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Amazon launches Amazon Pharmacy for prescription medicine delivery

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Re: Amazon launches Amazon Pharmacy for prescription medicine delivery

#221
post #215
post #111

Earlier quoted context omitted.

I'm curious who or what the end goal of GoodRx is. They pay for expensive ($$$$$$) cloud anti-bot/anti-scraping, captcha you after a few requests if you run adblock, they pay for extensive browser/device (attempting to reidentify a user across multiple devices/multiple browsers) fingerprinting services and Fastly. The site loads a dozen trackers, googletagmanager, branch, segment, what are they doing with this data?…

> They pay for expensive ($$$$$$) cloud anti-bot/anti-scraping, captcha you after a few requests if you run adblock, they pay for extensive browser/device (attempting to reidentify a user across multiple devices/multiple browsers) fingerprinting services and Fastly. This sounds like a great anti-account takeover program. I imagine with all of the various compliance programs they have to deal with and the legal risk,…

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Re: Amazon launches Amazon Pharmacy for prescription medicine delivery

#222
post #111

Earlier quoted context omitted.

I'm curious who or what the end goal of GoodRx is. They pay for expensive ($$$$$$) cloud anti-bot/anti-scraping, captcha you after a few requests if you run adblock, they pay for extensive browser/device (attempting to reidentify a user across multiple devices/multiple browsers) fingerprinting services and Fastly. The site loads a dozen trackers, googletagmanager, branch, segment, what are they doing with this data?…

Their end-game is collecting user data & collecting a referral fee when people use their "insurance". (The coupons generally are not actual coupons, they present as an insurance coverage policy & code that pharmacies use the same way they would your normal insurance card). That's how they make their money. Personally, for me, the data they can collect off of me when I go to their site is worth the ~$2,000 I save ever…

As a European now living in the US, my first thought is that the $2,000 shouldn't even exist to be collected, especially by invasive data broker rent seekers.

Re: Amazon launches Amazon Pharmacy for prescription medicine delivery

#223
post #208

This reminds me of RX Limited, and Paul Le Roux. https://en.wikipedia.org/wiki/Paul_Le_Roux

Now, that was a fascinating read! Can't believe I've never heard of this guy.

The most interesting part to me: "...Le Roux decided to diversify and expand into illegal activities around 2007..." I guess I've never really thought about how people end up in these criminal enterprises, but I certainly didn't think they just decide to one day.

Thanks for sharing that!

Re: Amazon launches Amazon Pharmacy for prescription medicine delivery

#224
post #111
post #72

Earlier quoted context omitted.

I'm not surprised, there's some serious shenanigans on medicine pricing and insurances. Medicine prices are clearly inflated when you can buy at a huge discount using insurance, but then you can get apps like GoodRX, which is free and give you coupons that far exceed my insurance discount on every single time I had to fill a prescription. To the point that I don't even bother going through insurance anymore. I saved…

I'm curious who or what the end goal of GoodRx is. They pay for expensive ($$$$$$) cloud anti-bot/anti-scraping, captcha you after a few requests if you run adblock, they pay for extensive browser/device (attempting to reidentify a user across multiple devices/multiple browsers) fingerprinting services and Fastly. The site loads a dozen trackers, googletagmanager, branch, segment, what are they doing with this data?…

GoodRx doesn't pay for the medicines. They just offer the copay discount cards already available from manufacturers. The manufacturers have a fake prices they use as a negotiating point with insurance companies to maximize their profit.

Re: Amazon launches Amazon Pharmacy for prescription medicine delivery

#225
post #210

Earlier quoted context omitted.

Taxes are basically risk sharing across the whole population. But I wanted to specify that it's not risk sharing like your auto insurance is, or home insurance, or term life insurance. Those are infrequent, random events for the most part. Whereas, healthcare is a guaranteed expense, so the premiums are just prepaying for the coming expenses. But today, you're not paying for your healthcare expenses, but for the olde…

It's incorrect to say that premiums are only prepaying for coming expenses, but not risk sharing. They cover both. That's the whole point, health insurance today is a bundle of all of those things. While FICA taxes (partially) pay for senior citizens' healthcare, your health insurance premiums both pay for your annual physical (especially on Platinum PPO plans) as well as care for sicker people that are not eligible…

I agree that it’s risk sharing, but my point is that it’s more akin to a tax and it’s useful to view them as a tax because it’s specifically structured via the maximum age rating factors and max out of pocket to give older and sicker people a proportionally higher benefit than younger and healthier people.

