone thought about what is happening with those drugs that aren't taken? Perhaps it's time to get creative here to safely reuse? #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@LAlupusLady @hcldr @Colin_Hung Amanda, tonight that would be YOU and the voices here talking about drugs that are needed for LIFE but can't be paid for. From Insulin to rare disease therapies. What price humanity? TY so much. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
#hcldr I often see signs posted by the highway offering cash for diabetes supplies https://t.co/1XacKHKGQO
Erin Moriarty Wade @EMoriartyWade
RT @Kidfears99: Hi #hcldr Iโ€™m Laura and Iโ€™ve had Type 1 going on 22 years. Iโ€™ve used Humalog the entire time. Itโ€™s remained unchanged, except the price has increased over 1200% since my diagnosis at age 14. #insulin4all
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @GraceCordovano: @lisadbudzinski @Colin_Hung @DrDooleyMD @MelindaMWedding So much talk about poor patient compliance & adherence. Has anyone thought about what is happening with those drugs that aren't taken? Perhaps it's time to get creative here to safely reuse? #hcldr
Erin Moriarty Wade @EMoriartyWade
RT @Kidfears99: Iโ€™ve made every decision in my life based on whether I would be able to afford insulin. And without insurance, even as a DC attorney, I couldnโ€™t. Thatโ€™s not freedom. #hcldr #insulin4all
Howard Liu, MD MBA @DrHowardLiu
RT @HarrietHopfMD: Did you 1st think of yourself as leadER or leadING? Great Q for introspection from Dean Beech. #hcldr #PROWD @JulieSilverMD @DrHowardLiu @WomenSurgeons @womenMDinanesth @choo_ek @AmaliaCochranMD @AmyPearsonMD https://t.co/WARPHYTfJc
Amanda G @LAlupusLady
RT @JoeBabaian: @LAlupusLady @hcldr @Colin_Hung Amanda, tonight that would be YOU and the voices here talking about drugs that are needed for LIFE but can't be paid for. From Insulin to rare disease therapies. What price humanity? TY so much. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @pfanderson: #hcldr I often see signs posted by the highway offering cash for diabetes supplies https://t.co/1XacKHKGQO
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
@pfanderson @Colin_Hung @MTL613 @LAlupusLady Perhaps because they can keep their head cool? ;) #hcldr
Erin Moriarty Wade @EMoriartyWade
RT @Kidfears99: Iโ€™ve been fighting for #insulin4all since 2012, when the owner of the law firm where I was practicing died suddenly and I became โ€œuninsurable.โ€ I paid $2,880 a month for the healthcare I need to stay alive, the largest portion of which was insulin. #hcldr
Fred Goldstein @fsgoldstein
Had a great, if short time reading through some of the responses; thanks @Colin_Hung & @JoeBabaian and all of the each one of you โ€œLeaders" on #hcldr
Colin Hung @Colin_Hung
@GraceCordovano @lisadbudzinski @DrDooleyMD @MelindaMWedding I wonder if its the same "problem" with wasted food from restaurants. The liability is too great so they toss it rather than help. The laws eventually changed and now much less waste. Wonder if this will happen one day for drugs from "trusted" sources #hcldr
Jamie Roger @JamieRoger8
I can never quite understand how an hour goes by quite so fast with all of you. SO thankful for all of your insights and knowledge and straight up #humanity towards each others. Good vibes all night #hcldr #TuesdayNightFever
Enlightening Results ๐Ÿ’ก @GraceCordovano
@fsgoldstein Thank you for pointing this out. Any links or references to point me in the right direction? #hcldr
Heather McCullen @H_SalemOaks
#hcldr, my husband got too excited about this chat and now he's low. I blame all of you (this is not medically accurate)
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
