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ForumsCrypto & PrivacyUSDT (Tether) for pharmacy payments — 6 month update

USDT (Tether) for pharmacy payments — 6 month update

LibrarianMeg Wed, Apr 16, 2025 at 1:48 PM 27 replies 2,041 viewsPage 1 of 6
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LibrarianMeg
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Apr 16, 2025 at 1:48 PM#1

Posting this because the summary going around does not say what the paper says, and the difference matters for how people here are using it.

The trade-off is reversibility against privacy and there is no option that gives you both. Card payments are reversible and disclose the most; crypto discloses least and is irreversible, which is precisely why pressure toward it is a warning sign when it comes from a seller rather than a buyer. Escrow only means anything where the escrow agent is independent of both parties, which is rarely the case in practice.

Where I think it is weakest: the follow-up is short relative to how long people actually take these drugs, so durability is an assumption here rather than a finding.

So the question, as narrowly as I can put it: how people are thinking about the trade-off between reversibility and privacy, because you cannot have both. I have searched first, so if this is covered somewhere point me at it and I will read it.

Note on sourcing:
Figures above are from the primary publication rather than the press summary. If a number here disagrees with one you have, post yours and we will work out which of us is reading a secondary source.
41 11Dr.NateNeph, PharmD_Rodriguez, julia.endo and 38 others
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Dr.SleepRoch
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Apr 16, 2025 at 4:12 PM#2
LibrarianMeg said:
The trade-off is reversibility against privacy and there is no option that gives you both.

Agreed, and the size of the effect matters as much as its existence. Something real and small gets treated here as though it were real and decisive.

40 10kim_atl_prep, sarah_TO, wendy_avl and 37 others
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PurityPaulOR
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Apr 16, 2025 at 6:36 PM#3
LibrarianMeg said:
The trade-off is reversibility against privacy and there is no option that gives you both.

I am going to disagree with the direction of travel here. The thread has converged on the tidiest answer rather than the best-supported one, and those are not the same thing.

39 9Admin, Dr.Martinez, mike_mod and 36 others
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roxy_nash
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Apr 16, 2025 at 9:00 PM#4

Answering the narrow version, because the broad one does not have a single answer. The useful move here is to separate what is established from what is widely repeated. Those two sets overlap less than the confident tone of most write-ups suggests, and the second set is where nearly all the disagreement on this board comes from.

38 8Dr.NephBHM_UK, kim_atl_prep, sarah_TO and 35 others
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PedsEndoPhilly
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Apr 17, 2025 at 11:23 AM#5
Dr.SleepRoch said:
Agreed, and the size of the effect matters as much as its existence.

This is my experience too, for whatever a second data point is worth. I had assumed I was the exception until I read this.

37 7MikeNYC_runner and 34 others
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