Live data from Hacker News

I am dying of squamous cell carcinoma, and potential treatments are out of reach

jakeseliger.com

351–360 of 486 posts

Re: I am dying of squamous cell carcinoma, and potential treatments are out of reach

#351
post #126

There's a very easy regulatory solution: Roll the drug approval process back to the way things were done prior to 1962. Back then, safety testing was all that was required. Efficacy testing -- which is difficult, expensive, arguably unethical in itself, and in some cases effectively impossible -- was not required. Drugs cost ~20-50x less to bring to market, and were brought to market faster. Indeed the 40s and 50s ar…

I remember Softenon. > it wasn't only because of low-hanging fruit. Yeah, right. They had such advanced cancer medication back then. > Give people with fatal diseases a "right to try" drugs that haven't passed safety testing -- and use that data. That data is practically worthless. I'm in favor of having people try out medication, but it will need to be heavily regulated. And we know what happens to regulation: a par…

My brother had an excellent metaphor:

> Say you're a runner. In the beginning of your competitive career, you get the most gains by becoming a better runner. And then at some point, you get more gains by shooting (or bribing) the ref.

Re: I am dying of squamous cell carcinoma, and potential treatments are out of reach

#352

Earlier quoted context omitted.

We let people have assisted-suicide for reasons from homelessness to hearing loss, twenty thousand people a year. Why do we respect their self-ownership when they're trying to die but not when they're trying not to die? Why do we get to decide what is and isn't worth the risk?

> Why do we get to decide what is and isn't worth the risk? It's not their risk to take. Getting a drug to market is a complex process that can be derailed by any number of mistakes ranging from the mundane like improper blood draw during clinical trials to the tragic like accidental deaths that puts public pressure on the FDA to shut it down or spook away investors. Any hiccup in this process can kill it and once a…

I'm not sure removing options from the desperate and dying is a good idea. Those with means will just ignore your concerns and the rest will have _nothing to lose_.

Re: I am dying of squamous cell carcinoma, and potential treatments are out of reach

#353
post #67

Earlier quoted context omitted.

I understand some people are checking boxes, with no space to consider their impact. Please generously reinterpret my point to extend to their management stack and the political establishment that is responsible for the system. Those who establish, support and tolerate that system should be as directly exposed to its consequences as practicable. It is good for them to see these stories and feel the consequences of th…

The consequences to their actions are that when a doctor prescribes me a medication or when I purchase one off the shelf, I have incredibly high confidence that if I follow the dosage instructions it is safe - safe now, safe in 15 years, not worth further thought on my part. That hasn't been true in most places for most of human history. The consequences to their actions are that millions of people are saved from the…

To the extent that is true, I agree, they should see the positive impact of what they do as well. Your blind faith in the regulatory regime, however, is deeply undeserved. Many approved drugs prove to be dangerous and we can reasonably expect that many effective drugs never make it to market because of bureaucracy.

Re: I am dying of squamous cell carcinoma, and potential treatments are out of reach

#354
post #272

The author seems to forget that entering a trial doesn't necessarily give you access to the treatment. You have as many chances to be in the control group receiving a placebo. And as bad, sad and frustrating as it sounds to someone in a desperate situation, it is for the greater good of many more human beings, protecting us from snake oil.

In serious (esp. life-threatening) situations, the placebo is, or is supplemented with, the normal course of medicine, not sugar water.

Butnot habing access to normal course of medicine is not what the author is complaining about

Re: I am dying of squamous cell carcinoma, and potential treatments are out of reach

#355

Earlier quoted context omitted.

3 years ago we wanted to rush the COVID vaccine and it probably saved millions. I don't understand why we can't let people make risk reward judgments. Yes probably more people will die, but they were not forced.