@TBHome @drnic1 Amortization, depreciation of research cost irrelevant? #hcldr https://t.co/qJpTplMf46
Colin Hung @Colin_Hung
@MarkMilliganDPT @RBlount Have a great night Mark. Thanks for joining tonight's speedy chat. #hcldr
Susan Woolner, CPXP @susanwoolner
Sadly we see this in many rare disease communities too. There are dedicated FB pages for the exchanges. #hcldr https://t.co/Xf9NeUltF0
PF Anderson @pfanderson@disabled.social @pfanderson
@EMoriartyWade @hcldr I have, also. But it doesn't work for all, and has to be their choice, fit their lifestyle #hcldr
Angela Lautner #insulin4all @ARLinsulin4all
RT @KOIInsulin4All: Hello! We are volunteer #Insulin4All advocates working to get pricing transparency legislation in Kentucky, Ohio, and Indiana. We would appreciate any retweets and follows. #hcldr
Colin Hung @Colin_Hung
@MelindaMWedding @JamieRoger8 @pfanderson @DrDooleyMD Oh my goodness. That's more than the price of the equivalent weight of gold. #hcldr
Laura Appel @lauradianeappel
@lollydaggle @NathanGrunewald My point was avoiding the avoidable (eg smoking related illness) could free up resources for unavoidable illness eg Type 1, CF, most cancers, hereditary heart disease, etc. #hcldr
Colin Hung @Colin_Hung
@LAlupusLady @hcldr @JoeBabaian Thanks for being here Amanda. Always appreciate your insights. See you soon! #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
Bob, thank you! We do this to give a voice and a platform not to hear ourselves talk, but to hear thoughts and new solutions grow - for real action in healthcare. With people like you, @drnic1 @RasuShrestha @GilmerHealthLaw and many we have yet to meet..... #hcldr https://t.co/TxCVPMcvg0
Fred Goldstein @fsgoldstein
Here is one article, an employer group had 1 person on a cancer drug for $67,000 per month, imported from Canada for $600. https://t.co/1XlwbRrCt9 #hcldr https://t.co/whpL1jt4nG
Erin Moriarty Wade @EMoriartyWade
RT @DrSinhaEsq: Hi all, Michael from Boston, thought I'd share photos from #insulin4all @RightCareNow march in Boston a few weeks ago, where we discussed Shane's tragic situation and other patient stories #hcldr @hcldr @JoeBabaian @Colin_Hung https://t.co/bHMBBtbony
Jamie Roger @JamieRoger8
I also think I missed the last 7 minutes because I was so engaged with the middle chunk of this discussion. Looking forward to the #transcript #hcldr
Bingle @TheBingle
Thanks JB, Colin and ALL for great chat. A true problem which needs resolve. The sun is shining a little more for patients bc of #hcldr
Susan Woolner, CPXP @susanwoolner
RT @ShereesePubHlth: @DavisJamie77 But they can push for limited patents on drugs. Many don't know that even generic drug patents are owned by big pharma. It's a market-controlling measure. Ex. When the EpiPen patent was due to expire, the company filed patents under 5 additional generic names. #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@MTL613 Right?? :) Welcome to #hcldr full throttle. :)
Lisa Davis Budzinski @lisadbudzinski
@Colin_Hung @GraceCordovano @DrDooleyMD @MelindaMWedding Wastefulness is huge in USA I donโ€™t understand why food isnโ€™t taken to soup kitchens every night (not just muffin stumps) There should be a useful way to repurpose meds to those who could really use/need it #hcldr
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
RT @JoeBabaian: Bob, thank you! We do this to give a voice and a platform not to hear ourselves talk, but to hear thoughts and new solutions grow - for real action in healthcare. With people like you, @drnic1 @RasuShrestha @GilmerHealthLaw and many we have yet to meet..... #hcldr https://t.co/TxCVPMcvg0
Enlightening Results ๐Ÿ’ก @GraceCordovano
