Blame the patient games...

I've written before about the weird female requirements for one of the prescriptions I'm on...I've now found myself caught up in their labyrinthian rules that make it impossible for me to pick up my prescription until I again have a pregnancy test, talk to the doctor, and then answer the quiz online (also known as money and time). Mainly because the pharmacy didn't fill the prescription when I dropped it off, and then failed to contact me when they'd filled it -- I fell out of the 7 day window from my last pregnancy test. I wonder what the male experience with this medication is -- as they don't have to spend the money or the time proving that they're not knocked up with (as one friend called it) "flipper" babies.

What disturbs me is the expense and complication and the power of failure that is laid at the (female) patient's feet. The error occurred when the pharmacy didn't fill the prescription, and I waited a few days to go get the prescription, thereby dropping out of my eligibility window. So whose fault is it? Probably mine...I didn't check immediately, but I also assumed the pharmacy would call me when they filled the prescription. How naive. Again, I am fascinated (in an irritated sort of way) at how economics factor into this, how an entire industry of multiple commercial sites (the testing site, the pharmacy, oh and definitely my posh doctor's office) can coalesce around my one action.

This is a very science studies way of interpreting the situation, but it's important. In fact, it's not just a question of economics (though that's explicitly embedded), it's about entire systems that determine how individuals can access care and medication.

More on this later, as I must go off to write and write -- ostensibly to create a finished document at the end of the week.

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