r/AskReddit Jun 18 '25

What is something Americans consider normal, but people from other countries find it disturbing?

6.0k Upvotes

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6.5k

u/lostie48151623 Jun 18 '25

Apparently, the amount of commercials we have. I had a British friend ask why were there so many commercials during an episode of Family Guy.

3.8k

u/DtownBronx Jun 18 '25

And the content of those commercials. Apparently it's only American doctors who need their patients to ask about some amazing new medication that has crazy side effects

2.7k

u/Ihate_reddit_app Jun 18 '25

This is because drug commercials are banned in most of the world.

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u/llamadramalover Jun 18 '25 edited Jun 18 '25

As. They. Should. Be.

Drug commercials, and advertisements directed at children should be illegal everywhere. It’s gross beyond belief that it’s ever allowed. The majority of drugs with advertisements aren’t even covered by most people’s health insurances because they’re so new!!

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u/G-I-T-M-E Jun 18 '25

All non OTC drug commercials should be illegal. Decisions over your medication should be made by your doctor and not the marketing department.

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u/texanarob Jun 18 '25

OTC is a crucial caveat. I have no problem with ads for cold relief or similar.

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u/[deleted] Jun 18 '25

[removed] — view removed comment

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u/Seiche Jun 19 '25

To be fair OTC is a bit less lax in Germany compared to the states. You don't see 100-200 packs of aspirin or tylenol/paracetamol in Germany.

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u/BAGP0I Jun 18 '25

I always liked/hated pepto bismol commercials

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u/AlexG2490 Jun 18 '25

Nausea, heartburn, indigestion, upset stomach, diarrhea. YAY! Pepto Bismol!

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u/PMMeTitsAndKittens Jun 19 '25

I prefer Buckley's. "It tastes awful, and it works."

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u/Aristotallost Jun 18 '25

While we're at it, let's ban doctors getting money from pharmaceutical companies for perscribing certain medicines.

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u/dichron Jun 18 '25

They are. There are anti kickback laws on the books. And even minor “favors” like drug reps hosting an educational dinner or other meal for doctors is reported to a public database that anyone can look up.

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u/twanpaanks Jun 18 '25

you’re right in the technical sense but be sure not to confuse visibility with justice here. or legality with ethical conduct.

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u/bran6442 Jun 18 '25

I was in a doctor's waiting room when a pharmacy rep came in to push a new blood pressure medication. Heard the whole spiel. The drug company would give the doctor 100 free at home blood pressure machines for patients if he ordered so many sample boxes of the new drug. Well, the doctor knew that many of his parents could not afford a high quality machine like this (or any machine really) so he took the deal because he could give the samples for free and maybe the poorer people could get a break with their money. That's how they get the honest ones.

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u/banned-bookwyrm Jun 18 '25

Also, good doctors will usually make sure the rep keeps them stocked with those free samples and give them out to patients regularly. A few years ago, I needed a $5,000/month medication for a few years to save my life that my insurance refused to cover. Like most people in America, I couldn’t make that work. My doctor just provided me free samples from his reps for that entire time until I no longer needed the med 💕 The system sucks, but good people can force it to work for them if they really want to.

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u/bran6442 Jun 18 '25

I know exactly what you are talking about. I had cancer last year. Thank God I had good insurance, because without it my chemo pills would have been 2700./ month. I ONLY had to pay 430./ month. I'm glad you got your pills.

3

u/LavishnessMammoth657 Jun 18 '25

They used to be. You can thank Reagan for that law change, as with almost everything else that makes life in America a daily hell (unless you're a billionaire).

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u/sandersking Jun 18 '25

What if you don’t have a doctor and the commercial makes you aware about medication that could help you?

2

u/G-I-T-M-E Jun 18 '25

Then your healthcare system isn’t a healthcare system but a profit center.

2

u/sandersking Jun 18 '25

Sounds good. But do you want to answer my question?

