They go right through the gap into the catastrophic level of coverage - maybe with the very first prescription they fill. Juliette Cubanski More Quotes by Juliette Cubanski More Quotes From Juliette Cubanski The generic drug may be less, but it's still really expensive. Juliette Cubanski money It seems that under most Medicare For All plans, the problem of high out-of-pocket drug costs would be less of an issue than it is today. Juliette Cubanski money Much of the increase is due to introduction of high-cost specialty medications. Juliette Cubanski money It's not an ideal situation from anyone's perspective, people on Social Security would much rather have a COLA, and the Medicare actuaries would much rather spread around the cost increases evenly. Juliette Cubanski money That's just for one drug. Juliette Cubanski