Axios: Trump admin won't let Medicare cover anti-obesity drugs

Not weighing in here on politics, or my feelings about Musk, but a while back Musk said that he thought that if GLP-1 class drugs were made cheap and affordable enough for any American to take them that needs them, it would drastically cut health care costs and make us a healthier nation. I totally agree with this and would wager a 75% decline in overall healthcare costs with cheap GLPs. For one drug to be able to tackle obesity, diabetes and all the cascading comorbidities that come along with that like heart disease, strokes, vascular disease, kidney disease etc, truly makes it incredible. I’m sure any politician who tried to do this would be under a lot of pressure to not do so by the rest of big pharma and the hospitals
 
The long standing prohibition was in a time period where weight loss drugs were neither safe nor efficacious.

I thought it was more that it was considered merely a cosmetic treatment, not medical.

Not to mention easily avoidable through diet & exercise & lifestyle change & willpower & chewing each mouthful 100 times & ordering the dietetic cottage cheese platter
 
I thought it was more that it was considered merely a cosmetic treatment, not medical.

Not to mention easily avoidable through diet & exercise & lifestyle change & willpower & chewing each mouthful 100 times & ordering the dietetic cottage cheese platter

Yeah, Indo, get up off that office chair and start jogging in place!
 
I thought it was more that it was considered merely a cosmetic treatment, not medical.

Not to mention easily avoidable through diet & exercise & lifestyle change & willpower & chewing each mouthful 100 times & ordering the dietetic cottage cheese platter
That’s the RFK Jr. position.
 
I don’t know why people are taking medical advice from a Kennedy. Last I checked, the men in that family all die young. Dude is jacked, but he always looks like he has to take a 10 pound crap. That is one of the most corrupt families in the world.
I wouldn't take medical advice from someone like him, who doesn't know what he's talking about. However, the health problems of the Kennedy men seem to be related to being shot or getting into airplane crashes. Bad medical advice has nothing to do with it.
 
I wouldn't take medical advice from someone like him, who doesn't know what he's talking about. However, the health problems of the Kennedy men seem to be related to being shot or getting into airplane crashes. Bad medical advice has nothing to do with it.
That lead poisoning will get you every time.
 
It's literally his administration overturning what the previous administration ruled. No GLPs, but plenty of koolaid for the crew.
It’s “literally” something that has been this way for several administrations. Why does everything have to be political with you people. The government shouldn’t pay for everything, for everyone.
 
It’s “literally” something that has been this way for several administrations. Why does everything have to be political with you people. The government shouldn’t pay for everything, for everyone.
They only rose to prominence in the Biden administration and the Biden administration started the process to get them covered by Medicare and Medicaid.

This is like saying that we shouldn't cover any new thing because it hadn't been covered before. It's not a logical argument and that has nothing to do with politics.

As for if the government shouldn't pay for everything for everyone, sure. But let's do an ROI study - and I'd gamble on medicare and medicaid providing glp-1s would reduce the overall cost burden for health on taxpayers. Because being fat is expensive as fuck to the medical system.
 
It’s “literally” something that has been this way for several administrations. Why does everything have to be political with you people. The government shouldn’t pay for everything, for everyone.
This wasn't a real concern before the last administration. Then they tried to do something about it. You're just wrong about this one. Whether it should or shouldn't happen is a completely different point and you're trying to move the goalposts.
 
They only rose to prominence in the Biden administration and the Biden administration started the process to get them covered by Medicare and Medicaid.

This is like saying that we shouldn't cover any new thing because it hadn't been covered before. It's not a logical argument and that has nothing to do with politics.

As for if the government shouldn't pay for everything for everyone, sure. But let's do an ROI study - and I'd gamble on medicare and medicaid providing glp-1s would reduce the overall cost burden for health on taxpayers. Because being fat is expensive as fuck to the medical system.
I get what you are saying, but no military aged person should be on Medicaid long enough for GLP-1s to work and improve other areas of their health.
 
