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Small-Scale Question Sunday for June 28, 2026

Do you have a dumb question that you're kind of embarrassed to ask in the main thread? Is there something you're just not sure about?

This is your opportunity to ask questions. No question too simple or too silly.

Culture war topics are accepted, and proposals for a better intro post are appreciated.

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There's something weird going on in it. There's the obvious dislike of the financial side, from the title on down, but if that were the real story, Midi Health (and any other competitors? but I've heard of this sort of thing happening from normal general-practitioner work, just less sexual and less formalized) would be a top-line item, not a footnote, and the BVC would just be scamming the rich people out of what 'everyone' should have.

A lot of it seems like it's borrowing from anti-woo stuff, and there is legitimate history there: a lot of men's sexual health stuff has been snake oil, sometimes literally, and women's isn't much better. But the specific claims here are relatively well-supported in the evidence, and the stuff that isn't (eg, estrogen supplementation post-cancer) is on better ground than the summary suggests.

The Bulverist take is that the writer hates (especially rich) men, sees this as a way for wives of rich men to trade their health to stay sexually desirable to men, and couldn't actually come up with the information to support that position. But that's not very charitable.