5 ms·
Discussions I have with doctors and pharmacists about this situation are generally unproductive. There is this pervasive resistance to change and deep ties to t
by quitit 2y ago
Discussions I have with doctors and pharmacists about this situation are generally unproductive. There is this pervasive resistance to change and deep ties to traditional approaches.
A large chunk of the problem is that many common self-selection and over-the-counter medications are only by a doctor's prescription in German speaking countries.
Low risk medications, which in other countries a consumer can safely select and administer, are only available over-the-counter at pharmacies, other low risk medications require a script - examples of these include basic pain medication(OTC), NSAIDs(RX), PPIs(RX), skin treatments(OTC), anti-fungals(RX), anti-biotic drops(RX). Pharmacies also generally have short hours on Saturday, and are not open on Sundays.
Combining these factors leads to people seeking out a "solution", and those "solutions" are either homeopathic or merely just alcohol, since neither require a health care professional's assistance. There is also no shortage of homeopathic stores that promise therapeutic benefits, such as addressing fertility issues and chronic pain. Regulators regulate medicine, so non-medicines often fly under the radar, even when they're promoting medical therapies.
There's so many ways that this system fails in comparison to modern approaches:
Should a woman not have a sufficient stock of pain killers on a sunday during period cramps, her options would be to either beg a neighbour, or got to the emergency department of a hospital. In other countries, she could simply visit a supermarket or convenience store.
Children with head lice can't receive a treatment without a doctor's prescription, but there's no shortage of proven ineffective products stocking pharmacy shelves, hoping that some desperate parent will buy it just to see if it works.
A person with conjunctivitis needs to first visit a doctor, potentially waiting hours just to get the script, then hope that the pharmacy is still open. (Doctor's offices are frequently bogged down with people visiting for minor ailments because they can't get basic medications without it.)
In the realm of sexual health: While other countries have dispensing sexual health clinics with easy access to treatments and prophylactic medications, those afflicted in Germany and similar are often needlessly waiting, or worse simply spreading disease. With some medications and inoculations only available via a hospital appointment.
Overall it breeds distrust in the medical system and promotes unhealthy, worthless, scammy "alternatives".