Use Medicare’s Muscle to Lower Drug Prices

The Opinion Pages | EDITORIAL

By THE EDITORIAL BOARDSEPT. 21, 2015

A poll last month by Consumer Reports found that a third of the patients who take prescription drugs are paying significantly more this year, forcing many to cut back on other necessities or load up on credit card debt. Another poll in August by the Kaiser Family Foundation found that about a quarter of those surveyed said they had trouble paying for prescription drugs.

Many of the people most affected by rising drug prices are older patients on Medicare, who often live on modest incomes, are in poor health, and take four or more prescription drugs. One way to reduce drug costs for this population is to reverse the policy set by the 2003 Medicare Modernization Act, which created Medicare’s prescription drug program.

At Republican insistence, that law barred the federal government from negotiating with drug manufacturers. It relied on bargaining by private insurers that manage drug benefits for Medicare patients, like UnitedHealth, Aetna and CVS Caremark, to wring discounts from the drug makers. That wasn’t enough.

CreditDavid Ahntholz for The New York Times

The drug makers point out that what Medicare spends on drugs has been rising more slowly than had been projected over the past decade. But that is mostly because enrollment grew more slowly than expected and many widely used brand-name drugs lost their patent protection and were replaced by low-cost generics. 

While drug prices paid by insurers are usually discounted from the list price, those prices can still be very high. Medicare, with its enormous buying power, could drive costs down more. This is important because the newest, most expensive drugs for high cholesterol, hepatitis C, cancer and other ailments are needed by a large number of the elderly and disabled people enrolled in that program. Those high prices then result in high co-payments and other cost sharing for its beneficiaries.

Hillary Rodham Clinton, Senator Bernie Sanders of Vermont and the Obama administration have voiced support for federal government intervention in Medicare price negotiations, but they have been so vague that it is impossible to discern exactly what they would do.

Massachusetts is considering allowing state officials to set price caps on some of the most expensive medications, and bills have been introduced in several states to require greater transparency from drug companies on how they set prices, a prerequisite for determining whether the pricing is reasonable.

The Congressional Budget Office has long concluded that curbing Medicare drug spending requires that federal officials have stronger tools, like the power to offer preferential treatment to drug makers that offer big discounts. Medicaid, the state-federal insurance program for the poor, has ways to get big rebates from drug manufacturers; Medicare should be given such powers as well.

Congressional Republicans would no doubt balk at having the federal government negotiate Medicare drug prices, but the public is clamoring for action, and it’s the right thing to do.

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Elder Abuse

Lies, Secrets, and Scams: How to Prevent Elder Abuse

Seniors and their families lose billions of dollars each year to heartless fraudsters. 

Learn how you can help.

By Tobie Stanger, Consumer Reports / September 22, 2015

To understand how Beth Baker, an independent, generally robust 87-year-old, got taken for $65,000 in less than one week last year, it’s important to know about her grandson, Will. Baker, a retired second-grade teacher living in National City, Calif., beams when she speaks of the 24-year-old, the eldest of her five grandkids. As a high school football player and later a U.S. Coast Guard Academy graduate, Will made his grandmother terribly proud. When, late last year, Will’s wife delivered Baker’s first great-grandchild, Baker was overjoyed. “Will is precious to me,” Baker says.

So when a man phoned one morning last December from an unfamiliar number, the news he delivered hit her like a sledgehammer.

“He said my grandson was in Peru and was in trouble there,” Baker recalls. Then he put another man briefly on the line. Thinking it sounded like Will, Baker anxiously said into the phone, ‘Will?’ ”

What Baker unwittingly did was provide the caller with her grandson’s actual name, which was swiftly woven into a story. The caller said that Will had been a guest at a wedding in Peru. While driving, he had been involved in an accident that injured a 7-year-old pedestrian. Then a caller claiming to be Will’s lawyer got on the line and said Will was in jail and needed money at once; there was no time to think or question. “And he said if I shared this story with anyone, there’d be trouble for my grandson,” Baker recalls.

Baker hadn’t seen Will for a while, but the tale seemed plausible to her.

So, shaken and scared, she followed the caller’s instructions without verifying the story with anyone in her family. She hung up, drove to her bank, withdrew $5,000 from savings, and bought 10 $500 Green Dot MoneyPak cards at a CVS and a Ralphs supermarket. The contact called back as promised, and Baker scratched the card backs and read him the numbers beneath. That was all he needed to get an almost untraceable $5,000 payment, ostensibly for Will’s legal fees.