@Doug_Lind_Say I disagree about overdose being an acute problem. It is actually the apex of a complex, undiagnosed, untreated, unsupported addiction, substance abuse, and/or mental health problem. #hcldr
Susan Woolner, CPXP @susanwoolner
Fluff bunnies! Count me in! #hcldr https://t.co/DLX2xm5yQw
Julie Silver, MD @JulieSilverMD
RT @HarrietHopfMD: Did you 1st think of yourself as leadER or leadING? Great Q for introspection from Dean Beech. #hcldr #PROWD @JulieSilverMD @DrHowardLiu @WomenSurgeons @womenMDinanesth @choo_ek @AmaliaCochranMD @AmyPearsonMD https://t.co/WARPHYTfJc
Fred Goldstein @fsgoldstein
It is not without its concerns, there are some crackdowns by the current FDA, although Trump said he supported importation.. Understand the risks #hcldr https://t.co/whpL1jt4nG
Colin Hung @Colin_Hung
@lollydaggle @pfanderson @MTL613 @LAlupusLady Right. Insulin is not an opioid yet I bet many lawmakers don't know the difference so they pass regulations that end up hurting those that need it in an attempt to solve a problem in a totally different space. #hcldr
Heather McCullen @H_SalemOaks
@JamieRoger8 Me. Always. #hcldr
Colin Hung @Colin_Hung
@MariamSJacob @hcldr @JoeBabaian Good night Mariam! #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
#hcldr - #MedEd for the public - #publichealth and all driven from WHERE folks are in life - the #SDoH determine if they understand and how they understand. https://t.co/sFk6Hn5bD7
Colin Hung @Colin_Hung
@pfanderson @MTL613 @LAlupusLady Another great article from @pfanderson Thanks for sharing that Patricia. Added to my must-read list. #hcldr
Enlightening Results ๐Ÿ’ก @GraceCordovano
@Colin_Hung @lisadbudzinski @DrDooleyMD @MelindaMWedding I think we are on to something here. A tech to validate safety, a platform to connect/bridge needs, how can we make this happen? (There it goes, my night's sleep) #hcldr
Colin Hung @Colin_Hung
@fsgoldstein @JoeBabaian Have a great night Fred. Thanks for joining the #hcldr chat tonight. Safe travels!
PF Anderson @pfanderson@disabled.social @pfanderson
RT @Colin_Hung: @lollydaggle @pfanderson @MTL613 @LAlupusLady Right. Insulin is not an opioid yet I bet many lawmakers don't know the difference so they pass regulations that end up hurting those that need it in an attempt to solve a problem in a totally different space. #hcldr
James E Jones @jamesedjones
RT @kkcorbet: T1 I strongly feel essential life-sustaining drugs like insulin must be protected by the govโ€™t from price gouging, as weโ€™ve been seen over & over, free market will take advantage of peopleโ€™s desperate needs! #hcldr
James E Jones @jamesedjones
RT @Kidfears99: Iโ€™ve made every decision in my life based on whether I would be able to afford insulin. And without insurance, even as a DC attorney, I couldnโ€™t. Thatโ€™s not freedom. #hcldr #insulin4all
Chas Caracoles @WeightHormones
RT https://t.co/lMgepK6cKZ T1 Take a deep dive into cost comparisons in this excllent interactive @tableau data set to see the disparity between the US and the Rest of the world #diabetes #hcldr โ€ฆ https://t.co/Qlz4040Dwc
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@H_SalemOaks @MariahWrites Sister from another mother! :) #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @MariahWrites: Time to plan some action and run off some feels. Motivating chat, peeps. Keep fighting the good fight. #hcldr
Kayoko โ€˜Kyโ€™ Corbet, RN, BCPA @kkcorbet
RT @Kamiyamay: Where is our share humanity? It seems to only exist in the positive brainstorming chats, the other public events but is lacking in the general corporate structure-Humanity. #hcldr https://t.co/1HDlhNFmcR
Enlightening Results ๐Ÿ’ก @GraceCordovano
