Community for asking and answering any question related to the life, the people or anything related to the USA. Non-US people are welcome to provide their perspective! Please keep in mind:
Yep!
Everyone I knew who went to get psychiatric services at a major hospital in the midwest was prescribed Risperidone, whether they needed it or not. We all had psychiatric side-effects (terrifying temporary amnesia) and the hospital recommended that we treat those side effects by going inpatient. :)
Literally: here's an anti-psychotic drug you don't need, oops you feel crazy? better spend tens of thousands of dollars on a one-month stay in our hospital
Are their doctors in the US who do all types of fucked up shit for money? Yes there aer plenty.
A buddy of mine is a fraud investigator or State Farm and prior to that he was one for Allstate.
You would not believe the number of doctors who execute insurance fraud. Fake treatment plan billing, fake patient billing, signing off on fake injuries for automobile accidents. Amazingly, based on my freind’s experience, one of the highest paid specialities, radiologist seem to be the speciality that engages in insurance fraud the most.
You would not believe the number of doctors who are embroiled in the fentanyl and oxycodone epidemics.
Can you find doctors who have made and are making lots of money via questionably and illegally doing prescriptions, of course. When it comes to money and greed there is no nobility.
Now is there a tit for tat arrangement where pharmaceutical companies pay doctors to prescribe drugs? NO.
Is there a formal process where doctors get more money for prescribing drugs? NO.
There is a lot of evidence that I couldn't begin to give you that doctors do, in fact, get paid by Big Pharma (Pharmakia = Greek for sourcery) to push things to get as many people sick as possible. As for your relative getting over depression by not taking their witchcraft pills, good on them. They fixed it using other natural ways in order to ensure that this issue gets fixed (probably missing Vitamin B1 from what I could gather, so they got it back).
Not all doctors are evil, but the highest administrators are 100% corrupt, if not downright evil. They're basically witches and warlocks in lab coats.
I don’t know that they get paid by the pill, but they are certainly wined and dined by pill salesmen. This isn’t just a US problem.
If I was a doc, I’d probably just take them up on these freebies but not let it influence my practice or what I prescribe. Honestly it’s not like your insurance is going to cover anything but generics anyway.
You should probably be more concerned about pharma’s lobbying efforts to get their drugs approved.
https://abcnews.go.com/amp/Health/PainManagement/story?id=352367&page=1
https://www.theguardian.com/society/2008/aug/23/health.pharmaceuticals
https://www.theguardian.com/society/2013/apr/05/drug-companies-pay-doctors-40m
https://publicintegrity.org/national-security/medical-industry-showers-dod-with-free-travel/
Except they got wise to that so now they track what you prescribe, and the freebies come to an end if you stop paying dividends on their investment into you. Source: some documentary that I have now forgotten the name of.
https://pmc.ncbi.nlm.nih.gov/articles/PMC11107028/ basically kickbacks screw over patients by raising end costs.
Pharmaceutical companies engage in behaviors known as product hopping, e.g. making variations to prevent revenue loss when the original drug goes generic: https://jamanetwork.com/journals/jama/article-abstract/2831386
In addition to the lobbying and wine and dine doctors get the other poster mentioned, the US is one of only two countries that allow marketing of prescription drugs to the consumer (e.g. tv ads). Insurance is also notoriously horrible. Because of how scammy everything is in the US medical system, it's no wonder that people have stopped trusting it in the form of antivaxers, homeopathy and other quackery, etc.
Fuck. My head fucking hurts from depression and now idk what to do.
Depression is serious but probably one of the least prone to this. Generics are available for at least a dozen meds. Get diagnosed. Get on something. If you can't afford that, some states have low or no cost health care options available. Talk therapy is also a good idea, but I know finding a provider can be difficult and expensive.
I've been on depression meds for decades. My experience is while they're no magic bullet, they are worth taking - but you must take them consistently as prescribed to see the benefit from them. I've learned this the hard way.
They don't make you happier on their own - that's up to you. What they actually do is make it easier to decide not to get stuck in a downward spiral of ever-worsening depressive thoughts. Without the pill, I'd essentially wind up in a corner somewhere crying and wanting nothing else but to die. When I take it properly, I still have those depressive thoughts, but I'm no longer stuck in that "death spiral" - it's much easier for me to say to myself "well, this is pointless - let's move on" and actually do so. I still actually have to choose to do that, but at least I'm not so overwhelmed with despair that it becomes virtually impossible to do anymore.
The meds take several weeks to build up in your system and reach maximum effectiveness, and it doesn't take missing all that many doses to screw that up - so consistency in taking them is very important. Also, I went through about a half-dozen different ones before I found the one that worked "well enough" for me. Although it takes something like six weeks to reach full effectiveness, there was definitely one case where I knew within two to three weeks that one of them wasn't agreeing with me. Then there was another that was perhaps too effective - I don't remember the details (this was decades ago) except that I described it as making me feel like a robot.
It took me a while of on-and-off trying them, but in the end it was worth it once I got both one that worked okay for me, and figured out that they weren't the "happy pills" I was expecting. Hopefully you can benefit from my experience & learning to get to a better place much quicker than I did.
Good luck.