My Thoughts on Tier 4 Medications

My thoughts on tier 4 medications are somewhat different than some of my colleagues, I suppose. As a compassionate physician, I too want my patients to have the best care possible, and I too hate seeing people suffer. But if we as a society are going to try to provide a broad variety of services to patients, whether it be under a shared-risk insurance pool, a socialistic government model like Medicare, or any other method imaginable, then costs are going to have to be controlled somehow. By fo