Car insurance, oil changes, and interest are not, since the outlay of cash covers expenses accrued over a longer period of time.
In the United States, out-of-pocket expenses for such things as charity, medical bills, and education may be deductions on US income taxes, according to IRS regulations.
High out-of-pocket costs may correlate with lower prescription adherence and more importation of medications from foreign countries.
Among the specific conditions, those who experienced cancer, high blood pressure, diabetes or depression were likely to report higher out-of-pocket expenditure.
[8] Some ways to improve physician knowledge of drug costs were thought to be increased physician-patient communication or higher use of information technology.