The man called soon after to say the injured child had died. Will needed more money to avoid 10 to 20 years in prison. Again, the caller stressed urgency and secrecy. At his prompting, Baker withdrew $11,000, bought more MoneyPak cards, and waited for her phone to ring.

It did ring—again and again—each call detailing a new twist on Will’s story and yet another demand. Over five days Baker purchased 101 MoneyPak cards and sent $65,000—almost all of her liquid savings.

Baker hardly slept. She was shaky and nervous. She skipped a visit to her husband, in nursing care at a home for veterans. She lied to her son, Jim—Will’s father—about her activities. Once during a visit, Jim noticed that her thumbnail tip was black. He didn’t ask why for fear of embarrassing her. In retrospect, he says, he realized that “it was from scratching off all those Green Dot cards.”

When Baker applied at her local bank for a $14,000 loan against her paid-off home, she attracted the attention of a manager. With patient prompting, Baker finally confessed. The banker told her she was being scammed. They called Jim to confirm that Will was safe. “I was so relieved,” Baker recalls.

Jim Baker reported the crime to the San Diego County district attorney’s Elder Abuse Unit and fired off an angry letter to Green Dot. He remembers the incident with bitterness. “It made my mother question her own sanity and worth,” he says. “At her age that’s hard to get back.”

(Have you, a friend, or a family member been the victim of an elder scam to steal money or property? Did you or the person you know fight back? Share the story with us on our Facebook page.)

A Crisis in the Making

Baker’s story may sound unbelievable. You may tell yourself it could never happen to you or anyone in your family. But don’t be so sure. Financial elder abuse—broadly defined as the illegal or improper use of the funds, property, or assets of people 60 and older by family, friends, neighbors, and strangers—is rising fast.

Estimates of the crime’s frequency vary. A 2010 survey of seniors by the nonprofit Investor Protection Trust projected that 1 in 5 seniors had been taken advantage of financially. A study last year in the Journal of General Internal Medicine found that 4.7 percent of Americans—about 1 in 20—reported that they had been financially exploited in their later years. The study provided perspective: If a new disease struck that same percentage of older Americans, researchers wrote, “a public health crisis would likely be declared.”

The Federal Trade Commission says that fraud complaints to its offices by individuals 60 and older rose at least 47 percent between 2012 and 2014. Seniors are the predominant victims of impostor schemes, in which criminals pose as government officials or other authority figures and claim that money is owed. They also are hit hard by gambits involving prizes, sweepstakes, and gifts.

Older people’s vulnerabilities—including isolation, loneliness, generally trusting natures, relative wealth, and in some cases declining mental capabilities—make them ideal quarry for con artists. Even those whose cognition is intact can be swayed if they’re stressed or depressed, or recently have lost a loved one.

The amount lost to swindlers, whether they are strangers or even relatives, is huge, with estimates ranging from almost $3 billion to more than $30 billion annually. And as baby boomers age, the pool of potential victims will expand, with assets ripe for the pickpocketing.

Mining for Marks
Among the factors that keep seniors from reporting scams are deep humiliation once they realize they’ve been had, and fear of reprisals from scammers who may have made threats to keep them silent. Many may be unaware that they’ve been scammed. A 2011 study conducted in New York state found that in one year, just 1 in 44 cases was actually reported.

“Victims are often deeply ashamed,” says Elizabeth Loewy, former head of the Manhattan district attorney’s Elder Abuse Unit and now general counsel at EverSafe, a fraud-monitoring service for seniors. “They worry that if they’re viewed as vulnerable, they’ll lose their independence.”

In addition to the psychic trauma, the crime can affect seniors’ health. A 2009 study of people 65 and older participating in the Chicago Health and Aging Project found that older people subjected to abuse or neglect, including financial exploitation, were hospitalized at a higher rate than those who weren’t victims.

Many of the cons that seniors get taken by are no different from those used against younger people. But criminals take pains to identify older people. A clever scammer who gets a senior on the phone will quickly tease out personal information. “They might say they want to send the person free medical supplies or that they just want to verify their personal information,” says Hazel Heckers, a victim advocate at the Colorado Bureau of Investigation. “Either way, their Social Security number is requested.”

