Medical Fraud

Prescription drug use has increased steadily in the U.S. over the last ten years. Nearly 70 percent of Americans are on at least one prescription drug and more than half of those receive at least two or more prescriptions. The amount of people who took at least one prescription drugs has accelerated 4 percent between the years 1999 and 2008. As there is a steady increase in drug consumption, drug development and regulation process should be taken more

The twenty-first century has seen pharmaceutical companies grow in unprecedented size and strength. Due to the unprecedented growth the larger pharmaceutical companies have gained leverage and power in the prescription drug industry, but they lack innovation to market and they seek ways to help the business continue to increase its profits. The pharmaceutical industry was once ethically sound and was a valuable player in the development of human health. However, overtime with the lack of innovation pharmaceutical companies are becoming an unethical market that exploits patients, doctors and anyone else it can to increase its profitability. With eyes only on profitability this can create a hazard for patients because there

The fear of medical malpractice lawsuits is an issue faced by all who practice medicine. To avoid public criticism by colleagues or the public from their profession and sometimes lose their ability to practice, physicians, and doctors feel forced to follow published standards of care. These treatments often include prescribing medications made to treat

Greg a 14-year-old boy living with his parents in the basement. He has to take these off label prescription drug. An off label prescription drug is a drug that isn’t prescription by a doctor or pro. Greg could find these drugs on the streets or even with his family members. Be sure to take your drugs to a doctor and get them copied and your drugs. Greg is taking these drugs to feel better but he doesn’t know if they should be off labeled by a pro or just somebody else. When off label drugs were in the 1980’s it is different than today. It’s different because the drugs used back then were, just for pain. But today we use drugs to get better with an illness or disease. Off label drugs has been used since the 1980’s, supporters and no supporters argue if off label drugs are a good thing or not.

Although several drug classes, including anticonvulsants, antipsychotics, and antibiotics, were associated with a higher frequency of off-label use, other drug characteristics such as manufacturer, and annual sales levels did not predict the likelihood of off-label prescribing. While this study highlighted the magnitude of off-label drug use in the absence of evidence regarding efficacy, it made no attempt to define the level of concern associated with specific drugs. We sought to build upon these studies to develop a systematic process for prioritizing future federally sponsored research and policy initiatives regarding off-label drug use based on the concept of value of

No medication is totally harmless. Even apparently harmless over-the-counter medicine can be addictive or dangerous if one exceeds the dose or suffers from certain underlying conditions. A golden rule regarding medicine is less is more. Many people have died accidentally due to an overdose of the medication that was supposed to help them.

Dietary supplements are an ever-increasing industry; that includes weight-loss aids, vitamins, herbal preparations, and energy boosters. With these increases, there is an outcry for more control on companies that sell these products. But the FDA only lightly monitors the supplement industry. As a result, some critics feel that the FDA needs to step in and more closely monitor supplement manufacturing to make sure the products sold do what do what the company says or have no negative side effects on the people who use these manufactured goods. Inside these supplements, some illegal substances have been found, and some of these supplements are illegal without a prescription. Furthermore, some companies mislabeled their products with false information that does not include the correct ingredients used on their bottles.

This week I read an article about a doctor in Schaumburg who was convicted of health care fraud. He was engaged in health care fraud form 2007 to 2010. He defrauded Medicare and Blue Cross Blue Shield of Illinois by submitting false insurance claims. He was billing patients for unnecessary tests, and using false diagnosis codes to justify his services. Moreover, he also falsified patients’ medical records, and used false diagnosis codes on insurance claim forms in various fashions for at least five patients who testified at trial, including two undercover federal agents who posed as patients, according to the release. He is facing ten years in prison on each count of health care fraud, and five years in prison on each false statements count,

Medications are a critical player in the healthcare system, and are necessary to maintain or improve a certain level of health and wellness. As discussed in chapter one of our text, prescribed medications are considered a tertiary prevention in that they are to "reduce the impact of an already established disease by minimizing disease-related complications." (Niles, 2018, p.3) Medications are either brand name (meaning that the manufacturer has completed necessary research and development, marketing, as well as promoting) or generic. (Stoppler, n.d.) According to the FDA's web page on this topic (Center for Drug Evaluation and Research, n.d.), generic medications are developed when a manufacturer's exclusivity period is close to expiring,

Neither the company nor doctors desire to conceal the risk of the medicine. Once they decide to use it, patients would never know the potential side effect. In addition, the advertisement in DTC marketing is forbidden in Europe and Asia. Medication industry claim that patients could know more information about medication and get best treatment on time through this information channel. Someone led the medication industry under the fire, in some they increase the healthcare cost and medicine price indirectly. Furthermore, it is still reasonable decision for patients of whether they could accept the Flaxil after they compare the experience between Flaxil and others. Taylor’s fact is a good example. Taylor knew potential side effect of Flaxil clearly, but Flaxil let she could move with less pain. Without Flaxil, the only one thing she can do is staying in

Generic and Brand name medications have positive and negative effects on: pharmacies, Drug Companies, insurance companies, and most importantly consumers.

Prescribing a drug off-label may be necessary when no FDA-approved drug is available due to lack of research. (Mayhew, 2009)

Second, laws such as the “learned intermediary doctrine” state, and courts have widely held, that a prescription drug manufacturer 's duty to warn runs to the physician, the ‘learned intermediary ', not directly to the patient. Only one state, New Mexico, has rejected the doctrine calling it “outdated” due to the recent increase in direct-to-consumer marketing.

Some diseases are self-limiting meaning that given time, they will resolve themselves naturally, so in this case it can be argued that it doesn’t really matter if the medication taken doesn’t actually have any proven benefits, however, there is of course the moral dilemma for a pharmacist as to whether they would want to sell a product to a customer knowing that it has no actual health benefits.

Pharmaceutical drugs can be very helpful to jolt diseased bodies back on track. But, great care must be exercised before you live on them or use them in conjunction with other drugs.