The Glade 4.0

No, actually it isn't. It can be caused by physiological conditions, but none of which are directly related to that particular organ (or in the case where its a muscular or nervous condition, Viagra won't work), but its just as prevalent for psychological reasons.

The physiological are treated by other regimes, such as controlling diabetes.

But if Viagra is allowed under the auspice of psychological reason, then its not different than treating conditions of depression caused by self image, etc.

So, why just ED and not mammoplasty?

And, are there studies showing that breast augmentation is linked to higher self confidence and self image? I mean, that's certainly why some people get them done, but does it actually succeed?

Moving the goal posts again Monte. Reread what I posted and respond the discount of your claims and the potential that ED treatment is potentially for psychological reasons.

How am I moving the goal posts? I am asking you to bolster your analogy with empirical evidence. You are comparing apples and oranges, and I want you to prove that you're actually comparing like things. In truth, I think you're reaching pretty far. In one case, we have clear dysfunction. That's the problem that viagra fixes.

Given that sexual dysfunction is not only a physical issue but also a psychological one, I'd say that makes it something we don't want to dismiss so readily. However, breast size, to my knowledge, is not a functional issue. And unless you can show that there is some sort of overwhelming association with depression, it's a bad means of comparison.

And, are there studies showing that breast augmentation is linked to higher self confidence and self image? I mean, that's certainly why some people get them done, but does it actually succeed?

Suicide rates among breast augmentation patients appear to be lower than the expected rate when these patients' demographic and other pre-surgery characteristics are taken into account. The most plausible mechanism for this protective effect is increased satisfaction with body image.

I gave you one such disorder, but there are also studies that examine a persons functionality in society with their concept of self worth and esteem.

Ok, cool.

So, you would say you had a health problem. No problem. I would agree with you. Our sexual function is part and parcel to our overall health picture. And I'm sure you probably wouldn't disagree that sexual dysfunction can lead to other problems, including depression.

I kind of feel like Viagra has, generally, a bad reputation. But I'm of the opinion that sexual function is no less a part of our health care than other organ function. Obviously, it's not like heart dysfunction which is significantly more dangerous. But that doesn't mean it's not important.

So when people are advocating to have coverage for drugs intended to treat sexual dysfunction, it's difficult for me to get upset about it. Viagra is not generally covered under insurance policies unless it's medically necessary, and there are other uses for the drug beyond erectile dysfunction.

It treats a fairly common illness, and so I have to ask - why is there an issue with covering it?

Except, we are talking about physical, biological functionality.

Right, but the psychological impact was always a smaller portion of my position. You are trying to make it the *key* portion of my position, and are ignoring the wide variety of ways to treat depression stemming from self esteem that don't involved cosmetic surgery.

Absolutely. I definitely think that mental health is something that ought to be covered by health care plans. And pretty much every State agrees with me, and has laws on the books mandating mental health coverage for insurance policies.

Now, I assume you and I aren't talking about Sally just getting down on herself over her grades for a day or two. I assume we are talking about chronic self worth and identity issues that are connected to depression and other mental illnesses.

I have been working from the premise that you actually subscribe the answer you gave. The ED portion is largely irrelevant at this point, except as a counter point to the use of Viagra to handle the mental portion, not the actual physical cause (if there is one).

Why the double standard from you?

I'm talking about ED as a regular health condition.

19 Yet she became more and more promiscuous as she recalled the days of her youth, when she was a prostitute in Egypt. 20 There she lusted after her lovers, whose genitals were like those of donkeys and whose emission was like that of horses.

Look, having a severe, recurring migraine could be a symptom of another health problem, but we still cover drugs that treat the migraine.

Look, having a severe, recurring migraine could be a symptom of another health problem, but we still cover drugs that treat the migraine.

Look, in the grand scheme of things, this is about as assinine a demand from the Unions as it gets, only to be supplanted by continuing down the line of reasoning you are presenting for the defense of this abomination.

**** ridiculous an organization that constantly whines we don't devote enough resources, or put the considerations of education for the next generation at the front of the line has the balls to do this.