Pizzo called the finances perverse sometimes. He said some insurance will pay for a surgical procedure for low back pain but not much cheaper and often far better physical therapy. The statement concluded at least 116 million adults suffer long-lasting pain, consistent with some prior estimates, but couldn’t say how many situations are serious or disabling. The statement found healthcare for pain costs $261 billion to $300 billion a 12 months, while lost productivity adds another $297 billion to $336 billion. The federal Medicare program accounts for a quarter of those health bills. The record recommends that healthcare providers should perform and document formal discomfort assessments of sufferers, a step toward proper treatment.Total working costs and expenses for the one fourth ended December 31, 2009 had been $33.3 million in comparison with $23.8 million for the same period in 2008. December Total operating costs and expenses for the year ended 31, 2009 were $115.1 million when compared with $81.5 million for the same period in 2008. The increases in operating costs and expenses in 2009 2009 over the comparable 2008 periods were because of increased primarily selling, administrative and general expenses from the commercialization of Feraheme. THE BUSINESS reported a net loss of $18.4 million, or a lack of $1.07 per diluted and basic share, for the one fourth ended December 31, 2009, as in comparison to a net lack of $21.8 million, or a loss of $1.28 per basic and diluted talk about, for the same period in 2008.