US 2024 Presidential Election

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Gergar12

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Is it though? Maybe on paper, maybe if you’re rich but in practice most places in the global north seem far better places to live as a normal citizen.
Only for people lower middle class, and below, and even there the US for example has higher cancer survival rates than say Western Europe.
 

tstorm823

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I would pause to think about your own. After all, you have attemped to address the issue of whether it's problematic that Trump let a drug-addled man have considerable power over the government with no significant counter other than that drug addict being less of a clusterfuck than another drug addict.
I didn't offer that comparison, I responded to it. Let's review it actually:
If we take the anonymous sources as absolute fact, Musk abused prescription drugs. That is not great, that is worthy of condemnation, that really isn't comparable to becoming a crack addict and then cheating on your wife with your dead brother's widow and then getting her onto cocaine with you. Elon Musk is not a beacon of morality, he's a pretty terrible role model, but Hunter Biden is an actual full-fledged degenerate.
The post I was responding to was suggesting Republicans had a double standard, and my response was that Musk doing that isn't ok, but the comparison to Hunter Biden isn't really reasonable. I didn't say anything close to a drug-addled Must being non-problematic, and actively addressed that it not being comparable is not a defense of Musk. And then you voluntarily offered the take that Elon Musk is more degenerate.
 

Agema

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The post I was responding to was suggesting Republicans had a double standard, and my response was that Musk doing that isn't ok,
You don't mention double standards at all. The logical structure of your comment is very obviously creating a justification for why it's okay for Trump and co. to constantly hammer Hunter Biden whilst also appointing Musk. Thus later claiming that accepting criticism of Musk implicitly means you don't have double standards is as feeble as it gets. Plus more in the third paragraph.

Let's consider terms like "worthy of condemnation" and "pretty terrible role model". As criticism goes, those sorts of bland and vague comments are as hard-hitting as a damp sponge thrown by a child. Note the contrast with absolutely damning language "full-fledged degenerate" deployed against Hunter Biden. So whilst you are at some level accepting criticism of Musk, you're also very definitely blurring and minimising that criticism with language use and a negative comparison.

But more importantly, drug addicts taking high office was a major point of Hades's comment, thus whether Musk should have been appointed to "DOGE". This is also critical to the concept of double standards: Hunter Biden was not given power in government but Musk was. You just avoided the issue entirely and switched to the personal to give Musk a favourable comparison.
 

Agema

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No, it isn't. The logic of my comment is exactly what it says on the face of it. You are choosing to infer whatever unstated argument you want to argue against.
If you want to talk about "on the face of it", the only argument you explicitly made in #4,846 is that Hunter Biden is a worse person than Elon Musk.

Firstly, that's a inadequate response because it just doesn't address issues raised by Hades.
Secondly, when I disputed that one, explicit argument you made, you used a completely tangential rationale to attack me.
Thirdly, given you have drawn implicit arguments from #4,864 yourself, it's just hypocrisy to criticise anyone else for doing the same.
 

Schadrach

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The insurers here often force people to take the more expensive, brand-name things and refuse to cover cheaper alternatives.
Really? I've never had an insurance that didn't push hard for the generic if there is a generic version of the same drug. Actually, to go a step farther, by state law all pharmacists here are required to substitute the generic unless either the doctor specifically notes brand name only on the prescription or the patient demands it.

But sometimes there isn't a generic, and sometimes it's more complicated than that.

For example, I went on Lantus within 6 months of it hitting the market, and it was like night and day as far as my blood sugar goes. I was on Lantus until Basaglar and then Toujeo hit the market, at which point my insurance decided they were equivalent enough (they're all functionally similar very long acting insulins, but aren't biosimilar because that is shockingly difficult to achieve for this kind of drug) to only include one of the three in the formulary and only cover the others at all with special pre-approval.

None of these are a generic, because no biosimilar generic exists and it's very unlikely any biosimilar generic will exist in the foreseeable future. For most intents and purposes Basaglar is functionally generic Lantus and Toujeo is functionally concentrated generic Lantus, but not *exactly*, not closely enough for pharmacists to be required to substitute (because it is possible to have different reactions to them because of differences in the production pathway despite being essentially the same drug). By "concentrated", I mean that Toujeo is only distributed as U-300 while Lantus and Basaglar are only distributed as U-100, these U- numbers being a measure of units of insulin per mL. It being more concentrated can influence absorbtion, but also reduces the total fluid volume being injected (which honestly makes for more comfortable injections as dose increases).
 

tstorm823

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Really? I've never had an insurance that didn't push hard for the generic if there is a generic version of the same drug. Actually, to go a step farther, by state law all pharmacists here are required to substitute the generic unless either the doctor specifically notes brand name only on the prescription or the patient demands it.
The step further you mention isn't actually a step further, cause it's not the state, doctors, pharmacies, or patients causing the issues. I've got a little bit of inside knowledge, my dad is a pharmacist and I've spent a fair amount of time in my life working in the pharmacy or hearing about it from him. A significant amount of his work day is spent going back and forth between insurances and doctors to get people's prescriptions covered by insurance correctly, cause not all substitutions work like you subscribe. The pharmacy is also in a state where the law compels pharmacists to substitute generic equivalents unless explicitly marked "brand necessary" by the prescriber, but that only covers the case where its making things cheap and generic. One of the things that can cause a headache is when the doctor already specifies the cheaper option and the formulary from the insurance covers a more expensive alternative instead, the law doesn't equally let pharmacists substitute a more expensive brand for a generic, and it quickly turns into phone tag trying to get the insurance company to approve the cheap option or the doctor to update the prescription with the one the insurance is paying for.

The incentive for the insurance company to be stupid like that is likely some behind the scenes deal with a PBM or drug company to funnel them more of your money. Or if it's CVS/Caremark/Aetna, it's all one company deciding internally to funnel themselves more of your money. The practice hit the news with Adderall in particular some years back. I'm not saying this is a majority-of-the-time kinda thing, more often insurers do push towards generics cause it's usually better for their bottom line, but it does happen often enough to be a regular occurrence.
 

Ezekiel

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I have a green card. I dreamed last night that some ICE agents started following my brother and I in a kind of alley to meet their quotas. A fight started. They wore construction equipment for some reason.

Why would anyone still move here? Country of paranoia.