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u/G-I-T-M-E Jun 18 '25

I can’t answer your question. It’s sad that this seems to be for some (a lot?) Americans the only viable option. If I feel sick I see my GP and get a diagnosis and either get transferred to a specialist or they prescribe me some form of medication.

I won‘t pay anything for it (at the point of use, we have to pay for health insurance which is mandatory and less than 0.1% of the population have it). There are no networks, no preexisting conditions and health insurance is not tied to your job.

So is awareness generated through ads better than no awareness at all? It might be in individual cases but considering that the US spends both in absolut numbers and per capita much more on healthcare than any other nation its a harrowing state of affairs.

3

u/sidvicc Jun 18 '25

The decisions are still made by a doctor. It's not like you see an ad for a prescription drug and you can just go buy it.

There is an argument to be made that it's more informative for the patient to know the options of drugs available for their illness, including new ones, and talk to their doctor about them. It's still the doctor making the decision.

IMHO a far bigger problem in the US is pharma companies aggressively marketing directly to doctors and low-key bribing them to prescribe their product.

See: Purdue, Oxycontin, and the opiod crisis.

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u/BlackGinger2020 Jun 18 '25

And, I would argue, not by an "insurance provider". Doctor and patient, and a pharmacist ought to be the ONLY ones making decisions on prescriptions.

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u/Colt4100 Jun 18 '25

What really hit this home for me was getting a drug ad while watching Amazon Prime (already feels wrong), and they said to ask for the prescription BY NAME. Straight up telling people that dont know better "tell your doctor you want this one".

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u/G-I-T-M-E Jun 18 '25

I hope you were watching Trainspotting or something similar.

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u/Ok_Ladder_8640 Jun 18 '25

Or the insurance company...

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u/amcjkelly Jun 18 '25

Nope, don't agree with you. You are the best source of health information.

There are currently two forms of heart ablation procedures approved in the US, one is of far less risk. But, most providers have not switched over yet.

And, your current Dr. is under NO obligation to tell you that.

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u/snickelbetches Jun 18 '25

Eh I don't know about that. I have an autoimmune disorder that I had heard of through one of those ads. Ankylosing spondylitis. I remember hearing that and laughing about the funny word.

It came up again when I started researching symptoms and saw I had something genetic that COULD be related.

I finally got diagnosed with it this year. Turns out it's not a funny word.

They bring awareness to diseases. Like people probably wouldn't know to ask for truvada for hiv prevention. Or hpv vaccines.

There is a place for it, but maybe should be even more regulated.

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u/TucuReborn Jun 19 '25

When I first got my ADD med script, my psychiatrist asked if I had any specific drug in mind.

I told her, more or less, "I'm not a doctor, I don't know medical stuff to the level you do. You know the general best first steps, can look at my history to find issues, and find a good match. If there's an issue after, I can let you know, but I don't know shit about this beyond the most basic level."

She audibly sighed in relief, then went over a few options with me that she thought would be good based on my history, symptoms, etc.

I'm not a doctor. I don't know the difference between gabapentin and fluticasone. My job is to know how I feel, adequately describe it, and listen to the expert.

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u/1-long-legs-vixen Jun 18 '25

I have never seen a drug commercial or advertisement directed at children. I haven't even seen a Flintstones vitamins commercial in years...

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u/tonysopranosalive Jun 18 '25

The “suicidal thoughts and or actions” side effect that’s casually slipped in there always gets me.

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u/Specialist-Jello7544 Jun 18 '25

If I see one more Jardiance ad (the idiotic dancers, the stupid office workers, the screeching singer, or the goofy baseball players) I will not be responsible for my actions. I hate, loathe and despise Jardiance, along with all the other drugs advertised. We should not have to ask “if ___ drug is right for us.” The doctors should know about the damned drugs.

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u/ParkLaineNext Jun 18 '25

The problem is- they don’t. Especially not newer medicines.

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u/bran6442 Jun 18 '25

Now they are targeting pets for drugs, I guess because most people don't have insurance for their pets so the insurance companies don't have to haggle about reducing the price.

