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Ruby the Liberal

(26,219 posts)
Sun Aug 7, 2016, 11:06 AM Aug 2016

Family of 5 Die in Apparent Murder-Suicide - Suggested PhRMA Connection



From Philly.com

Five family members in a small Pennsylvania town are dead in what authorities are describing as an apparent murder-suicide. Authorities discovered the bodies Saturday afternoon in the family’s home in the small Berks County town of Sinking Spring, about 70 miles north of Philadelphia, according to a report by The Reading Eagle.

The victims, who all died of gunshot wounds, have been identified by Berks County District Attorney John Addams as Mark Short, his wife, Megan, and their children Liana, Mark and Willow.

(snip)

According to a 2015 report by the New York Times, 2-year-old Willow had a heart transplant when she was just one week old. The family struggled obtaining the drugs necessary to keep Willow from rejecting the new heart. One month, Megan Short discovered her pharmacy had mistakenly only sent enough medication for Willow for just 14 days, not the 30 she was supposed to receive, leaving the mother rattled.

“Every single month it seems like it’s something,” she told The Times.


More: http://www.philly.com/philly/blogs/real-time/Parents-children-of-Pa-family-found-dead-in-their-home.html

From the NYTimes article last summer:


SINKING SPRING, Pa. — As the end of each month nears, Megan Short frets. Her 1-year-old daughter, Willow, cannot afford to miss even a single dose of a drug she takes daily to prevent her body from rejecting her transplanted heart. Because of stringent rules from her drug plan and the pharmacy she is required to use, Ms. Short cannot order a refill until her monthly supply is three-quarters gone. Yet processing a refill takes about seven days, making it touch and go whether the new shipment will arrive before the old one runs out. “You just feel like every month, you’re hoping that they don’t mess it up,” said Ms. Short, who lives in this town about 70 miles northwest of Philadelphia.

(snip)

But as specialty pharmacies proliferate, questions are emerging about their role and business practices. Interviews with patients, patient advocates and doctors suggest that specialty pharmacies do not always live up to their billing. There can be onerous refill policies that require hours on the phone, shipments that are delayed or error-ridden, and difficulty reaching a pharmacist or other representatives. Moreover, many patients are limited to one specialty pharmacy — often one owned by their insurer or pharmacy benefit manager and requiring delivery of drugs by mail. That leaves patients without options if they are dissatisfied.


Much much more about this onerous pharma/insurance practice: http://www.nytimes.com/2015/07/16/business/specialty-pharmacies-proliferate-along-with-questions.html

