Society and Culture
Migraines are a significant source of both medical costs and lost productivity. It has been estimated that they are the most costly neurological disorder in the European Community, costing more than €27 billion per year. In the United States direct costs have been estimated at 17 billion USD. Nearly a tenth of this cost is due to the cost of triptans. Indirect costs are around 15 Billion USD, of which missed work is the greatest component. In those who do attend work with a migraine effectiveness is decreased by around a third. Negative impacts also frequently occur for a person's family.
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“Great ladies are no more spiteful than the average rich woman; but one acquires in their society a greater susceptibility, and feels more profoundly and ... more irremediably, their unpleasant remarks.”
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