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GLP-1s are breaking life insurance

glp1digest.com

161–170 of 640 posts

Re: GLP-1s are breaking life insurance

#161

I was on Mounjaro for two months. I was also dieting and walking 10k steps a day. I lost 25 lb and my A1C went down to 5.0 from 5.7. All my cholesterol numbers were in range. I stopped taking it and lost 25 more. I haven’t regained the weight. People who gain it back did not learn the lesson and did not effectively change their habits. You need the discipline - and a good support system. But if you don’t have that an…

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I'd be okay with that so long as nobody can have Nicorette, the birth control pill, or Viagra. I don't have a problem refraining from smoking, I've never gotten pregnant, and my dick works, so it must be some innate discipline in me that others must learn, so no meds for them.

See how ridiculous that sounds?

Re: GLP-1s are breaking life insurance

#162
post #4

Obesity is highly correlated with other medical conditions, from cancer to diabetes to heart disease. I wonder if there is a point at which it is cheaper for health insurance companies to offer subsidized or even free GLP-1s to patients than pay out for other specialized medications. For example, my insurance covers flu shots in my community every year because it's presumably less expensive to pay for the shots compa…

I don't think GLP-1s are particularly expensive, so my top preference would be to just see them easily available. While not quite the same, it's a win that Rogaine/Minoxidil were once prescription-only but for a long time now can be bought at any grocery store and taken to the self-checkout. Still, I think the subsidy approach has been done for smoking problems via nicotine products before, and e.g. nicotine gum cost never seemed that high to me (especially compared to cigarettes).

But it's also worth remembering the relative risks involved. Obesity isn't quite the ticking time bomb / public menace it's often made out to be... For smoking, you'll find studies with relative risk numbers for lung cancer over 5 for casual 1-4 times a day smokers, and the number quickly exceeds 20 for heavier smokers. In contrast, with obesity, the most severe relative risks for things like heart disease or diabetes you'll find topping out around 4 to 5 for the most obese, even then often under 3, with milder 1.1 to 2 for the bulk of obese people. (Here, ~31% of the US has BMIs between 30-40, and ~9% have BMIs over 40.) For other harms, like there was a study on dementia a few years back, you'll also find pretty mild (1.1ish) relative risks, but these end up being similar with other factors like "stress", "economic status", or "low educational attainment". Just some thought for people thinking about subsidizing or providing free stuff, the cost tradeoff with paying for other things later might not work out so neatly, and there's reason to not focus solely on obesity but also do the same sort of analysis with other factors and severity of a factor as well.

Re: GLP-1s are breaking life insurance

#163

Seems like insurers should be rating based on your worst health markers, including weight, over the last N years rather than just a current point-in-time snapshot. Someone who somehow has no medical records over the last few years at all that would capture any of that data would be priced on the assumption the past was possibly worse than current.

I don't know the situation in the USA, but in Europe you wouldn't find many young (up to ~35) people who have data on any health markers. And these are the main market.

Re: GLP-1s are breaking life insurance

#164

I was on Mounjaro for two months. I was also dieting and walking 10k steps a day. I lost 25 lb and my A1C went down to 5.0 from 5.7. All my cholesterol numbers were in range. I stopped taking it and lost 25 more. I haven’t regained the weight. People who gain it back did not learn the lesson and did not effectively change their habits. You need the discipline - and a good support system. But if you don’t have that an…

> People who gain it back did not learn the lesson Considering it took you a miracle drug to learn the lesson, that seems like a humorously arrogant take.

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Re: GLP-1s are breaking life insurance

#165
post #6

This is a fun read, however- "Life insurers can predict when you'll die with about 98% accuracy." This conclusion isn't supported by the linked document. The document instead is talking about expected vs actual deaths among demographic groups as a whole, not individual people. And that expected vs actual is just history + trends. This doesn't mean that insurance can say that Joe Blow is going to die in June of 2027 w…

> This doesn't mean that insurance can say that Joe Blow is going to die in June of 2027 with "98% accuracy", obviously. Pretty easy to predict if you're willing to make it happen.

Life insurance is just another word for bounty

Re: GLP-1s are breaking life insurance

#166

Earlier quoted context omitted.

I'm just reporting my cached knowledge of people saying they experienced some adverse side effects. Also injections are not fun, even though they are probably a lot less annoying than they look.

A once-weekly subcutaneous injection is not a big deal for most people I think, outside of those who are very afraid of needles. It's a tiny needle and you don't even feel it. I've given injections to people who are afraid of needles, and they sometimes close their eyes in fear and are begging me to "just get it over with" without even realizing that I'm already done. Anyway, all this to say that outside of needle-ph…

As someone who is mildly needle-phobic, I'll agree it's no big deal, but you definitely can feel it, and if you hit a blood vessel by accident, there's a (mostly painless) bump and 2-3 week bruise at the injection site, which might be a major issue for some.

Re: GLP-1s are breaking life insurance

#167
post #41

Earlier quoted context omitted.

People with poor restraint will remain unfazed. If what you're suggesting worked, then the horrible cancer pics on cig packs would have long eliminated smoking.

I agree with you. However, smoking rates have gone down, probably in part because of those pictures and awareness campaigns in general

I can't support this with data, but I'd think the increase in price and compounding effect of more and more people quitting, plus absence of smoking in the media, has had more of an effect

Re: GLP-1s are breaking life insurance

#168
post #155

Earlier quoted context omitted.

> but if “healthy habits” were enough then people who’d lost weight the traditional way would keep it off. That's because a lot of the "traditional way" methods are pseudoscience at best, outright quackery that's going to send you into serious malnutrition issues or eating disorders at worst. Every two or three months you see a new diet fad pushed through the yellow press rags, and none of it anywhere near being cons…

I would have thought the "traditional way" would simply be eat less, move more (by changing your habits of course).

GLP-1 makes you want to eat less. So you are correct.

Re: GLP-1s are breaking life insurance

#169
post #137

Earlier quoted context omitted.

A once-weekly subcutaneous injection is not a big deal for most people I think, outside of those who are very afraid of needles. It's a tiny needle and you don't even feel it. I've given injections to people who are afraid of needles, and they sometimes close their eyes in fear and are begging me to "just get it over with" without even realizing that I'm already done. Anyway, all this to say that outside of needle-ph…

> It's a tiny needle and you don't even feel it. I'll add that while it isn't a big deal, I definitely feel the needle; sometimes worse than others. (I'm using 8mm 30 gauge needles.)

You have to inject it correctly, it needs to be injected in the fat and with the right angle.

If you have very little body fat, your glutes are probably a better place.

Source: I take HCG and have to use injection 2x a week. 27G is my favorite..

https://medneedles.ca/products/1ml-27g-x-1-2-sol-care%E2%84%...

Re: GLP-1s are breaking life insurance

#170

Earlier quoted context omitted.

>However there are other tools to supplement with to help learning discipline. The current FDA guidelines support your assertion that GLP1s should be prescribed in addition to other tools to help people change their eating habits. What the FDA does not prescribe is moralism, which is what “help learning discipline” tends to imply. If you didn’t intend to frame your argument in terms of moralism, you might consider a…

Not sure how else to word it. "help people change their habits" vs. discipline to change their habits - what's charged about the word 'discipline'?

In English, we “instill discipline” in children. When we talk to and about adults, we talk about the confluence of factors that influence habits and help people change them. Discipline implies that an adult, who is otherwise fully functioning and subject to the demands of the world, is lacking an essential attribute. Whatever you might feel about this explanation, we already observe from science and medicine that “instilling discipline” on its own has not stalled the obesity epidemic.
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