I shot from the hip a little on this one and see the popular argument which I was spreading may not be true. Oopsie
Unfortunately true. I actually asked my own pcp about it, asked if he was willing to prescribe if I gained some weight down the road and he hemmed and hawed and said no. Wtf.
While still recognizing that I was over estimating federal funding, I think this article describes the overall complementary nature of federal vs. private funding. https://www.biospace.com/article/op...rug-development-both-government-and-industry/ Spoiler No good shitpoaster can be wrong and just lie down to die. One must scour the depths of the internet to find supporting evidence of their prior beliefs.
True but it’s still factor. Plus paying for all the drugs they developed and failed. But yes. It’s mainly will they pay for and how many people need it to recoup the cost.
certainly a credible and interesting article. it's a bit biased (not political bias, simply statistical bias) though, because it only looks at spend for approved drugs. that's obviously not the totality of spend. if we knew how to pick winners up front that would be amazing, but just not the case. tons of failure (much more than success). this paper suggests that in 2018 the entire NIH budget was $35.4B while biopharma R&D spend was $102B the same year. so i don't know how exactly to reconcile that with this data. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9440766/#:~:text=The organization also reported that,was $35.4 billion [4]. all that said, the NIH is great at funding basic research and it's absolutely critical to U.S. leading the world in global biotech/biopharma.
I mean it's a good ol community clinic, not some boutique BS, so they better. No one just gets to straight up say "we don't do PAs"
You’d be surprised lol. My primary care physician growing up refused to do them and I’ve called many offices that just flat out say we don’t do them when I was in a different dept.
This sounds like a bunch of nonsense drummed up to stifle the one true fat loss solution - my fitness page on instagram. Sounds like big pharma is threatened by my ability to help you shed those unwanted pounds just in time for beach season and are rushing some potentially deadly pill through the approvals process.
I think the idea of PAs was originally ok but what it is now is stupid. Hospitals have formularies as well to prevent excess spending on unneeded spending. A lot of offices don’t read what we send them either as most of the work is done by MAs. I’m not blaming them but it’s just a shitty healthcare system we have in the United States
I’ve been thinking about it. Have gotten back into the gym but it’s tough being consistent and sticking to diet and exercise when you’re on call and in the hospital for days on end. Would love to be able to run again but too much weight on the knees and shins
Im starting joinfound.com Tele doc site. They are starting me on Metformin. I will be staying in the shitting my pants thread starting next week. but Im excited for the results
I know I messaged you privately on this but Metformin typically helps with weight loss as well just not the extend as the others. My dad lost like 20 lbs on it when he became prediabetic coupled with diet changes
let’s be real Popeyes is going to add a new bun or some shit to the chicken sandwich and he’ll be right back where he started
While margin is certainly robust on glp-1 keep in mind it is a protein and the production process is way more complicated and expensive when compared with a pill. Like takes months to produce with very expensive equipment complicated. It’s why Novo just spent $11b buying a contract manufacturer to try to increase capacity.
There isn’t one besides greed and tbh that’s all on the medical side and I have no dealings with medical side just pure pharmacy side. Only a handful of chemo drugs that aren’t done in office or as infusion
Don’t know specifically. Assuming Indian and Chinese generics makers cuz those guys are always in on things early
I thought Obamacare had some kind of profit caps on insurance so idk if profit is the correct metric, but healthy people are absolutely cheaper to insure.
So I would think that if health insurance companies could reduce the number of obese people on their books by 20% or more, they'd jump at the chance.
companies have to spend a certain % of premiums on care or they have to refund i got a check a time or two
Issue arises because the company that manages medical expenses isnt always the same one that manages pharmacy benefits. While covering making people less obese helps the medical side, it doesn’t help the pharmaceutical side as much. It’s a dumb system.
I'm just skeptical of taking shit that sounds like someone cooked it up in a bathtub. I'd much prefer insurance just cover the name brand stuff that comes in a box.
Pharm pperc pnk$krtcrÿnästÿ Since we’re talking insurance and drugs in here I have a question I take Vyvanse for ADHD and even with a PA that I was told was approved I pay like $400 and January and like $150 every time after that unless I can get generic I’d love to get off of it but I’ve been taking stimulants since I was 10 and I function completely different off of them anything I should be doing differently
my wife has the same issue for the same drug. the cost to her at the pharmacy has gone up a lot over the years. until we hit our detectable for the year (high deductable plan) it's a lot. Even the generic Vyvanse is expensive. Maybe check GoodRx?
Most plans have what they call teirs. I’m assuming vyvanse is on the the non-preferred list which typically is the highest copay. The generic is likely cheaper and on a lower tier copay. Some plans allow for a tier cost review which can lower the payment if you meet certain criteria. Again without knowing your insurance or what drugs are on certain tiers it’s hard to say. can you use the generic?
Yeah specifically wrt to the cost of Vyvanse, I don't have any ideas. In terms of getting off the med, if that's something you want to do, you'll wanna have a visit with your prescriber to structure a plan for that. That can be tricky when you've been on stimulants this long, but it's doable
It’s not cooked up in a bathtub lol. They still follow USP practices when making it. I’d still do my research on what pharmacy is supplying to and see when the last time it was inspected. About 10 years ago they cracked down on it and started enforcing higher standards and shut down a bunch of shitty pharmacies
Buncha fat dudes passed out with cardboard over the windows and syringes hanging out of their love handles
Thanks for the responses I can use the generic when I can get it, it’s just been hard to find I’ve thought about asking to go back to adderall or adderall xr
Later I actually have to do a peer-to-peer conversation with one of those doctors who work for the insurance company and I always wanna ask if they had sex with a patient or something
Not saying there are no standards, but the API the US compounding pharmacies are using ain’t coming from the US or the supplying site would be sued out of business. It’s coming from places that care less about IP such as India and China where manufacturers can get away with it. But most generics are as well and generally there are few issues - though if you have been in the business you know that good manufacturing practices in those countries tends to be sketchy compared to GMP in the US or EU, that’s all I’m saying.