I have to repeatedly go to a doctor to get prescription refills for a drug that I have to self-manage. The doctor provides no input day-to-day, where a mis-dose is a death sentence (the first time I nearly put myself into a coma, doc was like "oh yeah that can happen: I can give you glucagon shots as a scrip". Thanks for the heads up!). But cool, to get the drugs that keep me alive, I have to talk to a doctor that will look at my Dexcom charts and mumble some things.
So no surprise that the ADA is a fully industry-captured organization, even though I'm certain that there are good people doing good work for the right reasons.
“A1c is good. Charts are good. No changes.”
“And that’ll be 700 dollars?”
“Yup. See you soon.”
Of course it doesn’t actually cost that much (copay wise at least), but the point stands. I manage my disease super well. I don’t need the middle men.
I’m becoming much more radical on universal healthcare the longer I’m on my own.
"If it tastes good, spit it out." - Jack LaLanne
I am always imagining the doctors working together with the food industry that pours sugar into everything and the insulin producers. It’s a perfectly symbiotic relationship.
I don't really see how you can possibly have it both ways.
The more norms are changed, ignored, trampled, inverted, the more invested people will speak out.
On a personal level, I *broke decorum* this week with my dentist introducing “my own research” into a conversation. His first reaction was to say he discourages armchair medical advice from Google. I retorted: “I need the _words_ [to have a productive conversation with you in such a short time, so I can understand what you’re saying and what are my options]. I’m not a dentist who thinks about [dentistry] all day.” And following we had an informative conversation about the details I brought up.
But who amongst us lives in such conflict with power? It’s like a muscle. You have to exercise it once in a while or you’re stiff and easily overmatched.
Partisans strongly dislike non-partisan positions, because they are even more dangerous to them than the partisan counterpart.
Probably the average CoC enforcement.
Some discussion then: https://news.ycombinator.com/item?id=48433410
Getting a gcm gave me much better data around the impact of movement.
Calf raises are absolutely diabolical as well, if you haven't tried them. There's some lore around this that the calf muscles are better adapted to absorb glucose, I haven't dug in other than to verify they do work.
The invention of the CGM might only be second to insulin in improving the lives os T1Ds.
I’ll have to try calf raises. I’ve never heard that.
hmmm
summary: https://ericsandroni.com/book-summary-glucose-revolution-by-...
1. I can reorder prescriptions on the NHS app when I’m running out. They get delivered to my preferred pharmacy or if I was away from home I can specify a local pharmacy. The prescription will be delivered there.
2. Prescriptions normally cost 9.90GBP per “item” (where an item is one type of medicine so may be multiple physical boxes of pills for example). This is a fixed cost and is independent of the type of medicine or how much it costs to the NHS. But…
3. You can get a prepayment certificate for 114.50 GBP per year which means you don’t have to pay per item. I have this so every time I go to the pharmacy I check one box and sign the bottom of a form and my drugs are free. The cert is a simple online purchase and took me about 5 minutes to apply and get accepted for. Zero friction. I have never been asked to show the certificate just state that I have one check a box and sign and we’re done. If I did have to show it, the “certificate” is just an email with a number so not hard.
4. The same app I used in #1 has messages from my GP in it so if there was ever a thing when they needed to talk to me, arrange a blood test, deliver test results etc it’s all in there (and I don’t pay a penny for any of those things either). Everything that’s in the NHS app is also on the NHS website which has excellent accessibility etc so works just fine on Linux for me when I don’t have my mobile device.
5. If you want to go outside the NHS you can go to a private practicioner and get a private prescription. That’s delivered to the same pharmacy you just have to give them this number that gets texted to you with the prescription and pay (a bit) more money for it. I had to do this recently and it cost me 22GBP for an “item”. You can also have private health insurance (I do) which means seeing specialists is easier than on the NHS and there is generally no wait time for tests etc. Private health insurance in the UK is much cheaper than it is in the US.
Bottom line: At least here in the UK the NHS may have bureaucracy internally but that doesn’t affect me at all as a “customer”. My healthcare is super-easy and convenient and far, far less expensive than healthcare in the US. You guys have the worst of all worlds. Both my wife and I have had medical treatment in the US and it manages to be eye-wateringly expensive and simultaneously worse than what I get for free on the NHS.
We have that too. But that doesn't address the person's main complaint, that they have to consult with a doctor in the first place to get that prescription.
Any long term condition like diabetes isn't the admin overhead you're making it out to be.
And this is for every aspect of society, I feel like all this burocracy is just made for people that liv e off the state, I get home at 6pm, offices are not even open, I have to take half a day off work to stand in a line every time...
That's it. No open enrollment, no surprise bills, no trying to figure out which ppo or hmo works best, no wondering if it's in network or not or any of that BS.
And to call it out in a thread where someone has literally shared that they're forced to attend a pointless appointment at an exorbitant cost like that isn't itself some form of wasteful bureaucracy. But if the time and money is going to a corporation instead of the government it's better :/
NHS experience: you might have to wait two weeks to see the doctor, and it will be a ten minute appointment. (Which in this case might be fine.) If you can use a nurse things tend to be much easier.
From what I read, healthcare had always been super complicated and bureaucratic in the US. Nobody here knows what "network" or "deductibles" even mean.
Going to the doctor or calling an ambulance is similar to calling the police in some sense. You don't think about "network" or cost when calling the police, right? We do neither for health care related things.
Btw. getting down voted for an honest question is a bad thing in my opinion. People should talk to each other and ask questions.
Every now and again I get scheduled for a blood test or a consultation to review my meds. The consultation sometimes happens by phone if mutually convenient and I don't need to actually be tested there and then etc. Repeat prescriptions just get issued and if there is any problem I can send a message on the app.
At this point, China is doing capitalism better than us in its consumer industries. They actually have real competition, so fierce at times that the government worries about what it calls “involution”, or destructive competition (which Marx predicted as the end state of capitalism). Of course, its healthcare system is not run through capitalist competition like its consumer industries; it is fully state managed.
Some real competition might actually help if we’re going to keep pretending to be capitalists. Or we could move from socialism for the rich to socialism for the people. I don’t really care which as long as we move on from the current dysfunctional system.
But everything else (eg. discussing blood test results, medication reviews, mental health issues) will get dumped into the "routine" appointment bucket and, yes, will often take 1-2 weeks.
You do hear occasional horror stories about the triage process, but my experience has been pretty reasonable. For example, I lost my voice last year but had no other symptoms - so I expected to have to wait a few days to be seen. But I was treated as an urgent case since it affected my ability to work, and got an appointment that afternoon.