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McKinsey Proposed Paying Pharmacy Companies Rebates for OxyContin Overdoses

nytimes.com

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Re: McKinsey Proposed Paying Pharmacy Companies Rebates for OxyContin Overdoses

#81

Post by iakh »

smabie wrote: post #63
boringg wrote: post #36

Earlier quoted context omitted.

Seriously, they have taken a real nose dive. I wonder if they still have MBAs competing for their jobs or if this has taken out the top level talent (and shipped it over to SV)

Top level talent never joined consulting in the first place. Wall St is considered by most a more desirable and prestigious career path. It's also usually more lucrative. Traders and investment bankers especially consider consultants to be major losers (including me).

Are you the ibanker or the consultant in this?

Re: McKinsey Proposed Paying Pharmacy Companies Rebates for OxyContin Overdoses

#82

Post by AmericanChopper »

nobody9999 wrote: post #66
AmericanChopper wrote: post #15

Earlier quoted context omitted.

Whether resources are material or not isn’t relevant. The attention, care, kindness, compassion that a person has to offer others is a resource (and a finite one at that). The basis of the claim is that these entities are viewing other people as nothing more than what those people have to offer them. If you prescribe to the doctrine of psychological egoism, then that is how every single person views every single rela…

>But if you view this scenario from that perspective, there’s no logical reason that you shouldn’t also view the relationships you have with your own spouse/parents/children/friends... the same way. Absolutely. And while such attitudes are not incredibly widespread, there are enough folks who do so that we have a name for exhibiting such behavior. We call it Narcissistic Personality Disorder[0]. Which is a terrible t…

Your wrong about this. The actual term for this (as I mentioned above) is psychological egoism. This topic has been publicly debated for a very long time. You can look at the history of the debate between egoism and utilitarianism (and the further debate about whether there’s a meaningful difference between those two ideas) if you want to learn about it.

People have debated for a very long time whether a person who derives satisfaction from benefitting others is truely motivated by the benefit of others, or simply the benefit of themselves by way of that satisfaction. A narcissist is a completely different thing. They would not derive satisfaction from benefitting others, for reasons such as their narcissistic lack of empathy.

Re: McKinsey Proposed Paying Pharmacy Companies Rebates for OxyContin Overdoses

#83

Post by ashtonkem »

zug_zug wrote: post #61
ashtonkem wrote: post #51

Earlier quoted context omitted.

> As for actually doing research, thinking about it, and bothering up to come up with a proposal... I guess nobody actually cares THAT much. Spare us the snark, it's not helpful. You should know that one cannot just draw up a proposal to bring criminal charges; only a very small number of people have the legal authority and resources to do that.

Well I mean that pretty sincerely. I think people find it fun to be outraged. I don't think people genuinely care enough to learn who the involved parties are, and make a sincere proposal on what went wrong.

Honestly, I have no idea why you would think that, or why you would expect "why don't you come up with a proposal?" to be met with anything other than incredulous fury.

People come up with proposals on how to fix the system all of the time. If you haven't heard of them, that's due to a gap in your reading, not because proposals don't exist. The issue comes down to actually getting people in power who want to make these kinds of changes, something that doesn't happen very often.

Re: McKinsey Proposed Paying Pharmacy Companies Rebates for OxyContin Overdoses

#84

Post by [deleted] »

zug_zug wrote: post #53
marcinzm wrote: post #45

Earlier quoted context omitted.

A justice system that applies equally to everyone should not require immense effort from private unrelated individuals to do it's job.

I'd like to live in that world too, but since we don't I think it's reasonable to ask for suggestions that apply to the world we DO live in.

[deleted]

Re: McKinsey Proposed Paying Pharmacy Companies Rebates for OxyContin Overdoses

#85

Post by ncmncm »

TheCoelacanth wrote: post #79
jakelazaroff wrote: post #16

It's absolutely infuriating that no one is being prosecuted over this. Meanwhile, Kalief Browder was jailed without trial for three years — for allegedly stealing a backpack. We truly do have two justice systems.

