Friday night, twenty minutes before closing...
Medicaid Mary appears. She has three prescriptions: Fioricet, Tramadol, and Oxycodone. The Tramadol goes through insurance without an issue, but they don't want to pay for the Fioricet and Oxycodone until TOMORROW... probably because it's too early since her last fill.
Medicaid Mary tells me that she's going out of town tomorrow and needs her medication NOW. Since Time Machines haven't been invented yet, I tell her the best thing I can do is run the prescriptions in the morning. She says that will be fine and then tells me that she'll be by at 11am. This is hours after we open on Saturday so I think all is well, I'll get it all ready to go for her before she gets there at 11am. She confirms with me, not once, but TWICE... that I will indeed have the prescriptions ready at 11am. Despite the insulting insinuation that I'm a complete buffoon, I assure her that they will be ready at 11am.
Since I know that I'm working the next day, I go ahead and get the medications counted and ready. I even printed labels. As far as the counting part goes, they were all ready to go. I'm like Jack in the Box ready to crank the lever!
Saturday morning, literally TWO MINUTES after I roll up the gates... TWO MINUTES
Medicaid Mary appears. She wants to know if her medication is ready for pick up. It's NOT 11am. It's not anywhere close to 11am. After being insulted about when I would have the medication ready, here's the real buffoon wanting to know where her vacation travel buddies are.
"I'm sorry," I said... "The magic elves took the night off and didn't fill any prescriptions last night. Fortunately, I counted them ahead of time and all I need to do is process them on the insurance. I'll have them ready in a few minutes once I get the computer going."
Medicaid Mary looks at me with a blank stare. I have no doubt she has no idea what I meant. And now is the time for my tirade. I hope you people have been paying attention because there is a serious problem with our society. It's called ENTITLEMENT. In this case, it's Medicaid. And I'm seeing the attitude more and more and more each year. It's this attitude of "YOU OWE ME" and tomorrow isn't good enough-- "I want it NOW." And another thing you'll hear those entitled say... "It's FREE" like they really think their medication is free. When people say that I take the time to set them straight. I say, "It's not FREE-- someone ELSE is paying for it, just not you." People MUST be educated on this point, and if you're a pharmacist or technician, please take the time to tell your Medicaid patients too.
I have NO PROBLEM with people on Medicaid that are patient and thankful for their medication. I have no problem with people on Medicaid who have no issue with being patient... who understand that it takes time to fill a medication, and that they can't have a 30 day medication every 20 days. But the number of people going on entitlement programs is increasing dramatically and way too many of them are developing a seriously BAD attitude.