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	<title>Comments on: NICE refuses yet another drug for R.A.</title>
	<atom:link href="http://pollyannapenguin.wordpress.com/2009/10/02/nice-refuses-yet-another-drug-for-r-a/feed/" rel="self" type="application/rss+xml" />
	<link>http://pollyannapenguin.wordpress.com/2009/10/02/nice-refuses-yet-another-drug-for-r-a/</link>
	<description>This is a blog about me, my recently diagnosed rheumatoid arthritis and my struggles to stay positive about it!</description>
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		<title>By: Helen</title>
		<link>http://pollyannapenguin.wordpress.com/2009/10/02/nice-refuses-yet-another-drug-for-r-a/#comment-551</link>
		<dc:creator><![CDATA[Helen]]></dc:creator>
		<pubDate>Mon, 05 Oct 2009 20:56:15 +0000</pubDate>
		<guid isPermaLink="false">http://pollyannapenguin.wordpress.com/?p=422#comment-551</guid>
		<description><![CDATA[I know - I was really lucky to have time to devote to writing letters and making phone calls, and a rheumatologist who fought really hard for me. Not everyone will have those resources and I know there are people not getting the medication they need.]]></description>
		<content:encoded><![CDATA[<p>I know &#8211; I was really lucky to have time to devote to writing letters and making phone calls, and a rheumatologist who fought really hard for me. Not everyone will have those resources and I know there are people not getting the medication they need.</p>
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		<title>By: pollyannapenguin</title>
		<link>http://pollyannapenguin.wordpress.com/2009/10/02/nice-refuses-yet-another-drug-for-r-a/#comment-550</link>
		<dc:creator><![CDATA[pollyannapenguin]]></dc:creator>
		<pubDate>Mon, 05 Oct 2009 20:11:37 +0000</pubDate>
		<guid isPermaLink="false">http://pollyannapenguin.wordpress.com/?p=422#comment-550</guid>
		<description><![CDATA[The trouble with having to deal with individuals is if the useful one who knows you has now left and you go back to school ... yes, could be &#039;fun&#039;! I&#039;m glad you got it all sorted out though ... although, as you say, perhaps not permanently. It&#039;s also frustrating that you may have got it worked out for yourself that once, but every other person going through something similar has to fight their own individual battle against some other individual!]]></description>
		<content:encoded><![CDATA[<p>The trouble with having to deal with individuals is if the useful one who knows you has now left and you go back to school &#8230; yes, could be &#8216;fun&#8217;! I&#8217;m glad you got it all sorted out though &#8230; although, as you say, perhaps not permanently. It&#8217;s also frustrating that you may have got it worked out for yourself that once, but every other person going through something similar has to fight their own individual battle against some other individual!</p>
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		<title>By: Helen</title>
		<link>http://pollyannapenguin.wordpress.com/2009/10/02/nice-refuses-yet-another-drug-for-r-a/#comment-549</link>
		<dc:creator><![CDATA[Helen]]></dc:creator>
		<pubDate>Mon, 05 Oct 2009 13:36:51 +0000</pubDate>
		<guid isPermaLink="false">http://pollyannapenguin.wordpress.com/?p=422#comment-549</guid>
		<description><![CDATA[Ugh - it&#039;s so frustrating! I contacted my member of provincial parliament initially, and really got no help at all. The group who did help me was the Ombudsman&#039;s Office - apparently a &quot;watchdog&quot; for all provincial government bodies. They phoned me the same day they received my letter, assigned me a case number and an actual human to talk to whenever I wanted, and eventually got me the name of the person who had been refusing my rheumatologist&#039;s appeals. I think it was the fact that we were finally able to deal with individuals, rather than anonymous blobs, that made the difference. 

