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The Hollow Men of Hims

alexkesin.com

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Re: The Hollow Men of Hims

#141

Post by zdragnar »

thebigman433 wrote: post #122
zdragnar wrote: post #103

Earlier quoted context omitted.

This is not a charitable take of the critics. If you go on a fad diet, lose weight, then gain it back when you stop, well, you haven't really lost anything other than time. If you go on semaglutide, lose weight, then gain it all back when you stop, you're out thousands of dollars, I'm out money when my insurance premium goes up to support the new expensive drugs, and you might have permanent health complications (rar…

A year after quitting semaglutide, 20% of people maintained their achieved weight. But, some 44% regained weight. Of that 44%, most (59% of them) still had improved weight: their weights had not fully rebounded to their pre-semaglutide level! Possibly even more importantly, the remaining 36% continued losing weight, either mildly (47%) or majorly (53%) https://archive.md/Wsuoz

That's certainly a significantly better rate of success than what I'd heard from the people I know who took it! Perhaps there's just some weird selection bias in my network.

Re: The Hollow Men of Hims

#142

Post by 827a »

kstrauser wrote: post #127
addicted wrote: post #69

Earlier quoted context omitted.

I'm confused. An insurance company cannot reject a prescription. They can only reject paying for it. So if you're paying for it with Hims why wouldn't you be willing to pay for the medication the doctor prescribes to you if the insurance company is refusing to pay for it?

> An insurance company cannot reject a prescription. They can only reject paying for it. That's a distinction without meaning. Say an insurer won't pay for cancer treatments. Although they're not technically telling you that you can't have the treatment, for all practical purposes they absolutely are (unless you're so rich you can eat the cost). The article talks about Semaglutide, which is $750/month from a traditio…

The egregiously heinous thing, in my view, is how a half dozen states still have some kind of health insurance mandate in their laws, and up until 2019 the ACA required all Americans carry it.

Re: The Hollow Men of Hims

#143

Post by tomhow »

turnsout wrote: post #39
ggm-at-algebras wrote: post #26

Earlier quoted context omitted.

I am unsure why you have been down voted because fundamentally your point is correct. Health is a fully regulated space, and no entity should be supplying medical products without adherence to requirements appropriate to their role. Compounding GLP-1 seems to me to be in the higher bar space.

[dead]

That really isn’t what the HN audience is. That comment has a mix of upvotes, downvotes and flags, and at least some of the downvotes I can see are from HN users who routinely downvote/flag inflammatory rhetoric, no matter what ideology it’s advocating or attacking.

Re: The Hollow Men of Hims

#144

Post by mc3301 »

zdragnar wrote: post #141
thebigman433 wrote: post #122

Earlier quoted context omitted.

A year after quitting semaglutide, 20% of people maintained their achieved weight. But, some 44% regained weight. Of that 44%, most (59% of them) still had improved weight: their weights had not fully rebounded to their pre-semaglutide level! Possibly even more importantly, the remaining 36% continued losing weight, either mildly (47%) or majorly (53%) https://archive.md/Wsuoz

That's certainly a significantly better rate of success than what I'd heard from the people I know who took it! Perhaps there's just some weird selection bias in my network.

Bad news spreads better than good news.

Re: The Hollow Men of Hims

#145

Post by jjcob »

bongodongobob wrote: post #81
jeremy151 wrote: post #52

Earlier quoted context omitted.

> If you want safe and really high quality medical care you should absolutely have a personal physician you have a personal relationship with, who understands your lifestyle, your risk factors for side effects, and your medical needs deeply. How many Americans have that? Maybe a few dozen? A bit of a tangent: I have this here in the US, through a model called Direct Primary Care. I pay $50/mo for a single provider, u…

$50 + health insurance? I saw my PCP after my health insurance had unknowingly lapsed and a physical was ~$1k with just some basic blood work.

How people justify paying $1000 for probably less than 15 minutes of work is beyond me.

Re: The Hollow Men of Hims

#146

Post by zetazzed »

lmm wrote: post #72
jeremy151 wrote: post #52

Earlier quoted context omitted.

> If you want safe and really high quality medical care you should absolutely have a personal physician you have a personal relationship with, who understands your lifestyle, your risk factors for side effects, and your medical needs deeply. How many Americans have that? Maybe a few dozen? A bit of a tangent: I have this here in the US, through a model called Direct Primary Care. I pay $50/mo for a single provider, u…

> I pay $50/mo for a single provider, unlimited visits / communication, and highly discounted labs. She makes house calls on occasion. This doctor is working solely in my interest, and has little concern of insurance, except to help me navigate that system should I need a specialist, prior authorization, etc. Someone's presumably paying her more than $50/hr, which will burn through your monthly fees pretty quickly. W…

In the models I've seen, they still require and bill insurance. The monthly fee is a supplement for the doc practices.

Re: The Hollow Men of Hims

#150

Post by genocidicbunny »

parpfish wrote: post #106
genocidicbunny wrote: post #77

Earlier quoted context omitted.

It's a little of column A, little of column B, but in a mixed way. A lot of doctor visits for basic health issues are ones that can be dealt with over a phone or video call. Routine stuff like updating your medicines, changing dosages, showing a bruise or dealing with a mild fever don't require you to be physically present at the doctor's office. Having to deal with insurance, scheduling, waiting times, driving to th…

I always lol at “reduce stress” as medical advice. May as well tell depressed people to “work on your attitude, turn that frown upside down!” If people could just “reduce stress” on a whim, they would. Having a doctor tell you reduce stress will actually increase stress.

And yet, it works a lot more often than you'd think. Just having someone who you perceive to be in some kind of position of authority tell you that it's okay to relax and calm down can have a significant effect on one's stress levels. And it works even better when you're not having to worry about how much listening to the doctor tell you to reduce your stress levels is going to cost you financially.
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