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ForumsCrypto & PrivacyPharmacy only accepts Bitcoin and I have no idea what I am doing — 6 month update

Pharmacy only accepts Bitcoin and I have no idea what I am doing — 6 month update

ben_calgary Sat, Mar 28, 2026 at 9:32 AM 27 replies 809 viewsPage 1 of 6
ben_calgary
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Mar 28, 2026 at 9:32 AM#1

This gets cited here weekly, usually second-hand, so it is worth setting out what it does and does not establish.

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.

The bit I cannot resolve on my own is how people are thinking about the trade-off between reversibility and privacy, because you cannot have both. Not looking for reassurance. Looking for the part I have got wrong.

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.
26 21KetoKyle, CanadaChris, ZaraB_AL and 23 others
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Dr.NateNeph
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Mar 28, 2026 at 9:42 AM#2
ben_calgary said:
The trade-off is reversibility against privacy and there is no option that gives you both.

Right, and the exception is worth naming rather than left implied, because the exception is where people get into trouble.

25 20NauseaFreeNow, SteveThurs, B12Beth and 22 others
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SarahChen_PharmD
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Mar 28, 2026 at 9:52 AM#3
ben_calgary said:
The trade-off is reversibility against privacy and there is no option that gives you both.

I read this differently. The confidence in this thread is running ahead of the evidence, and I would rather the uncertainty were stated than smoothed over because it is unsatisfying.

Last edited: Mar 28, 2026 at 12:52 PM
24 19paul_denver, TinaHashiRN, robert_kc and 21 others
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PharmacoVig_BOS
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Mar 28, 2026 at 10:02 AM#4

Taking the question as asked, rather than the general version of it. Whatever the answer turns out to be, the method for getting there is the same: state the assumption, do the arithmetic in public, and invite the correction. That is slower than asserting, and it is the only version that survives being wrong.

Ask again with the specifics and you will get a better answer than this one.

23 18kate.chem, DataDave, Dr.GutHealth and 20 others
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TomTeleRx
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Mar 28, 2026 at 10:56 AM#5
Dr.NateNeph said:
Right, and the exception is worth naming rather than left implied, because the exception is where people get into trouble.

Adding a me-too, because a thread of one person's experience is not much use. Posting only so the count is not one.

22 17TrialNerd_Beth, HPLC_Greg, LibrarianMeg and 19 others
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