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Diet Drugs Work: Why Won’t Doctors Prescribe Them?

newyorker.com

41–50 of 100 posts

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#41
Another reason that's not touched upon in the article is that many of these drugs are Schedule IV drugs. While prescribing a Schedule IV isn't theoretically more onerous than prescribing antibiotics, often pharmacy chains, insurances, and the government can combine to make busy primary care doctors less likely to prescribe them.

I know many a PCP that rage at the fact that Phentermine is schedule IV, which adds extra complexity to prescribing it.

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#42
post #5

More relevant questions: - Why don't we stop subsidizing corn so much? - Why don't we teach effective nutrition and cooking in school? - Why don't we teach effective exercise, sports, and fitness in schools? - If we can ban alcohol and tobacco sales to children, why not things like added sugar, hydrogenated oils, corn syrup, etc? - If we can ban alcohol and tobacco advertising to children, why not products with added…

"Why don't we stop subsidizing corn so much?" Lobbyists. "Why don't we teach effective nutrition and cooking in school?" We do. It's called home economics. "Why don't we teach effective exercise, sports, and fitness in schools?" We do. It's called gym. "If we can ban alcohol and tobacco sales to children, why not things like added sugar, hydrogenated oils, corn syrup, etc?" Go tell a 6 year old they can't have cake o…

> "Why don't we align our medical system with prevention instead of expensive and risky cures?" That's a good question, actually.

Money. Long term care is more profitable than prevention.

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#43
post #5

More relevant questions: - Why don't we stop subsidizing corn so much? - Why don't we teach effective nutrition and cooking in school? - Why don't we teach effective exercise, sports, and fitness in schools? - If we can ban alcohol and tobacco sales to children, why not things like added sugar, hydrogenated oils, corn syrup, etc? - If we can ban alcohol and tobacco advertising to children, why not products with added…

"Why don't we stop subsidizing corn so much?" Lobbyists. "Why don't we teach effective nutrition and cooking in school?" We do. It's called home economics. "Why don't we teach effective exercise, sports, and fitness in schools?" We do. It's called gym. "If we can ban alcohol and tobacco sales to children, why not things like added sugar, hydrogenated oils, corn syrup, etc?" Go tell a 6 year old they can't have cake o…

You seem very willing to wish away the structural power of money by blaming the middleman. This is rather like blaming maggots for death.

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#44
post #5

More relevant questions: - Why don't we stop subsidizing corn so much? - Why don't we teach effective nutrition and cooking in school? - Why don't we teach effective exercise, sports, and fitness in schools? - If we can ban alcohol and tobacco sales to children, why not things like added sugar, hydrogenated oils, corn syrup, etc? - If we can ban alcohol and tobacco advertising to children, why not products with added…

> Why don't we stop subsidizing corn so much?

Because corn has at least some value, and letting the land lay fallow would cost the tax payer even more (though that is sometimes subsidized too) in order to maintain the stabilization?

Or are you suggesting that farms don't need the stabilization program at all? As a farmer who farms in a country without subsidies, I would agree with that, but I understand the reasons why Americans value the program when you look at it from a threat of war point of view.

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#45
post #5

More relevant questions: - Why don't we stop subsidizing corn so much? - Why don't we teach effective nutrition and cooking in school? - Why don't we teach effective exercise, sports, and fitness in schools? - If we can ban alcohol and tobacco sales to children, why not things like added sugar, hydrogenated oils, corn syrup, etc? - If we can ban alcohol and tobacco advertising to children, why not products with added…

"Why don't we stop subsidizing corn so much?" Lobbyists. "Why don't we teach effective nutrition and cooking in school?" We do. It's called home economics. "Why don't we teach effective exercise, sports, and fitness in schools?" We do. It's called gym. "If we can ban alcohol and tobacco sales to children, why not things like added sugar, hydrogenated oils, corn syrup, etc?" Go tell a 6 year old they can't have cake o…

In Belgium, the biggest health-insurance provider (and probably others) subsidizes sports club membership fees, gym subscriptions, ....

Their goal is to reduce the cost of treatment by encouraging prevention. I'm not sure how many people make use of it.

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#47
Because they "cause side effects and yield undramatic results."

Doctors are protected from the consequences of prescribing statins and SSRIs because everybody else does it too. If you could get a critical mass of them to start prescribing diet pills by directly generating consumer demand, the floodgates would open. We're one good advertising campaign from everybody 5% overweight having a bottle in the bathroom - of a 'new' formulation of course, because I'm sure a lot of these are going out of patent.

Then we'll find out that they really don't work any better than placebo and cause nerve damage, but the lawsuits will drag until all patents expire.

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#48
post #5

More relevant questions: - Why don't we stop subsidizing corn so much? - Why don't we teach effective nutrition and cooking in school? - Why don't we teach effective exercise, sports, and fitness in schools? - If we can ban alcohol and tobacco sales to children, why not things like added sugar, hydrogenated oils, corn syrup, etc? - If we can ban alcohol and tobacco advertising to children, why not products with added…

I've been looking for a way to make vegetables like brocoli or green beans palatable. What's your secret?

Starting with broccolini instead of broccoli and haricots verts instead of green beans goes a long way. They cost more though.

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#49

Earlier quoted context omitted.

"Why don't we stop subsidizing corn so much?" Lobbyists. "Why don't we teach effective nutrition and cooking in school?" We do. It's called home economics. "Why don't we teach effective exercise, sports, and fitness in schools?" We do. It's called gym. "If we can ban alcohol and tobacco sales to children, why not things like added sugar, hydrogenated oils, corn syrup, etc?" Go tell a 6 year old they can't have cake o…

As far as nutrition goes what the government thinks is a nutritious lunch is far from it. It's way to pro carb/starch/sugar and anti fat. A typical lunch when I was in High School would be a decent sized slice of pizza, piece of bread, a scoop of corn, a sugary milk. All of those are carb sources.

The guidelines have changed. The school lunch program is putting more emphasis on fruits, vegetables, and whole grains. That said, it's still not perfect, and not every school participates, hence "we kinda do."

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#50
post #33

Earlier quoted context omitted.

Obviously preventative measures should be our first resort. Obviously all farm subsidize (or at least those that are not in alignment with a healthy population) should be ended. But I take issue with banning sugary, hydrogenated things. The problem with the modern diet isn't that a kid drinks a Coca Cola with his McDonald's fries once a month when he goes out for a treat with his mom after swim practice. The problem…

I hear this kind of argument all the time and I don't buy it at all. How do poor people have less time to cook than well off people? We all work the same hours. Pasta costs next to nothing, as does rice, as do beans. Veg and dairy are a bit more but still cheap by any standards. Cigarettes and alcohol, on the other hand, are expensive. As is running a car, or going to McDonalds. So maybe try subsidising your meals by…

Perhaps they should just eat cake... "We all work the same hours" I'm sure you work 2-3 jobs at minimum wage to keep things going and rent paid. The dollar menu at McDonalds looks a lot more attractive than cooking when you've barely got money for food or the time to prepare it.

Eating well is relatively Expensive. Sure you can cut out the car and carbs and obviously all poor people have their liquor and smoke money set aside... Or maybe poverty is a bit more complex than your overly simplistic and a bit dickish analysis... Just let them eat cake (Preferably gluten free)...

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