药剂师和配药师谈及短缺问题，并对研究用肽表示担忧

[rastan]

This hit a nerve with me as well. This system is so screwed and I feel like by being here and researching I am fighting back.

 

[scarywood75]

This whole experience has really made upset me with the US healthcare system (its not the only thing). Eli saying that compounded meds are bad while overcharging us is insane. The only reason I am moving to researching these chemicals is because of their pricing.

Semaglutide / mo

US: 936

Canada: 147

UK: 93

Why is it ten times more expensive here? Because it can be. I have held for a while now that the US is subsidizing these other countries medical costs because we do not negotiate like other countries. UK wants a lower price? Fine we will up the price in the US. They should not able to charge the US more than any G7 country.

In general a US patient cannot get these drugs through insurance unless they are diabetic. If you're pre-diabetic your're going to have to wait. If your morbidly obese but not diabetic, sorry, eat more sugar.

These drugs should be thought of as preventive care and covered as such.

It's just crazy, I'm in Canada and here it's considered a very expensive medication.

Each time I went to my pharmacy you could see the face of the cashier that said : what the fuck this is so expensive

And also each time I got asked : you don't have insurance for that?! Poor you that's very expensive to pay out of pocket

Reason why? Because most people get out the pharmacies here with like a 5$ receipt

It's not even cheaper because the government pays for it (because they don't as much as I know). US just gets ripped off and fucked hard just because Elli Lilly can

 

[AndyPanda]

It's just crazy, I'm in Canada and here it's considered a very expensive medication.

Each time I went to my pharmacy you could see the face of the cashier that said : what the fuck this is so expensive

And also each time I got asked : you don't have insurance for that?! Poor you that's very expensive to pay out of pocket

Reason why? Because most people get out the pharmacies here with like a 5$ receipt

It's not even cheaper because the government pays for it (because they don't as much as I know). US just gets ripped off and fucked hard just because Elli Lilly can

Because many of our politicians in the United States have ties to these companies. A quick google search might make some people sick if they didn't already know.

 

[noteablequotable]

Because many of our politicians in the United States have ties to these companies. A quick google search might make some people sick if they didn't already know.

I think it's also important to add that there is a strong anti-government sentiment that makes the kind of reforms that have been mentioned in this thread difficult to enact. Some people are very sensitive to anything that could framed as "government overreach".

 

[YoYoFat]

I wonder what his thoughts would be on the prescriber being the pharmacy? (or owning, or a vested interest). Whether for greed or insulation these telehealth companies that do both might be an example Lilly will use to bring down all the good intentions of those who participated in this meeting.

I haven’t found a telehealth provider that is also the pharmacy. They all still use a separate compounding pharmacy (Hallandale, Red Rock, Strive, etc.). But they get not only their “medical visit” fee, but a percentage of the cost of the medication. They take the money from the patients, pay the pharmacy, and keep the rest.

 

[YoYoFat]

This hit a nerve. Lol. I was typing a diatribe but it was becoming political so just stopped. In short, the US subsidizes everything.

You’re welcome, world!

 

[SmokeySquid]

Because many of our politicians in the United States have ties to these companies. A quick google search might make some people sick if they didn't already know.

Profit before all feels like the ultimate answer to any asinine decision that is made up there. Whenever I ask myself who this benefits, it's never me or you. It always feels like scrooge mcduck is in charge of the things that affects us, and not an actual person with a conscience.

 

[mostlydamp]

Profit before all feels like the ultimate answer to any asinine decision that is made up there. Whenever I ask myself who this benefits, it's never me or you. It always feels like scrooge mcduck is in charge of the things that affects us, and not an actual person with a conscience.

Unfortunately a lot of physicians, NPs, and PAs also agree with you and are trying to act within the guidelines of what Scrooge McDuck will allow via insurance while knowing that more should be done. It's pretty messed up. It mainly goes back to insurance and the way our healthcare runs. Anyway my point is that the docs don't like it either a lot of the time.

 

[SmokeySquid]

Unfortunately a lot of physicians, NPs, and PAs also agree with you and are trying to act within the guidelines of what Scrooge McDuck will allow via insurance while knowing that more should be done. It's pretty messed up. It mainly goes back to insurance and the way our healthcare runs. Anyway my point is that the docs don't like it either a lot of the time.

哦，我知道，因为我有很多亲戚都在医疗行业工作，我很同情他们。嗯，至少大部分是这样。我也遇到过一些医生，不幸的是，我跟其中一些人有亲戚关系，他们对病人毫无同情心，只想着尽可能多地赚钱。

最近，我一个朋友在解释保险授权流程，说他经常会开一些处方，不管是治疗方案、药物还是其他什么，然后让病人回家，结果却不得不跟保险公司争论病人到底“需要”这种治疗吗？我们什么时候开始允许保险公司跟医生争论病人的需求了？真是气死我了。

不过我还是尽量保持乐观。谢天谢地，我认识的乐于助人的人比剥削病人的人多得多。我们只希望有朝一日能让像史高治·麦克老鸭那样的人消失

 

[nonyabizznez]

我还没找到既是远程医疗服务提供商又是药房的公司。他们都还在使用独立的配药药房（比如Hallandale、Red Rock、Strive等等）。但他们不仅收取“诊疗费”，还从药品费用中抽取一定比例的佣金。他们从病人那里拿钱，支付给药房，然后自己留下剩余的钱。

Mochi = Aequita 是我首先想到的。

 

[amawgmd]

简直太疯狂了，我在加拿大，这药在这里算是非常贵的。

每次我去药房，都能看到收银员一脸懵逼的表情：这药也太贵了吧！

而且每次都会有人问我：你没有保险吗？！真可怜，自费买药太贵了。

为什么？因为这里大多数人买药出来也就5美元左右。

就算政府不报销，价格也没便宜多少（据我所知，他们报销得并不多）。美国就因为礼来公司（Elli Lilly）的缘故，就被狠狠宰了一刀。

我妻子身患多种疾病，我们已经因为医疗账单破产三次了。要知道，我们一直都买了市面上最好的保险，而且扣除医疗费用前的家庭收入也远高于中产阶级。我们还得替父母支付药费和自付部分，因为他们负担不起，如果我们不这么做，他们恐怕真的活不下去了。

我们的医疗体系真是糟糕透了，国会那些党派纷争不断的家伙就是不肯团结一致，通过任何法案来阻止制药公司和医疗保健公司继续害死我们。