Back to News
Advertisement
Advertisement

⚡ Community Insights

Discussion Sentiment

74% Positive

Analyzed from 957 words in the discussion.

Trending Topics

#don#nhs#healthcare#doctor#cost#bureaucracy#pharmacy#item#pay#industry

Discussion (24 Comments)Read Original on HackerNews

bradleyy•about 3 hours ago
As a Type 1 Diabetic, I just want to say: the diabetes industry is a racket.

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.

FigurativeVoid•about 3 hours ago
Yeah. I have a running joke with my Endo.

“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.

m463•about 1 hour ago
> I manage my disease super well.

"If it tastes good, spit it out." - Jack LaLanne

hellisothers•about 2 hours ago
Why do you think universal healthcare will make it easier to get the drugs you need? I’d imagine the opposite with additional bureaucracy.
inigyou•about 2 hours ago
Presumably by removing the existing bureaucracy which is much worse than the new bureaucracy.
seanhunter•32 minutes ago
It really is easier, and you can see how this works in any number of countries with universal healthcare. I don’t have diabetes but do have chronic health issues that need constant treatment. Here in the UK:

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.

bulbar•17 minutes ago
There's actually less bureaucracy involved for the patient. In Germany, you normally don't do anything at all, just let the doctor's assistants read your card, then go to the pharmacy, let them read your card and get your medicine. Sometimes you have some copay of around 5 Bucks.

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.

jfim•about 2 hours ago
Why would it be bureaucracy? In places with universal healthcare, you go to the doctor, show your card, then go to your appointment. Go to the pharmacy with your script, show your card and pay whatever is left to pay, if any.

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.

saagarjha•about 2 hours ago
You can just check you don’t have to imagine anything
freeone3000•about 2 hours ago
Well, it’ll make it not cost $700
vjvjvjvjghv•about 1 hour ago
“ So no surprise that the ADA is a fully industry-captured organization,”

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.

blueflow•42 minutes ago
> Ryder added that he and his colleagues were never told what part of the code of conduct that they violated, adding that the meeting organizers did not communicate with them directly before or during the incident.

Probably the average CoC enforcement.

handoflixue•about 3 hours ago
Fascinating claim that the scientists were removed for being "Partisan" in distributing information that disagreed with their opening speaker, but of course the opening speaker was somehow completely non-partisan in disagreeing with the banned scientists.

I don't really see how you can possibly have it both ways.

bulbar•7 minutes ago
Not saying that's what happened here, but the reasoning makes sense in general.

Partisans strongly dislike non-partisan positions, because they are even more dangerous to them than the partisan counterpart.

inigyou•about 2 hours ago
"Apolitical is when I agree with you. Political is when I disagree with you. And this is not a political space, stop bringing politics into everything or you're out!"
m463•about 1 hour ago
"Let's compromise - if we agree we'll do it your way, if not we'll do it my way."
selimthegrim•about 3 hours ago
Landry and the erstwhile NOCVB want to continue to guzzle corporate cash.
arjie•34 minutes ago
Unsurprising that the development of the "CoC Violation" tool as a non-contestable device to shut down discussion turned out to be a brazen bull. It reminds me of the fact that sex crimes auto-convict people as far as the public is concerned. These make them effective devices to alter opinion in the public sphere.
zem•about 1 hour ago
surprised no one else walked out when that happened
ChrisArchitect•about 2 hours ago
News from early June OP;

Some discussion then: https://news.ycombinator.com/item?id=48433410