To create personal connections, they’ll use “mirroring” techniques. “They’ll say, ‘You’re a veteran? I’m a veteran!’ ” says Debbie Deem, an FBI victim specialist based in Los Angeles who works with victims of financial crimes, including seniors. The flattery and emotional grooming are similar to techniques she has seen used by sex traffickers luring young girls.

“It’s low-risk occupation,” says Jane Walsh, director of the Community Protection Division at the Boulder County district attorney’s office in Colorado. “Why would someone rob a bank when they can sit at home with a phone and call a bunch of seniors.

An Emotional Appeal
Edna Schmeets, now 86, received a call in September 2011, the year after her husband died. A stranger claiming to be from an outfit called “American Cash Awards” announced to the Harvey, N.D., retired farm wife and homemaker that she had won a $19 million prize. All she had to do was wire $3,500 in advance fees and taxes to someone in Portage, Ohio. She shouldn’t tell anyone, the caller said, or she would lose the prize. To Schmeets, who had dreamed of providing a substantial inheritance to her four remaining children, eight grandchildren, and six great-grandchildren, the promise of a vast sum seemed a godsend. She complied.

“They’re good talkers,” Schmeets says now, puzzling over how the scammers reeled her in over 10 months. “They can just about hypnotize you over the phone.”

The caller, going by the alias Newton Bennett, then escalated his demands. Week by week, Schmeets eventually cashed in her investments and withdrew almost everything she had from savings. She borrowed against a life-insurance policy. She gave the scammers her credit-card number and personal identification number to provide more funds. She tried to get a loan on equipment from her family’s 640-acre wheat and cattle farm. The local bank, now suspecting that fraud was afoot, refused.

Her daughter, Lisa, who lived about 2 hours away and visited her mom frequently, recalls that her mother was uncharacteristically secretive during that period. And ­Schmeets did something odd: She opened accounts in all three banks in her town and began shuttling money among them. Her children found out that the scammers had instructed Schmeets to receive and deposit checks from other victims, and send the money to a third party. Without her realizing it, Schmeets was being used by the scammers to launder money.

A banker in Harvey questioned Schmeets about her large transactions. “I don’t remember what the heck I told him,” Schmeets says, “but I didn’t tell him the truth because I wasn’t supposed to tell anybody.”

The banker alerted Schmeets’ son, Jeff, to his mother’s strange behavior. Her children, who weren’t named on their mother’s account, immediately asked her to stop. Then they told the local police. The case was eventually forwarded to the FBI, and an agent began an investigation. By the time Schmeets stopped her folly, she’d lost $297,000.

“When the FBI got involved, it was like the spell broke,” Lisa says of her mother’s sudden awakening. “She was like, ‘Oh my gosh.’ And then she was really hard on herself. She’d really lost everything.”

The Scam That Scared a Grandmother Out of $9,000

http://www.consumerreports.org/cro/consumer-protection/preventing-elder-abuse/index.htm?video_id=4499666780001


Altered Reality
Experts say it’s not unusual for some victims to get duped repeatedly, betrayed not just by clever scammers but also by their own cognitive decline or emotional need. Jolene T. of California watched helplessly as her father, a retired plumber, and mother, a retired nurse, drained their life savings of $200,000 and borrowed an additional $50,000 responding to multiple sweepstakes prize offers, including one for $2.5 million from “Global International Sweepstakes.” Jolene consulted her father’s doctor, hoping he would declare her father incompetent so that she could take over his finances, but the doctor didn’t see signs of cognitive decline. Legally her father was able to carry on.

“I’d be at the house, and he’d get a call,” Jolene says. “They’d tell him to wire the money right away. He’d run out the door to send it, and I’d run after him. I still could not stop him.

“He was so deeply invested in it that he didn’t want to believe it was a lie,” she adds. “It became a kind of addiction.”

“The victims I deal with would not call these scammers strangers,” says Deem, the FBI victim specialist. “To these people, they’re their friends.”

To get through to victims and encourage them to stop, Deem tries to reveal the scams’ contradictions. But even when the hustlers are unmasked, some lonely victims appear not to care that they’re being duped. “A woman with Alzheimer’s said to me, ‘If you take this away from me, what will I have to live for?’ ” the FBI agent recalls. “Another one said, ‘His voice is like a song to me.’ ”

A Violation of Trust

Whether hatched around the corner or halfway around the world, these schemes often depend on the establishment of trust. Phillip Deeb, a retired meat cutter in Bradenton, Fla., trusted Dennis Cline and thus lost his life savings.

