The decades old struggle for gender equality in the health sector has agreed on this question: Why have many insurance companies has changed so quickly pay for the drug Viagra male, when they have been slower to bring the bill for birth control?
Less than two months after it exploded on the market, more than half of rules for the new drug are underway by the authorities subsidized health plans. The fact that the immediate acceptance by the insurance industry, production cry of frustration of many doctors and women’s rights is positive, leading a long campaign by some grueling - and legislatures in the court of public opinion — Coax insurers to cover prescription contraceptives, which allow women enjoy sex, regardless of whether they become pregnant.
Viagra, the potential to overcome impotence and improved male performance of institutions, it has the fastest ever a drug seller. Viagra was being sold in the last month.
But if its effects on love of life seems revolutionary, defender of women say it is worth remembering that other drugs, along with the transformation.
“I do not think [Viagra] is rather a splash of the pill,” said Gloria Feldt, president of the Parenthood Federation of America, yesterday was the last group to be deplored. But for many years after the introduction of birth control pills during the year 1960, Feldt said, many insurers do not pay for it.
Today, just over half of all the rules of the pill are covered, although some health plans, the employer additional costs for benefits, and most are still not to other forms contraception.
Envisagées’s protest by parents was a week after the 39,000-strong organization, the nation obstetrician and gynecologist, said he thought, health plans “used to cover contraceptives represent a form of prejudice vis-à - vis women.
The pill Viagra nascent wars of the highlights of the sensitivity of its kind admire the nation-state within the health care system more than four decades after the surface of concerns that medical researchers often failed to consider women and their health needs during the implementation of clinical trials of new therapies. Today, the research agenda is somewhat less unbalanced, but economic disparities remain.
Women of childbearing age spend an average of 68 per cent more Out-of-pocket expense of health than men in the same age group, which has proposed to recent research. It is not clear, as much of this imbalance is that women consume more health care and, as much occurs because insurance companies do not pay for services for women only.
In the decision, drugs and other services intended to cover public and private insurance plans pose a variety of factors, including efficiency, the popularity and costs. Traditionally, insurers have paid for medicines, remedies of a genuine medical problem, but like other therapies developed - some of which are largely to improving the quality of life of people and not as a treatment diseases - insurers are facing difficult questions. Is it appropriate, for example, pay for diet pills or smoking cessation classes, services, address, the absence of any disturbance, but the reduction in health care costs in the long run?
Where contraceptives custody that spectrum is a matter of intense debate.
But in the case of Viagra, the debate was less important to cover drug trafficking and learn more about the date. The result is that for the week ending May 1 47 percent of the nearly 270000 prescriptions of Viagra sold in the USA were represented by some form of subsidies for health insurance, according to IMS Health, traces regulator Federal sells.
It is less a matter of rules of insurance coverage in general, three-quarters of them are covered. But it also means that only five weeks after she was available to Viagra is almost as often as birth control pills, and more often than membranes and appliances Intrauterin, according to IMS.
Typically, health plans are available to pay for Viagra, as it concerns the treatment for sexual dysfunction in general. Since the 9 million patients federal system of health insurance includes such treatment, but not the drugs. Most health plans require a doctor of proof that the prescription is sought, address, impotence, and not only to a patient for improving sexual performance.
And Blue Cross Blue Shield of Maryland and the National Capital Area is one of many plans that decided to cover Viagra, although it does not, in general, unless the birth control employers are willing to pay supplement. “The analogy is … elective against the cancellation of an operation of the gallbladder, “said Winston Wong, Blue Cross director of pharmacy.” It is increasingly clear that the issue of medical necessity. ”
But because it is difficult for insurers to determine why patients seeking drugs, Blue Cross has circumvented the issue of medical necessity by the agreement to pay for a limited number of Viagra tablets per month each patient with a prescription. Blue Cross pays for six pills, which cost $ 10 each.
Some doctors and women supported the idea of conflict, that contraceptives are not medically necessary. “People say the pregnancy is a natural phenomenon, but what woman wants pregnancies 21 or 25″ on their reproductive years, “said Luella Klein, a professor of obstetrics and gynecology at Emory University in Atlanta, is director Women of the issues of protection of health of the American College of Obstetrics and Gynecology