putridfairytale

joined 1 year ago
[–] [email protected] 2 points 9 months ago

hell yes, love you too and I long for the day when this evil system is just a terrible memory

[–] [email protected] 11 points 9 months ago (2 children)

Lol you're all good, there was a time in my life when I used to get pissy when people would say that, and I'd go WELL AKCHUALLY and proceed to tell them at great length how they just don't get it... super cringe shit tbh.

Corporate retail pharmacy is a fucking dumpster fire for all parties involved... patients are #1 but it sucks shit for providers and pharmacy staff too. Everyone except the C-suites and shareholders. No harm in pointing it out.

[–] [email protected] 26 points 9 months ago* (last edited 9 months ago) (4 children)

None taken.

Sorry you had to deal with this, and that your local indie shop is fucked too. Don't know if it would help at all but next time consider asking if your provider would notate on the prescription "BRAND NAME MEDICALLY NECESSARY," or since this is likely an electronic Rx, check the field for NO SUBSTITUTIONS to hedge against Walgreen's system autosubbing for the generic. Depending on your state law (assuming you're in US) there may be a different phrase or method for forcing the pharmacy to fill brand name.

Second, I didn't come here to defend these guys or tell you not to trust your lying eyes. I'm just gonna paste what I wrote in the White House Pharmacy thread the other day. this was in response to someone asking how retail pharmacists aren't just glorified pez dispensers:

more serious note though, the extent to which people unironically say this about pharmacy is a key example of how for-profit healthcare and capitalism in general has corrupted the profession IMO. medicine, just like all health care should be free for all and healthcare workers should treat people with dignity and respect and should themselves be able to work their profession with dignity... if it looks like the pharmacist is a useless gatekeeper just counting pills all day that's because that's the extent to which the profession has been degraded. there's still important work being done behind the scenes but the amount of corporate BS far outweighs it. trust me most of them hate it too, even if they lack the awareness to see where the problem truly is. there are some scumbags but most of them know they should be making sure that people get the medicine they need safely, and not answering to CVS or Walgreens' bottom lines.

[–] [email protected] 22 points 9 months ago

I BROUGHT YOU THIS DELICIOUS ELOTE PLEASE YOU MUST TRY IT

[–] [email protected] 31 points 9 months ago (2 children)

more spores = better than

[–] [email protected] 1 points 9 months ago

in the US, you can approach a pharmacist and ask for OTC medical advice. whether you get a decent answer depends on a lot of factors... if you're wanting to ask a corporate retail pharmacist it depends on how overworked and shortstaffed they are. if you have an independent community pharmacy nearby your odds are a lot better.

some pharmacists are offering oral contraception now, and I think anything increasing access to that is a good thing in principle. don't @ me about "access" to health care, btw, I understand it's not the end goal.

whether this will be a trend among other drug classes, idk. until we have a functioning healthcare system and people can get what they need when they need it, I think it's at least better than the status quo.

[–] [email protected] 2 points 9 months ago

all in a day's work as another part of the safety net. providers are human too, like nurses and everyone else. glad your loved one was OK.

[–] [email protected] 5 points 9 months ago (2 children)

Talk to a hospital pharmacist some time, they've seen some scary shit.

can confirm. thanks for the kind words btw

[–] [email protected] 3 points 9 months ago

this system is so uniquely cruel. I'm glad things eventually worked out.

[–] [email protected] 5 points 9 months ago (4 children)

you know, it's wrong to use the term healthcare system in the US. this thing we have is incompatible with health indeed. I hope you're doing ok.

[–] [email protected] 4 points 9 months ago* (last edited 9 months ago)

thanks, life is busy but sometimes I think about getting into creative writing again. if it ever goes down I'll share. Tales from Not a True Pharmacy, where they definitely don't handle large volumes of pharmaceuticals with zero oversight

[–] [email protected] 10 points 9 months ago (6 children)

you do you

more serious note though, the extent to which people unironically say this about pharmacy is a key example of how for-profit healthcare and capitalism in general has corrupted the profession IMO. medicine, just like all health care should be free for all and healthcare workers should treat people with dignity and respect and should themselves be able to work their profession with dignity... if it looks like the pharmacist is a useless gatekeeper just counting pills all day that's because that's the extent to which the profession has been degraded. there's still important work being done behind the scenes but the amount of corporate BS far outweighs it. trust me most of them hate it too, even if they lack the awareness to see where the problem truly is. there are some scumbags but most of them know they should be making sure that people get the medicine they need safely, and not answering to CVS or Walgreens' bottom lines.

 

It centers providers way too much for my liking but overall a decent article.

Some of my favorite bits:

The shift from paper to electronic processing, which began in the early 2000s and accelerated after the Affordable Care Act went into effect, was intended to increase efficiency and save money. The story of how a cost-saving initiative ended up benefiting private insurers reveals a lot about what ails the U.S. medical system and why Americans pay more for health care than people in other developed countries. In this case, it took less than a decade for a new industry of middlemen, owned by private equity funds and giant conglomerates like UnitedHealth Group, to cash in.

Love the framing of capitalist actors as a disease from which our system ails.

Shteynshlyuger discovered that, when it comes to the issue he cares about, the most powerful decision-maker wasn’t a CMS official. It was the chief lobbyist for a middleman company called Zelis. And that man just happened to be a former CMS staffer who had authored a key federal rule on electronic payments.

Our ghoul's name is Matthew Albright, btw.

For Shteynshlyuger, the intersection of medicine and money has a particular resonance. He was born in the Soviet Union, in what is now Ukraine, and his brother nearly died of pneumonia as an infant because doctors refused to administer an antibiotic. The doctors wanted his family to pay a “bribe,” according to Shteynshlyuger. His grandmother ended up finding a different doctor to pay off and his brother got the medicine. Shtenynshlyuger’s parents emigrated to the U.S. in 1991, when he was an adolescent, and they settled in Brooklyn’s Brighton Beach area.

God damn, imagine having to pay a doctor! For treatment! His brother was almost another victim of communism... Seriously though, as invested in the insurance racket as this guy claims to be, you think he'd have heard of the term "copay" by now, for fucks sake.

Zelis and other payment processors say they offer value in return for their fees: Doctors can sign up to receive reimbursements from hundreds of insurers through a single payment processor, and they can also get services that help match up electronic payments and receipts. Zelis asserted in a statement that its services remove “many of the obstacles that keep providers from efficiently initiating, receiving, and benefitting from electronic payments.” Zelis and other companies insist that it’s easy to opt out of their services, but Shteynshlyuger and other doctors say otherwise.

Doctors can sign up to receive reimbursements from hundreds of insurers through a single payment processor, and they can also get services that help match up electronic payments and receipts.

single payment processor

Can't make this shit up folks! What a cynical flex, I'm truly in awe!

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