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Should CVS Have sold $21 dollar Inhaler to Asthma sufferer who only hand 20 dolla

10/15/2000

A woman in New Jersey suffering from an asthma attack had to call a paramedic when her local CVS wouldn't sell her a $21 inhaler for $20.

The woman and her boyfriend were walking home in Garwood, NJ, when her asthma kicked into high gear. Hoping to quickly remedy the situation, they popped into a nearby CVS to buy an inhaler.


“I had exactly a twenty-dollar bill. It came to twenty-one and change... I offered him my cell phone, my wallet. I said i live right around the corner. I come in here all the time....

I said 'Can you just give her the pump. She's on the floor wheezing... I didn't know if an ambulance would get there on time. He said there was nothing he could do for me.


Thinking quickly, the boyfriend contacted a friend who is also a paramedic. "He did have an inhaler. She used two pumps, waited a little while," the boyfriend says. "She started to come through a little quicker than if she didn't have it."

CVS, now under federal scrutiny for being lax about pseudoephedrine sales, tells Fox: "The well-being of our customers is our highest priority and we are looking into this matter."


25 Responses
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649848 tn?1534633700
Yes, there is one brand of inhaler that I know of, that you can buy without a script.  It costs right at $20.  

Helpful - 0
973741 tn?1342342773
I don't believe so.  But if he dispensed it and she didn't pay it, then he would  legally be party to giving it to her . . . I think.  And since none of us know and this is a unique situation-------- chances are the pharmacist or tech didn't know what to do in that snap instance and made a safe decision.  It is sad------------  I'm glad the girl is alright.  Honestly, the best thing for anyone to do in that situation is find a firehouse-------- they are often positioned in an area that make it easily accessible and they would treat her without any legal ramifications.

And I promise----------  I would have given her the money to buy it had I been there.  I swear!!!
Helpful - 0
Avatar universal
Can you even get an inhaler without a prescription?
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Avatar universal
The only reason I can think of that wouldnt allow me (pretending I am a CVS pharmacy rep) to give this woman the inhaler would be....what if she took it then died?  CVS would be screwed to the wall for that, and the pharmacist would be down the road in an instant.  The lawsuit would be incredible.

I was in the bar biz for years, and we wouldnt even offer an asprin to anyone because of that very reason.  What if there was a reaction and they died?
Helpful - 0
1032715 tn?1315984234
It sounds like our health system is run pretty much the same as Canada's,When it's all you've known it's not so daunting and it does work,we have Medicare which supplies basic hospital and specialists to all,
I actually had a brain haemorrage 10 years ago and had a top neurosurgeon perform my craniotomy in a public hospital,it cost me absolutely nothing which included all my medications.Now if your worried about public hospitals you can pay into a private fund,but you still end up with out of pocket expenses.
The only downside I find to Medicare is if it is elective surgery,which means non life threatening,there is sometimes a waiting list,I only had to wait 3 months for eye surgery to correct a squint,Once again all the surgery,hospital bed and medications were free.
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377493 tn?1356502149
Aw, now I don't think it is a lack of heart.  And quite frankly, where you are concerned, I absolutely know it's not.  You will never ever get agreement from 100% of the population, just won't happen.  And we are all a product of our own experiences.  For example, I have never had any negatives with our health care system...it's worked for me and worked well.  So although I would like some reform, I don't really want it to change.  I am sure you will meet others from Canada who had a bad experience, and feel differently.  Same with you folks..if it has worked for you of course you wouldn't see a need to change it.  And for those it hasn't worked for, it will be different.  That's just human nature.  

I just think it important to base decisions on the facts.  Some do that (like you).  Others make decisions on rumour and speculation, which is never good.  I hear such crazy things on your media about our Health Care System that seem to me to be a means to frighten Americans.....Ohhhh, you don't want it to be like Canada!  Now, perhaps our system isn't the right one for you, but you should at least have the real facts before that decision is made, and much of what I hear reported is just nonsense.  

Hopefully you guys do come up wth something that works for the majority...that's always a good thing!  
Helpful - 0
973741 tn?1342342773
Well, probably one of the biggest misconceptions about those that oppose Obama's health care bill is that we have no heart or caring of those that desire it the most.  I do.  Being opposed to universal health care or this bill does not mean that I don't see we need change and fixing of some issues in the system.  I hope the powers to be after November are able to work through some issues and may they benefit you.  Perhaps the bill will stay in tact.  I don't have all of the answers.  From where I sit, I still want the bill appealed.  But I equally want those in your position Teko to have the medical care you need.  I am waiting for either some genius or a wizard to come along and come up with a solution that everyone feels good about.  Anyway, I do wish all here the best and I hope you know that.
Helpful - 0
377493 tn?1356502149
SpecialMom - I guess it is a bit complicated.  It's so normal for me that it's easy, but it's what I have grown up with it, so of course it would be simpler.  