I agree with you but I also understand the argument that being given the choice between certain death and uncertain death is a form of coercion

And I'm sure that those people dying are saying to themselves "well at least I wasn't coerced"

Re: I am dying of squamous cell carcinoma, and potential treatments are out of reach

#356

This is my brother. I love you. Anyone who has suffered through this disease or has a loved one that experienced it knows the feeling of helplessness. More on Jake’s story below, and a link to the fundraiser to support him and his wife: https://www.gofundme.com/f/help-the-fight-against-cancer-wit... Be kind and good to your loved ones. Life is short and no one knows how much time we have left. While the FDA’s antiqua…

Lost my brother to a carcinoma, a disease that most likely will be successfully treated, cured and even prevented in my lifetime. I feel for your brother but also for you.

Re: I am dying of squamous cell carcinoma, and potential treatments are out of reach

#357

There should be a universal law in human rights stating anyone can take anything into their own bodies and governments can never, ever prevent them. Governments/regulators deciding what you can put into your body is beyond ridiculous: applies to all substances and drugs. Inform about the potential risks and effects: sure. Prevent: never.

Devil's in the details. Suppose Pfizer wants to test a new acne drug based on radium nanoparticles fused to asbestos. It might work, and hey, if you can give a homeless guy $100 and a bottle of vodka to "voluntarily take it into his body" and let you watch to see what happens- that's so cheap! Why not give it a shot!

Re: I am dying of squamous cell carcinoma, and potential treatments are out of reach

#358
post #277

This seems bad. Help me understand. In what ways does always letting individuals choose to take an experimental drug not work, if we make sure they know what is known and what is not? They are desperate, and that's a horrible place from where to make a decision, but dying is a really bad alternative. What are the pitfalls that would allow for this to not always be the option? How would this go more horribly wrong tha…

If it were for science alone, it might be fine. The problem is when Steve Jobs is sick and I walk up to him and sell him an experimental cure for $2,000,000,000. He can trivially pay it, but I have a huge incentive to lie. At a smaller scale, a more efficient conman can take all of someone's assets. And not just the dying person's. How many people wouldn't sacrifice everything to save a spouse's life or their child's…

Could the former be fixed by requiring experimental drugs to be free of charge, or would that break how drug roll-out works? Somebody suggested an escrow account in this thread, which also seemed interesting.

Re: I am dying of squamous cell carcinoma, and potential treatments are out of reach

#359
post #253
post #215

Earlier quoted context omitted.

When there is nothing beyond death, there is no death. We won’t be sitting on the sidelines blindfolded. We won’t exist. From our perspective the death never actually happens. I’m surprisingly okay with my lack of experience of the billions of years before the earth existed, and I won’t experience the billions after. That said, just because we can’t stay at Disneyland forever, we might as well go on the rides while w…

All though you're correct it is rational to not fear death. I personally, and likely many other people here, have a very very strong aversion to it. I DO NOT want the cessation of experience. Ideally, I'd like to continue in perpetuity, to see the sun rise from Venus, or visit my tenth generation offspring on Saturn. All of those missed experiences would be deeply saddening. To see our species conquer to universe, to…

> I DO NOT want the cessation of experience.

What you want isn't always what you get. There are a lot of people that have all kinds of urges that they know aren't going to happen. That's perfectly normal, but for so called 'rational' people that fraction that has these irrational desires is a bit strange to me. Rationally: everything dies, sooner or later, and so will you. So the way to get the most out of it is to make sure that you make every minute count.

Re: I am dying of squamous cell carcinoma, and potential treatments are out of reach

#360

Earlier quoted context omitted.

Oh, you know, it's just someone that thinks everyone except them is wrong!

Doesn’t really add anything to the conversation though

You quoted evidence without providing any, and conflate evidence with belief. That also doesn't really add anything to the conversation.

The smart money says 'there is no afterlife, so use what you've got'. If you - or anybody else - is so sure that an afterlife exists then it would be nice to present some actual proof and absent that to admit that you're making it up or that it's hearsay.

Post reply on HN