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The way Remdesivir is currently used makes no sense at all to me. By the time a patient is sick enough to be hospitalized, the viral replication phase of COVID is over already. Hospitals love to administer it though because they get a nice cut of ~$3000 cost per course.

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It really doesn't, and at this point the idea that no modifications have been made to the protocol is absolutely baffling. I'd believe there's a big monetary incentive, but I also believe many doctors have essentially been corralled in how they practice. No doctor would want to deviate from the protocol if it means there's a chance their patient may die. It's easier to say "I followed the rules and protocol" rather than try something different and see if you get success or failure.

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It's not just easier, but during a declared national emergency (which we still have) health care providers are shielded from all liability if they just stick to the approved (CDC/NIH) script. The moment they deviate from it, for example by prescribing drugs that aren't part of the officially approved script off-label, that liability shield drops.

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