In 2006, when Deeb was 68, he responded to a mailing promoting Medicare supplemental insurance. He was sent a list of local insurance agents and selected Cline to sell him the policy. Cline soon began courting Deeb, befriending him and inviting him to a holiday party. He persuaded the retiree to put his entire $186,000 lump-sum pension into an annuity and offered to prepare his taxes. “He seemed trustworthy,” says Deeb, now 77. He admits he should have checked Cline’s credentials.

In 2008 and 2009, the IRS sent Deeb notices for unpaid taxes. Cline said he would handle it. But in late 2011, the IRS put a lien on Deeb’s accounts. Though Cline had asked Deeb and his wife, Mary Jane, to sign their tax forms, he hadn’t filed the returns at all. Deeb owed the IRS $20,000.

Around the same time, Deeb received a collections notice for cable television service he’d never ordered. Deeb’s daughter, Deneé, and son, J.P., decided to investigate and found that Cline had used Deeb’s Social Security number to arrange for the service in his own home. Suspicious, they dug deeper. They discovered that Cline had opened two more annuities. Over time, he’d gutted all three accounts, impersonating his client to gradually withdraw the funds by phone. To escape detection, he’d arranged for statements and checks to be sent to his or his father’s home. The value of the annuities had dropped to zero.

Deeb’s children alerted police. In November 2012, Cline was arrested, and a month later he was charged with scheming to defraud $50,000 or more, a first-degree felony. Various delays caused the case to drag on for 14 months. The anxiety ate at the couple. Phil Deeb, recovering from surgery to his pancreas, had several panic attacks, and a few months after the case ended, he underwent open-heart surgery. “The doctor states it was due to the stress in his life,” Deneé says.

Lisa Chittaro, the assistant state attorney who prosecuted the case, worried that the Deebs wouldn’t live to see justice. “I’ve seen it happen,” she says. “A defense attorney for this kind of case once told me, ‘Delay is my friend.’ ”

The Fight for Justice
In search of help, families report to local police, financial institutions, and numerous government agencies and not-for-­profits. (Read “Where to Report Abuse,” at the bottom of this page.) But investigations and prosecutions often fall short because of lack of training and coordination among various experts.

Investigators may be able to determine the origin of a phone call or the original IP address of an Internet operation, but by then the crooks have moved on. Paul Greenwood, San Diego deputy district attorney and head of the office’s Elder Abuse Unit, notes that although Green Dot changed the loading process of its cards earlier this year to make it impossible for scammers to redeem loaded funds remotely, criminals are using other cards in their place.

And resources stretch only so far. “The feds are more interested in a global picture, with a criminal network, lots of defendants, and millions of dollars,” Greenwood says. “If I brought them Beth Baker’s case, for $65,000, they’d probably laugh at me.”

Yet dogged investigators can succeed. While looking into some suspicious money transfers through the mail, Brian Horne, a postal inspector based in Miami, and Frank Gasper, the FBI special agent in Bismarck, N.D., who was probing Edna Schmeets’ case, discovered that they were tracking the same person: Shannon O’Connor of Deerfield Beach, Fla., who was receiving large checks from Schmeets and at least three others.

Horne and Gasper teamed up and eventually paid O’Connor a visit. She was arrested and questioned. “Initially she told a couple of stories,” Gasper recalls. “But after a 40-minute interview, she realized we knew what was happening.”

O’Connor cooperated, and the investigators pieced together the workings of a network of middlemen in the U.S. collecting huge sums of cash, much of it from seniors, and wiring or flying the funds to Jamaica. Working with Jamaican law enforcement, Horne and Gasper identified 32 conspirators in the U.S. and Jamaica. They estimated that the conspiracy had collected a total of $5.5 million from at least 70 victims across the country.

Louise Brown, 68, a retired nurse from Richmond, Vt.

Progress on Many Fronts

As difficult as such probes can be, elder-abuse experts say they’ve seen some progress in how the crime is perceived and handled. Last September, for instance, the Department of Justice launched a website that includes a database of publicly filed documents used in elder-abuse, neglect, and exploitation cases so that prosecutors can share strategies.

