Sorry for the late start to posting today. I had to go to the doctor to take care of the flesh eating bacteria. Well, OK, that’s a bit exaggerated, but I’m prone to sebaceous cysts, and every once in a while one gets infected. When that happens, it’s painful and nasty. But it’s provided a bit of a lesson on health care costs. See, like most people, I had no idea what it costs to see my doctor, because insurance has always paid for it.
Cost 45 bucks to see the doctor, and 4 dollars for the sulfa antibiotic he prescribed. It cost more to get my car inspected last month. Now granted, as some point that cyst is going to need to be removed, and that’s sure to cost more like 10x this amount. But the cost of kicking the can down the road a bit, until I get established with the next job and get on their health plan was a lot less than I expected it to be. Granted, because I was paying cash, the doctor gave me a break on his usual rate, but I wouldn’t be surprised if he ended up making more doing a cash transaction than the office usually makes dealing with insurance companies.
Either way, hopefully the sulfa drug will take care of it. I was surprised to get prescribed that, given that this class of antibiotics has been around since World War II. But it turns out sulfa drugs are actually effective against most strains of resistant staph, which is apparently becoming uncomfortably common in community acquired infections. You want to really be frightened, the pharma industry isn’t really doing much in the way of looking for new antimicrobials. Because of the dangers of overuse, doctors are prescribing them less often, and the market has been getting smaller. In addition, if you do put a new class of antimicrobial on the market, you’re probably guaranteed to be a last line of defense, when all other antibiotics fail. This limits the market size and destroys the incentive to invest in the R&D, and antimicrobials are a tougher class of drugs than most. That’s a shame, because sulfa drugs have a high incidence of allergic reaction. While I’m pretty sure I had this class of sulfa drugs as a kid, I’m not 100% sure, so I’m hoping I tolerate it well. As much as medical science has advanced, it’s a real shame to have to rely on class of antimicrobials dating from World War II to deal with the modern drug-resistant bugs floating around out there.