Teko - your scenario is my worst nightmare and is why I do NOT want our Universal Health Care System to change.  

Yes, 30% might seem high, but again, it's what we are used to.  I love some of the other benefits we get. Every child in Canada receives $100/month. If you are under a certain income level it's more.  We personally use ours for Ryder's education fund, but for some, it means nutritious food.  It's actually a tax credit, but is sent to us in the form of a cheque monthly.  I like that we can use our unemployment insurance to take a year off when each child is born - no, you don't get it automatically, you must have been paying into Unemployment to get it.  But for many they must go back to work for financial reasons and that first year is so important.  So I like that I can use my UI, which really is taxes if you think about it, for that.

The 30% is worth it to me to know that no matter what happens...any of us get sick, I don't have to worry about losing healthcare or about providing a high level of treatment for my family.  Specialists are also covered so I can make sure that all of us are properly cared for.  I figure if there was ever a major illness, it could cost a lot more then 30% of income, so in all honesty, I will never complain.

I am not saying ours is good, yours is bad.  I don't understand yours well enough to truly comment.  But when I hear stories like Teko's, I worry.  My mom has a lot of health issues and my dad is self employed, so under your system they would be in trouble.  It still costs them a lot in medication, but they are both 65 this year, so that changes...med costs go way way down.

Our biggest challenge is abuse of the system and fraud.  People that go to the Emergency Room for the sniffles or people that come here, borrow a friend or family members health card and are taken care of (surgery, whatever) fraudulently.  In some areas we also have a Dr. shortage so that is where the rumour that we have really long waits comes from.  You can also wait a long time in the ER, but if you are going for a true emergency, that's not true.  I don't go there unless it is a real emergency, so have never had that problem really.  But then, I can go to my Dr. without worrying about it.

It does save money in some ways, because everyone can seek preventative care which is key to good health.  Because we don't worry about paying for it, we can see the Dr. at the beginning of something when it is more easily treatable or we first find that little lump.  We don't have to ask ourselves if a trip is worth it or not, or can we afford it.

I guess that is why I like Universal Coverage.  But again, I don't know enough to say yours isn't good....like you guys, we always hear the worst.  

Teko, I hope this gets resolved for you and you get the treatment you need!!
Helpful - 0
Avatar universal
Let me tell you about a self employed working person and the woes of insurance, since I am one of them. I work, I am not low income by any means and make a very good hourly wage. As a self employed person there are benefits and then there are the other, not so great things about it. I pay an average of about 30% in taxes. Keep in mind that I pay double the rate myself because when you work for an employer, they are paying a certain amount of it. I also have to pay for my own medicare deduction as well as workmens comp and my license fees and all the overhead is on me as well. When the recession started my husbands employer had a decision to either drop the medical insurance or lay off people. In order to stay afloat, he dropped the insurance. We tried to pick up the insurance on our own but were told because of pre existing conditions, we were not insurable. My husband has 5 stents and has CAD. Me? I have a terminal lung disease ( partly from smoking Im sure and partly inherited). My father died of it. So what is available to us besides the ER. Well, lets see, there are clinics around if you get sick and need to be seen for say bronchitis or the flu, some are on a sliding fee scale but since we are not low income we are not eligable. We are too young for medicare, medicaid again is out because it is based on income. So what does that mean for us? It means if we have a heart attack or something we can go to the ER where they will stablize us and release us to the care of a non existant primary physican, which we can not get because we have no insurance, meaning there is no continued care that is not out of pocket. Since we do not belong to a pool, our expenses are full rates, no discounts that you get from having inurance. All tests are also out of pocket to be paid up front. So this is my situation, and I am amazed at the amount of people that thinks everyone has medical available to them? Obviously those here are blessed with having it and very much takes it for granted. To me, the healthcare reform may not be perfect but it is sure a good start! Under this plan by 2014, I will be able to afford insurance under one of the exchanges put in place and they will treat me for those pre existing conditions, and they cannot cap my care or decide not to pay for it if I am sick for a long time. I would also like to point out that it is that time of the year for renewals on insurance plans. Insurance companies are raising the rates again and making huge profits while giving less and less care. They raise their rates for less on the dollar. So to me, making them spend 85 percent of the dollar on health care is also a good thing. The reform is not perfect by any means, but unless you are in a situation like me, and many more like me, your just not going to understand. Since I am not low income enuff to get state aid, I am one who falls thru the cracks, and it is people like me that this helps. The low income and the poor have always been taken care of, its all those in the middle that are not. I ask for nothin free, and agree I should pay, just give me the opportunity to do so and dont tell me because I am a risk that will definately be needing that care that I am not worthy to have it. So, yeah! public option sounds great just so everyone can get the basic medical care they deserve. I have done nothing wrong, never abused the sysem, just bad luck in a recession and hve medical issues, so I cannot get it. Obama has made that a possibility for me, even if I have to wait till 2014 to get it.
Helpful - 0
973741 tn?1342342773
Thanks adgal and narla.  It IS quite complicated to understand it all, isn't it?  And I'm sure there are lots of little this's and that's that are exceptions to the general rule.

