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  Vol. 292 No. 18, November 10, 2004 TABLE OF CONTENTS
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When Cost Is an Adverse Drug Effect, Patients Cut Corners and Risk Health

Rebecca Voelker

JAMA. 2004;292:2201-2202.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In the East Harlem neighborhood of New York City, nearly half of the patients that Alex Federman, MD, MPH, sees have Medicaid coverage. It pays for their prescription drugs, but Federman says a large number of his non-Medicaid patients struggle to pay for their medications.

"Many of the patients we see in this community have incomes of maybe $600 a month, they may take anywhere from 6 to 10 medications, and they have to pay rent of about $200 or $300 a month," he says. "That doesn’t leave much money for other things, and paying for medications is a very real financial strain."

Federman cannot do much about the high cost of many medications, but he takes a simple step to help his patients face the financial burden and adhere to their medication regimens: he asks if they will have problems paying for medications.

"On occasion, patients will . . . [Full Text of this Article]

MONEY TALKS



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