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The Hollow Men of Hims

(www.alexkesin.com)
214 points quadrin | 2 comments | | HN request time: 0.436s | source
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jackdeansmith ◴[] No.44382963[source]
>The real tragedy is not that Hims exists, but that it works so perfectly. Every day, thousands of people choose their compounded weight-loss drugs over FDA-approved alternatives, their combination ED pills over established single-ingredient treatments, their algorithmic consultations over actual medical care. They make these choices not because the products are better, but because the entire experience has been optimized to feel more like shopping and less like confronting the mortality and vulnerability that define the human condition.

Strongly disagree with almost everything in this article, but specifically this. The reason people make these choices is not because of slick marketing working against them, it's because the existing process to get medical treatment is paternalistic, hard to navigate and often expensive.

If you want safe and really high quality medical care you should absolutely have a personal physician you have a personal relationship with, who understands your lifestyle, your risk factors for side effects, and your medical needs deeply. How many Americans have that? Maybe a few dozen? The market has responded to just how terrible the existing system is.

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binarymax ◴[] No.44383022[source]
It’s possible for both you and the article to be right.

The system sucks, but Hims are also terrible, and medical care should not be like Amazon prime.

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ryandrake ◴[] No.44384774[source]
Yea the US healthcare system is truly, truly awful, but that does not justify a turn to supplements, quackery, faith healers and witch doctors. The fact that people are turning towards these things should be a wake up call to the medical system, but then again the medical system misses wake up calls over and over…
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1. FeloniousHam ◴[] No.44388302[source]
I like the US healthcare system? At least my on-the-ground, lived experience into middle age has been great. I've always had high-deductible insurance through my employer, never had a problem getting a specialist (even during the supposedly horrible HMO years) or special service, eg. MRI.

With an HSA, I'm basically self-insured for everything short of something catastrophic.

I don't know if I'm an outlier in this American Carnage, but with very few exceptions, this is the norm in my circles.

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2. ryandrake ◴[] No.44399618[source]
Just looking at pricing, I am lucky enough to have a similar insurance setup, yet we are still vulnerable to unlucky pricing and uncertainty about what insurance will cover. The price you pay is an unknown power law distribution random number with an unbounded upper value.