How is this not murder? They are literally paying someone money to kill someone.

Legally, I'm guessing manslaughter. With enough count (thousands!) the distinction fades.

There are laws on the books to charge individual officers for corporate actions, practically never used. They could have been used on paint company executives, who had forestalled a ban, in the '40s, on a promise to phase out lead, and absolutely did not, and tobacco executives, who actively sought to addict children. Arguably, sugar industry executives merit such treatment for actively suppressing research indicating sugar has been directly responsible for millions of deaths, and for heavily marketing to children.

But any bozo who shoots up a bus station apparently merits overwhelmingly more attention, so the executives directly responsible get to retire unbothered to their yachts.

Re: McKinsey Proposed Paying Pharmacy Companies Rebates for OxyContin Overdoses

#86

Post by smabie »

iakh wrote: post #81
smabie wrote: post #63

Earlier quoted context omitted.

Top level talent never joined consulting in the first place. Wall St is considered by most a more desirable and prestigious career path. It's also usually more lucrative. Traders and investment bankers especially consider consultants to be major losers (including me).

Are you the ibanker or the consultant in this?

the trader

Re: McKinsey Proposed Paying Pharmacy Companies Rebates for OxyContin Overdoses

#87

Post by [deleted] »

burnthrow wrote: post #68
smabie wrote: post #63

Earlier quoted context omitted.

Top level talent never joined consulting in the first place. Wall St is considered by most a more desirable and prestigious career path. It's also usually more lucrative. Traders and investment bankers especially consider consultants to be major losers (including me).

Investment banker thinks somebody who makes less money than them is a loser, more at 11.

[deleted]

Re: McKinsey Proposed Paying Pharmacy Companies Rebates for OxyContin Overdoses

#88

Post by lotsofpulp »

hehetrthrthrjn wrote: post #17
xoxoy wrote: post #12

Earlier quoted context omitted.

isn’t CVS just doing whatever the doctor is prescribing without any judgement? i don’t see how CVS would be liable here unless they failed to verify the authenticity of a prescription or something on purpose.

The pharmacist is supposed to make sure that the patient isn't being harmed by the medication. That's the theory. In reality it's just as you say.

No, it’s not. Pharmacists are tasked with refusing to fill prescriptions they believe are harmful, and routinely reject combinations of medicines if they are harmful. And the DEA is putting pressure on pharmacies to refuse prescriptions for suspected opioid abusers, so many large pharmacy companies have many limits in place regardless of what the doctor writes.

If you walk into a pharmacy with just an opioid prescription, and you’re not a regular or something seems off such as it’s hand written, chances are you’re going to get denied or at least won’t get your medication until they call the doctor and discuss why you need it.

All the states even have a PDMP - prescription drug monitoring program - that pharmacies have to check before dispensing opioids to confirm the person’s prescription history.

Re: McKinsey Proposed Paying Pharmacy Companies Rebates for OxyContin Overdoses

#89

Post by refurb »

smabie wrote: post #63
boringg wrote: post #36

Earlier quoted context omitted.

Seriously, they have taken a real nose dive. I wonder if they still have MBAs competing for their jobs or if this has taken out the top level talent (and shipped it over to SV)

Top level talent never joined consulting in the first place. Wall St is considered by most a more desirable and prestigious career path. It's also usually more lucrative. Traders and investment bankers especially consider consultants to be major losers (including me).

No doubt you fit right in to Wall St.

Typically IB and consulting at the top 3 are both very prestigious.

Re: McKinsey Proposed Paying Pharmacy Companies Rebates for OxyContin Overdoses

#90

Post by refurb »

jagrsw wrote: post #35

~10 years ago I was visiting the Bay Area (I live in EU), and developed knee pain (rather strong). I went to the emergency room in a city hospital, and long story short, I was given a prescription for paracetamol or ibuprofen and something called Norco, which is apparently some kind of opioid. In the pharmacy (CVS i think), the pharmacist was calling somewhere to confirm the prescription and my identity and was tryin…

You went to the ER for knee pain? Urgent clinic would have been easier and cheaper.
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