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@DutchRojas This is direct primary care. DPC doctors figured out how to lower the cost of care: lower ER utilization, lower specialist utilization, lower pharmacy spend. But insurance companies profits are fixed as a percentage of spend. So they incentivize brokers not to use us. It’s simple
@SeeFisch They are 10x more expensive. Albuterol works. Laba/ics are not fda approved for quick relief. I’m not saying it’s not a better solution. I am questioning whether the average patient should be on a slightly better medicine for 10x the cost.
@JoshJPhilipp Well after walking hundreds of people through this I can say that RFKJrs experience is unique. This sort of fear mongering post will keep thousands of people from a medication that provides real help. Congrats. You made the world a worse place.
@newstart_2024 For sure. A lot of boys should not start school until age 9. It’s not a real option for many. And with 100 years of great safety data, methylphenidate is one of the safest meds we have.
Grok says meth and methylphenidate are not chemically related. And while some children get to satisfactory places with improved diet and exercise, some children, especially boys, do not. So then you are left with a choice, use a medication that has decades of safety data, or let them fail.
@DutchRojas@KatyTalento@HeathVeuleman They have destroyed the independent health care system in central Missouri, then use their network power as leverage against the insurance cos. The insurance cos pass price increases on to the state and employers. MU pinches their own doctors saying they are barely making it…
why do so many mental health providers not accept insurance?
because they are in high demand and insurance doesn't pay well
aetna just announced sessions over 53 minutes will be reimbursed at the same rate as sessions 37-52 mins
yes, they count minutes
@himshouse I don’t understand how this was “added.” Hims is not a provider. The clinicians on Hims could not prescribe a medicine if they felt it was appropriate but now they can? How is this not a violation of the corporate practice of medicine laws in relevant states?
This is a nuanced argument, but it demonstrates why doctors can't just listen to FDA indications. Consider two children aged 8 with an ear infection. One is 39kg, one 41kg. The FDA says the smaller child should get twice as much amox-clav as the larger child (based on the FDA label of Amoxi-clav 600). In real life, we face this sort of thing every day. The FDA helps. They are not dealing with real life though. Every doctor would give the same dose to both kids. The FDA would not.
@StillmanMD This is not true. They help millions. We don’t give them to people with no issues. It’s a risk benefit calculation for sure. But “worst scams ever”? Hardly
I am a pediatrician. Half my patients are unvaccinated. They all report being treated differently. They are routinely kicked out of pediatric practices. They are harassed by the health care system. I believe the medical care these people received was probably routine. The shame is real.
And the data says that “recommendations of diet and exercise” have almost no effect on any outcome. Some studies say that the recommendations actually lower the probability that someone will make changes. Chronic disease is not an education deficit. People know what to do. Our society is built to reinforce bad behavior. People like this are a large part of the problem.
And the data says that “recommendations of diet and exercise” have almost no effect on any outcome. Some studies say that the recommendations actually lower the probability that someone will make changes. Chronic disease is not an education deficit. People know what to do. Our society is built to reinforce bad behavior.
They should be paid by the patient. If they keep the patient happy, they get paid. If they don’t, the patient leaves. It’s called direct primary care. It works.
All true, and not even close to the most ironic fact set in Medicine. Doctors can’t own hospitals but private equity can. Most every doctor does things that are not approved by the FDA (dosing, drug combos, indications etc) every day. An intern in a large health system generates many multiples of revenue per visit more than the most well trained private doctor. Etc etc
So let me get this straight
You think doctors who advise vaccines are just solely in it for the money but the anti vaccine lawyer who stands to make millions from from anti vaccine lawsuits has the purest of intentions and just has your best interests at heart?
OK then