It might! But the article I linked also suggests it might destroy ozone and have a net warming effect. We just don’t know. The upper atmosphere has never before had this level of direct pollution injection.

Even though it’s not a space trash problem, it is a regular upper atmosphere polluter of aluminum oxide ash. We don’t yet know the long term consequences.

From the article:

While drug companies profit from the sales of unproven drugs, everyone else — patients, insurers, and the government — pays a heavy price. In just four years, from 2018 through 2021, the taxpayer-funded health insurance programs Medicare and Medicaid shelled out $18 billion for drugs approved on the condition that their manufacturers produce confirmatory trials that had yet to be delivered.

I’m guessing their citation only includes Medicare and Medicaid because those have publicly-available data for the study to review, but I have to assume that private insurers pay a ton as well. I can see your point that insurance denials result in angry sick people, but there’s not really a lot of nuance in “that medication has never been shown to be safe and effective for your (or any) condition.”

I dunno. Everyone sucks here.

American health insurance companies are famously miserly, and this seems like a great area to use penny pinching for good. Where the hell are the insurance CFOs who should be demanding efficacy proof instead of being swindled along with the masses?

Mini pizzas. I use the naan from Costco as the base, par bake it a few minutes first, then top with jar sauce and shredded mozzarella and make everyone come and do the rest of their toppings from little bowls I’ve prepared before going back in the oven for 5-10 minutes. Kids like mini pepperoni and pineapple bits from a can. I like pesto, spiced artichoke from a jar, Canadian bacon, and avocado and freshly chiffoned basil (after the baking). Everyone gets two pizzas customized to their liking, it tastes better than any takeout pizza, and it’s inexpensive.