the language thing improved a lot when i stopped using idioms, and that was the actual fix
#eu 2026-04-25
Saturday41 messages9 participantstimes are UTC
Highlights from this day
- invoice_mismatch — mine, Germany, private prescription throughout, 24 months 15:29
- customs_owl — mine, Netherlands, first 9 months private then reimbursed once i met the criteria 15:32
- customs_owl — and i want to be fair. i spent nine months meeting criteria i barely met, and if my BMI had been two points lower i would be paying what he pays forever 15:40
- VialBot — archive lookup: cost figures posted in #eu span €96 to €340 per month across 41 members and 6 countries, 2024-2026. median €215. 19:03
- customs_owl — post your invoices, people. the aggregate lies 20:04
my last customs bill was about twenty two percent of declared value plus a fixed handling charge that hurt more than the tax did, someone check my working
is the customs handling fee worse than the vat itself
member reported
check the date on that
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spain, is it pharmacy only and what does it come to
prices moved since
the language barrier with support is real. i write in short plain english and it works better than good english does
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is there anywhere in the eu where this is actually cheap
anyone in sweden or denmark want to compare notes
@invoice_mismatch we said we would do this properly. two years each, actual money
i have the invoices. give me one sec
back
mine, Germany, private prescription throughout, 24 months
doctor visits 6 x €45 = €270
prescriptions 24 boxes, avg €212 = €5,088
bloodwork 4 x €68 = €272
total 24 months €5,630
per month €235mine, Netherlands, first 9 months private then reimbursed once i met the criteria
months 1-9 private, avg €224 = €2,016
months 10-24 reimbursed, own risk = €385
GP visits included in basic cover = €0
bloodwork included = €0
total 24 months €2,401
per month €100thats less than half
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thats less than half, yes, and we are two countries apart on the same continent taking the same molecule
and i want to be fair. i spent nine months meeting criteria i barely met, and if my BMI had been two points lower i would be paying what he pays forever
thats the part that matters. reimbursement thresholds create cliff edges and the person one point on the wrong side pays everything
cliff edges, exactly
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the thing i genuinely resent is not the money. its that the cheapest possible outcome for my insurer is me having a heart attack in fifteen years
thats an argument the outcome trials are slowly making for you, for what its worth
which trials
once you have a hard outcome endpoint rather than a weight endpoint, the lifestyle-medicine exclusion gets much harder to defend politically
harder, not impossible, and the process is slow enough that i will pay for years while it argues
did you look at going elsewhere for it
i priced Poland and it was meaningfully cheaper and it was also a nine hour round trip. i did it twice and stopped
the saving was real. the saving divided by my time was not
the honest maths
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the number people never compute is the cost of a gap. a missed month for a bargain that fell through costs more than the bargain saved
learned that in year one
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what happens in year three for both of you
i step the dose down and my numbers go down with it, in theory
i keep paying and i keep the dose. i have done the maintenance reading and i am not risking it. see #maintenance, the STEP 4 conversation
we disagree about this and have for a year
we do. politely
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archive lookup: cost figures posted in #eu span €96 to €340 per month across 41 members and 6 countries, 2024-2026. median €215.
the bot just quietly won the conversation
invoice_mismatchthats less than half, yes, and we are two countries apart on the same continent taking…
and to the less-than-half point — the median hides the cliff edge completely, which is why the two invoices are more useful than the median
post your invoices, people. the aggregate lies
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