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Cake day: August 2nd, 2023

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  • Pharmacist here. It’s not our fault as much as you think. Basically, the insurance companies invented something called “Pharmacy Benefits Managers” who basically act as a middleman between you and your doctor on what you can get, and how much they will reimburse the pharmacy if you do.

    If your doctor says you need atorvastatin, but your PBM says they only want to pay for simvastatin, you can either get your doctor to pay for simvastatin, or pay for atorvastatin yourself with a discount card. The cost for a generic med like that is probably about your copay anyways, so no big loss to you to skip the headache.

    Surprisingly, they invented fees for pharmacies! If you choose the route to get your doctor to change you to simvastatin, we get the privilege of managing that for you, and once we finally reach your doctor and make the change, they will give us maybe $10 to fill it for you! Plus you have a $10 copay, so there is some money… But of course we have to source the med. It probably costs us like $12 for this example, maybe less maybe more, depending on the manufacturer. So if we do all of this then it seems like we made $8, but SURPRISE, your PBM charged us a fee for utilizing them. It might be $6. It might be more if we don’t meet certain criteria, like percentage of diabetic patients on statins.

    So okay we have our nice $2 to pay for shipping your med to the oharmacy, renting our location, and filling it (I think it’s less than half that on average, I just don’t know the actual figures) with our staff. It should come as no surprise that we have very limited options on manufacturers now.

    You might say “well at least the PBM fought to make my meds cheaper in the end” but no! They now get to say to your insurance company “okay we managed getting your patient another month of lower cholesterol, please pay us $100 for our efforts”. So, indirectly, you paid an extra $100 on this whole thing through your insurance premiums. Not sure on if this part is true I just heard it as a rumor.

    But wait there’s more! The insurance company actually owns the PBM all along! They paid themselves to offer themselves this service for you!

    So anyways I’m getting out of retail pharmacy. Thanks for coming to my ted talk.



  • There really should be a certification course for using AI safely. I’m slop coding a hobby app and I’m shocked at how much it FEELS like it can do, because it can do amazing things, yet fails in the strangest ways. When it feels like it can get away with it, it forgets earlier discussions and moves on without it. So you can spend time hammering out a whole section of code, then move on, and AI will rip out everything that references that code and think of a different way in the moment and code that in instead. It won’t be the same. It probably won’t work, or at least won’t pass all test cases. But if you aren’t paying attention and keep coding, your original part of the project is no longer functioning and you won’t understand why. But every step of the way it’s confident in its answers and you won’t suspect that it fundamentally no longer understands the project.




  • Kage520@lemmy.worldtoLemmy Shitpost@lemmy.worldYou're cured!
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    3 months ago

    Not to defend chiropractors or anything, but they legitimately have a doctorate degree and are given the title Chiropractic Physician.

    Whether their studies they do in school are nonsense, they do get a degree for it. So they are technically doctors in some shape or form.

    Honestly there is likely some small value in what they do, but that small value has almost definitely been absorbed into the Doctor of Osteopathy (actually medical doctor-like role), so I don’t see the need for them. Definitely think physical therapists are much more beneficial.



  • Agree that it weakens certain things, but I don’t see how we can overcome that. It’s great to have a knowledgeable GP as your doctor, but their breadth of knowledge causes them to fail at a deep knowledge of specific disease states. So he might be able to determine you have cancer, which then causes him to send you to an oncologist who specializes in that area.

    Basically, there is a limit to the volume of information a human can hold. This was partially what AI advertised it could help overcome, but it’s so much worse than expected. If we could somehow increase the volume of information a human could hold and process, you’d be in much better shape for those doctor visits that end in “well, I guess this symptom is just you getting older” when really it’s SOMETHING but the doctor completely lacks the knowledge of that area.


  • I think of it this way. The immune system is like an army, ready to fight off foreign invaders. If you were a king, would you want a huge standing army at all times, or the ability to draft soldiers as needed? Having a huge standing army is not only a waste of resources if there isn’t anything to fight, but your soldiers might get bored and invent things to fight or just stir up trouble.

    So my guess is you’d be prone to inflammation and develop food sensitivities, but it’s a total guess. If they were the case though, chronic inflammation is really bad long term.








  • I did buy a super expensive dimmable tunable led strip from Yuji LEDs. It was expensive even before the tariff situation, so really bad now probably. But the LED was top notch. I followed a guide someone had posted to reddit to make a SAD lamp, and used ESP Home to make it so it made a sunrise effect starting all the way as far yellow as it went and ending at the brightest point. It is just a strip with 2 different temperature LEDs on it and it combines them with directions from ESPHome (oh I had to get a controller for the ESPHome connection. It’s just a “dumb” strip that you have to control the voltage to change).

    Since programming it was rough for me, I had some fun experiences where it would just randomly go from super dim to full bright while I was sleeping and hoping for a gentle wake up from a nap. My half asleep brain really thought someone had opened the curtain to the sunny outside. I started thinking of my project as “sunlight in a can”.

    Anyways I happily shipped that expensive project off to my brother who suffers from SAD and he never used it even once.