webbed-site/html/thoughts/healthcare

<!-- TITLE: the medical system -->
<!-- DATE: 2024-09-07 05:44:47 -->
<h2>how is it this bad?</h2>
<hr>
<h3>endocrinological</h3>
natalie takes estrogen (tablets, 2mg, 3/day), spironolactone (tablets, 50mg, 2/day), and progesterone (gel capsuls, 100mg, 1/day) because it is transgender.
here are the associated costs for the above medications:
<ul>
    <li>estrogen: $14.05/month, $168.6/year</li>
    <li>spironolactone: $6/month, $72/year</li>
    <li>progesterone: $15/month, $180/year</li>
    <li>total: $420.6/year</li>
</ul>
one will note that estrogen and an anti androgen are responsible for 57.2% of the yearly cost.
this is ridiculous.<br>
it did some calculations:<br>
cost of diy estrogen injectable solution (estradiol enanthate, 40mg/ml, 10ml): $70-$100<br>
necessary doseage for estrogen monotherapy: ~.13ml<br>
injection timing: every 7 days<br>
10ml/.13ml = 74.9 weeks of estrogen<br>
52 weeks in a year.<br>
100*1/(10/.13/52) = $67.6/year for estrogen (upper bound)<br>
70*1/(10/.13/52) = $47.32/year for estrogen (lower bound)<br>
<br>
why is diy cheaper than having healthcare?
this does not account for cost of needles and alcohol wipes, but that is negligible.
<hr>
<h3>neurological</h3>
the psychologist that did natalie's autism evaluation thinks that it is depressed. 
this is based on 0 evidence other than its consistently high score on the PHQ-9. 
it would like to contend that the PHQ-9 is not a useful tool of assessment for neurodivergent people.
<br><br>
apparently, it is somehow more conceiveable that this thing is autistic and depressed than it is that it could be autistic and have adhd.
it is very clearly not depressed, in fact, it would say that other than the negative impacts of the very obvious and DSM-V compliant signs of ADHD it exhibits, it is doing quite well.