Medical establishment
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Institutional medicine is the machine of hospital systems, administrative overhead, health insurance, pharmacists, doctors, and nurses that collectively conspire to screw you over by hondosing you. They have legislated themselves into existence in a form of rent-seeking by trying to prevent you from getting your own drugs. Despite widespread propaganda to the contrary, DIY HRT is much safer than trusting a doctor not to screw up the dosing on your medication.