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Old July 16th, 2017, 01:14 PM   #111
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Thanks for your knowledge, but its so hard not 2 drink.
Drunken by two beer ?? I am drunken by seven or fifthteen beer or one bottle.
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Old July 16th, 2017, 02:13 PM   #112
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Thanks for your knowledge, but its so hard not 2 drink.
Then you are almost certainly an alcoholic.
Make your choice.
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Old July 16th, 2017, 05:22 PM   #113
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T or F
Is the number of children being treated for gender dysphoria increasing at a high rate?
no

its increasing yes, at a rate that varies depending on where and how the data is gathered. whether its a "high" rate or not is a value judgement.

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T or F
Is sex reassignment surgery and treatment costs over 4 billion dollars a year in Thailand alone?
according to one article, that didnt mention if this was direct or indirect spending, and its about adults.

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Are some prepubescent children being given puberty blockers as part of gender dysphoria treatment?
yes. that should stop. its bad practice. wait until they are at least 18.

oh, wait, most doctors already do that, there are a minority who practice outside the lines.
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Old July 16th, 2017, 10:05 PM   #114
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Why is it even allowed? Most of everything you read is negative about its application. Yet, its use is increasing. What data can you find showing the exact number? All the data I find shows its on the rise but lacks specifics.
As example

https://ww2.kqed.org/futureofyou/201...erty-blockers/
when it comes to medical treatments, the default position is to leave it to doctors to know what to do. thats whats been done. then, only if doctors are not doing the right thing, do legislators step in and make some rules. in australia its not legal to prescribe them. why isnt more research being done so that we do know what drugs to use and when? probably because there isnt any money in it for a drug company and its too fine print/ small potatoes for an academic.
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Old July 17th, 2017, 11:04 AM   #115
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I haven't drunken within Three 3 % beer and smoke and food this wonderful day.
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Old July 17th, 2017, 05:03 PM   #116
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I slightly disagree. I think its being done because the drug companies are pushing it in spite of the research. They are channeling the left to agree with them.
you dont understand the drug industry. drug companies push drugs that they can sell to millions of people. there arent millions of transgendered people. its a very small market. now you might look at the figures and argue if there are 100,000 people taking a puberty blocker that costs $500 per shot, 4 shots a year, thats $200 million a year. surely a drug company is interested. nope. there are drugs for diabetes that cost $5 a day and are sold to 100 million people around the world. thats $180 billion a year. thats the kind of money the drug companies are after. the trans community arent in their sights.
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Old July 17th, 2017, 08:44 PM   #117
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Sounds like a poor business model to leave any profit on the table
to develop a new drug from scratch, to take it from concept to the pharmacy shelf, costs more than $100 billion. it will be licensed to be used (and therefore your HMO will pay for it) only for specific conditions. it can be prescribed off label for someone without that condition, but the HMO wont pay, so the patient will have to cover the full cost.

to take an existing drug and show that it is beneficial for new conditions, that is to expand the list of conditions where your HMO has to pay for it, that takes 2 randomised placebo controlled double blind trials. such trials cost tens of millions of dollars and take years and often dont give you the result you want, so you need to do lots of them.

best case scenario: so, for a drug company to take this on, to get puberty blockers already developed to be allowed to be given to transgender teens, would have to do trial after trial until you have 2 that satisfy the FDA. this would take years and cost hundreds of millions of dollars. then you need to sell your drugs and hope you recoup the losses. and if your only earning $200 million a year, its not worth it.
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Old July 18th, 2017, 06:39 PM   #118
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They have already done all that or they would not be prescribing them now.
they are prescribed off label. same with antipsychotics, among others.
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Old July 20th, 2017, 06:05 PM   #119
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that makes it legal?
yeah, its legal. its just expensive.

a doctor can write any script for anyone. and a pharmacist can dispense any drug to anyone if there is a legal script. but the pharmacist is going to charge and the patient will have to pay the full price. thats why the anecdotes you posted earlier noted that parents are paying $500 a month or more for medications. the HMO will only cover it if its for specific indications and transgender-ness doesnt qualify. its illegal for the doctor to lie and say its for "precocious puberty" when its really for transgender-ness.

the question isnt is it legal, the question is, is it ethical?
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Old July 20th, 2017, 06:48 PM   #120
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this thread has drifted off topic, but that happens. an observation, as a doctor and prescriber i often find myself in the position of wanting to prescribe something that will help this patient, but its off label, so i am "not allowed to do it".

but thats not the case. its not that its not allowed, its just that its not subsidised. i am entirely allowed to, and the patient is entirely allowed to have it. the issue is who will pay. that gets forgotten. sometimes i write off label scripts and advise the patient that its going to cost them more than the usual subsidised scripts, and often people are happy with that. sometimes i lie and make a diagnosis that i know is false, so that the patient gets subsidised medication they are "not entitled to". before you judge me as corrupt remember there is nothing in it for me, it doesnt earn me a cent, or cost me a cent, and every doctor does this from time to time, because the list of legal indications is stupid.

we forget. we merge the ideas. we think that being subsidised is the same thing as being legal, and the same thing as being right. but whether it is subsidised, legal, or the right thing to do are three entirely different and often unrelated issues.
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