61 replies = new reply since forum marked as read
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Family of 5 Die in Apparent Murder-Suicide - Suggested PhRMA Connection (Original Post) Ruby the Liberal Aug 2016 OP
Murder-Suicide SecularMotion Aug 2016 #1
Oh my god, how horrible. CaliforniaPeggy Aug 2016 #2
Why the babies fer crisakes? lpbk2713 Aug 2016 #3
Because Calculating Aug 2016 #4
I know, I just can't understand it. smirkymonkey Aug 2016 #11
Why kill the dog? milestogo Aug 2016 #5
Why kill the dog? AlbertCat Aug 2016 #16
"they"? whathehell Aug 2016 #18
Yep. I bet Mom would have made a different decision. Bet he shot her first. Nay Aug 2016 #19
Wounded Masculinity strikes again. eom Bad Thoughts Aug 2016 #20
Yes..Most murderers, and that would include family annihilators, are men. whathehell Aug 2016 #29
"they"? AlbertCat Aug 2016 #24
I'm glad you acknowledged my point.. whathehell Aug 2016 #27
It depends on thet age of the child. Act_of_Reparation Aug 2016 #49
Oh well.. whathehell Aug 2016 #50
Men? Check. Guns? Check. Alert proof? Check. Eleanors38 Aug 2016 #31
Don't bet on it with a newborn - toddler in the picture. haele Aug 2016 #36
I'm betting on it.. whathehell Aug 2016 #43
Why speculate? Even very rare things happen sometimes. Tom Rinaldo Aug 2016 #45
Um, I didn't start the speculation.. whathehell Aug 2016 #47
Thank you for telling us your story. Ilsa Aug 2016 #46
This message was self-deleted by its author lumberjack_jeff Aug 2016 #61
The article detailed the stress of getting needed medication every month Sanity Claws Aug 2016 #6
That was what caught my attention Ruby the Liberal Aug 2016 #7
Mail order refill policies are often insane, especially for people on Medicaid Warpy Aug 2016 #8
When You Have To Use A Mail Order Pharmacy It Is Totally Un-Personalized.... global1 Aug 2016 #12
I had a specific drug through a specialty mail-order company phylny Aug 2016 #13
I use a specialty pharmacy for chemo drugs, and moonscape Aug 2016 #15
I get my insulin by mail REP Aug 2016 #22
Oof Egnever Aug 2016 #23
"owned by their insurer" dixiegrrrrl Aug 2016 #9
Starting this past January Ruby the Liberal Aug 2016 #10
Express Scripts is extremely difficult to reach if there is an issue. haele Aug 2016 #37
Had to call ES a couple weeks ago... PunkinPi Aug 2016 #44
just awful. eom LittleGirl Aug 2016 #14
Heart breaking. Vinca Aug 2016 #17
who was the shooter ? JI7 Aug 2016 #21
Fuck that mudering asshole. Iggo Aug 2016 #25
If you have never had to deal with a sick family member and the financial, emotional drain redstatebluegirl Aug 2016 #26
Much more on this from the local paper (Reading Eagle) VMA131Marine Aug 2016 #28
A major threat to the safety of a family is a male family member with a gun Kaleva Aug 2016 #30
"Major?" Of all U.S. families, what per centage have gun-related crimes? nt Eleanors38 Aug 2016 #32
I did a rough calculation a few months back after Orlando: maxsolomon Aug 2016 #35
You include suicides-- 2/3 of your total. More like 1 of 30,000. Eleanors38 Aug 2016 #38
Suicides don't count? Major Nikon Aug 2016 #53
They count as suicides, not as a data transparently used to pump up the volume for gun bans. Eleanors38 Aug 2016 #54
About as dumb as claiming those who want to murder people will find a way Major Nikon Aug 2016 #55
More agitprop from banners -- pretty dumb stuff. Eleanors38 Aug 2016 #56
Sure, guns are irrelevant to homicide rates Major Nikon Aug 2016 #57
You broke fast. Eleanors38 Aug 2016 #59
Derp Major Nikon Aug 2016 #60
The most dangerous time for a woman in an abusive relationship is when she is leaving obamanut2012 Aug 2016 #33
I just saw today that they are only doing an autopsy on the husband Ruby the Liberal Aug 2016 #40
Yeah. Less the pressure of the perscriptions, and more the Husband and his gun. maxsolomon Aug 2016 #34
Stop your super-charged moralism, and there might be reason to believe in your authenticity. Eleanors38 Aug 2016 #39
Please don't discount the stress that was inflicted Ruby the Liberal Aug 2016 #41
Pills can't fire bullets. Depression can't fire bullets. maxsolomon Aug 2016 #42
I'm pretty sure the medicine thing was just ONE factor Blue_Tires Aug 2016 #48
That's the ultimate problem about easy access to firearms. TonyPDX Aug 2016 #51
Sounds like Express Scripts notadmblnd Aug 2016 #52
Fucking sick and sad! Quantess Aug 2016 #58
 

SecularMotion

(7,981 posts)
1. Murder-Suicide
Sun Aug 7, 2016, 11:10 AM
Aug 2016
[center][/center]

Murder-suicides are a shockingly common form of gun violence in the United States — an estimated 11 such incidents each week. VPC research has found that more than 1,200 Americans die in murder-suicides each year. Nine out of 10 murder-suicides involve a gun. In nearly three-fourths of all murder-suicides, an intimate partner of the shooter is among the victims.

http://www.vpc.org/revealing-the-impacts-of-gun-violence/murder-suicide/
 

AlbertCat

(17,505 posts)
16. Why kill the dog?
Sun Aug 7, 2016, 01:33 PM
Aug 2016

Because they were fucking nuts.

Many many families go thru a lot of stress with insurance, medical bills and a bunch of other stuff too.... but don't kill the whole family.
These crazies just used their child's problems as an excuse.

whathehell

(29,067 posts)
27. I'm glad you acknowledged my point..
Mon Aug 8, 2016, 12:28 PM
Aug 2016

as for mothers killing 'all the time too", I don't know about that..Mothers are often home more often with their kids, but

I'd say the rate is still higher with men, who, in general, kill a lot more often than women.

Act_of_Reparation

(9,116 posts)
49. It depends on thet age of the child.
Tue Aug 9, 2016, 11:11 AM
Aug 2016

Mothers are more likely to kill infants than fathers. Fathers are more likely to kill children over 8.

Source.

whathehell

(29,067 posts)
50. Oh well..
Tue Aug 9, 2016, 02:57 PM
Aug 2016

As long as they keep it even.

