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Above
graph is very informative; for example, if you spend around $4500
yearly on drugs it makes sense that you die in June. On the other
hand, if you spend around $6750 yearly on drugs your death in April
is a better deal while your death in September makes no sense at
all.
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If you
are on Medicare, right now you are bombarded with leaflets and
booklets about the new (next) big step: Medicare Prescription Drug
Coverage. You may immediately notice that two levels of drug costs,
$2250 and $5100 (=2250+ 2850), are of special importance: they
divide the coverage into notably different sections of coverage.
Sharp transitions between sections of a particular model are usually
a sign of either primitive modeling or hidden intentions or both.
Let’s
first find out at what yearly drug cost (YDC0) your
payments under the coverage, at monthly premium of $37, equal the
drug costs:
YDC0
= 250 + 0.25*(YDC0 - 250) + 12*37
The
result is YDC0 = $842, which is 37.42% of the reference
value of $2250. So, if you spend less than $842 yearly
($70 monthly) for drugs, you pay more under coverage than the real drug
costs; see the graph on the left where uniform spending over 12
months is assumed. If you spend from 50% to 100% of the $2250
reference value, your actual benefits range from 19% to 47% of the
drug costs although you may be under the impression that the benefit is
75% in that section of the coverage. It becomes even trickier in the
section from $2250 to $5100 where $2850 of your expenses do not draw
any benefit. At
this point you may realize that private companies which provide the
coverage under the Medicare shield are not humanitarian organizations. A
thought may cross your mind that these companies know of many old
people spending from $2250 to $5100 yearly on drugs.
Of
course, the above mentioned companies have an incentive for you if your
current drug costs are low and you would like to ignore them; it is
called a penalty:
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