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Study shows most doctors endorsing drugs on X are paid to do so

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Re: Study shows most doctors endorsing drugs on X are paid to do so

#21

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Not for a very long time. The current prescription opioid crisis is for the millions of patients in pain unable to get any pain meds (ex: ibupofen following surgery).

lots of people i see posting about the difficulty of availability stuff seem to be drug seeking for chronic reasons

Re: Study shows most doctors endorsing drugs on X are paid to do so

#22

[flagged]

Not for a very long time. The current prescription opioid crisis is for the millions of patients in pain unable to get any pain meds (ex: ibupofen following surgery).

Even people who get their hands on opioids (to use or abuse) frequently do because they're an order of magnitude cheaper than therapeutic drugs.

Biologics to treat inflammatory arthritis can run thousands of dollars a month without insurance. Generic tramadol to mask the pain of inflammatory arthritis is less than fifty bucks a month with GoodRx.

Re: Study shows most doctors endorsing drugs on X are paid to do so

#23

There was a recent HN post about a weight-loss drug where I bit my tongue and did not try to "rebut" stuff there with a comment about diet and lifestyle . Methinks this problem runs deeper than paying doctors to promote drugs. Americans fundamentally seem to see drugs and surgeries as "health care" in a way I find concerning.

we are addicted to convenience and ease

Re: Study shows most doctors endorsing drugs on X are paid to do so

#24

There was a recent HN post about a weight-loss drug where I bit my tongue and did not try to "rebut" stuff there with a comment about diet and lifestyle . Methinks this problem runs deeper than paying doctors to promote drugs. Americans fundamentally seem to see drugs and surgeries as "health care" in a way I find concerning.

...are drugs and surgeries not healthcare?

Eating right is health care.

Exercise is health care.

Decent housing is health care.

Drugs and surgeries are medical care and I grew up with the weird idea that it's crisis management, not your first line of defense while acting like diet and lifestyle are annoying details you can stop worrying about if you can get the right prescription.

Re: Study shows most doctors endorsing drugs on X are paid to do so

#25

[flagged]

Not for a very long time. The current prescription opioid crisis is for the millions of patients in pain unable to get any pain meds (ex: ibupofen following surgery).

>The current prescription opioid crisis is for the millions of patients in pain unable to get any pain med

as a person with a dear family member who is addicted to opiates and watches their compulsive behavior of going from new doctor to new doctor for prescriptions and samples I suggest there is more than one 'opioid crisis' unfolding.

Re: Study shows most doctors endorsing drugs on X are paid to do so

#26

Doctors who fail to disclose an interest should lose their license. The SEC doesn't tolerate such shenanigans for finance, why should the FDA permit it for drugs?

As of their latest reporting I could find on the fda site, 3.3B out of their 7.2B budget comes from "user fees", so the more drugs are sold, the more they get back in user fees.

Pretty sure user fees are tied to new drug applications, not to sales. As in FDA validating your trial results is obscenely expensive and they make the companies who consume those services pay for them.

Re: Study shows most doctors endorsing drugs on X are paid to do so

#27

There was a recent HN post about a weight-loss drug where I bit my tongue and did not try to "rebut" stuff there with a comment about diet and lifestyle . Methinks this problem runs deeper than paying doctors to promote drugs. Americans fundamentally seem to see drugs and surgeries as "health care" in a way I find concerning.

we are addicted to convenience and ease

[flagged]

Re: Study shows most doctors endorsing drugs on X are paid to do so

#29
post #15

Anyone have the actual paper? Does it list who (eg Huberman) is receiving the payola?

You can search the database they used: https://openpaymentsdata.cms.gov/ I can’t find Huberman, but it does look like Peter Attia [1] was payed $300k by Dexcom for consulting services. Dexcom makes continuous glucose monitors that Attia has repeatedly mentioned on the show. It looks like there’s even an episode where he interviews the CEO, although this happened before the payment [2]. This website [3] links his NPI…

OpenPayments is a super cool tool. It's worth noting that some small payments can amount to things like "the drug rep came by to leave some pamphlets for the waiting room and donuts for the staff", which is how you'll occasionally find a doctor who accepted a grand total of $50 in payouts.

For the $100k+ payouts, though... hell, even the $10k+ payouts....

EDIT: Just looked up one of my doctors and it says he accepted a whole $70 last year, entirely in food and beverage lol. I hope he enjoyed the cookies or whatever it was :P

Re: Study shows most doctors endorsing drugs on X are paid to do so

#30

Earlier quoted context omitted.

...are drugs and surgeries not healthcare?

Eating right is health care. Exercise is health care. Decent housing is health care. Drugs and surgeries are medical care and I grew up with the weird idea that it's crisis management, not your first line of defense while acting like diet and lifestyle are annoying details you can stop worrying about if you can get the right prescription.

We've tried and failed to get people to "eat right" and exercise for the last century or so. We've put a stunning amount of effort into that option, and failed.
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