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U.S. to make More Drugs Easily Available, Cutting Role Doctors Play

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71–80 of 308 posts

Re: U.S. to make More Drugs Easily Available, Cutting Role Doctors Play

#71
> Patients could answer questions on a mobile-phone app to help determine whether they should be able to access a medication without a prescription.

The primary issue I am concerned with is self ownership of my body, and the freedom to choose for myself which drugs I will consume. Transferring the permission process from a human medical professional to an algorithmic goverment agent does not give me anymore of what I want.

Re: U.S. to make More Drugs Easily Available, Cutting Role Doctors Play

#72
post #36

Earlier quoted context omitted.

So ease access to the drugs and tighten the regulations around advertising. The fact we have consumer-driven ads for prescription drugs at all is like something you'd expect in a satire novel :P

The cynical view is that other countries have restrictions around drug advertising because if an expensive drug is demanded they have to pay for it through their single payer system. I can imagine not wanting the population to find out that there is cure for Hepatitis C but it costs the country 20k per person. Not all countries are as forward thinking as Australia: http://theconversation.com/australia-leads-the-world…

Only New Zealand and the US allow prescription drug marketing directly to consumers. And yet, all other developed nations seem to be doing well managing pharma access for their citizens.

A cynic might think this policy is intended to juice US pharma profits.

Re: U.S. to make More Drugs Easily Available, Cutting Role Doctors Play

#73

Earlier quoted context omitted.

I have type 1 diabetes, and this is a constant fear of mine. It’s absurd that I should have to go through my insurance company to be able to get more medicine if I need to.

This is the most atrocious thing to do by not to letting people with Type 1 buy their Insulin medication. I just don't see a reason why this is so much regulated. Like some meds which are partially regulated, where you can request a Pharmacist and they can give you would be reasonable in this case.

Insulin is regulated because you can very easily die from using it improperly.

Re: U.S. to make More Drugs Easily Available, Cutting Role Doctors Play

#74
post #64

When you already know what drug you need and just need somebody to sign a prescription, it's a very silly and awkward process to find a doctor, make the appointment, wait for the appointment, show up to the appointment, fill out the history forms and so on, meet with the doc, tell them you've got [disease] and the drug for it is [drug], let them examine you until they agree with your "diagnosis" of [disease], and let…

>it's a very silly and awkward process to find a tech person, make the meeting, wait for the meeting, show up to the meeting, tell them your issue and the solution for it is [solution], let them examine your problem until they agree with your "diagnosis" of [problem], and let them recommend and prescribe [solution]. It makes you feel sorry for the tech person almost.

There is a reason why we have specialists. Yes, you could be your own lawyer, doctor and engineer but there are very good reasons they exist: to make sure you aren't doing dumb things they know better.

Re: U.S. to make More Drugs Easily Available, Cutting Role Doctors Play

#75
post #71

> Patients could answer questions on a mobile-phone app to help determine whether they should be able to access a medication without a prescription. The primary issue I am concerned with is self ownership of my body, and the freedom to choose for myself which drugs I will consume. Transferring the permission process from a human medical professional to an algorithmic goverment agent does not give me anymore of what I…

A permission process seems inextricable from a system in which there are regulations. But algorithmic agent would theoretically make approved drugs more accessible. The expense and time of a doctor visit is enough friction to stop people from getting drugs they may find beneficial.

Re: U.S. to make More Drugs Easily Available, Cutting Role Doctors Play

#76
post #71

> Patients could answer questions on a mobile-phone app to help determine whether they should be able to access a medication without a prescription. The primary issue I am concerned with is self ownership of my body, and the freedom to choose for myself which drugs I will consume. Transferring the permission process from a human medical professional to an algorithmic goverment agent does not give me anymore of what I…

[deleted]

Re: U.S. to make More Drugs Easily Available, Cutting Role Doctors Play

#77
post #71

> Patients could answer questions on a mobile-phone app to help determine whether they should be able to access a medication without a prescription. The primary issue I am concerned with is self ownership of my body, and the freedom to choose for myself which drugs I will consume. Transferring the permission process from a human medical professional to an algorithmic goverment agent does not give me anymore of what I…

It's a step in the right direction. Doctors' stranglehold on pharmaceuticals won't disappear overnight.

Re: U.S. to make More Drugs Easily Available, Cutting Role Doctors Play

#78
post #51

Earlier quoted context omitted.

It’s literally not sustainable. The size of the population that has been priced out of access to medical services is approaching a majority if not already. 90% of Americans avoid doctors like the plague. 10% blow out their insurance like they just won the lottery.

I’m one of those 90%. I simply don’t trust that doctors’ incentives align with mine. Too often it seems they do nothing but shrug and bill you for the visit, send you for expensive blood tests, or send you to their specialist med school buddies so they can bill you for 5 minutes too. Then there’s the billing: you don’t know what you’re going to pay until months later, after you sign a form saying you’ll pay anything…

My favorite doctors in 2018 all take cash and are all substantially more up-to-date than most insurance-system GPs.

The A-players have left the insurance system or are in academia, make no mistake.

For some cost-prohibitive things such as surgery, you really don't have much choice, though.

Re: U.S. to make More Drugs Easily Available, Cutting Role Doctors Play

#79
post #26

Earlier quoted context omitted.

One of my friends has type I diabetes, in more than one times, she needed urgent visit/call to her doctors just to get the medicine she has being taken for years.

I have type 1 diabetes, and this is a constant fear of mine. It’s absurd that I should have to go through my insurance company to be able to get more medicine if I need to.

I had this realization after a family emergency had me flying cross country on, 2 hours warning.

Walmart sells Novolin R/N for 25$ a vial without prescription. In all but three states I think, it is legal to purchase veterinary needles.

Novolin isn't probably as good as what you've been prescribed. But it will keep you alive.

Re: U.S. to make More Drugs Easily Available, Cutting Role Doctors Play

#80

There are better ways to go about this. As others have noted, there must be a mechanism for a continual prescription to be easily filled, e.g. insulin, metformin, etc. I could see a long term prescription that has to be renewed each year and is good at any pharmacy. For the short term prescriptions though, cutting the doctor out of it makes people much more susceptible to marketing (instead of 'ask your doctor if you…

Also, the doctor is aware of your health history

Your doctor skims your notes in the 20 seconds between the receptionist calling your name and you entering her office, in handwriting she can barely read herself, and has forgotten you before you’re even back in the waiting room after spending 5 minutes talking to you while she’s really thinking about the new Audi. That’s as far as the awareness goes.

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