Seriously, though..As a group, men commit more violent crimes. Period.

haele

(12,650 posts)
36. Don't bet on it with a newborn - toddler in the picture.
Mon Aug 8, 2016, 04:46 PM
Aug 2016

Post partum depression is particularly nasty. Stepdaughter is suffering from it now, and there's not much we can do for her when an episode overtakes her. Her husband isn't much help, he's still a bit young and self-absorbed; it's been five months and he still can't (or won't) notice the clear warning signs when reality starts going sideways for her.

The other grandparent, a tea-partier type, has actually locked up his guns; he finally realizes how bad she can get and is telling his son to get over himself and start being pro-active about getting her to seek help.

Watching the kidlet when she experiences a freak out, I can easily see a mother losing it from the stress and deciding everything in her world just needs to stop right now...and a gun is an easy "re-set" button for someone who is totally out of it. Post partum mania phase - it's like a big angry monster just rears up from the back of her head and digs it's huge red claws into her brain - sort of a behinder face hugger.

Haele

On edit - reading further down, it does appear that the additional stress might be the mother leaving, which swings the risk of gun violence back towards the man. But even then, reporting does not outright indicate who was the shooter.

whathehell

(29,067 posts)
43. I'm betting on it..
Tue Aug 9, 2016, 07:16 AM
Aug 2016

Last edited Tue Aug 9, 2016, 08:23 AM - Edit history (1)

Mothers killing their children -- Even with post-partum-- is rare. Murder-suicides of entire families by mothers are even MORE rare -- Try again.

Tom Rinaldo

(22,912 posts)
45. Why speculate? Even very rare things happen sometimes.
Tue Aug 9, 2016, 08:53 AM
Aug 2016

If this were a betting exercise I would bet the way you would, but it isn't.

Ilsa

(61,695 posts)
46. Thank you for telling us your story.
Tue Aug 9, 2016, 08:59 AM
Aug 2016

Even if the husband/father can't see it, I'm so grateful the grandparents see it and reacting in a worse-case-scenario mode to protect everyone.

It might be worth the husband tipping off her OB (through the nurse). They may not be able to "listen" to his comments or say anything other than call emergency if something is imminent. But, it may put them on alert to do intensive screening for PPD or PP psychosis when she has a checkup.

I wonder if the woman in the OP was leaving to obtain additional social benefits to redirect towards her child's needs.

This is so sad. It didn't need to happen if we actually took care of disabled children and those with severe chronic health problems. Living in Texas, we were broke the first half of the year paying for my son's medications to treat behaviors related to autism. Texas doesn't participate in the federal program that helps fund the out-of-pocket expenses that insurance won't pay. I didn't know it existed until I met someone who had moved from a Deeming Waiver state.

Response to whathehell (Reply #18)

Sanity Claws

(21,847 posts)
6. The article detailed the stress of getting needed medication every month
Sun Aug 7, 2016, 11:45 AM
Aug 2016

The little girl had a heart transplant. I wonder if the family had huge medical bills, another stressor. Our medical system sucks big time.

Ruby the Liberal

(26,219 posts)
7. That was what caught my attention
Sun Aug 7, 2016, 11:55 AM
Aug 2016

The stress they were under must have been unbelievable. This is beyond heartbreaking.

Warpy

(111,255 posts)
8. Mail order refill policies are often insane, especially for people on Medicaid
Sun Aug 7, 2016, 12:00 PM
Aug 2016

or getting help with expensive meds like antirejection drugs. If there is any sort of delay, people can get horribly ill.

I used to get misdelivered drugs for a family one block over. I walked them over when I discovered them in my mailbox but I can't imagine the anxiety their empty mailbox would have provoked before I got there.

Large mail order pharmacies have lower overhead than bricks and mortar drug stores, I get that. However, it's a terrible system to have to cope with, especially with a sick child who will die without her medication given on time, every day.

I can see someone going completely around the bend from this shit.

global1

(25,242 posts)
12. When You Have To Use A Mail Order Pharmacy It Is Totally Un-Personalized....
Sun Aug 7, 2016, 12:49 PM
Aug 2016

you don't even get to talk to the same pharmacist each time you have a question. This is why if at all possible one should deal with their local corner pharmacy. They take a personal interest in their patients and you are always dealing with the same pharmacist that knows your situation.

Mail order pharmacies are terrible with customer service. They are only a money saving/making venture extension of the insurance companies and they don't really care about their patients.

phylny

(8,380 posts)
13. I had a specific drug through a specialty mail-order company
Sun Aug 7, 2016, 01:11 PM
Aug 2016

I could only order so far in advance, they were supposed to call me and never did, and I was NOT to miss a dose, but they didn't care.

