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

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

#91

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…

It's a trade off since Doctors have a habit of using their prescription power to force you to schedule unnecessary visits to boost profits and they are not immune from marketing pressure.

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

#92

Earlier quoted context omitted.

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.

idk, the past few times I was in Russia I saw a plethora of adverts on TV for drugs.

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

#93

Earlier quoted context omitted.

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…

While I applaud cynical views in general, since most of the rest of the world has restrictions on the prices of prescription drugs this idea doesn't work in most cases. There is a more cynical view, and you should definitely take it. Less doctor involvement means more people taking prescription drugs (the pharma companies hope). As an aside, I cannot tell you how angry our direct-to-consumer drug advertisements make…

> As an aside, I cannot tell you how angry our direct-to-consumer drug advertisements make me. Especially the ones that are marketed to people with terminal diseases offering them hope (but in the small print offering perhaps 3 months longer life, not guaranteed).

After reading an related article (http://slatestarcodex.com/2013/07/17/who-by-very-slow-decay/) a few weeks ago, it's no surprise that the market has answered the calls of those who really do want doctors to do everything and anything to prolong their loved ones lives. The selling point for these medications are hope, and I agree that it'd be sensible to regulate advertisements so consumers can truly weigh the benefits versus the costs before they in an emotional state.

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

#94
post #80

Earlier quoted context omitted.

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.

Thanks for speaking for the entire medical profession. That is in fact what a terrible physician does, and not what myself or other newly trained physicians aspire to do.

If you live in a location that has poor selection of GPs then it should be your choice to opt out without denying yourself access necessary medication.

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

#95

How do they propose to deal with the potential dangers of drug interactions?

Today you can research drug interactions online just like many doctors do. I have to do this for the combination of supplements and the one prescription, since most doctors are not trained in this area.

You're fortunate to have both the intelligence and the time to do that effectively. Not everyone has the capability to assemble, decipher, and fully understand that information.

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

#96
post #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.

I'm guessing you go in with that attitude and then whine when you get treated like shit.

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

#97

Earlier quoted context omitted.

Today you can research drug interactions online just like many doctors do. I have to do this for the combination of supplements and the one prescription, since most doctors are not trained in this area.

You're fortunate to have both the intelligence and the time to do that effectively. Not everyone has the capability to assemble, decipher, and fully understand that information.

In my opinion, everyone should take the time to study the drugs that they are prescribed, as well as the interactions to foods and supplements. I believe this is more important that anything related to one's career or investments. You only get one body.

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

#98
post #19

I have mixed feelings about this, especially considering the US is the only first world country where direct-to-consumer marketing is allowed for medications. Bypassing the prescription requirement is of course of significant value to drug companies, who expend quite a bit of resources to sway doctors with free lunches, conferences and soft persuasion tactics. Usually I welcome the freedom to chose but this doesn't i…

> especially considering the US is the only first world country where direct-to-consumer marketing is allowed for medications.

Relevant book on this topic, and highly recommended read: https://www.amazon.com/Overdosed-America-Promise-American-Me...

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

#99
post #19

I have mixed feelings about this, especially considering the US is the only first world country where direct-to-consumer marketing is allowed for medications. Bypassing the prescription requirement is of course of significant value to drug companies, who expend quite a bit of resources to sway doctors with free lunches, conferences and soft persuasion tactics. Usually I welcome the freedom to chose but this doesn't i…

> the US is the only first world country where direct-to-consumer marketing is allowed for medications.

Not quite. It's allowed in New Zealand too. There have been many calls to change that, but so far it's still allowed.

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

#100
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…

I can certainly relate to this, as I have to see a neurologist every two years or so for cluster headaches. When a cycle starts, I need a prescription for medicine and oxygen immediately, because I'm getting very painful headaches every day for two months or so.

The problem is, my neuros keep retiring, so I have to start over, begging for an appointment from a new one who doesn't have anything sooner than three months out. When I finally get in, I tell them my previous dosage, and they write me a script.

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