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The Hollow Men of Hims

alexkesin.com

151–160 of 277 posts

Re: The Hollow Men of Hims

#151
post #145

Earlier quoted context omitted.

$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.

Beause people don't want to die or be uncomfortable

Re: The Hollow Men of Hims

#153

>The real tragedy is not that Hims exists, but that it works so perfectly. Every day, thousands of people choose their compounded weight-loss drugs over FDA-approved alternatives, their combination ED pills over established single-ingredient treatments, their algorithmic consultations over actual medical care. They make these choices not because the products are better, but because the entire experience has been opti…

It’s possible for both you and the article to be right. The system sucks, but Hims are also terrible, and medical care should not be like Amazon prime.

Amazon Prime is facilitating prescription medications now.

Re: The Hollow Men of Hims

#154

Earlier quoted context omitted.

It works the same way that health insurance works -- most people don't need all that much care, and when time-consuming care is needed, it is often pushed to the specialists rather than the generalist. Your $50/mo payment might not seem like much, but if all you're doing is a bi-monthly checkin with them over the phone, you're really paying more like $100/visit for a 15-30 minute visit. A lot of these 'concierge medi…

Doctors make $20k a month or more. That's 420+ patients at $50/m. Doesn't seem feasible to know them all personally and deeply. Other revenue would be needed.

You're not going to be seeing every patient every month. Many you might only be seeing a few times a year; They will have a quick phone chat every few months to make sure their prescriptions are up to date, maybe order a blood panel or two to stay on top of things. They're not coming in every week for an hour-long deeply-personalized appointment. As long as the practice limits itself to a reasonable number of patients, they should be plenty solvent.

We're talking about basic preventative care here. Your doctor doesn't need and probably doesn't want to be your friend for these sorts of things. There doesn't need to be a deep personal relationship there if it's not necessary.

(But also, $50/mo is a very low price. I've seen plenty of such services that are in the $500+/mo range. It's still way cheaper than health insurance would cost out of pocket, but it's not 'cheap' either.)

Re: The Hollow Men of Hims

#155
post #72

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…

You're also probably fairly healthy and not much work. Concierge care for my elderly parents with complex diseases has been quoted at $20k/year.

Re: The Hollow Men of Hims

#156

>The real tragedy is not that Hims exists, but that it works so perfectly. Every day, thousands of people choose their compounded weight-loss drugs over FDA-approved alternatives, their combination ED pills over established single-ingredient treatments, their algorithmic consultations over actual medical care. They make these choices not because the products are better, but because the entire experience has been opti…

> it's because the existing process to get medical treatment is paternalistic, hard to navigate and often expensive

I ended up paying over $1k out of pocket for two inconclusive sleep studies trying to get my sleep issue sorted out. I'm fortunate to work in technology where I can pay that sort of thing, but I still got zero results from my local medical community. I can't blame anyone for seeking self-treatment options. It can be pretty bad even with "good" insurance and the ability to cover co-insurance.

Re: The Hollow Men of Hims

#157

Earlier quoted context omitted.

It works the same way that health insurance works -- most people don't need all that much care, and when time-consuming care is needed, it is often pushed to the specialists rather than the generalist. Your $50/mo payment might not seem like much, but if all you're doing is a bi-monthly checkin with them over the phone, you're really paying more like $100/visit for a 15-30 minute visit. A lot of these 'concierge medi…

Doctors make $20k a month or more. That's 420+ patients at $50/m. Doesn't seem feasible to know them all personally and deeply. Other revenue would be needed.

It is totally feasible and not uncommon for a family doctor to have 2000+ patients. Young healthy people can go years without interacting with the medical system, and when they do it's often some thing that barely involves their doc. I mean their doc doesn't know them personally then, but they have no problems worth surfacing clearly so why do they need to? The limiting factor really is the quantity of seniors and people with complex chronic conditions that you take on.

Re: The Hollow Men of Hims

#158

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.

While doing my PhD at a top-tier college, I went to their health center for psychological counseling and said "I can't study and concentrate well, I don't sleep enough, I don't do enough exercise, I eat crap, and I drink too much." The expert told me that I needed to study and concentrate better, sleep well, exercise more, eat healthily, and drink less.

It was enormously helpful /s

Re: The Hollow Men of Hims

#159
post #144

Earlier quoted context omitted.

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.

Do you hear more from people that made money in crypto or that lost money?

Re: The Hollow Men of Hims

#160
post #133

Interesting how a few rare commenters strongly agree with this article and yet most comments here don't. Perhaps HN is full of people with high digital literacy, relatively high reasoning ability etc. People like this can benefit from the service. The article's core point is that Hims uses unethical marketing. Maybe the HN crowd is privileged: people here may be able to resist marketing. The article's unstated point…

>these unfortunate people spend pretty much their whole lives bouncing around from scam to scam. Should these people be eligible to vote?

Thanks for asking a challenging question. I don't know. Historically most systems of popular representation have excluded them. I assume for reasons that made sense at the time. I guess I'd rather live in a country that had universal franchise + the means to escape these people's gravitational well. Rather than a country that disenfranchises them albeit for solid reasons. Basically you try to build a stronger engine rather than to reduce drag. These people are here and they're not going anywhere. We have to somehow make our shared world work. It's a large and difficult problem and most people really dislike talking about it.
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