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Wegovy could be covered for at least 3.6M people under new Medicare rules

91 pointsby cwwcabout 1 year ago

15 comments

prependabout 1 year ago
It’s very expensive at $10k&#x2F;year&#x2F;patient, but I wonder if the long term costs are still cheaper than treating heart attack or stroke. Obesity greatly increases the risk of cardiovascular events so I think this may end up saving Medicare money by shifting to pharmaceuticals from emergency care.<p>Of course, would be nice if they would negotiate a lower price as it’s really expensive.<p>But Medicare covers other chronic preventative meds, PReP coming to mind and that’s like $10k&#x2F;year. But still way cheaper than HIV treatment that it prevents.
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xystabout 1 year ago
I’m all for it. Initial results seem very promising, especially for those struggling to get to their target weights. I was initially skeptical of it especially given the massive marketing push for off label usage (reminded me of fentanyl&#x2F;oxy or certain amphetamines for weight loss).<p>Personally, just adjusting lifestyle (reducing intake of sugary and artificially sweetened foods; exercise; and intermittent fasting) over a sustained period of time (3-4 months) helped me drop 40 lbs. OTC supplements like vitamin d, and omega fish oil added to regimen (as recommended by doctor).
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glp1guideabout 1 year ago
Note that seniors are actually some of the biggest cohorts using the new GLP1 Receptor Agonists:<p><a href="https:&#x2F;&#x2F;glp1.guide&#x2F;content&#x2F;senior-citizens-and-glp1-receptor-agonists&#x2F;" rel="nofollow">https:&#x2F;&#x2F;glp1.guide&#x2F;content&#x2F;senior-citizens-and-glp1-receptor...</a><p>Also as some other people have noted, those costs seem high now, but they&#x27;re certain to go down over time (due to competition and other companies entering the market along with other countries), and almost certainly worth the cost -- type 2 diabetes can be very expensive, along with all the other effects from complications of obesity.<p>For example, Wegovy has actually been FDA approved for reducing heart disease risk:<p><a href="https:&#x2F;&#x2F;glp1.guide&#x2F;content&#x2F;news-fda-approves-wegovy-for-reducing-heart-risk" rel="nofollow">https:&#x2F;&#x2F;glp1.guide&#x2F;content&#x2F;news-fda-approves-wegovy-for-redu...</a>
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dandy23about 1 year ago
Why is it we can spend 10k&#x2F;year on our car, but not 10k&#x2F;year on ourself. We have to ask our government&#x2F;insurance to pay. Makes no sense.
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benjamoonabout 1 year ago
It&#x27;s about £2,500 ($3,100) per year in the UK if you just buy it online, not subsidised. I don&#x27;t know how the US massive price hike is justified when the whole western world is buying it from the same supplier (Novo Nordisk in Denmark).
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blackeyeblitzarabout 1 year ago
I bet this will end up saving the government a lot more than it costs. On the other hand, the side effects and long term effects of these new drugs are not well known. I wouldn’t be surprised if some of the common GI side effects become something more serious.
insane_dreamerabout 1 year ago
Without discounting the cases that are genetic or as a result of some other illness, for whom such a pill is a godsend, most obesity is due to lifestyle and especially all the processed foods (not to mention soda!) that Americans eat and drink.<p>I&#x27;d rather my taxes go to preventing obesity in the first place then paying for a pill that helps relieve its symptoms (but does not fix the underlying cause), is expensive, and has side effects. Make it harder to life an unhealthy lifestyle, just as we&#x27;ve made it a lot harder to smoke over the past 40 years. Start by taxing sodas and processed foods for one and use the money to subsidize healthier foods and prevention of &quot;food deserts&quot; in lower income areas (given that obesity is highly correlated with low income which is highly correlated with unhealthy diet -- it&#x27;s hard to stay healthy when all you have nearby are corner stores stuffed with Frito Lay and Coke.<p>To me it&#x27;s another example of how we really have our priorities backwards.
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renewiltordabout 1 year ago
A friend of mine is earning millions of dollars &#x2F; month connecting people to this drug. The trick is working out the insurance company rules. With Medicare they&#x27;re going to be rich as fuck. Just a giant pump of taxpayer dollars into this. It&#x27;s going to be fantastic.
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baloziabout 1 year ago
Instead of spending money on Wegovy, spend the money on Novo Nordisk stock.
djsudysgccabout 1 year ago
Say what you want but pharmaceuticals are perhaps the only hope America has against the obesity epidemic.
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nisegamiabout 1 year ago
There goes my chances of getting any for my diabetes this decade :(
andrewstuartabout 1 year ago
Where in the world is this even available?<p>Not to be had at any price in Australia.
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syngrog66about 1 year ago
this should not be on Hacker News
naveen99about 1 year ago
Maybe insurance should cover if an obese person is already walking 10000 steps per day for a year and not able to lose weight.
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bushbabaabout 1 year ago
That’s a solid 12k+&#x2F;year for eligible patient. Have no issue so long as it’s capped to an order of months to avoid it being a forever med. otherwise we’ll see all our insurance premiums and Medicare taxes rise dramatically.
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