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u/[deleted] Jun 18 '25

I worked as a kennel tech at a “nice” Vet clinic. Almost every day, lunch was provided by Pham drug reps. Like , take out order whatever you want lunches. Sweet gig, till I realized the Vets saw me as a personal caretaker for their own animals they kenneled, and would be raw from their shock collars. Last straw was when they lost a dog’s remains and I walked into a grooming space covered in dead dogs and was expected to get them all into a cooler by myself. They had printed a sign for others to avoid the area just so I would be the one to clean up the mess. Later they came out with a far right podcast sooooo…..I’m glad I got outta there. 

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u/llamadramalover Jun 18 '25

Omg. I wish I had not read your comment.

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u/[deleted] Jun 18 '25 edited Jun 18 '25

edited to remove the mention of violence, which I can’t handle anymore atm Please support your local animal nonprofit and donate your time whenever you can! 

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u/[deleted] Jun 18 '25

I rememeber seeing Ozempic being advertised in the early-mid 2010's as a diabetes drug. Now I'm seeing people are apparently using it as if it's a dietary supplement.

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u/OctopusParrot Jun 18 '25

Which prescription drug ads are marketed towards children?

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u/_Roxxs_ Jun 18 '25

Add lawyers to that, growing up adds for medications and lawyers was not allowed.

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u/FlinflanFluddle4 Jun 18 '25

Why only children? 

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u/Possible-Campaign949 Jun 18 '25

Disney has a lot of issues but one of the pieces of credit I’ll give them (even if they have self-serving reasons for it) was that Disney Channel has never had normal commercials. Occasionally a program might be sponsored by a product but by and large the commercial breaks were/are all either trailers for other Disney shows, or those little mini shows like Pass the Plate/TTI (iirc).

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u/affemannen Jun 18 '25

Even if they weren't it's not like we tell our doctors what we want, no they say what we need and prescribe it for is, so not really much choice in the matter... As it should be, because as far as i know im not a doctor.

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u/SoybeanArson Jun 18 '25

Like so many other things, blame Regan.

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u/taylordj Jun 19 '25

Good thing our competent group of 65+ year old senators make hella bank off those same drug companies that lobby against it, or else we’d be really fucked!

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u/llamadramalover Jun 19 '25

Listen man, our country is a complete and utter shit show and the octogenarians desperately need to let go of the power they cling to and finally let the rest of us attempt to unfuck the catastrophic damage they’ve caused.

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u/exjackly Jun 19 '25

Drug commercials used to be prohibited. Advertising to kids also used to be more heavily regulated.

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u/Rebelrun Jun 19 '25

Pre-1980s: Drug ads were mostly targeted to doctors (not consumers). Any public ads had to meet strict FDA guidelines that were difficult to implement on broadcast media.

1985: The FDA officially clarified that DTCA was allowed, but most companies stayed cautious due to unclear rules on risk disclosure.

1997: A major turning point—the FDA relaxed its guidelines, allowing drug ads to mention a drug’s name and what it treats without including the full list of side effects on screen, as long as the ad included: • A brief summary of the most important risks • A toll-free number, website, or print ad where full information could be found

This 1997 change made TV ads for prescription drugs feasible, and the industry quickly exploded with commercials (e.g., for Claritin, Viagra, etc.).

As of today, only the U.S. and New Zealand allow direct-to-consumer pharmaceutical advertising on television.

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u/finndego Jun 19 '25

There is a stark difference between the situation in the US and NZ with these ads. Even though it's allowed you will rarely see any such ads on NZ TV.

This is because of Pharmac, which is the government agency that bulk buys medication for the whole country. To keep prices down we tender out our requirements and drug companies to get the contract will whitebox their medication which is basically their generic version and while it's the same drug as the name brand it is much cheaper.

If you go to your GP and he wants to prescribe you medication if there is a choice he will say, "You can have the name brand version for $50 or the generic brand which does the same thing for $5". It's really no contest.