So you’re good with Medicare covering them then?
Yes. Generally speaking, people contributed to Medicare in order to be able to receive it. We currently have 2nd and 3rd generation welfare recipients receiving Medicaid who can work. They just choose not to. They get more than enough for free.
 
Yes. Generally speaking, people contributed to Medicare in order to be able to receive it. We currently have 2nd and 3rd generation welfare recipients receiving Medicaid who can work. They just choose not to. They get more than enough for free.
So you’re not against glp1s being covered, you’re against Medicaid generally? Or Medicaid supporting anything other than the most bare bones emergency care? Just trying to get to the nub of where you’re coming from and where glp1s specifically fit into the picture.
 
Keeping my political opinions out of this, I do see the sense in not allowing so many people on this drug for weight loss. At $1000 a month that could easily send the cost of Medicare through the roof. Many seniors struggle to pay for Medicare as it is. If it's for diabetes then that's one thing but for weight loss you would have way too many people on it. That's why lots of insurance company's are making it so hard to get. It would send the cost that we pay skyrocketing. Blame that on the drug makers that set the price.
 
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So you’re not against glp1s being covered, you’re against Medicaid generally? Or Medicaid supporting anything other than the most bare bones emergency care? Just trying to get to the nub of where you’re coming from and where glp1s specifically fit into I’m not against Medicaid.

I think Medicaid is necessary so we can take care of children that need it. It’s not their fault what they are born into. I just have a problem with people who are otherwise healthy milking the system.
 
It seems like there are 2 debates:
Is this a "Weight Loss" issue or a "general health issue" as it pertains to societal health benefits.
Do we as a society believe that everyone should be entitled to healthcare.

Lots of opposing view points on both really.

Without getting too deep into the mud on either, I think the medications have significant benefits outside of cosmetic. There are the obvious health benefits, but I would argue there are many psychological benefits as well, that could result in folks having the desire to improve in their personal life/finance.

As for Healthcare as a right/Universal Health care/Single payer system.
I will leave that debate for another forum.

I would agree, that there is a common belief that the desire to lose weight is primarily cosmetic and many do not see the other, much more important, benefits.

I subscribe to the theory that people do better when they take control of their own lives and are responsible for their own destiny, so I am of the mind to agree we all need to play our own role in our health, and should strive to pay our own way.

That being said, if the decision has already been made that certain benefits are awarded to an individual, I do see the advantage of reducing the overhead on our system by providing meds that will help them become more healthy all around, and potentially becoming self sufficient as a result.
 
Keeping my political opinions out of this I do see the sense in not allowing so many people on this drug for weight loss. At $1000 a month that could easily send the cost of Medicare through the roof. Many seniors struggle to pay for Medicare as it is. If it's for diabetes that's one thing but for weight loss you would way too many people on it. That's why lots of insurance company's are making it to hard to get. It would send the cost that we pay skyrocketing. Blame that on the drug makers that set the price.
But you're assuming medicare would pay list price. Try looking what people pay for this drug in other countries. There is power in large bodies negotiating.
 
But you're assuming medicare would pay list price. Try looking what people pay for this drug in other countries. There is power in large bodies negotiating.
They would pay full price because they’re not allowed to negotiate, a direct result of the influence of business on legislators. While I agree with panda that people who are capable of paying for their insurance should do so, I also think that the system is so FUBAR’d that the cost is beyond the means of many more people than it should be. The solution is not less coverage, as panda is advocating and in my opinion is an unsophisticated approach to an extraordinarily complex situation, but rather enabling affordability.
 
They would pay full price because they’re not allowed to negotiate, a direct result of the influence of business on legislators. While I agree with panda that people who are capable of paying for their insurance should do so, I also think that the system is so FUBAR’d that the cost is beyond the means of many more people than it should be. The solution is not less coverage, as panda is advocating and in my opinion is an unsophisticated approach to an extraordinarily complex situation, but rather enabling affordability.
Another policy direction literally changed by this administration was the ability to negotiate drug costs.
 

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