The Senate Special Committee on Aging, led by chairman Susan Collins, (R-Maine), and ranking member Claire McCaskill, (D-Mo.), have helped shine the light on many of the scams mentioned in this story through hearings and investigations.

Most statutes related to elder financial exploitation are at the state level, and several states have recently acted to beef up those laws. Maine added financial exploitation to its definition of elder abuse. Ohio is considering a bill to require financial institutions and their employees observing suspected elder abuse be “mandated reporters” to law enforcement; almost all states offer immunity from liability to those who report the crime.

Missouri recently allowed stock brokerages suspecting elder fraud to refuse to process a senior’s trade request or transaction for up to 10 days. New York is considering a similar bill for banks.

Financial institutions have begun training personnel to identify and report signs of elder fraud. Wells Fargo Advisors, the megabank’s brokerage arm, now trains all of its employees to be mandated reporters. Businesses have sprung up with products to help prevent the abuse. (Read “Build Your Own Safety Net.”)

Improved coordination with foreign countries has helped. Jamaica, a known hotbed for lottery scams, passed a law in March 2013 to make it easier to prosecute scammers. Shortly after, Sanjay Ashani Williams, 25, a “lead list” seller from Montego Bay, Jamaica, flew to Charlotte, N.C. There was an arrest warrant out for him, and he was apprehended. One of his victims was Edna Schmeets.

The Power of Speaking Out

A powerful tool in the arsenal of elder-abuse prevention is awareness.

Publicity—such as the 2009 conviction of Anthony Marshall for stealing millions from the estate of his mother, philanthropist Brooke Astor—is making elder fraud more visible. Numerous government agencies and not-for-profits offer educational websites and literature. But seniors themselves may be the most powerful teachers. When they bravely tell their stories, peers listen. (Learn about the Stop Senior Scams Acting Program.)

In late April, in federal court in Bismarck, Edna Schmeets took the stand to testify about suffering at the hands of the lottery schemers. She knew she would see Sanjay Williams face to face. “She was concerned about her safety,” Lisa recalls. “But she was a champ.”

Righting the Wrongs
Elder-fraud cases are sometimes resolved, but victims don’t always get their due. In January 2014 Dennis Cline was convicted of defrauding $50,000 or more. He went to prison and was ordered to pay $94,442 in restitution to Phillip and Mary Jane Deeb. But the Florida Department of Corrections says Cline is behind in payments to the Deebs since his February release. To make ends meet, Phil Deeb—who had lost his life savings in the fraud—had to return to the Publix meat counter. Then he became too sick to work. “It breaks down your body,” Deebs says of the experience. “You become sicker than you were.”

Edna Schmeets didn’t get her money back, which leaves her bitter. But in May, she learned that Sanjay Williams had been found guilty of conspiracy to commit wire fraud or mail fraud, conspiracy to commit money laundering, and 35 counts of wire fraud. Sentencing is scheduled for early October. He faces a potential 40 years in prison.

Greenwood says the Beth Baker investigation is ongoing. Baker doesn’t expect that she’ll get her money back, and she’s fortunate that her loss didn’t jeopardize her retirement. Like Schmeets, she now has her children’s names on her bank accounts and lets them periodically check her transactions. She says she’s satisfied if her words help protect others.

“These people are willing to take the stand in a public forum and talk about something embarrassing in order to help bring people to justice and stop the fraud,” says Assistant U.S. Attorney Clare Hochhalter, the lead prosecutor against Sanjay Williams in North Dakota. “They are heroes to us.”

“I don’t feel like a hero,” Baker says. “But I’m thankful if I can keep somebody else from being fooled.”

Ordinary People, Outsized Courage
Seniors often fear reporting financial exploitation, so it remains mostly hidden. To warn others, these victims spoke out.

Find out more at ConsumerReports.org/elderscamsupdate.

1. An unscrupulous financial adviser cheated Phillip Deeb, 77, of Bradenton, Fla. (pictured here with daughter Deneé), out of $186,000 before law enforcement stepped in.

2. In the hope of claiming a prize to share with family, Edna Schmeets, 86, of Harvey, N.D., lost $297,000 to swindlers. Here she poses with daughter Lisa.

3. A phony letter sent to Father Michael Ortiz, 86, of San Diego said he’d won a $1.6 million sweepstakes. The retired Roman Catholic army chaplain was directed to transfer advance taxes to a bank ­account in South Carolina. Ortiz paid $40,000 before he reported it to law enforcement. ­Apprehended, the crook ultimately pleaded guilty to felony elder financial abuse.

