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The Hollow Men of Hims

(www.alexkesin.com)
208 points quadrin | 2 comments | | HN request time: 0.457s | 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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1. 1234letshaveatw ◴[] No.44390549[source]
I don't understand US medical schools in the least. My son is interested in medicine, and I have sat through presentations where the admissions officers describe how they pick the student that has the best sob story from dozens of overqualified candidates. Then the poor jerk that is selected will work 20hr days out of med school in residency and finally patients will wait weeks to months to see them because there are not enough physicians (or they will see someone with a foreign degree). How does any of that make sense? Why not admit a couple more kids, stop causing overtired residents to make mistakes and address the shortage?
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2. eppsilon ◴[] No.44391159[source]
Unfortunately, the AMA is a cartel of doctors that lobbies to put limits on government-funded residency slots to keep salaries high. [1]

1. https://petrieflom.law.harvard.edu/2022/03/15/ama-scope-of-p...