While my auto insurance premiums will probably go up if the insurance company experiences losses much higher than expected, the insurance company will raise premiums on the people causing accidents more than myself (and maybe even drop them if they deem them uninsurable). If health insurance claims come in higher, the younger people will pay proportionally more even though they’re mostly going to just be getting a physical and flu shot.

Re: Amazon launches Amazon Pharmacy for prescription medicine delivery

#227

Earlier quoted context omitted.

You will get old

I know. I wasn’t complaining about it being a tax. I wish it was implemented properly by dumping everyone on healthcare.gov and removing employers from the equation. And reinstating penalty for not buying health insurance. Or implementing taxpayer funded healthcare.

Well, Obama has publicly said he believed in single-payer healthcare, if in a sly way, in an interview. However, he recognised the practical approach is small steps towards that goal.

Re: Amazon launches Amazon Pharmacy for prescription medicine delivery

#228
post #189
post #177

This strikes me as a tone deaf move for Amazon. They're increasingly losing consumer confidence and are starting, anecdotally at least, to be regarded as closer to a flea market or eBay than a trustworthy retailer. They really need to shore up the issues with tainted supplies in their core retail business before I would ever consider them for something as sensitive as pharmaceuticals, regardless of how much they prom…

I don't think this is a common perception outside of super a super plugged-in crowd that reads tech news.

I'm not sure that's true. In 2019 there were many articles in mainstream news outlets about Amazon's counterfeit problem, including a major (front page, I believe?) article from the Wall Street Journal [0].

They also received major negative publicity about the "Solar Eclipse Glasses" they sold that damages many people's eyes in 2017 [1]. I think it has cooled as a news topic, given the plethora of topics in 2020, but (again, anecdotally) I don't think the opinion has restored. At least it hasn't in my social and family groups.

0: https://www.wsj.com/articles/amazon-has-ceded-control-of-its...

1: https://fortune.com/2017/08/14/amazon-refund-solar-eclipse-g...

Re: Amazon launches Amazon Pharmacy for prescription medicine delivery

#229
post #219

Earlier quoted context omitted.

“Access” in this context is just a weasel-word cooked up by hospitals and insurance companies to protect their bottom lines. Almost every other wealthy, developed country guarantees healthcare itself, not the right to get surprise billed or screwed by your insurance company. And even those countries that are closer to the American model (e.g Germany and the Netherlands) don’t let these industries get away with egregi…

> Almost every other wealthy, developed country guarantees healthcare itself, not the right to get surprise billed or screwed by your insurance company. I'm not sure who argued that "the right to not get surprise billed or screwed by your insurance company" is the optimum solution. The argument is that guaranteeing access to healthcare itself is attainable without price controls. > SNAP and ag subsidies are also just…

Guaranteeing “access” is functionally meaningless. You already have “access” to healthcare in the U.S., it just comes with all the fleecing and abuse unto death that we have under the status quo. When you argue for “access,” that’s precisely what you’re endorsing. This is why again, other countries guarantee actual healthcare and not these kind of doublespeak vagaries.

Re: Amazon launches Amazon Pharmacy for prescription medicine delivery

#230
post #150

Earlier quoted context omitted.

Yes, that's the whole point. SNAP and directed subsidies are decidedly NOT the same as government prices-setting. The analog in healthcare is targeted subsidies for poor people that cannot afford care, not government negotiation and price setting. Making sure everyone has access to healthcare is, for the most part, a universally held goal. The disagreement is whether the only way to achieve that is through government…

> The analog in healthcare is targeted subsidies for poor people that cannot afford care Food subsidies aren't targeted at the poor. The US government spends many billions of dollars subsidizing corn and soybeans and other crops that lower food prices for huge portions of America.

While at the same time, imposing huge tariffs on other products (notably sugar), drastically increasing the prices of those products domestically. So if you're one of the people concerned about the usage of HFCS in pretty much everything, the blame lies squarely at the feet of the government for artificially raising the price of sugar.
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