4. The Rev. Al Cadenhead, 68, of Matthews, N.C., relinquished almost $16,000 in one day to an IRS imposter. The Baptist minister was threatened with jail if he didn’t settle a purported tax bill immediately, using Green Dot MoneyPak cards for payment and keeping quiet to avoid further trouble.

5. A letter to Wade Gardner, 62, of Los Angeles, announced he could earn money evaluating retailers’ customer service. After Gardner responded by phone, he was sent a $3,000 bank check and told to deposit the check and send $1,200 personal checks to two strangers. Both $1,200 checks—and five of his other checks—bounced after the $3,000 deposit didn’t clear. Gardner paid almost $250 in bounced-check fees but says he could have lost much more.

6. Thinking she was rescuing her grandson overseas, Beth Baker, 87, of National City, Calif. (pictured here with son Jim), lost $65,000 to fraudsters before realizing she’d been conned.

7. A contractor approached Marjorie DeGrace, 77 (here with grand daughters Avianna, left, and Amanda), in her Wakefield, R.I., front yard and offered to pave her driveway for $3 per square foot. The paver started without giving DeGrace time to vet him. She paid $1,000 in cash and charged $8,000 before her children called police. Her son later measured the driveway and determined an overcharge of $3,600. The paver entered into a consent order to stop operating in Rhode Island and provide restitution or remediation to those who’d filed complaints, but DeGrace hasn’t seen a dime.

8. Louise Brown, 68, a retired nurse from Richmond, Vt., met a man through a dating site who charmed her through e-mails and texts. Over six months, he persuaded her to send $60,000 to cover business troubles abroad. The money hasn’t been recovered.

Where to Report Abuse
AARP’s scams and fraud page offers information on the latest frauds against older people.

The Consumer Financial Protection Bureau’s Office of Financial Protection for Older Americans receives and investigates consumer fraud complaints specifically related to mortgages, credit cards, banks, loans, and more.

The Federal Trade Commission's Complaint Assistant (877-382-4357) allows seniors to file a complaint in English or Spanish.

The Financial Fraud Enforcement Task Force’s StopFraud.gov is a first stop when reporting a scam. The site also has numerous resources for seniors and family members.

The National Adult Protective Services Association has a national map with links to abuse-reporting hotlines by state.

The National Center on Elder Abuse has state directories of help lines and elder-abuse-prevention resources in all 50 states and the District of Columbia.

The Senate Special Committee on Aging (855-303-9470) can refer victims and families to resources for assistance.

For more resources, go to ConsumerReports.org/elderscamsupdate.

More on Elder Abuse
Anatomy of a Swindle
Build Your Own Safety Net
Initiatives That Could Help Prevent Elder Fraud
Money Management and the Aging Brain

Editor's Note: This article also appeared in the November 2015 issue of Consumer Reports magazine.

Does Excedrin Extra Strength Really Work in 15 minutes?

Today I am posting the new article from Consumer Reports because this one interests me personally. I use to live on Excedrin and monthly shots of Sumatriptan. Sumatriptan is produced and marketed by various drug manufacturers with many different trade names such as Imitrex, Imigran, and Treximet as a combination product with naproxen. I suffered for years with monthly migraines. Thankfully, I only experience migraines occasionally now.  I have no idea what the catalyst was but am so glad it happened! I still get a lot of headaches and Excedrin always helps alleviate the pain for me (takes a little longer than 15 minutes though). 

Does Excedrin Extra Strength Really Work in 15 minutes? 
We take a closer look at how fast you can expect relief from your headache  
By Steve Mitchell
September 13, 2015

When you’re suffering from a pounding headache, the quicker the pain fades the better. So a new television ad promising that Excedrin Extra Strength—a triple combination of acetaminophen, aspirin, and caffeine—can start to provide relief in just 15 minutes sounds promising. But you could be waiting a lot longer for relief—about two hours—according to the research we found.

Novartis, the manufacturer of Excedrin Extra Strength, said the claim in the ad was based on a proprietary study they refused to share with us.

