I don't doubt it. You make casual friends sometimes at certain gyms, especially if any sort of sports are involved like tennis or even group classes.
I am a super introvert and know at least half a dozen folks with such issues, more if you include my close friend group.
Any place that has a lot of physically active people stressing their limits a bit is going to have a lot of injured folks over a decent period of time. And of course it gets talked about quite a lot, since it limits performance and ability.
My trainer knows I have a chronic shoulder issue, and an adductor issue at the moment I'm working through that we need to avoid stressing too much. The few other folks who tend to work out around my schedule know of this, and I know of theirs.
You're totally missing the point thought. The prescription hurdle effectively does not exist. It's just a paywall.
You pay your $100, get a 3 minute call with a NP/PA/whomever, and basically the robot writes you a prescription for whatever you want. The point is you pay and you get the prescription. Patient safety has nothing to do with anything.
It's cheaper for most people to get the prescription written at a PCP.
The advantage to a telehealth is not getting the prescription written -- it's that they'll fill it for cheap through a tiny compounding pharmacy that is making it, technically illegally, but are small enough to be off the FDAs enforcement radar for the moment.
I have used both my PCP and telehealth for prescription writing, never once have I used a compounding pharmacy.
It's slightly cheaper for me to use telehealth vs. billing through my insurance. The downside is it doesn't go towards my deductible of course.
The stuff you are describing are entire supply chains of a sort where you want a GLP-1 or perhaps a few other things like TRT. Those you are signing up for the drug itself, which happens to include the prescription part with it.
Telehealth can be used for any old medication you want. It removes the permission slip part of the process and replaces it with a payment gateway. If you have $75-150 you can just click some buttons and have a prescription for nearly anything you want at most a day later. This includes antibiotics, ADHD meds (getting harder on these), certain benzos, etc.
HIMS/HERS/etc. and their smaller ilk are super popular, but they are the tip of the iceberg.
Telehealth providers can certainly work with compounding pharmacies but not necessarily. If you are looking to get a prescription for Diazapam you are going to be getting that sent to your local Walgreens or whatnot.
> It's slightly cheaper for me to use telehealth vs. billing through my insurance.
How? Usually PCP visit are cheap and everyone gets one for free.
> HIMS/HERS/etc. and their smaller ilk are super popular, but they are the tip of the iceberg.
> Telehealth providers can certainly work with compounding pharmacies but not necessarily.
Yeah I’m aware there are a whole host of services telehealths provide but the primary reason people use them for GLP1s is to avoid the name brand cost.
> I’m curious what you mean by this. I’m not sure what you mean by “prescription system” specifically.
They basically operate as a "pay for a prescription" service.
Figure out what drug you want, google the drug name and telehealth. You will be marketed in a wink wink sort of manner over how easy it is to get them, just hours away! Then if you are not a total idiot, you answer certain questions in the right manner on the intake form, the doctor (usually NP/PA or similar for most things) will quickly run through that and expect you to answer correctly - perhaps guide you a bit if you don't.
5 minutes later you have a prescription in the web portal and it's sent to your pharmacy of choice.
It really shows how the whole "permission slip" program is BS. I've used these services a couple times vs. my normal doctor just to save time and expense of an office visit. If I can click some buttons, have a call 30 minutes later, and be on my way to the pharmacy for $50 it's sometimes the path I take now vs. traditional route.
Someone used to the traditional doctor/patient relationship thing and prescriptions being "holy" would be shocked at how easy and gamed it all is.
Well that's a problem with the profit driven US health system (although admittedly other countries have similar problems to varying degrees) not prescriptions in general though? In particular the take home from this should be to make it more difficult to get the prescriptions not to do away with prescriptions.
Why would you stop going to a real doctor though? It's not one or the other.
