How is Amazon Pharmacy Moving Into the Medical Space? | Dr. Vin Gupta | Knock Knock Hi!
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- Опубліковано 29 січ 2024
- Medical Analyst for NBC News Dr. Vin Gupta, joins the Glaucomfleckens to talk about how he met his wife, doing medicine for the military at 30,000 feet, and how he got involved with Amazon to run Amazon Pharmacy. Vin then goes into detail about how Amazon Pharmacy works and how he thinks it can be better than the current pharmacy system.
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Want to Learn About Dr. Vin Gupta?
Twitter: @VinGuptaMD
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Both Amazon and NBC have huge platforms. It would be great instead to be hearing from on-the-ground pharmacists about how pharmacist-owned indie pharmacies have been experiencing enormous pressures, forcing many to close. Love your work, usually praise rather than write critique. I hope you don't mind the constructive criticism.
This is a great recommendation. I will work on getting a community pharmacist on
@DGlaucomflecken you would have to get a panel because there are so many sides to retail or outpatient pharmacies. Add pharmacy technicians too. We often get ignored.
Has Doctor Gupta noticed that Amazon already has a reputation of not policing counterfeit goods? How long will It be before we start buying Amazon Brand generics from third parties in China?
As the episode ended, my four-year-old, sitting on my lap and playing on a tablet, said with it "Knock, knock, Goodbye!"
Keep the episodes coming!
I have an eyeball question! 👀❓ Please educate us in one nice separate - well shareable - video what the signs are for us normal peoplez to head to the eye doctor urgently. I find myself at loss knowing when to hurry, outside of "I can't see", "eyeball hangs out or is popped" and "there's white bursts of light". Is this all of them? :'D
I expect Amazon will start with the most profitable Rx, and like today anybody needing prescription medicine that is LOW volume, less profitable or specialty will still be out on their own to sort it out.
Not sure. Amazon is a logistical master and behemoth..
We have an empty One Medical location near us. It's been sitting empty for 3(?) years with a "coming soon" sign on the window. Make sure you read their "Terms of Service", especially the "Limitation of Liability" section. They also do not staff Registered Nurses because they don't want to pay them. Great questions Kristin about Amazing trying to sell us a bunch of products while using their pharmacy services!
Good RX and. Coupons for meds were mentioned. I use Good RX all the time. The sad part is that we have these things and that meds are not just cheaper. I had a med that was $80 with Good RX it was $18. Why not just have it $18
My brother-in-law was an ER scribe for a bit. He's in pre med.
I most certainly did notice the books and I love it.
I've used Amazon Pharmacy for the past couple of years and have loved it. We live 65 miles away from the nearest pharmacy, so being able to get meds shipped to me (save 130 miles of driving), and they've always been significantly cheaper, has been great.
No more standing in long lines with sick people just to get refill medicines.
You could get your medications by mail order from multiple other pharmacies too. Many of them a cheaper too. Some common generic prescriptions are only $4/month. You just gotta do your research.
i will admit Amazon often has the most convenience, that's a big part of how they are so ubiquitous and monopolistic.
i want to support local (in general) for the people and the occasions when i need something in person, but it's easier to one stop shop.
i rarely find Amazon more expensive, and if its usually only part of their rapidly fluctuating prices. i have not had multiple computers going like a neighbor: (i wonder if litteral or if they had seen the rapid and temporary price fluctuations) she saw they personalize product pricing (can vary depending on who's logged in/what computer in same household was cheaper for the computer without the Amazon prime acct)...
its not that convenience is bad. Amazon is just ever present & has a history of questionable behavior.
i think i only noticed their consumer facing quality control slipping 6ish years ago when i couldnt find any return (amazon warehouse) of a piece of PPE i wanted to use occasionally. ...i finally bought new full price, & got a slightly used greasy prints+hairs "new" unit. before that they had been fairly reliable.
they may have expected my 60 year old neighbor to lift as much as/more than the 20yr old fit men on her packing(?) team (a different version of equality - ignoring benefit of age and gender physiology)... around that same time.
and still, i often benefit from Amazon. its complicated!
it is funny now how you can type in a specific Brand model and other details and not be able to find the product because of all the sponsored things they stick in front of it, and then sometimes the item you're searching for comes up as a sponsored ad. even though you typed in everything that should have made it crop up all on its own where they don't have to pay for being found...
This complaining about the down side felt good.
I have so many questions. Here's one - not unique to Amazon Pharmacy, but really for all mail order pharmacies, too. Most pharmacy medications need to be stored protected from light and at room temperature (aside from refrigerated things like GLP1RAs and insulins, some eye drops, etc.). There are pharmacies who've have had excursions (< 59 deg F and > 77 deg F) who've had to scrap and replace entire inventories (which can be several hundred thousand dollars with just what's sitting on the shelf, depending on their script volume); huge liability. How does Amazon Pharmacy ensure that these storage requirements are met for medications during shipment (both more traditional means like ground and flight and for drone delivery)?
or sitting in a mailbox or on a doorstep because doorbell wasn't used or no delivery notification. = baking or freezing. it vaguely sounds like being just above freezing for a few days is no big deal, but i wish there were educated patient directed publications on that.. i wonder if most meds are only studied within excursion temps or if they test breakdown temps (both high & low)
My pharmacy student's ass is shaking right now 💀
Another move from Umbrella Corp.
