Live data from Hacker News

Threat in Your Medicine Cabinet: The FDA's Gamble on America's Drugs

propublica.org

31–40 of 82 posts

Re: Threat in Your Medicine Cabinet: The FDA's Gamble on America's Drugs

#32
post #23

[flagged]

Medicine is one of the most regulated and least capitalist markets.

Capitalism cannot exist without regulation. There is no such thing as a "free market". Capitalism relies upon regulation to enforce the enclosures it builds. Regulations are a direct product to protect profits.

For example, Medicare is prohibited from negotiating prices with drug companies for most medications. A few exceptions were carved out with the IRA passed under Biden. The VA can it pays a lot less. Why is Medicare forbidden from negotiating? Because the pharma industry lobbied for it.

Also, cheaper generics are banned from being imported even though you can buy the exact same thing for a 95%+ discount in Canada.

To see this regulation in action, you can pretty accurately predict what courts and the government will do by simply asking "what do the capital owners want?".

Just this weekend, we had an actual domestic terrorist in Minnesota kill a state lawmaker (and her husband) and attempt to kill at least one other. So far he's been charged with second-degree murder and some federal charges [1].

Now compare this to Luigi, the alleged shooter of UHC CEO Brian Thompson where the AG and US attorney immediately came out calling for the death penalty and laying first-degree murder and terrorism charges on him.

Now maybe the federal or state charges will be upgraded to first-degree but there's none of the same rhetoric about an actual terrorist. Ask yourself why.

[1]: https://www.cbsnews.com/minnesota/news/vance-boelter-fbi-det...

Re: Threat in Your Medicine Cabinet: The FDA's Gamble on America's Drugs

#33
post #26
post #18

Earlier quoted context omitted.

The issue I described existed before the administration change. Neither's parties people wants to be poisoned.

> Neither's parties people wants to be poisoned. Voters for one party keep taking horse medicine and we can't seem to stop them when they experience negative side effects, and we couldn't get them to get vaccines even as their friends and loved ones were dying begging for it at the last minute. There's definitely a party divide here.

I have no opinion on ivermectin. I don't think it's a miracle cure, but I also have no idea about the actual research in that space.

But.

My assistant at my last job was all in on it during COVID. It cures everything, according to her. The moment when her cognitive dissonance hit its peak was when she gave her husband ivermectin for a cold, and was absolutely astounded that he ended up in the emergency room with diarrhea and dehydration. She was convinced it was "vaccine injury" and that he did a sneaky and got the COVID shot without her knowing. Spoiler; he did not get vaccinated.

It really was pretty funny at the time, but also sad. She was sort of my bellwether for nuts behaviors. When she started spitting Q-anon talking points, as a middle aged woman completely disconnected from anywhere that should exist, I knew we had problems.

Re: Threat in Your Medicine Cabinet: The FDA's Gamble on America's Drugs

#34

Earlier quoted context omitted.

Isn't the new direction of capitalism in America Freedom from Regulation?

How did you arrive at that conclusion? All of the evidence provided in the article is prior to the “freedom of regulation” as you call it. To me, it’s indicative of a rotting regulatory institution that lost its way. FDA is about safety, not low cost drugs. I don’t know how that mandate became mission critical for them but it happened before the current administration.

Almost certainly happened because of Clinton and the FDAMA. It's a law that "cut red tape" IE removed safety protocols and standards.

These agencies are rotting primarily because they've been reworked to be business friendly over the last 40 years

Re: Threat in Your Medicine Cabinet: The FDA's Gamble on America's Drugs

#35
post #22
post #21

Earlier quoted context omitted.

Two responses. First, CME is criticized as being largely influenced by industry rather than primarily intended to advance medical learning. [1] Second, assuming medical continuing education is something like 20 to 40 hours depending on the region [2], this feels meager and insufficient. In contrast, think of how much learning a software developer does during a year -- perhaps close to 5+ hours per week on average! [3…

A software developer is not required to do any continuing education at all.

Software developer doesn't hold a certification from a trade group that has a government violence backed monopoly on deciding who can make a buck performing said craft.

Re: Threat in Your Medicine Cabinet: The FDA's Gamble on America's Drugs

#36
post #29
post #22

Earlier quoted context omitted.

A software developer is not required to do any continuing education at all.

Ok, but you are moving the goalposts relative to my original quote: “Their daily practice leaves little time or incentive for keeping up with studies.” My first point is that software developers (generally, more often than not) have the time and incentive to learn on an ongoing basis. Second point: if continuing education has to be mandated, it is likely a symptom of a system that lacks proper incentives. On the posi…

Mandated continuing education isn't a sign of missing incentives, it is the incentive. Being required to do something to keep working in the field seems like a pretty strong incentive to me.

But I certainly won't dispute that doctors in most systems in the US are overworked starting at least in residency.

Re: Threat in Your Medicine Cabinet: The FDA's Gamble on America's Drugs

#37
post #26
post #18

Earlier quoted context omitted.

The issue I described existed before the administration change. Neither's parties people wants to be poisoned.

> Neither's parties people wants to be poisoned. Voters for one party keep taking horse medicine and we can't seem to stop them when they experience negative side effects, and we couldn't get them to get vaccines even as their friends and loved ones were dying begging for it at the last minute. There's definitely a party divide here.

On the other hand, my liberal parent gave me stimulants for 8 years that made me anxious when I previously wasn't, and killed my appetite so hard I couldn't take more than 1-2 bites of anything at dinner, and now I'm 32 looking like a 16 year old but with the fatigue of a 64 year old.

Re: Threat in Your Medicine Cabinet: The FDA's Gamble on America's Drugs

#38
post #2

I'm so angry right now. I did a deep dive into this at one point after being prescribed some generic Vyvanse through Sun via Dillons/Kroger. The pills smell like fish and seem like they didn't work at all. I checked some records from the FDA and Sun wasn't listed. I brought it up to my doctor and they just brushed it off. I really hope another class action lawsuit is brought against Sun.

I had the same exact issues on generic Vyvanse, which also causes me intense palpitations compared to the brand-name, I legit thought I was going to have a heart attack several times a day. So much so, that I quit it altogether—I couldn’t stand the side effects or the constant unavailability of the brand-name.

Re: Threat in Your Medicine Cabinet: The FDA's Gamble on America's Drugs

#39
post #22

Earlier quoted context omitted.

A software developer is not required to do any continuing education at all.

Software developer doesn't hold a certification from a trade group that has a government violence backed monopoly on deciding who can make a buck performing said craft.

Yes, they're missing a pretty strong incentive.
Post reply on HN