ok #bcpoli #medtwitter what do we have to do to finally have some common sense in what is covered by BC #pharmacare? @adriandix @s_malcolmson @AndreaWoo @MPJulian

Here's a few examples that have come up just in one day of real-world practice:

Osteoarthritis: super common cause of morbidity--what's evidence based first line pharmacologic treatment? plain old acetaminophen. Covered? nope. T3s? yup. NSAIDs with higher s/e risk profile. yup.

another good non-opioid option? topical NSAIDS! First-line for knee and hands! Covered? nope!

how about physiotherapy? NOPE!

here's another one that comes up all the time; Alcohol use Disorder.

First line meds? Acamprosate and naltrexone. covered? sorta. only with special authority paperwork, only when combined with "behavioral intervention therapy". why isn't that required for statins or BP meds? who knows!

it gets worse; what is another simple thing that MOH endorsed guidelines recommend for all patients with AUD?

thiamine! (at least)

covered? NOPE. covered with special authority paperwork? nope!

and who suffers from this nonsensical policy?
not folks like me. not queue-jumping casino executives.
only those who most need these simple interventions but have the most ignored voices. /end rant.