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The Shattered Soldier

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The Shattered Soldier

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I picked up 60 10mg Vals yesterday for $0.44 at my local pharmacy.  I had a lot of questions go thorugh my mind about the members of this site.  It's kinda sad.

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my local pharmacy gives all perscriptions out for free thank you to the NHS

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180ml of met a done this morning for sweet f all

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Heisenberg / HNB

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TSS - new email vendor. $2 vals, limited stock ;)

Oh and lucky you. 30 generic .5mg lor@zepams, costs me $15 with insurance.

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my local pharmacy gives all perscriptions out for free thank you to the NHS

180ml of met a done this morning for sweet f all

Damn you get your mdone free over there too??  I pay $15/day for mine in the US of A.  Nearly $400 a month.  Thats a rent payment.  Ugh.  Kiddies stay away from dope.

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I pay 280 a month.

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Years ago I used to get 120 loraz 1mg for about 10 or 20 bucks from my pharmacy. Those were the good ole days.

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thats unbelievable you's have to fork out that money especially wen its health related, so if your skint could you not get your meds that day wen u require them ??

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thats unbelievable you's have to fork out that money especially wen its health related, so if your skint could you not get your meds that day wen u require them ??

Yes.  My clinic will not medicate you if you do not have the money to pay for that day.  NO EXCEPTIONS.  It's unbelievable but they kind of got you under their thumb ya know.  If you go in and say "hey look I will not have any money in the foreseeable future WTF do I do I am sick as a dog here I have been a patient with you all for 10+ years etc etc they will "medically withdraw you".  This means you go down 5MG a day until you are out.  Also you have to speak to like 15 different supervisors/counselors etc and hours upon hours of red-tape before this even happens.    

 

Also, the money that you owe them (15$/day for all the days that you went down before you reached zero.)  So if you ever want or need to come back you MUST pay this money FIRST before you will ever get a sip of the 'done.

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Yes.  My clinic will not medicate you if you do not have the money to pay for that day.  NO EXCEPTIONS.  It's unbelievable but they kind of got you under their thumb ya know.  If you go in and say "hey look I will not have any money in the foreseeable future WTF do I do I am sick as a dog here I have been a patient with you all for 10+ years etc etc they will "medically withdraw you".  This means you go down 5MG a day until you are out.  Also you have to speak to like 15 different supervisors/counselors etc and hours upon hours of red-tape before this even happens.    

 

Also, the money that you owe them (15$/day for all the days that you went down before you reached zero.)  So if you ever want or need to come back you MUST pay this money FIRST before you will ever get a sip of the 'done.

Wow and OUCH!! Americas medical system is harsh in a lot of ways, if you've got money you seem to be able to get most things, and I've heard American people say they get 300mg a day plus at some clinics? plus you get a choice of tablets or liquid? Don't know how true any of that is though if your poor you seem to be Fcuked unless it's a trauma, Thank you liberal UK for the NHS!

 

respects, TeeKay

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Mods:  Feel free to move this as appropriate.

 

Hi @Teekay

 

I believe you're right - with money you can get treated for most things.

 

I was on mdone for a number of years and unless you were on a special kind of disability (Medicaid) it was not free.   Some clinics were government subsidized and cost a few US$ a month based on your income, some private costing a little more.   All clinics for addiction treatment must conform to govt regulations, one of which is dispensing take-homes only in liquid form to prevent diversion. So no, in the US you cannot take home any form of mdone tablet for addiction treatment.  It soon became a profitable business because of govt subsidies, tax benefits, and if they participated as part of a hospital it was and is more lucrative.   Early treatment clinics limited dose to 100mgs but that could not be effective indefinitely because the dose required to control opiate abuse is ever-increasing to get the same supposed "blocking" effect.  