@bbhomebody @lisadbudzinski @Colin_Hung @DrDooleyMD @MelindaMWedding Most people with any chronic conditions are in the same boat. Bottles upon bottles of unused meds for a variety of reasons. How can we reduce waste? #hcldr
Lisa Davis Budzinski @lisadbudzinski
@GraceCordovano @Colin_Hung @DrDooleyMD @MelindaMWedding Not to mention, each police station has bins where people drop off unused meds that are destroyed #hcldr
Jamie Roger @JamieRoger8
@bbhomebody @H_SalemOaks @MariahWrites That's one way to bring out the #honest #opinions and raw input that you have to share. #hcldr
Mariah Obiedzinski @MariahWrites
@JoeBabaian @H_SalemOaks ๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚ ๐Ÿ˜Ž #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @Colin_Hung: @lollydaggle @pfanderson @MTL613 @LAlupusLady Right. Insulin is not an opioid yet I bet many lawmakers don't know the difference so they pass regulations that end up hurting those that need it in an attempt to solve a problem in a totally different space. #hcldr
Rachel Lewin @MedEdUnicorn
Well, this chat FLEW! Canโ€™t wait for the transcript to see everything I missed. As always, thanks @JoeBabaian @Colin_Hung for being great hosts!! Such an interesting topic #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @fsgoldstein: Here is one article, an employer group had 1 person on a cancer drug for $67,000 per month, imported from Canada for $600. https://t.co/1XlwbRrCt9 #hcldr https://t.co/whpL1jt4nG
Susan Woolner, CPXP @susanwoolner
This is an awesome resource Nick. Thanks for posting this. #hcldr https://t.co/h3yvLPjOsg
Colin Hung @Colin_Hung
@GraceCordovano @lisadbudzinski @DrDooleyMD @MelindaMWedding There was someone I met who was trying to use blockchain to show chain of custody of drugs for the sole purpose of sending unused drugs to someone else who needed it. The issue was all the laws that can't be navigated :( #hcldr
HCLDR Moderator @hcldr
RT @JoeBabaian: Bob, thank you! We do this to give a voice and a platform not to hear ourselves talk, but to hear thoughts and new solutions grow - for real action in healthcare. With people like you, @drnic1 @RasuShrestha @GilmerHealthLaw and many we have yet to meet..... #hcldr https://t.co/TxCVPMcvg0
Lisa Davis Budzinski @lisadbudzinski
@GraceCordovano @bbhomebody @Colin_Hung @DrDooleyMD @MelindaMWedding Tap into the sources that have the products and bridge it to those who need itโœจ #hcldr
Colin Hung @Colin_Hung
@MedEdUnicorn @JoeBabaian Have a wonderful week Rachel ! #hcldr
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@H_SalemOaks LOL! Hugs to your family - take good care of him, he's a keeper :) #hcldr
Doctor as Designer @joyclee
RT @drnic1: T1 Take a deep dive into cost comparisons in this excllent interactive @tableau data set to see the disparity between the US and the Rest of the world #diabetes #hcldr https://t.co/KOUpdPsTL0 https://t.co/O21jwu1dyL
Enlightening Results ๐Ÿ’ก @GraceCordovano
@fsgoldstein Very interesting but I was referring to repurposing medications patients have purchased and no longer use. For example, a patient's treatment plan was changed, side effects were too great. Unused meds are paid for and just sitting there. There must be a safer way to reuse. #hcldr
Fred Goldstein @fsgoldstein
great idea! #hcldr https://t.co/vrtvDKYuH1
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
RT @susanwoolner: Completely agree Clay. One of the disturbing trends I see happening in HC Marketing is the use of patient stories in an exploiting way. Patient voice is authentic and shouldn't be used to monetize products and services. Educate yes, exploit no #hcldr https://t.co/UTa5qvatfZ
Joe Babaian ๐Ÿ‡บ๐Ÿ‡ฆ @JoeBabaian
@susanwoolner THIS THIS THIS. #hcldr
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