I&#039;m just hoping it doesn&#039;t all happen again if I go back to school...!]]></description>
		<content:encoded><![CDATA[<p>Ugh &#8211; it&#8217;s so frustrating! I contacted my member of provincial parliament initially, and really got no help at all. The group who did help me was the Ombudsman&#8217;s Office &#8211; apparently a &#8220;watchdog&#8221; for all provincial government bodies. They phoned me the same day they received my letter, assigned me a case number and an actual human to talk to whenever I wanted, and eventually got me the name of the person who had been refusing my rheumatologist&#8217;s appeals. I think it was the fact that we were finally able to deal with individuals, rather than anonymous blobs, that made the difference. </p>
<p>I&#8217;m just hoping it doesn&#8217;t all happen again if I go back to school&#8230;!</p>
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		<title>By: pollyannapenguin</title>
		<link>http://pollyannapenguin.wordpress.com/2009/10/02/nice-refuses-yet-another-drug-for-r-a/#comment-547</link>
		<dc:creator><![CDATA[pollyannapenguin]]></dc:creator>
		<pubDate>Sat, 03 Oct 2009 18:50:05 +0000</pubDate>
		<guid isPermaLink="false">http://pollyannapenguin.wordpress.com/?p=422#comment-547</guid>
		<description><![CDATA[Well done for getting through to someone &#039;in power&#039; using this argument. I tried it on my MP who did actually write to the health minister about it, got her obviously standard reply back about &#039;your constituent&#039; and then a name in there that wasn&#039;t mine which someone had just gone over in thick black marker pen to disguise the fact, and sent that back to me. Gee thanks ... that was helpful. Mind you - that was just a moan on behalf of all R.A. patients, and not my specific issue, as yours was.

It&#039;s mind boggling that these people can&#039;t work out the argument for themselves. Trouble is everything&#039;s in &#039;silos&#039; so as long as NHS aren&#039;t paying they don&#039;t care. If you&#039;re stuck needing home help etc. that&#039;s not their problem - it&#039;s social services ... differnet budget! Aaaaaaaaaargh!]]></description>
		<content:encoded><![CDATA[<p>Well done for getting through to someone &#8216;in power&#8217; using this argument. I tried it on my MP who did actually write to the health minister about it, got her obviously standard reply back about &#8216;your constituent&#8217; and then a name in there that wasn&#8217;t mine which someone had just gone over in thick black marker pen to disguise the fact, and sent that back to me. Gee thanks &#8230; that was helpful. Mind you &#8211; that was just a moan on behalf of all R.A. patients, and not my specific issue, as yours was.</p>
<p>It&#8217;s mind boggling that these people can&#8217;t work out the argument for themselves. Trouble is everything&#8217;s in &#8216;silos&#8217; so as long as NHS aren&#8217;t paying they don&#8217;t care. If you&#8217;re stuck needing home help etc. that&#8217;s not their problem &#8211; it&#8217;s social services &#8230; differnet budget! Aaaaaaaaaargh!</p>
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		<title>By: Helen</title>
		<link>http://pollyannapenguin.wordpress.com/2009/10/02/nice-refuses-yet-another-drug-for-r-a/#comment-546</link>
		<dc:creator><![CDATA[Helen]]></dc:creator>
		<pubDate>Sat, 03 Oct 2009 17:26:18 +0000</pubDate>
		<guid isPermaLink="false">http://pollyannapenguin.wordpress.com/?p=422#comment-546</guid>
		<description><![CDATA[That&#039;s awful! 

And yes, that&#039;s exactly what happens - the state just ends up having to pay for people who can&#039;t work or care for themselves because they can&#039;t access the drugs they need. I actually wrote a letter to a government official (who ended up being very helpful) about how they could either help me access the drugs I need for a few months so that I would be able to go out and look for a job and contribute to society, or leave me on the couch, unable to do anything productive. It should be a no-brainer.]]></description>
		<content:encoded><![CDATA[<p>That&#8217;s awful! </p>
<p>And yes, that&#8217;s exactly what happens &#8211; the state just ends up having to pay for people who can&#8217;t work or care for themselves because they can&#8217;t access the drugs they need. I actually wrote a letter to a government official (who ended up being very helpful) about how they could either help me access the drugs I need for a few months so that I would be able to go out and look for a job and contribute to society, or leave me on the couch, unable to do anything productive. It should be a no-brainer.</p>
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		<title>By: pollyannapenguin</title>
		<link>http://pollyannapenguin.wordpress.com/2009/10/02/nice-refuses-yet-another-drug-for-r-a/#comment-545</link>
		<dc:creator><![CDATA[pollyannapenguin]]></dc:creator>
		<pubDate>Sat, 03 Oct 2009 15:52:37 +0000</pubDate>
		<guid isPermaLink="false">http://pollyannapenguin.wordpress.com/?p=422#comment-545</guid>
		<description><![CDATA[Hi Helen,

Yup, that&#039;s exactly what it means - unless they wish to fund themselves privately. I don&#039;t know if it&#039;s yet available ANYWHERE, this particular one, as it&#039;s just come through trials I think, but it&#039;s the same situation with a whole lot of other biologics. 

