Scott Alexander, curated
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Fish – Now By Prescription

Quality
68
Strong
Claude Shift
38
Slight
RWI
2
of 10
Humor level 2 badge: Man of One StudyHumorMan of One Studya lone chuckle

Summary

The Lovaza/Deplin reframe: a $300/month fish-oil pill and a $100/month folate pill exist not because they differ chemically from the $10 supplements, but because their makers performed "the appropriate rituals" - the specific FDA trials, the lobbying, the pretty sales reps - to make a supplement Official, and therefore prescribable, insurance-covered, and stockable in hospitals (which don't even carry melatonin). The "POTAXOR" satire shows this is also our guarantee against Big Pharma "suppressing" cheap natural cures. Closes with BRCA/Myriad Genetics price-gouging: "Lovaza is a farce; BRCA is a tragedy."

Why this score

Quality 68 · Strong. A sharp, funny, genuinely illuminating reframe of drug officialdom with a great satirical device (POTAXOR); a clear companion to his other medical-system pieces, but moderate in scope. Strong.

Claude’s paradigm shift 38 · Slight. The "officialization ritual" framing is a fresh way to see supplement pricing/regulation, but builds on his own prior posts and standard health-economics. Moderate, low.

Real-world impact 2 · Minor. A sharp reframe of drug officialdom (the FDA 'rituals' that make a supplement prescribable); illuminates the medical-system discourse but moves no policy or material condition → RWI 2.

Humor 2/5 · Man of One Study. Substantially satirical essay on making fish oil 'Official' as Lovaza — the POTAXOR(TM) cancer-potato set-piece, 'stick a fish in a blender', the pretty-women-with-pens bit, the FDA/Myriad paternity-test joke; sustained comic delivery ('Lovaza is a farce') in service of a real regulatory argument → solid 2.