How DTC Models May Threaten Health Equity for Low-Income Workers: Expert Insights | AJMC

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How DTC Models May Threaten Health Equity for Low-Income Workers: Expert Insights | AJMC

In recent discussions about direct-to-consumer (DTC) pharmacy models, experts have raised important health equity issues. While these models offer convenience, they could make healthcare harder for those with lower incomes.

Experts like Jennifer Graff from Innov8 Health Policy point out that DTC models can engage more affluent patients who can afford self-pay options. However, they worry that these models might not be beneficial for everyone. For example, people in the “working poor” category—those who earn slightly too much to qualify for Medicaid but still struggle financially—could face high out-of-pocket expenses for medications. A recent survey shows that nearly 50% of Americans cite affordability as a key barrier to accessing medications. This poses a significant challenge when medications can cost hundreds of dollars.

Joey Mattingly, a pharmacist, highlights the importance of technology literacy. Many people may feel lost in a digital-first healthcare system if they lack support or experience. If someone can’t navigate online platforms effectively, they might miss out on necessary health information.

Historically, the landscape of healthcare has changed dramatically, especially since the pandemic. Before, patients often relied on in-person visits and local pharmacies for guidance. Now, there’s a trend toward digital health solutions. However, relying solely on technology can weaken the personal relationships between pharmacists and patients. These relationships can be vital for gaining insights into medication management and overall health.

Brian Reid stresses that the current health equity issues in the U.S. are complex. Many people simply cannot afford even the reduced prices that DTC models might suggest. This reflects a broader problem not directly addressed by current DTC strategies.

In light of these concerns, it’s crucial to think about how DTC models can adapt. Solutions like offering subsidies for low-income patients or integrating better support systems could help bridge the gap. The goal should be to ensure healthcare is accessible and equitable for everyone, regardless of their economic status.

If you’re interested in understanding more about the DTC landscape, you can delve into comprehensive reports available from trusted sources like The American Journal of Managed Care.



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