We found just one relevant study of Excedrin Extra Strength published in the journal Headache in 2006. In that study, people with migraine headaches who took the drug didn’t experience any more pain relief after 15 minutes than those who took a placebo. In fact, people didn’t experience any more pain relief than the placebo group until 45 minutes had passed. They also didn’t rate the amount of pain reduction as meaningful until more than 2 hours had gone by—or about 8 times longer than the claim in the TV ad.

Bottom Line

Excedrin Extra Strength can help relieve headache pain, but it might take a couple of hours to kick in. Instead of paying more for the brand-name product though, we recommend considering a generic version, which contain the same active ingredients (250 milligrams of acetaminophen, 250 mg of aspirin, and 65 mg caffeine per tablet), but is usually less expensive.

Because Excedrin Extra Strength contains three different compounds, it poses several different risks. Its first ingredient, acetaminophen, can cause severe liver damage, so don’t take more than 8 tablets in 24 hours. And check any other medications you take to see if they contain acetaminophen to be sure you’re not taking too much. Consumer Reports medical advisers recommend taking no more than 3,250 mg of acetaminophen in a 24-hour period.

Aspirin can cause stomach bleeding, especially in people age 60 or older and those who have had stomach ulcers or take a blood thinning (anticoagulant) or steroid drug. And if you’re sensitive to caffeine, cut back on caffeinated beverages, such as coffee, tea, and sodas, to reduce the risk of nervousness, insomnia, and rapid heart beat.

If Excedrin Extra Strength doesn’t relieve your headache pain, talk to your doctor. You might have a migraine or another type of headache that requires a different medication.

For more on treating migraine headaches, check out our Best Buy Drugs report.

Editor's Note: These materials were made possible by a grant from the state Attorney General Consumer and Prescriber Education Grant Program, which is funded by a multistate settlement of consumer fraud claims regarding the marketing of the prescription drug Neurontin (gabapentin).

Purchasing medicine outside the US

Is it OK to buy medicine online? Some people get prescription drugs from Internet sites outside of the U.S., but there are safer ways to save. 

Consumer Reports

Published: August 30, 2015 06:00 AM

Almost 60 percent of those surveyed last June by the Consumer Reports National Research Center said they’re trying to cut health care costs. Many of them said they get bargains on medications, for example, by buying them from online pharmacies outside the U.S. In fact, based on the survey, the center estimates that 1.9 million Americans buy medications that way.

It’s not terribly risky to order a toaster online, but it is when you fill prescriptions through Internet pharmacies. Cyberspace is rife with sellers peddling illegal and even toxic products, often through websites that appear to be authentic.

“The vast majority of websites selling prescription drugs are not legitimate,” says Carmen Catizone, D.Ph., executive director of the National Association of Boards of Pharmacy (NABP). Last June, for example, the Food and Drug Administration (FDA) took action against more than 1,050 sites, seizing products being sold fraudulently as FDA-approved prescription drugs and medical devices. And Catizone points out that of the almost 11,000 online drug outlets that NABP recently reviewed, only about 4 percent were operating according to U.S. laws and standards.

Online drug dangers

Rogue pharmacies often sell unapproved drugs that are counterfeit or poorly made, according to recent reports from the Government Accountability Office. Medications sold through those websites have been found to contain too much or too little of a drug’s active ingredient, or in some cases, a different drug entirely. Some drugs have even been found to contain dangerous contaminants, including toxic yellow highway paint, heavy metals, and rat poison.

“In the worst cases, people have died because medications contained toxins or didn’t treat their serious medical conditions,” Catizone says.

Ordering from those sites also puts your personal and financial information at risk. You may find yourself inundated with spam e-mail or your computer could be infected by a virus.

In addition, it’s illegal to order drugs from outside the U.S., so you may never receive what you ordered. And if the prescription is filled incorrectly or the drug contains ingredients that make you sick, you have no legal recourse.

Safer strategies

“There are legitimate online pharmacies,” says Lyndsay Meyer, an FDA spokeswoman. “But consumers need to be careful and know what to look for.”

If you choose to order online, make sure that the site is licensed, requires you to submit prescriptions, has a state-licensed pharmacist available to answer questions, and is within the U.S. (You may want to stick with the websites of drugstores you already know and trust, those connected to chain stores, big-box stores, and local mom and pop pharmacies.)