I think many in this country are under some misconceptions when it comes to the idea of universal health care.  I think they think that nothing will change for them financially and they will just have health care in all areas given to them.  Honestly, your health care is provided for but you DO pay for it.  30% tax rate is significantly higher than what my husband and I pay.  I think some (no one here-------- I'm making a broad statement) do not realize that their paychecks will be noticibly less.  Then, say they work cleaning houses or are an artist and do make a taxable income but have no employer as such-------- that they would still have to pay for extended benefits to get their "life saving" meds.  

This is, of course, the regular working folk I'm talking about.  Our citizens that are at or below the poverty line (which I think could be a higher number, in my opinion)(oh, and they can be working folk too-------- I didn't mean that they didn't work), senior citizens and the disabled are provided benefits.  

I gather that there are misconceptions that everyone has about the other's system.  
Helpful - 0
1032715 tn?1315984234
Only certain ones are covered,the government decides which ones,also if you have a certain number of scripts in a year then you get the rest free,also the subsidised scripts are means tested so if you earn over a certain amount you're not covered,this mans wife had died in the last month and he hadn't been reassessed yet
Helpful - 0
377493 tn?1356502149
Sorry,should probably add...if it's hospital administered drugs..ie" IV drugs, chemotherapy or anything like that, it is covered.  It's just prescriptions you walk out with that are not, except by your extended benefits.
Helpful - 0
377493 tn?1356502149
I know it's kind of complicated.  I'll see if I can lay it out (although I don't always understand all the nuances myself..lol)

National Health Care Plan - covers all Dr.'s visits, hospitilization, surgery, Dr. ordered tests.  Every single Canadian citizen is automatically covered.

Does not cover - prescriptions, dental, elective surgery, fertility, etc.

Extended Benefits - Either employer paid for or privately purchased through a private insurance company covers - prescriptions, dental, etc. etc.

Extended benefits packages vary as do the costs.  Some may cover 100% (mine does), others may be a co-pay situation, just depends

Not everyone has extended benefits.  If you are self employed, most buy it themselves for they and their families.  

If you are under a certain income level, disabled, etc. you usually get it covered.  Same with many (maybe all, not sure) seniors, etc.

Many don't have them at all though and just pay for it.  

30% is my approximate tax bracket, but it's a sliding scale based on your income.  The more you make, the more you pay.  We are probably just above average with our combined incomes.  

National Health Care plan covers everyone who is a Canadian citizen, no exemptions.  

So no, its sure not perfect.  But I still prefer it to dealing with an insurance company telling me what Dr. I have to see, or that I can't go to the emergency room if I want to, etc.  

Like I said though, we always hear the worst about the others coverage.  So I never know it the stories I hear are one off's or the norm.  I can tell you though I like our situation and although I would like to see some reform, wouldn't want the basics of it to change

Keep in mind with our high taxes that it's not just health care...that covers everything.  We are a massive country (second in size only to Russia) with a relatively small population. So you have large infrastructures...roadways, etc. supported by a too small population.  The only way our taxes are coming down is to see an increase in our working population.  We need immigration!!  
Helpful - 0
973741 tn?1342342773
What happens if you are unemployed?  I just wonder about this man Narla helped who was disabled and couldn't work?  Why would someone like that not be able to have a perscription paid for?  Would he fall under the umbrella of universal coverage due to his income being 0?  I thought your 30% tax rate covered your health care needs regardless of employer.  But if you don't work, you don't have part of your health care covered in terms of medications?  I know you don't know the man or circumstances--------- but I gathered that all were included in coverage whether they worked or not.  What if someone is privately employed?  
Helpful - 0
377493 tn?1356502149
It's the same here..under a certain income level, disabled, etc. and you can get them covered.  It's just not automatic, you have to fit into certain criteria.  Pretty much anyone that works has it covered through extended benefits, or at least partially covered.  It depends on the plan.

I do not know of any circumstance though were over the counter are covered though.  Perhaps some might, but never heard of that.