I read a bit about the Enbrel thing on your blog - what a complete nightmare! I&#039;m glad you got there in the end but sorry you had to go through such hell first!!]]></description>
		<content:encoded><![CDATA[<p>Hi Helen,</p>
<p>Yup, that&#8217;s exactly what it means &#8211; unless they wish to fund themselves privately. I don&#8217;t know if it&#8217;s yet available ANYWHERE, this particular one, as it&#8217;s just come through trials I think, but it&#8217;s the same situation with a whole lot of other biologics. </p>
<p>I read a bit about the Enbrel thing on your blog &#8211; what a complete nightmare! I&#8217;m glad you got there in the end but sorry you had to go through such hell first!!</p>
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		<title>By: pollyannapenguin</title>
		<link>http://pollyannapenguin.wordpress.com/2009/10/02/nice-refuses-yet-another-drug-for-r-a/#comment-544</link>
		<dc:creator><![CDATA[pollyannapenguin]]></dc:creator>
		<pubDate>Sat, 03 Oct 2009 15:50:12 +0000</pubDate>
		<guid isPermaLink="false">http://pollyannapenguin.wordpress.com/?p=422#comment-544</guid>
		<description><![CDATA[The criteria SHOULD be related to whether it works - that&#039;s what this whole &#039;National Institute for Clinical EXCELLENCE&#039; is supposed to be about, but as soon as it was introduced everyone knew it was just a cost management exercise, and so it&#039;s proved to be. The irony is that the state still ends up funding care for people totally incapacitated by R.A. who would NOT be incapacitated if they had proper effective treatment! Grr ...]]></description>
		<content:encoded><![CDATA[<p>The criteria SHOULD be related to whether it works &#8211; that&#8217;s what this whole &#8216;National Institute for Clinical EXCELLENCE&#8217; is supposed to be about, but as soon as it was introduced everyone knew it was just a cost management exercise, and so it&#8217;s proved to be. The irony is that the state still ends up funding care for people totally incapacitated by R.A. who would NOT be incapacitated if they had proper effective treatment! Grr &#8230;</p>
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		<title>By: Helen</title>
		<link>http://pollyannapenguin.wordpress.com/2009/10/02/nice-refuses-yet-another-drug-for-r-a/#comment-543</link>
		<dc:creator><![CDATA[Helen]]></dc:creator>
		<pubDate>Sat, 03 Oct 2009 14:52:24 +0000</pubDate>
		<guid isPermaLink="false">http://pollyannapenguin.wordpress.com/?p=422#comment-543</guid>
		<description><![CDATA[Will that mean that NHS patients will have no way to access the drug? I just looked it up to see if it&#039;s available in Canada or not, but I can&#039;t find anything. 

Last year I fought and fought for temporary coverage of Enbrel from the Ontario Government, in between graduating from school and finding a job with drug benefits. It took nearly a year before they would approve Enbrel (even though I had been on it for 5 years at the time!). In the meantime, I had to try a handful of other drugs and an absolutely enormous dose of methotrexate to make sure there wasn&#039;t anything cheaper that could help me. I ended up going without Enbrel for 3 weeks and felt horrible; I could hardly even dress myself. It was so depressing and frightening, and it certainly opened my eyes to what it&#039;s like for people who can&#039;t access the drugs they need.]]></description>
		<content:encoded><![CDATA[<p>Will that mean that NHS patients will have no way to access the drug? I just looked it up to see if it&#8217;s available in Canada or not, but I can&#8217;t find anything. </p>
<p>Last year I fought and fought for temporary coverage of Enbrel from the Ontario Government, in between graduating from school and finding a job with drug benefits. It took nearly a year before they would approve Enbrel (even though I had been on it for 5 years at the time!). In the meantime, I had to try a handful of other drugs and an absolutely enormous dose of methotrexate to make sure there wasn&#8217;t anything cheaper that could help me. I ended up going without Enbrel for 3 weeks and felt horrible; I could hardly even dress myself. It was so depressing and frightening, and it certainly opened my eyes to what it&#8217;s like for people who can&#8217;t access the drugs they need.</p>
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		<title>By: WarmSocks</title>
		<link>http://pollyannapenguin.wordpress.com/2009/10/02/nice-refuses-yet-another-drug-for-r-a/#comment-542</link>
		<dc:creator><![CDATA[WarmSocks]]></dc:creator>
		<pubDate>Fri, 02 Oct 2009 18:23:48 +0000</pubDate>
		<guid isPermaLink="false">http://pollyannapenguin.wordpress.com/?p=422#comment-542</guid>
		<description><![CDATA[That is really scary!  Seems like the criteria should be related to whether or not the medicine works.]]></description>
		<content:encoded><![CDATA[<p>That is really scary!  Seems like the criteria should be related to whether or not the medicine works.</p>
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