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re: This doctor on 60 Minutes is weird
Posted on 9/30/18 at 10:05 pm to athenslife101
Posted on 9/30/18 at 10:05 pm to athenslife101
quote:
Also, not sure how often it happens these days but I remember in a previous episode the pharmacy companies are giving kickbacks to doctors. Sending them on nice vacations and shite.
Can you link to the free vacations?
2
Posted on 9/30/18 at 10:07 pm to OweO
quote:
The whole problem is that doctors prescribe patients all of these addictive pain meds. They continue to take them although they do not need them for pain anymore, because... They are addicted.
So how was my example horrible? It starts with a normal prescription. How do you know they don’t need them anymore? At how many pills is someone addicted?
You can’t answer any of these questions reliably and for each individual person. The problem is much more complicated than you think
Posted on 9/30/18 at 10:11 pm to Wheaux
quote:
Then, the dirty ones kept it going. I could go to some of them, pay cash and get 120 roxys, 120 percs, 90 Xanax bars, 180 somas and 90 adderall. This was a major problem about 10 years ago.
Yea. This is obviously illegal just like the episode. It’s a small percentage of doctors.
And at the same time we are voting to give more independence to mid level providers like nurse practitioners who have lower standards and less oversight. That should end well.
Posted on 9/30/18 at 10:13 pm to WaWaWeeWa
Posted on 9/30/18 at 10:15 pm to WaWaWeeWa
Posted on 9/30/18 at 10:15 pm to athenslife101
Shout at the Devil > Dr. Feelgood
This post was edited on 9/30/18 at 10:18 pm
Posted on 9/30/18 at 10:16 pm to Clutch Cargo
Your first link talks about prescribing genetics vs brand name drugs, and states this “ProPublica's analysis doesn't prove industry payments sway doctors to prescribe particular drugs, or even a particular company's drugs.”
I guess I’ll read the other ones too
ETA: the 2nd and 3rd links are citing the first link
So I’m not sure where the definitive evidence is. Even if you say that a doctors prescribing increases after a “gift” such as a free lunch.... is that because they have learned something new and useful about a new drug? Or because they want free lunches?
That’s hard to prove
No one is getting free vacations for prescribing drugs
I guess I’ll read the other ones too
ETA: the 2nd and 3rd links are citing the first link
So I’m not sure where the definitive evidence is. Even if you say that a doctors prescribing increases after a “gift” such as a free lunch.... is that because they have learned something new and useful about a new drug? Or because they want free lunches?
That’s hard to prove
No one is getting free vacations for prescribing drugs
This post was edited on 9/30/18 at 10:21 pm
Posted on 9/30/18 at 10:20 pm to WaWaWeeWa
You need to work on tour reading comprehension. Literally the third paragraph from the first link:
quote:
A ProPublica analysis has found that doctors who receive payments from the medical industry do indeed prescribe drugs differently on average than their colleagues who don't. And the more money they receive, the more brand-name medications they tend to prescribe.
Posted on 9/30/18 at 10:25 pm to Clutch Cargo
No dumbass. You need to work on your reading comprehension.
This is about brand name vs generic.
Not opioid prescription vs no prescription at all.
So the drug rep buys the doctor lunch and tells them about how much more effective their brand name medication is compared to the generic. Then the doctor prescribes the brand name because they want what’s best for the patient and it doesn’t make a difference to them how much Medicare pays for it. This is the “kick back” you are referring to.
quote:
the more money they receive, the more brand-name medications they tend to prescribe.
This is about brand name vs generic.
Not opioid prescription vs no prescription at all.
So the drug rep buys the doctor lunch and tells them about how much more effective their brand name medication is compared to the generic. Then the doctor prescribes the brand name because they want what’s best for the patient and it doesn’t make a difference to them how much Medicare pays for it. This is the “kick back” you are referring to.
This post was edited on 9/30/18 at 10:26 pm
Posted on 9/30/18 at 10:35 pm to WaWaWeeWa
You might be too ignorant to argue with. To answer your dumbass question about a link for doctors receiving benefits for writing prescriptions only needed a quick Google search to turn up with hundreds of links. I provided three and another poster provided a few also. You seized upon this one to create an argument. This one article spoke to the influence pharmaceutical companies have on the writing of prescriptions.
This is how it ended:
“Rather, it shows that payments are associated with an approach to prescribing that, writ large, benefits drug companies' bottom line.”
I should have known not to engage your stupid arse after the idiotic correlation you tried to make with the Second Amendment, which has nothing at all to do with this issue.
Do you have a prescription medication issue?
This is how it ended:
“Rather, it shows that payments are associated with an approach to prescribing that, writ large, benefits drug companies' bottom line.”
I should have known not to engage your stupid arse after the idiotic correlation you tried to make with the Second Amendment, which has nothing at all to do with this issue.
Do you have a prescription medication issue?
Posted on 9/30/18 at 10:46 pm to GoldenSombrero
quote:
I know it’s shaddy business but I don’t understand why they prescribing so many without kickbacks somewhere.
I don't know if the Doc was doing this or if it was legal at the time but Florida recently was one of the only states where Docs could also own their own pharmacy. Some of these pill factories would have their pharmacy next door, so they would make money of the patients coming in and then double dipping getting the script filled. Its one of the reasons Florida has had such an explosion in opioid issues compared to other states not named West Virginia.
Posted on 9/30/18 at 10:47 pm to martiallaw
According to the report he was doing just that
Posted on 9/30/18 at 10:57 pm to Clutch Cargo
I had an issue with a poster saying doctors get free vacations. That’s a false statement.
In addition. I keep seeing “payments”. Let’s just be clear we are talking about free samples of the medication, food, and beverages.
This is then converted into the monetary value of these items and reported as a “payment”. No one is giving doctors cash.
And again, your links describe brand vs generic prescribing. NOT prescription vs no prescription.
Why is this hard to understand?
In addition. I keep seeing “payments”. Let’s just be clear we are talking about free samples of the medication, food, and beverages.
This is then converted into the monetary value of these items and reported as a “payment”. No one is giving doctors cash.
And again, your links describe brand vs generic prescribing. NOT prescription vs no prescription.
Why is this hard to understand?
Posted on 9/30/18 at 10:59 pm to bmy
quote:
bmy
Nothing in that link is worth a shite
This is true...
quote:
they are trained to offer doctors payments — from free samples to meals and drinks — in (sometimes tacit) exchange for promoting the drugs to their patients.
But again, we are talking about free samples and a sandwich tray in order to talk to them for 10 minutes about why their brand drug is better than the generic.
Posted on 9/30/18 at 11:04 pm to Clutch Cargo
quote:
This one article spoke to the influence pharmaceutical companies have on the writing of prescriptions. This is how it ended: “Rather, it shows that payments are associated with an approach to prescribing that, writ large, benefits drug companies' bottom line.”
Doctors are prescribing the BRANDED medication rather than the GENERIC medication. This is helping the pharmaceutical companies bottom line. Mostly because the doctor has been given a sales pitch about why the brand drug is better than generic.
Its equivalent to doctors prescribing BRAND opioid vs GENERIC opioid. The former makes certain big pharmaceutical companies rich, but do you think if doctors just prescribed generic opioids it would be any better for the opioid crisis?
Jesus, why is this so hard to understand?
This post was edited on 9/30/18 at 11:06 pm
Posted on 10/1/18 at 10:29 am to WaWaWeeWa
Guess you have no response to that.
Still waiting to hear about free vacations
Still waiting to hear about free vacations
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