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GLP-1s are breaking life insurance

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Re: GLP-1s are breaking life insurance

#501

Post by xattt »

jtrn wrote: post #204

Clinical psychologist here in Norway, and just my subjective experience: People stop GLP1 agonists for the following reasons, in descending order: - They want to enjoy eating again. - Medications are a hassle. - Worry about long-term effects, even if there is no alarming evidence for now. - Price (we are a spoiled/rich country). - Other (like hating needles, feeling bad for taking medications that others need more, b…

Can you talk about people who discontinue for GI side-effects? I understand they are present for a short duration, but have heard anectdata that they persist for months for some people.

Have you observed persistent GI side-effects in your own practice, and if so, do you believe these are legitimate? Or… are they a social cover for individuals to get back to eating for psychological coping?

Re: GLP-1s are breaking life insurance

#502

Post by unethical_ban »

SirMaster wrote: post #476
nerevarthelame wrote: post #120

Earlier quoted context omitted.

This is akin to saying a severely anxious person should be able to take an SSRI for a few months, learn how to change their thinking, and stay off antidepressants for the rest of their life. So simple. Must be their fault if they can't pull it off. Perhaps that works for some people. I'm glad it seems to have worked for you. But the facts of the world we live in show that it doesn't work for most. "Learn the lesson a…

You think that controlling your anxiety and controlling what you put into your mouth are equal things? I would say that controlling what you put into your mouth is easier than controlling your anxiety.

When "putting something in your mouth" is the result of a mental component, is there a difference?

Re: GLP-1s are breaking life insurance

#503

Post by NoMoreNicksLeft »

Aurornis wrote: post #260
terminalshort wrote: post #238

Earlier quoted context omitted.

People who want to misuse the medication are going to be the ones most willing and able to jump through the bureaucratic hoops. Increasing the difficulty to get the medication will only make it more difficult for legitimate users and won't decrease abuse. In 1920, 1970, and now, heroin was legal, illegal with minimal enforcement, and illegal with harsh enforcement (except in SF), and the same percentage of the popula…

> People who want to misuse the medication are going to be the ones most willing and able to jump through the bureaucratic hoops This thinking seems correct to people who grew up knowing about the dark web, Silk Road, and who believe they could access any substance they want if they wanted it. It is not accurate for the majority of the population. For the average person, misuse of drugs isn’t a calculated decision. I…

≥At this point I can’t buy any arguments that claim that availability of drugs has no impact on misuse or addiction.

I don't much care whether more people are addicted or not. When alcohol was illegal, booze dealers had machine gun fights in broad daylight on Main Street over it. When's the last time you heard about machine gun fights over whiskey?

Legalize it all. Heroin, cocaine, meth... sell it retail out of liquor stores in plain wholesale packaging. Manufactured by pharmaceutical companies, supervised by pharmaceutical engineers, unadulterated by poisons, measured doses, and include a dose of the antidote in the box. Make the junkies pay a deposit on a red plastic sharps container for their disposable needles.

I do not care how bad you think things will get... they're already that bad, but right now you're able to pretend that they're not. For every soccer mom addicted to oxy that you save, ten undesirables are dying of overdoses of fent in some filthy truck stop restroom somewhere. And we're spending half a trillion every year to do it, too.

Re: GLP-1s are breaking life insurance

#504

Post by gbcbooks »

throaway955 wrote: post #483
esperent wrote: post #357

Earlier quoted context omitted.

I'm not on any medications, and I've never been able to handle tea in the morning. Green, black, iced, hot, matcha. It always makes me feel nauseated unless I've eaten breakfast first. I always drink black coffee though, without problems.

This is due to the high concentration of tannin in the tea. It causes stomach problems if you dont have protein in your belly already.

[dead]

Re: GLP-1s are breaking life insurance

#505

Post by alphabettsy »

Aurornis wrote: post #198
aqme28 wrote: post #9

Earlier quoted context omitted.

You’re thinking too highly about the incentives of the US healthcare system. Since insurance is tied to your employer (and therefore changing every few years), and most people die on Medicare, there’s not much incentive for insurance companies to pay for preventative care that won’t actually help you for several decades.

