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China tries to steal IP, but otherwise has a functioning IP system including for drugs Chinese companies make.

And China’s growth is about 5% in 2025, which isn’t close in the least to the fastest (Vietnam at 17%).

And China has medications because of other countries with IP (mostly Europe and US). So if the US gets rid of IP, the. A very large part of new drugs won’t happen.


I don't care about the numbers, I care about the growth. They went from zero to high speed trains linking all major cities in a decade. They went from manufacturing cheap slop knockoffs of American products to top–of–the–line locally–designed products in about the same time. They make their own semiconductors now.

ANDA is for drugs that have gotten off patent. Semaglutide has not gone off patent in the US. It won’t until 2032 at the earliest.

And ANDA absolutely does require supply chain inspections, first at approval then random inspections there after.

Whats Hims and Hers was doing was compounding (turning the chemical into a formulation patients can take) under an exception due to limited supply. Supply issues are over, so they can not longer compound.

I do t think anything is wrong with the US system here. These patients got access under a temporary exception, they have the option to obtain a supply through other channels going forward. If affordability is an issue, the manufacturers have several programs that make these drugs affordablez


Because not all overweight individuals have the same risk profile thus don’t get the same benefit.

Insurance companies are allowed to limit access to more expensive therapies unless cheaper therapies have been tried and have failed.


Insurance plans are currently allowed to have complete exclusions of all obesity medications, even cheaper therapies

Yes, plans have pretty wide latitude on what they cover. ACA limited quite a lot by not only in plan design, but also what therapeutics must be covered. And you are correct, obesity is not one of them.

Medicare Part D (outpatient drugs) has wide latitude on what medicines they cover - it's actually smart for patients to shop their Part D plans if they are taking an expensive, chronic medication.

The only classes of drugs that Part D plans must included are:

Part D sponsor formularies must include all or substantially all drugs in the immunosuppressant (for prophylaxis of organ transplant rejection), antidepressant, antipsychotic, anticonvulsant, antiretroviral, and antineoplastic classes. (Page 28)

https://www.cms.gov/medicare/prescription-drug-coverage/pres...


You’re putting more things I. The FDA’s regulatory basket than the law intends.

Whether or not “people who could benefit have access” is not relevant to the FDA’s mandate. The intent of the FDA is to regulate the safety and efficacy of medicines - not access, not price.

Once supply was addressed, the FDA’s regulatory objectives were complete


> Of course it is — unproductive land use creates negative externalities that affect the entire surrounding community.

By definition “commons” means public land. So if they buy the land, it’s no longer commons.

And the claim that unproductive land use affects the commons is not a very informative statement.

Everything affects the commons, it’s inevitable of a world with more than 1 persons.


This article seems oddly hung up on the legality of providing ID.

That’s all well and fine, but airlines have the discretion to refuse to board passengers, including for potential security risks.

So yeah, there are no laws saying you have to provide ID, but that doesn’t mean you’ll get to board the plane.


Common carriers can refuse to board you for legitimate reasons. Not having ID is not one of those as far as I know. (Obviously international travel is an entirely different beast. That's neither here nor there.)

What about the other 329,999,999 Americans who aren’t trying to kill themselves at that time?

It’s a cost vs benefit analysis and the cost is pretty damn high.


They’re not calling 911, so their phones wouldn’t respond with a gps location.

I’m not arguing all locations should be collected, just that “during a 911 call” is a really reasonable time to do it by default.


But the question is - does the functionality just open the door for everyone else?

If it could be adequately controlled so that it couldn’t, I would agree


I will say that I was on a jury for a murder trial back in 2018 that presented cellphone evidence as to the defendants location.

It was purely based on triangulation based on which tower the cellphone was connected to, so not precise at all (narrow down to a few city blocks).

So at least back in 2018, precise location was not possible.

That said the baseband modem in the phone could certainly be updated to collect and automatically send GPS based location data (notwithstanding security on the device).


Quality of life has a lot to do with how you choose to spend your time.

I know lots of people that have no idea what Reddit is. They’ve never had a Facebook account.

Those aren’t happenstances - they are the result of the choice on what they spend their time doing.

I’m not surprised people who spend most of their time exposed to the rage bait that fills social media think the world is falling apart. Especially if you’re not aware that it’s not an accurate or balanced view of reality.


Something new to grapple with though is that (in the US) we have the most extremely online White House in history. Our highest ranking officials, with their departments, are on social media day in and day out, and make decisions motivated by it.

It's very strange.


Unsurprising.

Plenty of examples of people losing/not getting Global Entry for:

- having a misdemeanor from 50 years ago

- having mail seized by the post office

- having the same name as a someone with a disqualifying record

- living in the same (I.e. same address) as someone who has a disqualifying record

- getting caught not declaring something at the border even though it was disposed of

My guess is that ICE face scans get added to a “related to immigration investigation” and it automatically revokes GE.

Good news is that the Ombudsman can resolve issues related to identity.

But for even the most minor infraction USCBP will remind you GE is a “privilege” and is given at the discretion of the government.


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