Insurance plan. This is important one conversation we were having in the community there are people that opt for the high digestible plans and find the dedublt are noted manageable were ask them to go to a silver plan were talking about spll silver plans having drugs that are effectively unaffordable for people thats a real problem. Absolutely and i didnt mention when i was talking about the unexpected nature of the health costs brauj plans you pay a lower amount but the minute you need health care it is far more expensive 2, 3, 4 a baggage plan the cost sharing for speciality plans can be 40 percent of the cost for drugs so what that table shows the proportion of the plans for all the drugs in a specified class into the tier for hiv medications they looked at medications broken covering medications for example 29 percent of the plans for all probable cause terrors and 60 percent of plans put the cancer medications into a stoplight column it is nationwide issue a study was done in spec
Thats out paigdz our efforts as mentioned in the presentation before me those costs of drugs are set by manufacturers upon drugs launched to the market once drugs o are on the market those prices set the prices for payers and manufacturers increase the price annually. Prices increases for and speciality drugs on the market are seen at 11 to 13 percent annually compared to the cost of living index of 1230 percent speciality drugs as mentioned are increasing at 20 to thirty percent announcing and more than 50 percent of the drugs are speciality drugs many of the drugs require long term and it is okay to place lower drugs. Could you speak directly into the microphone. Towards you. One example of the newer drug used to treat high cholesterol is a drug inhibit our their expended to cost 150 billion a year and to be the highest drugs in history estimated 270 billion in drugs expected to spend on drug in 2015 the cost per patient is 10 and 15,000 and it is not a onetime drug a drug youll take
Cost medication i think more of the issues are being seen oral medication that dont require special handling or special knowledge by the patient. So basically an Insurance Companies will say this drug is extensive so youre going to have to pay 40 percent of the drug costs. Thats right its not just health plans but the means to an end has the same definition. It is like baffling i suspect im preaching to the choir to say shocking that Insurance Companies you think you buy insurance so our covered and then all of a sudden i mean literally someone be sent me a photo with a Cash Register and he showed up to get his monthly drug and he showed me a photo its beyond me why Insurance Companies financial incentives it strikes me it is illegal. I have a little bit of Additional Information that gets to that point here. Okay. So you laid out the speciality tiering as you stated supervisor wiener they may violate the Affordable Health care act provisions for protecting people that have preexisting
On who will be on top for gaming supremacy. Youre looking at stunning before and after satellite images of Tacloban City and you can clearly see the massive devastation caused by typhoon haiyan and the pictures show trees and buildings washed away completely by the storm. Good morning and welcome to Al Jazeera America im stephanie si, the destruction of haiyan is turning the city of tacloban into a morgue and death tolls are more than 4400 and the casualties are in once this lively city and a week after haiyan struck bodies are if the streets and others stored in the buildings by the airport and facing a task and burying the unidentified dead with a ceremony. The mass grave because the cadavers in the meantime needs to be buried and for the dead. Reporter for those lucky to survive staying alive in the aftermath is not easy and aid to the city is slow and threat of disease is on the rise and we have more. Reporter it has been a week since typhoon haiyan ravaged parts of the philippines
[inaudible] the gentleman benefactor that paid for his college that paid for his College Tuition spontaneously after hearing a speech and guess i yes i spoke to him during the research both before and after the hopefully with a happy ending. Guess its nice to be out in the world talking to people as opposed to in the garage in the dark. One more. That was an interesting thing. He was so calm part of comport with the lightest and that relates to the question he really did sort of sector off to friends parts often friend parts of himself in different environments. Not only for himself but his friends. They have the different forms and those were the different parts and they really do start to see a Bigger Picture they have this version. I think it was cathartic for everyone to start to see how big of a personality and how big of a story this was. Thank you. Appreciate it. [applause] thank you for your questions and for sharing the story with us tonight. We will now come to the book signi