What Would You Pay $213.52 For ?

Last week I visited my Doctor for my annual “physical” to make sure I am medically OK, and as usual the Medical Services and Drug Industry got a shot in the arm (as did I, got a tetanus booster right there and then to begin things).

I received a plethora of prescriptions including one for my orthotics (old beat up knees appreciate those) but I then asked for the Shingles Vaccine. I asked because Mrs. C8j reminded me, but also because a few folks who I work with (around my age) have had shingles, and their description of the condition convinced me I wanted anything that might stop this condition.

My Doctor pointed out that in Ontario, for folks my age (55) , the vaccine is not covered under Provincial Medical Plan, however, my insurance company (and my wife’s coverage added on top) did end up paying for it. I was glad that I wasn’t going to have to pay for the vaccine, so off I went to Loblaws (where I get my prescriptions) to get the vaccine, and then bring it back to my Doctor to get the injection.

After I had my shot, the nurse handed me the bill (that was in the bag from the pharmacy with the Shingles Vaccine) and I was surprised to see that the total cost for the vaccine was $213.52. I didn’t have to pay for it thanks to my insurance, however, after hearing from my co-workers description of having shingles, I would have paid for it myself, if my insurance had not.

I believe the rule in Ontario is, that after 60 the vaccine is free, but I wasn’t going to wait. Both the co-workers I know that have had shingles are much younger than 60, and typically shingles can be caused by stress, and I figure I am going to feel a lot more stress when I am 55 than when I am over 60 (I hope).

Why Did I Do it ?

The last reason for getting the vaccine was, one co-worker, went to his Doctor and asked for the vaccine. His Doctor, pointed out that it was for older folks and that he really didn’t need the vaccine, so didn’t give my friend a prescription. What happened? Less than a month later, my friend got shingles, and he is younger than me! At that moment, I decided I was getting the vaccine.

If you want more info about Shingles, this is the CDC web page on it.


Just an Attractive Bag of Medical Conditions

As I age, I seem to becoming a quite valuable commodity to the medical profession. When I was in my 20’s I didn’t really have a Doctor (certainly didn’t go to see him or her very often). As I reached my 30’s I started seeing one doctor regularly for check ups (and on occasion to repair a catastrophic joint issue caused by me thinking I was a much more talented athlete than I ever was), but now in my 50’s I seem to be a veritable growth industry for the medical profession.

I see various specialists now for many of the issues that an ageing out of shape man might need, and I keep wondering how does the money flow here? In Canada with socialized medicine I don’t really pay for the visits, however I do pay for the prescriptions that are given out, and I am wondering how much business (i.e. cash flow) is one beat down old Cajun Man creating in the medical world?

My guess is that my Family Doctor (who seems to now be more of a Medical Concierge than an actual medical practitioner) , who is at the center of a medical machine that is making some kind of “good will” or even “kick backs” for sending me to various specialists. What specialists you might ask?

  1. I have a Urologist on my speed dial thanks to my prostate (including a cancer scare a few years ago)
  2. Two other urologists who I saw for vasectomy
  3. An Orthopedist who specializes in knees, for my beat down knees
  4. An Orthopedist who specializes in shoulders for my torn rotator cuff
  5. A surgeon who ended up taking out my gall bladder (that was 15 years ago)
  6. Various different physiotherapy clinics for my ankles, knees, and shoulders. Note (so far) my back has been fine.
  7. An ophthalmologist  who seems to enjoy occasional zaps with a laser for my stretching retinas.

I must be a valuable commodity, not to mention my Dentist who I think has a new addition on his house thanks to my bad oral hygiene (when I was younger). The biggest issue I think I have is that no matter how healthy anybody thinks they are if you look hard enough, and see enough specialists, they are going to find something wrong, and even worse, I don’t get a cut of any money made off my bad health. I should be able to send out a Request For Proposal and find the Doctor who will do the job for the right price. Yes, I am being facetious, or am I?

I guess the good thing about this all, is that it isn’t costing ME anything directly (just the taxes I pay for the medical system), other than my medical insurance.  What do ageing folks do in the U.S. I wonder?


Hospital Parking Rant

Part of dealing with a loved one in hospital, has now become the exorbitant rates that are being charged for the parking at the hospital. Why is it that hospitals are using their parking as a major income source for the Hospital Foundation? Paying at least $10 for a short visit and more than $20 for the day seems normal.

This way to Hospital Parking

This way to Hospital Parking

The Canadian Medical association has commented that the parking fees are actually an impediment to good medical care, and I think I agree with them. CBC Marketplace did an interesting piece on this topic as well, which outlines some of the scarier numbers about folks, cars and hospitals.

I watched my Father-in-law spend an entire year visiting my late Mother-in-law in hospital (a few years back now), and the only reason he didn’t end up paying more than $7000 in parking fees was that someone in the Oncology department got him access to cheaper parking (he still paid a bloody fortune). I know my Father-in-law was not going to stop visiting his sick wife in hospital just because of the parking fees, but it is nuts to drain this kind of money from people with sick loved ones.

I realize that parking for hospitals (in Canada at least) can be an issue since many are in downtown areas, where parking space is at a premium, but why does parking have to be a profit center for Hospitals?

From the CBC Marketplace piece here are some examples of Maximum Parking rates at various hospitals:

From Marketplace

  • Toronto General Hospital: $28
  • Stollery Children’s Hospital, Edmonton: $15-$32
  • Vancouver General Hospital: $19.75
  • Markham-Stouffville Hospital, Markham, Ont: $17
  • Saskatoon City Hospital: $15
  • QEII Health Sciences Centre, Halifax: $14


All I can say is wow, that is a lot of money to pay out, especially if you need to get to the hospital for treatment.


Video: The Cost of Joint Replacement

Speaking as someone with deteriorating joints (quickly in the case of my knees) and living through watching my mother’s joints deteriorate, the science (and business) of joint rehabilitation and/or replacement is a topic very near and dear to my heart. Ted.com does another very interesting (shorter) talk about this affliction that will hit many more folks than Cancer will, and may end up costing the medical industry a great deal more in the long run (with more people living longer, but being immobile because of issues with joint deterioration (or the catch all phrase Arthritis for now)).

The science of replacement of Hips and Knees are now pretty straight forward, but what about shoulders, ankles, and even more interestingly lumbar work (specifically the spinal column), what can be done there?

When you are in your 80’s, are you going to be able to walk to the corner store?

My apologies to my Mac readers, I still can’t figure out how to get the videos to work with HTML5 yet, but I am working on figuring this one out for you soon.

Arthritis and injury grind down millions of joints, but few get the best remedy — real biological tissue. Kevin Stone shows a treatment that could sidestep the high costs and donor shortfall of human-to-human transplants with a novel use of animal tissue.


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