My company gives me BC/BS because I've been with them for so long and the benefits employees are hired with usually stay with them aside from rising co-pay costs. New employees hired after me were brought on board with less and less health benefits over the years. Young people eager for a job will sign up for whatever they can get just to get their foot in the door. Modern companies know this and use it to their advantage at the expense of the new employee.
Most of the time when my doctor writes me a script it's usually generic. My doctor refers to these as the "poor man's" version of the medicine. The prescription company used with my insurance is the mail order type. You can get three scripts filled at a corner drug store, but only for the first three fills. After that, if you need more of that medicine you must order it through the mail from a certain on-line pharmacy. I assume it is so they can find the cheapest generics they can find across the country to fill the order.
At my last doctors appt. I had words with my Neurologist. I showed up 10 minutes before the appt. time. I then sat there for close to an hour waiting to be seen. if he was treating other people I can understand that, but I saw three drug reps. who showed up unannounced after I arrived and without an appt. From where I sat I could hear the sales pitch of all three. Along with samples and other perks to entice the doctor to write scripts for their meds whenever possible.
My time, like anyone's, is valuable, I believe that doctors should only allow these sales calls at times with no patient appointments, and I told the Neurologist abrasively as much.
As far as doctors pay I have no hard data, but I believe most of the doctors and hospital bills charged are dictated by the insurance companies and what they will pay for procedures. Do people who have more money and better health insurance get better treatment....probably. A lot of things work like that in this world unfortunately.
Like Washington I have no idea how to fix the healthcare in America. It's solution seems so far out of reach, but we must keep trying. .I scoff at the people who say Obama care was too costly and a failed system. Yes it was not perfect, yes it costs a lot of money, but America has spent billions more for Iraq and other military engagements around the planet. We have spent much more on war than we have on making sure our citizens have something close to fair health coverage for all.
There are a lot of reasons for high drug prices, but greed is definitely up there as a cause.