> You’re thinking too highly about the incentives of the US healthcare system. Since insurance is tied to your employer (and therefore changing every few years) Most people don’t change jobs or insurance companies every few years. When they do, it’s often within similar regions and industries so the chances of ending up right back under the same insurance company are significant. Regardless, the issue is more complic…

A night in the hospital is easily $12k almost anywhere in the U.S.

People with chronic health conditions spend an inordinate amount of time at the doctor and in hospitals. That could save a significant amount of money if that’s reduced or eliminated. Not to mention the time savings.

I could be wrong, but all things being equal doesn’t it make sense to spend $12k/year on medication than $12/year on doctor and specialist visits in addition to medication?

Re: GLP-1s are breaking life insurance

#506

Post by timerol »

blindriver wrote: post #333

The last thing I will ever give a rats ass about is insurance companies. They are the scourge of this earth but they have used legislation to embed themselves in our every day lives. I live in California and have no claims ever. My home insurance has doubled in 4 years to almost $4000 a year. My car insurance is about $2800/yr. So I hope insurance companies break. Like Danerys said in Gamr of Thrones, I hope someone…

So you pay less than 1% of the cost to rebuild your home per year in home insurance, in a state that regularly has fires, floods, and earthquakes? That seems fair to me

Re: GLP-1s are breaking life insurance

#507

Post by abirch »

SkyPuncher wrote: post #452
glp1guide wrote: post #274

Earlier quoted context omitted.

Liraglutide is now available as a generic, but it is the least effective of the big 3 (Semaglutide, Tirzepatide, Liraglutide): Basically, Tirz > Sema > Lira https://glp1.guide/content/semaglutide-vs-tirzepatide-clinic... https://glp1.guide/content/semaglutide-liraglutide-continue-... https://glp1.guide/content/another-generic-liraglutide-launc...

Liraglutide isn't fully comparable. On aspect that's a lot touch for many is it's a daily injection. More needles is a turn off for some that can manage 1x/week.

Daily needles vs 12K a year is a tradeoff many people may consider. Especially if insurance companies mandate Liraglutide as a first line treatment.

Re: GLP-1s are breaking life insurance

#508

Post by downrightmike »

hiAndrewQuinn wrote: post #23

So... There's a miracle drug powerful enough to robustly lower people's all cause mortality, but since health insurance and life insurance are industries with vastly different time preferences, this is not a good thing for the life insurers because people just keep getting off the magic longevity drug and screwing up their predictions. Because, admittedly, it kind of sucks in the moment to be on. And I'm guessing jus…

Insurance companies need to go after processed food companies if they don't like it, not their customers

Re: GLP-1s are breaking life insurance

#509

Post by HDThoreaun »

jajko wrote: post #463
nerevarthelame wrote: post #120

Earlier quoted context omitted.

This is akin to saying a severely anxious person should be able to take an SSRI for a few months, learn how to change their thinking, and stay off antidepressants for the rest of their life. So simple. Must be their fault if they can't pull it off. Perhaps that works for some people. I'm glad it seems to have worked for you. But the facts of the world we live in show that it doesn't work for most. "Learn the lesson a…

Very wrong analogy. Anxiety is not something that you gain by buying junkfood due to low budget or laziness or simply being raised with very wrong values re food and health. On the other hand, every single ice cream, pizza, burger with fries, cupcake or beer contributing to resulting weight is a voluntary choice (with some mental drama around). There is simply no way around the simple fact that there is only 1 way to…

You need to remember that people experience reality differently. For you eating the healthy number of calories may be easy. For others it very much is not. I have heard it described as leaving your thermostat at 45 in the winter to save money on your gas bill. Sure, you could do it, but it would cause a lot of suffering. GLP-1s are able to change the way people experience hunger so that it only feels like the thermostat is at 65 instead of 45.

Re: GLP-1s are breaking life insurance

#510

Post by toraway »

sizzle wrote: post #381
fnord77 wrote: post #208

Earlier quoted context omitted.

I pay about $40/month for mine, grey market from china

How do you mix the powder for injection?

The typical grey market buyer exclusively buys vacuum or inert gas sealed sterile vials that contain pre-measured lyophilized powder and then uses BAC water from medical supply stores (or just Amazon) for reconstitution transferring from one vial to the other with a fresh needle.
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