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Americans Are Skipping Doctor Visits Due to Costs

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Re: Americans Are Skipping Doctor Visits Due to Costs

#13

I de facto require semaglutide due to the side-effects of the only anti-depressant I'm able to tolerate (I've titrated up and down on 17+). Unfortunately, I currently don't have health insurance and hovering at 35% excess weight. There's no point in my going to a doctor when all of their recommendations are "window shopping". The only way this shit stops is not Medicare for all, which is a red herring with third-clas…

100% agree. Also, just wanted to say that having used semaglutide myself I really empathize with your situation. I had struggled with an eating disorder to varying degrees of success for about 5 years before I found semaglutide. Suddenly my mental fixation on food was gone and I finally felt what it’s like to have a normal relationship with food.

The medical landscape in the US is fucked and I hope it changes. Drugs like these would be much better if they weren’t governed by profit seeking companies.

Re: Americans Are Skipping Doctor Visits Due to Costs

#14

As a patient, post-2020 I find even basics like appointment scheduling to be hard. (I'm also an MD, which makes all of this easier for me, and yet it's still a morass of scheduling hell, too many phone calls, too many logins/reauthentications, etc.)

What happened in 2020?

Re: Americans Are Skipping Doctor Visits Due to Costs

#15

As a patient, post-2020 I find even basics like appointment scheduling to be hard. (I'm also an MD, which makes all of this easier for me, and yet it's still a morass of scheduling hell, too many phone calls, too many logins/reauthentications, etc.)

What happened in 2020?

a global pandemic?

Re: Americans Are Skipping Doctor Visits Due to Costs

#16

I de facto require semaglutide due to the side-effects of the only anti-depressant I'm able to tolerate (I've titrated up and down on 17+). Unfortunately, I currently don't have health insurance and hovering at 35% excess weight. There's no point in my going to a doctor when all of their recommendations are "window shopping". The only way this shit stops is not Medicare for all, which is a red herring with third-clas…

Wait, do you think every other free country in the world has made private health insurance illegal?

Re: Americans Are Skipping Doctor Visits Due to Costs

#17

I de facto require semaglutide due to the side-effects of the only anti-depressant I'm able to tolerate (I've titrated up and down on 17+). Unfortunately, I currently don't have health insurance and hovering at 35% excess weight. There's no point in my going to a doctor when all of their recommendations are "window shopping". The only way this shit stops is not Medicare for all, which is a red herring with third-clas…

FYI, you might be out of luck in other countries: in Romania (where I live) semaglutide is made available for free only for diabetics. If you want it for off label usage, you'll pay for it. In Hungary, it's illegal for doctors to prescribe it to non diabetics, so good luck getting it off label.

Re: Americans Are Skipping Doctor Visits Due to Costs

#18

As a patient, post-2020 I find even basics like appointment scheduling to be hard. (I'm also an MD, which makes all of this easier for me, and yet it's still a morass of scheduling hell, too many phone calls, too many logins/reauthentications, etc.)

Appointment scheduling is beyond awful these days. We're getting specialist appointments scheduled literally a year out, or just outright rejected because they're too full. It's de facto rationing.

Re: Americans Are Skipping Doctor Visits Due to Costs

#19

I de facto require semaglutide due to the side-effects of the only anti-depressant I'm able to tolerate (I've titrated up and down on 17+). Unfortunately, I currently don't have health insurance and hovering at 35% excess weight. There's no point in my going to a doctor when all of their recommendations are "window shopping". The only way this shit stops is not Medicare for all, which is a red herring with third-clas…

> The ultimate solution is [...] making for-profit health insurance illegal. > Every other free country in the world has [...] ... and most also have private health insurance too. Some have a higher percentage of people with private health insurance than even the US does, often in a supplementary role.

Yep. The single thing they all seem to do that the US doesn’t isn’t eliminate private health insurance, but institute price controls—one way or another. Some with literal price sheets (Japan), others by creating a government-controlled monopsony of some sort (Canada), others by taking over healthcare providers themselves so the government can set prices (er, well… compensation) directly (the UK).

Well, and I’m not sure any others have a problem like we do with the AMA.

Re: Americans Are Skipping Doctor Visits Due to Costs

#20

I de facto require semaglutide due to the side-effects of the only anti-depressant I'm able to tolerate (I've titrated up and down on 17+). Unfortunately, I currently don't have health insurance and hovering at 35% excess weight. There's no point in my going to a doctor when all of their recommendations are "window shopping". The only way this shit stops is not Medicare for all, which is a red herring with third-clas…

> The ultimate solution is [...] making for-profit health insurance illegal. > Every other free country in the world has [...] ... and most also have private health insurance too. Some have a higher percentage of people with private health insurance than even the US does, often in a supplementary role.

Private or public doesn't really matter as long as the prices are sensible. I recently learned that you can pay as much as 1k dollars a month (not a typo) for regular health insurance in US, whereas I pay ~55 euros a month for mine. Median salary here is around 1k euros a month. I pay around 15-25% taxes.
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