It was awful, and it was just me - not my child. I totally understand the stress this family was under. It's a shame that their way out was for everyone to die by bullet.

moonscape

(4,673 posts)
15. I use a specialty pharmacy for chemo drugs, and
Sun Aug 7, 2016, 01:24 PM
Aug 2016

am amazed any pharmacy would ship drugs without requiring a signature. Mine is so strict that it's onerous - but understandable. The drugs are so expensive, it's remarkable they would just drop them in a mailbox! The financial liability alone would be huge.

REP

(21,691 posts)
22. I get my insulin by mail
Sun Aug 7, 2016, 05:09 PM
Aug 2016

I get 9 vials of Lantus and 3 vials of Humulin-R at a time. Lantus retails for over $200 per vial; Humulin-R is over $120.00 per vial retail, so that's a couple thousand dollars of drugs that must be keep cold delivered to my door. Fortunately, my mail order pharmacy is part of my HMO and I'm lucky enough to have excellent coverage so I can afford to be diabetic.

The last time I had a PICC line in for IV antibiotic therapy, a fresh cooler of meds was delivered to my door daily.

dixiegrrrrl

(60,010 posts)
9. "owned by their insurer"
Sun Aug 7, 2016, 12:09 PM
Aug 2016

THAT's why the battle for drug monopolies. And it is insane...you have to pay a company money so they can sell you a drug from a store they own.
I did not realize this before, did not get why drugs had to be mailed to customers. Now I know.

Ruby the Liberal

(26,219 posts)
10. Starting this past January
Sun Aug 7, 2016, 12:13 PM
Aug 2016

My insurance company (through work) turned over all prescription management to Express-Scripts, the mail order people. Now, my retail pharmacies have to get approval through them as opposed to the insurance company.

In my wildest dreams, I never knew how much of a cluster fuck that would be (and has been), and I don't have specialty-pharma needs like this family dealt with. I can't even begin to imagine their anguish. And now they are all gone.

haele

(12,650 posts)
37. Express Scripts is extremely difficult to reach if there is an issue.
Mon Aug 8, 2016, 04:50 PM
Aug 2016

The only way we have been able to get to a customer service person is to go to f'n Walgreens and have their pharmacist call them.
You can't even contact anyone or make requests except via an email drop-box at their website, and trying to call eventually gets you to a voice drop-box where you can leave a message for them to call you, instead of reaching an actual person.
For our insurance policy, they run their big ticket meds through Accredo, and Accredo is almost as difficult to reach.

Haele

PunkinPi

(4,875 posts)
44. Had to call ES a couple weeks ago...
Tue Aug 9, 2016, 08:34 AM
Aug 2016

about two prescriptions to opt out/switch to my local pharmacy instead of their mail service. I was able to speak to a live person, 1-866-297-0984. However when I went to my pharmacy, there was still an issue with one of them and the pharmacist gave me another # to call which went directly to an ES supervisor, 1-877-603-1032.

redstatebluegirl

(12,265 posts)
26. If you have never had to deal with a sick family member and the financial, emotional drain
Mon Aug 8, 2016, 12:16 PM
Aug 2016

it puts on a family you are truly lucky. Deciding whether to buy medicine for your child or other close loved one or food is a tough decision. Big Pharma and Corporate medicine run this country.

VMA131Marine

(4,139 posts)
28. Much more on this from the local paper (Reading Eagle)
Mon Aug 8, 2016, 12:29 PM
Aug 2016

"SINKING SPRING, PA - Megan Short reportedly made no secret of the fact that she planned to leave her husband.
About a week ago, Short posted on Facebook that she needed a few people to help her move from her Brookfield Manor home Aug. 6, according to Angie Burke, who resides on the same Sinking Spring street as Short.
Burke said she met Short through neighborhood events such as the annual Christmas ornament exchange or Halloween parties, and they kept in contact, mostly through Facebook.

Burke wasn't able to help with the move because she was planning to host a birthday party for her husband and had family coming in from out of town.

On the way back from the bakery with the birthday cake, Burke saw emergency vehicles in front of the Short home, and her heart sank."

http://www.readingeagle.com/news/article/a-young-familys-final-anguish

Apparently, the wife was getting ready to move out. It doesn't take much to then infer that the husband was the shooter.

maxsolomon

(33,327 posts)
35. I did a rough calculation a few months back after Orlando:
Mon Aug 8, 2016, 04:34 PM
Aug 2016

roughly 30,000 Firearm Deaths/year

roughly 300,000,000 Firearms in circulation.