Helpful - 0
1035252 tn?1427227833
Oh my gosh YES they should have sold it....and I agree with specialmom, I would have given her a dollar. One time I was at the store with my DH and my daughter and I was heavily pregnant and we were on our way out of town to spend time with my husband's dying grandfather, and our debit card got declined (the satellite was down and we don't carry cash or own any credit cards) as we were trying to get enough food to last the trip....and the woman behind me bought our entire order. It was only about $13 but I was in tears thanking her and telling her our story (which, by the way, she didn't hear until AFTER she bought us the items) and she said that many a time she had wished someone would reach out to help her and she would never not help someone in need now that she was comfortable enough financially to pay it forward.

well in her spirit, I paid it forward two weeks ago when a mother got to the front of the line at wal-mart and realized that her money for her newborn's diapers was missing...I bought her the pack. I told her that I was paying back a favor to a stranger who had done me a kindness and asked her to do the same someday when she was able.

sorry to ramble, but the point is....if people were less focused on legality and technicality, there would be NO QUESTION about this poll....the answer would absolutely, unequivocally be "yes". life and quality of life are more important than any one dollar...or any million dollars, in my opinion.
Helpful - 0
973741 tn?1342342773
Hey.  I'd give her a dollar!  I'm surprised no one in the store helped her out.  I have given money to strangers for much less worthy reasons in my day.  

I do think it is interesting that in a country with a universal health care program that people still have to hit people up for cash to buy their meds.  In our country, if you are below a certain income level, all medical necessities are paid for and if you can't work due to illness or disability, you then get benefits including medical coverage under that.  Always interesting how every one's system's work!

Helpful - 0
973741 tn?1342342773
Also wanted to add one thing (isn't there always one more thing . . . sorry)--------- but I think saying CVS denied this woman her inhaler over one dollar is a bit of an inflammatory way of saying it--------- it was the judgement call of one of their employees.  I doubt this scenario is in their company handbook.  Maybe there will be something written in there after this--------- but I bet it will say, you must call 911 even if they do not want you to for legal reasons.  Anyway, maybe the person referred to in the story regrets his choice now and didn't know what to do at the time and had to make a snap decision.  

Anyway, glad the woman is alright.
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Avatar universal
Considering that the lady was in the midst of an attack, was only a dollar short, and taking into account the mass prophet they made on the item already, I think it ridiculous to not give it to her and trust her to bring in the rest later. Personally, its another reminder of what greed has done to this nation. ME ME ME!
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377493 tn?1356502149
Ours aren't in Canada.  I think it's the same in Australia?  Lol, I know, question for Narla, but gotta stick my nose in..ha.  I am curious though too.  
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973741 tn?1342342773
Narla, are medications not covered under your national health care plan?  Just curious.  
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1032715 tn?1315984234
To me it is a no brainer it has to be yes,what is $1 nothing,how could they not have given the inhaler to her,
Just a quick story,I had a guy come up to me one day and asked if he could have money to pay for a script,at first I said no,then as I walked away I thought about it,I went back to him and said show me the script,he did I took the script and said come with me,we went to a chemist I handed the script in and I paid for it.It was about $30,the chemist knew this person and said his wife had just died,she was the income earner he had a disability and couldn't work.That day I felt the best I have ever felt and I will never forget the look on his face when I came back to him.      
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377493 tn?1356502149
I can see others point about taking personal responsibility and having the inhaler, and about it not being CVS responsibility.  No argument from me there.  However, if she was obviously having an attack, to me common decency and caring for others comes into play.  I absolutely would have made sure she got that inhaler while calling 911.  There was potentially a life at stake here....there is really no question in my mind that they should have given her the inhaler.  I have an anaphlactic allergy and carry an epi pen.  I am a pretty responsible person and usually have it with me, but I admit there are times I have forgotten it.  Fortunately I haven't needed it in years, but if I did and didn't have it?  I guess I would hope someone would help, even a pharmacy.  
Helpful - 0
973741 tn?1342342773
I know I am suppose to say yes and frankly, I'd have given the girl a dollar if I were standing in line by her but . . .  I don't know.  CVS is not the hospital with a duty to give emergency meds.  Pharmacists and pharmacy techs can tell you the name of medications and what they treat but that does not mean that they can recognize when someone is in a health crisis.  Maybe it was obvious and maybe it wasn't.  And if it were obvious, they'd probably be best to call an ambulance anyway so as not to open themselves up to litigation if something went wrong.  They are pharmacists and not doctors ----------  and chances are, the person running the cash register just takes the money and gives the meds.  No money, no meds.  They aren't trained to know this person "really needs it" and that person " can wait".  

It is sad though and I hope she is alright.  Wish I was there and I could have handed her the extra dollar she needed.

I don't know which way to vote though------------  I can see it both ways.
Helpful - 0
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