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It's not that people don't want to go to a doctor, but after a while people get to know their own issues pretty well, especially if they're recurring. There are many common things that happen to people that they can easily self diagnose from experience. They shouldn't need a doctor to go to the pharmacy and get medicine.

It's not at all uncommon to go to the doc knowing exactly what he's going to do, exactly what he's going to say, and exactly what prescription he'll give you, why waste all that fucking time and money just so the guy in the white coat can tell me what I already know?

I want to go to a doctor when I don't know what's wrong with me, not when I do.



Assuming you know what's wrong you need to go to the doctor for:

  1. Access to prescription drugs which are not safe.
  2. Access to specialized equipment.
  3. Access to highly skilled people to do something you can't do safely.  
If you break your leg you can make your own cast, but it's probably a bad idea. So it's mostly a question of prescription drugs and I think having gatekeepers for them is a good idea.

PS: If it's really safe for you and society then you can buy it over the counter. Do you really think it's a good idea to change this?


If it's really safe for you and society then you can buy it over the counter. Do you really think it's a good idea to change this?

Yes. If a drug is not safe for the user, it should come with a warning about the risks involved. Choosing whether or not to accept those risks to get the potential benefits of a drug is up to the individual.

I'm more open to the idea of gatekeepers for drugs that can harm others. Antibiotics are the obvious example. Sure, require a prescription for antibiotics, but first let's get them out of animal feed.


> 1. Access to prescription drugs which are not safe.

Why? Seriously, all drugs should be OTC because it simply shouldn't be the governments job to protect me from myself. The government should have no say about what I choose or choose not to put in my own body. I can go to the store and pick up enough alcohol to drink myself to death in a matter of hours and that's OK, but pills require special treatment and protection? Bullshit.

Drugs should be clearly labeled with warnings, side effects, all pertinent information a person needs to make a decision. The only exceptions would be things like antibiotics because there's a valid reason to restrict their use and it benefits everyone to do so.

Doctors can still tell me what drug I should take, and in what dose, but they shouldn't be at all involved in my obtaining those drugs. If I go buy a bunch of morphine and overdose and kill myself, well... that's called natural selection, and it's a good thing. If you're really concerned about making sure people are informed, mandate that the pharmacist brief people of the issues.

The very notion of prescription drugs is just absurd really, we've just gotten so accustomed to the nanny state that we don't notice just how absurd it is. Many family doctors are little more than state approved drug dealers these days. Patients know what they want, they know what to say to get them, and doctors are more than happy to write them, so long as their pockets are lined with regular and mostly unnecessary checkups to do nothing more than refill a prescription.

Yes, many drugs are very dangerous and an overdose could easily kill you, guess what, so will an overdose of gasoline. So will an overdose of water, or diet pills, or hundreds of other OTC stuff. Things shouldn't be illegal because they're dangerous if you misuse them, that's not freedom.

> 2. Access to specialized equipment. > 3. Access to highly skilled people to do something you can't do safely.

Which are valid reasons to actually go see a doctor. I can't cat scan myself or operate on myself.


Most prescription drugs will not kill most people in normal use. However, when combined with other heath issues or other drugs they can kill you or damage your body. Which is why you hear "don't take this if you are taking nitrates as it could cause an unsafe drop in blood pressure."

It takes a fucking lot of training to have any clue what's safe to take in what dosage once you start mixing a few drugs. Put all that stuff out on the shelf and tens of thousands of people will die every year. But hey, if you still think that's a good idea feel free to convince other people.


Tens of thousands of people die every year from car crashes, should we outlaw driving? I could rattle off dozens of things that are stupid, dangerous, and totally legal, but it'd be rather pointless. Something being dangerous is not reason to not allow people to do it in free country.

You're ignoring my central point, I didn't say it wouldn't be dangerous, I said it's not the governments job to protect a person from himself. People would learn fairly quickly that it's stupid to just buy a bunch of stuff and mix it, and as I said, doctors and pharmacists can still inform people of what they should take and what not to mix stuff with.

Our current system artificially makes doctors into an extremely overly paid government sanctioned artificially limited monopoly. This keeps the price of health care artificially high, it's a protection racket using people's own health against them to forcefully take their money. Being a doctor should be a way to help people, not a way to become a millionaire. People should be enabled to treat themselves, doctors should be a choice we have, not a requirement forced upon us by the law.

The fact is people already self medicate, that's how it's always been and that's how it'll always be, but they shouldn't have to go to Mexico, Canada, or their local drug dealer to get what they want, they should be able to just go to their local pharmacy.


Driving is regulated just like prescription drugs.

It is the government’s job to protect people.

Mixing the drugs people take for fun, with drugs people take for their heath is a straw man argument.

Total heath care costs in this country have little to do with how doctors prescribe drugs. Changing how that works on a fundimental level is a high risk change for little payoff.


> Driving is regulated just like prescription drugs.

No it isn't, I don't have to go renew my license every third time I fill my tank. If long term prescription came with unlimited refills that didn't require more trips to the doc, I wouldn't be complaining.

> It is the government’s job to protect people.

From other people, and from outside invaders. Situations where there is a victim. It is not the governments job to protect me from myself, I cannot be my own victim. Well, this is how it should be in a free country, something we clearly aren't anymore.

> Mixing the drugs people take for fun, with drugs people take for their heath is a straw man argument.

Drugs are drugs, and what you call recreational drugs many of its users would absolutely say they take for their health, both mental and physical. It's not a strawman, you just don't like it. The fact is how the drug is classified is irrelevant to the issue of who owns my body and gets to say what does or doesn't go into it?

> Total heath care costs in this country have little to do with how doctors prescribe drugs.

It's one of many factors, I didn't say it was the biggest.

> Changing how that works on a fundamental level is a high risk change for little payoff.

Gaining the freedom to control your own body and not have a government decide for you is not a little payoff, freedom is worth any price.


Various other countries do allow you to purchase various prescription drugs which are considered by the US to be unsafe. It doesn't cause any serious harm.

For example, Iran does not have an epidemic of dying women due to OTC birth control.


There are a lot of prescription drugs and a lot of edge cases. I think the Pill is a prescription drug in the US because it can be used to have a chemical abortion which is a seperate issue.

You can probably find a fairly large number of drugs that could become over the counter and every year many make that jump. However, antibiotics sould not fall into this category.




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