Want an easy way to tell whether an Internet pharmacy is safe and legal? Look for “.pharmacy” at the end of the Web address, which indicates that the site is licensed and has been verified by the NABP. (Only U.S.-based sites with “.pharmacy” in the URL will ship to U.S. addresses.) Or look for the seal from the Verified Internet Pharmacy Practice Sites program, or VIPPS, indicating that the company completed voluntary accreditation through the NABP. For a list of accredited sites (and those not recommended), go to nabp.net.

But you can save money on prescriptions without going online. Many stores offer deeply discounted generic drugs, and some also offer loyalty programs that give discounts to members.

About 'Canadian' sites

Many consumers think that they can sidestep any potential danger associated with ordering medications online by getting them from Canada, where the laws governing their sale are similar to those in the U.S. But our Best Buy Drugs experts advise against that (or ordering them from any other country). Here’s why: Internet pharmacies claiming to be Canadian usually aren’t. “Most are fake storefronts selling low-quality products from Third World countries,” explains Carmen Catizone of the National Association of Boards of Pharmacy.

Find out the surprising ways to save money on your prescription drugs.

Conversations on Health: An interview with Tara Montgomery from Consumer Reports

Conversations on Health (a radio show featuring in-depth interviews with healthcare and policy leaders) usually features leaders in health policy. Today’s guest was Tara Montgomery, Sr Director of Health Impact at Consumer Reports. Tara presented an amazing summary of the work we do in the health arena at Consumer Reports. The interview covered hospitals, drugs, overtreatment, and insurance. She highlighted some of CR’s campaigns--Choosing Wisely, Best Buy Drugs, Surprise Medical Bills campaign, and Safe Patient Project.

  

Here is the link. It's about 15 minutes long. Tara’s interview starts up right at the 3:55 minute mark if you want to jump straight to it.
http://www.chcradio.com/episode.php?id=296

Conversations on Health Care® 
(September 14, 2015)

This week, hosts Mark Masselli and Margaret Flinter speak with Tara Montgomery, Senior Director of Health Impact at Consumer Reports, the world's largest organization dedicated to consumer rights and safety. She discusses their participation in the Choosing Wisely Campaign and discusses their Health Ratings Center and Best Buy Drug program aimed at insuring consumers get the best prices for prescriptions as well as the most accurate patient safety information.

God Bless America

Wishing peace to all those who lost their loved ones on the tragic day 14 years ago

An unusual day at the beach

The ocean was fabulous today--gentle breeze, no flies, warm water, and soft waves. You could just float over the waves without a boogie board and without the threat of being tossed around. The beach wasn't crowded (hasn't been the last few days), I assume it is because all the college kids are back at school and families are busy preparing for the school year, which makes it a very pleasant day on the beach for those fortunate to be there. 

Until...the commotion started a few feet in front of us. We were entertained by some trashy women who had a bunch of children and one man (who didn't say anything through the entire 20-minute ordeal) in their group. Great role model for the children she was not. 

The out-of-control situation over a beach badge (or should I say lack of one) got so out of hand that two police officers had to intervene. One woman was so disrespectful to the life guards, a 14-yr-old kid whose job was to ask for badges, and then the police officers who appeared later. All over a $5 badge that she insisted she had but couldn't show when the young kid asked to see it. She started screaming at the poor kid and not once was the kid rude to her. 

The police showed up and still she wouldn't display her badge. She kept screaming she was being harassed and she was going to file charges against everyone--the kid, life guards, and the officers. Which by the way, none of them ever raised their voices to her.

The two cops were so patient with the nut. All the while, she is complaining that she is being harassed and how unfair it is that she is being picked on because she lives here and why don't the badge checkers bother people who don't live in the town. Long story short she wasn't a resident; the police officer requested her license and guess what--she lives in Little Egg Harbor (where she should stay). If she did live in the town she would have had a seasonal badge and she would have known to attach it to a place where the young beach checkers could see it without having to ask.  

The woman with the big mouth was on the larger size and she had the nerve to keep referring to a young beach checker as the "fat girl." The crazy woman should look in the mirror.  

While the situation heated up, two of her friends tell the cops they were going to the bathroom and would be right back. The man in the group doesn't venture to get involved. While the women are in the restroom, miraculously 3 badges appear! Really..how stupid did they think the police officers were? The life guard didn't need to come and tell the officers that the women just purchased the badges.

Some people just should not be out in public. 

Needless to say, we had a wonderful day at the beach!  For the price of our seasonal badges, we were entertained along with enjoying a beautiful day.