3 ms·

>Having been given a solid diagnosis once for that initial $150 charge, instead of relatively-inexpensive maintenance of health that could be done without docto

>Having been given a solid diagnosis once for that initial $150 charge, instead of relatively-inexpensive maintenance of health that could be done without doctor intervention, we require doctors to re-see and re-prescribe when a patient has a chronic condition. >There is some wisdom in that It's pretty convenient for the doctors as well. $150 to write some shit on a pad and sign it. Good work if you can get it.

shadowgovt 5y ago
Humans are very complicated, and writing the wrong stuff on a pad can get someone killed. Amoxicillin isn't available without a prescription because using the wrong antibiotic on a disease can make the patient worse.
- Clubber 5y ago
  The example I was replying to was when the patient was already diagnosed with a chronic illness and still had to go back to the doctor every month or so to renew the script, because reasons.
  - shadowgovt 5y ago
    Me too. When the disease is something that requires frequent reapplication of antibiotics, it's important to confirm periodically that they're working (and that the problem isn't a different bacteria that's amoxicillin-resistant).
    - Clubber 5y ago
      That's a convenient method when the patient can also make a phone call / appointment to inform the doctor they don't seem to be working rather than extorting (and I'm not using that word lightly) $150+ a month. Also consider the multitudes of other medications where there is no real argument to require a monthly extortion fee. It seems to be this is more for the benefit of the healthcare system financially rather than the patient or the health of the population as a whole.
      - shadowgovt 5y ago
        > Also consider the multitudes of other medications where there is no real argument to require a monthly extortion fee. I think that's really where one needs to look to square the circle. The drugs available prescription-free have lower risk of injury or disruption when abused. Antibiotics are not in that category, which is why they require doctor oversight and a prescription. Take too much, and you can damage your digestive tract. Take too little, or the wrong kind, and you can worsen the infection by killing the bacteria that the immune system can control, leaving their food supply for the ones the immune system is struggling against. They could require less doctor oversight perhaps, but probably not zero.

shadowgovt 5y ago

Humans are very complicated, and writing the wrong stuff on a pad can get someone killed. Amoxicillin isn't available without a prescription because using the wrong antibiotic on a disease can make the patient worse.

Clubber 5y ago
The example I was replying to was when the patient was already diagnosed with a chronic illness and still had to go back to the doctor every month or so to renew the script, because reasons.
- shadowgovt 5y ago
  Me too. When the disease is something that requires frequent reapplication of antibiotics, it's important to confirm periodically that they're working (and that the problem isn't a different bacteria that's amoxicillin-resistant).
  - Clubber 5y ago
    That's a convenient method when the patient can also make a phone call / appointment to inform the doctor they don't seem to be working rather than extorting (and I'm not using that word lightly) $150+ a month. Also consider the multitudes of other medications where there is no real argument to require a monthly extortion fee. It seems to be this is more for the benefit of the healthcare system financially rather than the patient or the health of the population as a whole.
    - shadowgovt 5y ago
      > Also consider the multitudes of other medications where there is no real argument to require a monthly extortion fee. I think that's really where one needs to look to square the circle. The drugs available prescription-free have lower risk of injury or disruption when abused. Antibiotics are not in that category, which is why they require doctor oversight and a prescription. Take too much, and you can damage your digestive tract. Take too little, or the wrong kind, and you can worsen the infection by killing the bacteria that the immune system can control, leaving their food supply for the ones the immune system is struggling against. They could require less doctor oversight perhaps, but probably not zero.