0.0001% of all guns are involved in death every year. 1 out of every 10,000.

Doesn't really make me feel better about "major" or "minor".

 

Eleanors38

(18,318 posts)
54. They count as suicides, not as a data transparently used to pump up the volume for gun bans.
Tue Aug 9, 2016, 05:49 PM
Aug 2016

People who want to kill themselves will find a way. Think: Japan.

Major Nikon

(36,827 posts)
55. About as dumb as claiming those who want to murder people will find a way
Tue Aug 9, 2016, 06:40 PM
Aug 2016

Just like murder, guns also make killing yourself a lot more efficient.
http://www.motherjones.com/politics/2015/09/suicide-gun-stats

Also dumb is comparing the US with Japan.
https://en.wikipedia.org/wiki/Suicide_in_Japan#Cultural_attitude_toward_suicide

Perhaps you think you've come up with something original, but it's not as if this sort of nonsense hasn't been debunked over and over.

 

Eleanors38

(18,318 posts)
56. More agitprop from banners -- pretty dumb stuff.
Tue Aug 9, 2016, 07:17 PM
Aug 2016

But I am not surprised. People who want to kill and have decided to do so WILL find a way, Major. Efficiency is secondary. Fertilizer, trucks, cans of gasoline (for the mass-murder types). Knives, clubs and the "assault machete" for those into Hutu-type cost-savings.

If you were serious about lowering crime, you might read "Gangs and Politicians in Chicago: An Unholy Alliance," if you care about the topic beyond the "mass spectaculars" most in DU are moved by.

One thing I have had driven home by my years at DU: The image or culture of a superior intellectual tradition, sound argument and good reasoning, assigned (for better or worse) to liberal thought has collapsed with the concocted rise of Gun Control as an "issue." But you did throw out that chafe some liberals use when they catch flak: "Debunked."

Oh! the irony. It ain't just in Erie.

Ruby the Liberal

(26,219 posts)
40. I just saw today that they are only doing an autopsy on the husband
Mon Aug 8, 2016, 06:05 PM
Aug 2016

not the wife or kids. Pretty much locks down who was the shooter.

maxsolomon

(33,327 posts)
34. Yeah. Less the pressure of the perscriptions, and more the Husband and his gun.
Mon Aug 8, 2016, 04:28 PM
Aug 2016

That's 5 more dead in this week's Mass Killing. The American Gun Holocaust rolls on, with nary a twinge of conscience from its apologists.

Ruby the Liberal

(26,219 posts)
41. Please don't discount the stress that was inflicted
Mon Aug 8, 2016, 06:07 PM
Aug 2016

by this pharma/insurance nightmare. Coupled with Post-Partum depression and guns in the house -- they all played a major role.

maxsolomon

(33,327 posts)
42. Pills can't fire bullets. Depression can't fire bullets.
Mon Aug 8, 2016, 08:00 PM
Aug 2016

Every Familicide has unique circumstances that play a "major role". One typically is the wife leaving the husband. But the most common feature in 90% (+/-) of them is the gun. That was typically bought for "protection" of the family.

It is very hard to stab 4 people and a dog to death, then yourself. That's why it rarely happens, whereas this tragedy is all too typical.

Blue_Tires

(55,445 posts)
48. I'm pretty sure the medicine thing was just ONE factor
Tue Aug 9, 2016, 10:55 AM
Aug 2016

in the ton of things that caused someone to snap...

None of us knows what really was going on in that marriage...

TonyPDX

(962 posts)
51. That's the ultimate problem about easy access to firearms.
Tue Aug 9, 2016, 03:02 PM
Aug 2016

Sooner or later, someone will have had bad day, or a sufficient number of bad days, and simply give up hope.

notadmblnd

(23,720 posts)
52. Sounds like Express Scripts
Tue Aug 9, 2016, 03:32 PM
Aug 2016

I hate having to use them. Instead of being able to get what I need on a monthly basis, which generally runs me 100.00 in co-pay. I have to order 3 months supply a a time which I can not afford. So I find and myself ordering one prescription every month and hoping it arrives in he mail before I run out.

Quantess

(27,630 posts)
58. Fucking sick and sad!
Tue Aug 9, 2016, 08:50 PM
Aug 2016

It is terrible enough when healthy adults commit suicide!

To kill your own healthy, independently living and breathing children, just for vanity's sake (we own these children and they are going to die with us mentality) is fundamentally wrong.

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