Very interesting discussion. I wasn’t really worried about doctor shortages before, but now… On the other hand, it will be interesting to see what happens when Amazon takes on healthcare.
Dr. Gupta, I'm using a medical practice called Direct Primary Care. It is a capitation system, where I pay a fee per month, and see my doc when I need to, without co pay or any further cost. And no interaction with the insurance company!
He offers a limited formulary at his actual cost. It is astounding how much I save.
And my doc doesn't employ a staffer to "negotiate" for the care they need.
Some of my meds are prior auth. If I do the prior auth, I would pay MORE in copay than it costs at retail with a discount card. That's nuts.
Talk to the DPC folks.. It could be a really beautiful marriage.
I feel same about the military and how thoughts have changed about serving. I am a female Vietnam vet. Air Force and now I look back and ask why were we there in that war?
But my generation, the boomers, still had the need to serve because my father was in the Army Air Force WW11 I and I felt the need to serve which now kids dont have that feeling anymore. Its like let someone else do it. i have to watch my phone and live in my parents basement. I joined right out of high school. But our government is the one who let this next generation down with many things they do now so I cant blame them not wanting to serve Thank you for serving.
This can be a shaky venture, where there is a huge profit margin, and I don't believe that Amazon is doing this from a place of charity. I am not sure if this is even a concept that this industry can grasp. What's the kickback to doctors who use the system? I am not tech savvy, and this all may seem very basic, but... Also, I am a Canadian, so what would I know about the U.S. system??? Maybe nothing. Thanks for your programs.
Why are we still not talking about universal health care. I cannot come even closely able to pay for the osteoporosis recomm3nded for my condition. Amazon? REALLY?
State Medicaid programs (and the federal government counterpart) pay huge monies to PBMs. It's sickening, literally.
What?? Healthcare vs the Sickcare we’ve had for ages? The Sickcare that costs us thousands for symptom management treatment but never the root of what causes the symptoms? Stop making sense please.
Health ‘market’ isn’t quite health care is it
@@BeerPatio Correct! Healthcare Market is just a fancy term to make you think you have a choice, but simply allows you to pay more for the actual high dollar shafting you’re getting for whatever services have been deemed “acceptable.”
All corporate owned. Where does healthcare occur…in corporate owned businesses, often the same corporation.
I need to go schedule my PFT’s with my mechanic now…wonder if Texaco Mike can squeeze me in for the CT. Oh wait….too proactive and could lead to preventative care. Nix that.
Our ultimate goal should be living healthy so we can *STAY OUT* of the system. With that being said, some people have hereditary conditions, cancer, autoimmune disorders, type 1 diabetes, etc.. etc. and they don't have a choice. As a RN I see way too many humans seeking unnecessary care demanding antibiotics, steroids, IV treatments, thyroid meds, yada, yada, yada. If you are healthy, get your annual physicals/screenings and leave it at that!!
40:33 The answer "how is this enforced" is that it's almost always after the fact.
The systems that Dr Gupta is referring to are almost certainly internal to Amazon, as the problem of enforcing external controls or tracing on what custom software can do with the data contained within it is an intractable problem.
Usually, a person gets cocky and brags about something in a celebrity's health profile, a whistle-blower sticks their neck out, or a company violates HIPPA so egregiously and systemically that the stats geeks can prove there's something worth investigating.
If Amazon doesn't get greedy, there's a lot of value they can extract from health data, while minimizing the chance they'll get caught.
But I don't like Amazon
I try never to use Amazon
I am annoyed that yet another thing that is being consolided and I am forced to use Amazon
Is Dr. Gupta going to get his or his family's meds from Amazon? Anyway, there is no way I will ever believe that health data is sacred to Amazon, nor to any health provider, for that matter. Whether it's deliberate or not, that data will get out there. It's more about where it has the best chance of getting out. I will say that when I was trying to find a brand drug that was no longer available via retail stores, Amazon was very helpful in trying to find it; they couldn't get it, but I was I was able to buy it from a legitimate Canadian pharmacy.
wish Amazon gave their employees health insurance :/
They don't?? I didn't realize that!
Nice misinformation…Amazon like pretty much every other company out there DOES have medical insurance for FULL TIME employees. Part time employees very RARELY get any type of insurance from their employer.
Love to hear from anyone who knows of a company where part time employees get medical benefits.
of course they do. maybe you are thinking of contractors that don't work for Amazon?
@@scallywag1716 Thanks for clarifying. I didn't think they could keep employees that way.
@@scallywag1716 I got medical benefits as a part time employee of a public hospital.
Heavens poor man! When you're a doctor and your name is "Gupta" after some awful celebrity made an infamous brand called "Goop" and a single slur in speech can make them sound similar enough, it is time to head to court and ask them to allow you to change your last name to avoid damage to your reputation :'3 Now that celeb basically dealt damage to a real medical professional with that nonsense of theirs. That person should pay you a fine as an apology X'D
There’s A LOT of Gupta’s out there…you probably don’t know many Indians.