 

Interesting story (I'll keep it short, I promise):  I was on a clinic and I paid weekly.  Mdone is relatively cheap, but the profits are huge for the clinics as I said so they want to keep the patient list full and the cost to patients is relatively cheap.  No incentive to reduce or go off the drug, and this across the board in the US.  I met with a counselor monthly but never once was a reduction suggested even though my U/A's were mostly clean.  I have combat injuries so pain is an issue (and how I got into this bind in the first place) so I took more than I was allowed to deal with the pain, got caught and was ordered to reduce to 30mg then "transfer" to Suboxone treatment.   I did what I was told once I found a Sub doctor who would take me.   Well, let me tell  you - if you want to see the free-enterprise system in action here in the US transfer from mdone to Sub. Mdone is tightly regulated and subsidized Sub has no financial controls imposed.  Doctors charge huge fees for induction (transfer from mdone to Sub) and make up their own cash fees for visits and while they don't make you come daily they charge whatever they want during maintenance and remission.  The doctors are out of control cost-wise in a lot of places where there are few.  The only competition nowadays is for the medication itself because the Sub manufacturer has lost their patent and generics are starting to pop up now.   Anyway I transferred and got on Sub and paid through the nose for four years.   Insurance coverage is spotty at best for Sub, doctors are limited to 30 patients until they complete one year of practice then up to 100 and they are under tight scrutiny by the DEA.   My U/A's were done monthly, with lots of profits all around because they did unnecessary gas chromatography/mass spectrometer confirmation tests on 15 substances including at least six variants of opiates to make sure I took my Sub and how much I was taking at a cost of US$ 1200 a test. Yes, twelve hundred bucks a month for urine tests every month and I never had a dirty urine for opiates while on Sub.  What happens next?  Insurance rates go up and the doctor diagnoses you as an opiate-dependent patient in remission, which means you are marked for life in your Electronic Health Record (EHR) which can be seen by other doctors and insurance companies under certain circumstances.   More free-enterprise profits. The Mdone clinics did not retain extensive medical records and as a result my records reflect a brief dependence problem (not addiction). My Sub doctor was one of the good ones.  He actually understood the treatment unlike most who simply took the 8-hour certification class and was quite helpful.  He insisted on a therapist to help me deal with addiction issues.  More doctors and profits.   True story.

 

My personal opinion is that Sub treatment is in a "growing pains" phase and a variant of Sub will ultimately be a truly effective solution to opiate addiction.   Sub treatment is just an example.  The US free-enterprise market with regard to healthcare will be what it is for the immediate future anyway and with the new Healthcare Reform Act may make it more difficult to find physicians for any kind of treatment of any condition.   I personally know doctors who are considering either going private (no insurance companies), or concierge (high-end customized patient treatment).  The rest, IMO will end of up with overcrowded waiting rooms and no room or inclination to treat addiction, a high-maintenance condition.

 

Sorry for the long dark picture of American healthcare system.  Don't get sick.

 

PR

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@Packrat Hi Dude,

That's an unpleasant profit driven industry the (so called) health Professionals got going over their!! I understand a bit more now about all the opposition to your Presidents proposition to change your healthcare system. I don't know much American politics or how the health care system works, though you've opened a window to that.  

I hope you get the treatment you need now and are where you want to be in terms of recovery/maintenance! The meth clinic seemed more realistic in terms of treatment, tho the subutex treatment seems like a licence to take as much money from vulnerable patients as possible. 

In the UK treatment used to be dependent on reduction, and getting on Naltrexone.  Now the powers that be have accepted that some people (myself included) won't stop taking opiates, and don't want to stop and can still be productive members of society.  I still work and as my U/A 's have been clean for a few years I pick up 6 days Methadone once a week from the chemist and take 1 days supervised dose (so they can make sure I'm taking it).

Thank you for the information and sharing your personal experiences, take care!

 

respects TeeKay

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yeah thats fuked up i honestly didnt know it was that bad, no wonder they have the problems on the streets ther. basically if your an addict and want the help you better rob a bank or two cause its gonna cost ya

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I paid $240/mo for mdone in ABQ,NM 120 was the daily koolaid amount

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yeah thats fuked up i honestly didnt know it was that bad, no wonder they have the problems on the streets ther. basically if your an addict and want the help you better rob a bank or two cause its gonna cost ya

LMAO you are pretty much right

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