Thursday, May 10, 2012

FDA May Let Patients Buy More Drugs Without Prescriptions

As someone who had high blood pressure and triglycerides and was put on medications for both, I will tell you that the kind of monitoring the doctor did was minimal and could easily be replaced.

My "monitoring" was a couple of lipid panels run by the lab in his office, which could easily be outsourced to any place with lab techs who can draw blood. The rest of the monitoring was me taking my own damn blood pressure and charting the results in Excel.

The doctor's value was near zero as far as I can tell, and less than zero if you add in the work I did changing my diet and losing a bunch of weight (all of which I did in spite of his advice), which lowered my blood pressure and totally altered my lipid profile.

IMHO, what's needed is a new, "basic doctor" type degree that has the power to prescribe most meds and monitor most medical conditions but doesn't 8-10 years of education and training costing the GDP of a small country.

We have a doctor "shortage" because it costs $250k to become a doctor, the people who actually get the degree specialize where the easy money is (high level of non-insurance reimbursed business which is paid in cash, up front, no on call hours, etc, like dermatology) and nobody wants to practice in high-voume, low-margin areas like being a GP.

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