Telehealth companies shifting from access to care to selling drugs

The cacti started sprouting up in subway stations. On the walls of New York City’s MTA stations and street corners in San Francisco, ads for the telehealth company Hims displayed a menagerie of spiky succulents. One had a familiar bulbous tip and a slight Tower of Pisa lean. Another drooped sadly over its terracotta pot, sharing a message: “Hard, made easy.” 

The cheeky ads for erectile dysfunction drugs were inescapable in city centers around 2018. “Erectile dysfunction meds prescribed online, delivered to your ‘friend’s’ door,” read a subway ad from Roman, now known as Ro — pitching patients on a new form of discreet, convenient virtual care. 

When these campaigns launched, created by some of the same agencies behind direct-to-consumer brands like Warby Parker and Harry’s, virtual visits were a novelty for most patients. Since then, telehealth has become a growing part of the health care system in the United States — and an increasingly valuable marketing funnel. Telehealth began as a way to help patients access doctors, but it has rapidly transformed into a way to help companies sell drugs. 

Today, marketing for on-demand telehealth prescriptions is a constant presence for American consumers. Scrollers and streamers encounter ads from dozens of companies — for erectile dysfunction drugs, yes, but also for weight loss, hair loss, acne, birth control, and even more specialized conditions. Phallic plants were just the start of a burgeoning new era of consumerization in medicine. 

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