I'm very on the fence over BPC-157/TB500, I really want to see some actual clinical trials ran on it. I have a feeling the effects are overstated, but I also have had a number of "insider" conversations where I know these and other compounds are very much being utilized in pro athlete injury recovery programs. Those athletes certainly are getting state of the art medical care via traditional sources, plus elite level physio therapy - so it's hard to say if the illicit injury recovery drugs are doing much or not.
I don’t think either of those are patentable so I doubt you’ll see studies or trials any time soon. A lot of strength athletes at all levels, not just elite, are absolutely convinced of their efficacy and their usage sometimes seems as common as ibuprofen.
> People don't want change? Nah, people like change when it is obvious to them that the change is good.
I agree with more or less everything but this one.
I would modify it.
People don't want change? Nah, people like change when it is obvious to them that the change is good for them personally.
You can introduce a change that would be great for the organization and customers, but totally eliminate the current project a team has been working on unsuccessfully for years. You will be shot down no matter how good your idea is. And many times, there is no way to turn it into a "win" for the team that you need to win over to your side due to politics.
So shooting down ideas - for that team - is indeed a skill. A self-preservation skill. I've seen teams able to employ this skill for nearly a decade where it was obvious to any outside observer there were numerous ideas that would eliminate their need to exist altogether.
the "good for them personally" reaction is so true. It's almost like a team-level version of the inonvator's dilemma, where protecting the thing you already own feels more rational than supporting something that might replace it.
Finding investors willing to take less than 5% return (after paying for overhead and uncollectable loans being written off due to death/injury/ability to pay/etc) would probably be the primary one. You would likely be offering more or less the same or worse rate as I could get on a 10 or 30 year federal bond with more risk associated with it.
I know I’d be completely uninterested in such an investment pitch. It would work better as a charity ask for me.
> Finding investors willing to take less than 5% return
If it’s safe I can leverage it.
> get on a 10 or 30 year federal bond with more risk associated with it
5% is 10 bps over the 20 year. Not a lot. But I picked a round number. Point is why couldn’t it be undercut? If it can’t, easily, it’s correctly priced.
Loans to private persons are very unsafe, for example they can move abroad and just stop paying as the article is talking about. Every person doing that raises interest for everyone else.
Or reduce the demand on the legal system? Just adding more expense to an outright broken thing isn't an actual fix. It's a half-measure patch at best. And no, I don't mean create a workaround like arbitration.
Why do court cases take so long and suck up so many resources? Start with that. Perhaps reduce the amount of legislation/laws/etc. on the books, and write laws that limit the litigious society we find ourselves living in.
That is of course easier said than done, but we've chosen this path and can choose to unwind it if we have enough desire to.
Most people are not Steve Jobs, and do not have such a vision. Or the ability and capital to see such a thing through to the end. Steve Jobs also had a number of visions that didn't work out so well too - he learned and interated from them.
Thus, for most folks releasing a product and getting to market/revenue is more important than anything else. Then iterate from there.
YMMV of course. But the older I get, the more I realize "just get it done" is far more important than almost any other metric there is. There is a ton of navel gazing in tech that provides negative value. If I had released some of the things I worked on in the past vs. carefully designing and polishing them, I might still be working on them today. Competing products have maybe 50% of the "quality" of even my prototypes of 10 years ago - but they exist in the market and are used every day by customers to generate income.
Yeah. Not true. Or send me the name of your server vendor. I’m buying.
Having issues with both price and availability on NVMe, SATA flash, starting to see some CPUs, and for a personal project high density spinning rust (24TB+).
I am a super introvert and know at least half a dozen folks with such issues, more if you include my close friend group.
Any place that has a lot of physically active people stressing their limits a bit is going to have a lot of injured folks over a decent period of time. And of course it gets talked about quite a lot, since it limits performance and ability.
My trainer knows I have a chronic shoulder issue, and an adductor issue at the moment I'm working through that we need to avoid stressing too much. The few other folks who tend to work out around my schedule know of this, and I know of theirs.
Not very uncommon really.
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