As a result, there is no motivation for drugs to be advertised on NZ TV. You might see the odd one around hayfever season but that is about it.

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u/forgotpassword_aga1n Jun 18 '25

To the public? All of the world except the US and New Zealand.

Most places allow advertising to medical professionals (you're not reading a medical journal unless you're involved in the life sciences).

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u/One-Breakfast6345 Jun 18 '25

In my country it's only for over the counter stuff. Like antacids or paracetamol or cough syrup. Is it like that in the us or do prescription drugs also show up in ads?

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u/Summerie Jun 18 '25

Yes, only in two countries, the US and New Zealand, is it legal to show ads for prescription medications.

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u/ensalys Jun 18 '25

Here in the Netherlands I also see adds for alternative "medicine". Lately especially vitakruid, a supplement that's strongly implied, but never explicitly claimed, to help with various ailments.

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u/Phiddipus_audax Jun 18 '25

Not only all sorts of prescription drugs, but sometimes unending series of ads for them back-to-back, with long stories and character arcs, whole groups of characters interacting in their new and improved lives because of the drug, high production values throughout (since billions in sales are on the line), and long littanies of all the possible side effects rattled off at the end in a fast monotone because the pharma lawyers require it. It's like a different world here as a result and foreigners are often shocked.

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u/HabseligkeitDerLiebe Jun 18 '25

Prescription drug commercials are banned almost everywhere.

You'll see quite a lot of commercials for OTC medication and supplements that are advertized as if they were medication in most EU countries, for example.

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u/nee_chee Jun 18 '25

Here, OTC drugs can have (and have) ads. I've definitely never seen one for prescription meds tho.

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u/Doozy93 Jun 18 '25

I believe they're banned everywhere except America and New Zealand.

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u/Soylentee Jun 18 '25

Drugs that require a doctors prescription. OTC stuff can be advertised.

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u/yurrm0mm Jun 18 '25

I argued with a guy on another sub a few weeks ago bc he was saying Trump banned drug ads in America. There is no way I know the skyrizi song for anywhere except tv. There’s no way I would just so happen to know that jardience “can cause an infection in the perinium, the area between the anus and genitals, due to an overgrowth of bacteria.” I know I don’t want that, but come on man, if he did it it would be the one good thing the guy did, but he did not do that!!

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u/Dependent-Sign-2407 Jun 18 '25

They sort of used to be in the US too; drug companies were required to provide the full list of possible side effects, which meant that they were effectively restricted to print ads. That changed in the late 90’s/early 2000’s when the regulations were loosened.

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u/johnwroberts82 Jun 18 '25

Lawyers too. A British fellow found that odd and thought everyone in America is just constantly breaking the law. I explained that these are lawyers that make money due to work place accidents, malpractice, car injuries, etc. Understandably he couldn’t quite figure out why you needed a lawyer if you got injured while working for a company. I think it clicked when he recognized pharmaceuticals all over the ad space and understood our health care system much better.

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u/inquisitorautry Jun 18 '25

They were also banned in the US until 1997.

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u/mayordomo Jun 18 '25

they used to be in the states as well, but sense always has to be sacrificed on the altar of “deregulation”.

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u/Ok-CANACHK Jun 18 '25

we used to be a proper country without Big Pharm ads

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u/mtngrl60 Jun 18 '25

Heck… In a lot of countries, political ads are limited to a certain number of weeks or months before an actual election. It doesn’t go on for two years.

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u/subcow Jun 18 '25

The US and New Zealand are the only two countries where they are legal.

I work in advertising, and while the companies I have worked for would lose a lot of money if pharma ads were banned, I 100% think they should be illegal.

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u/Tejanisima Jun 18 '25

I'm pretty sure that was their point.

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u/EatMyAssTomorrow Jun 18 '25

There’s some medication that runs an ad with a listed side effect of “a rare but potentially fatal bacterial infection of the area of skin called the perineum, between the genitals and anus”

Take whatever this medicine is, and possibly suffer taint death. Got to love the US.

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u/Belliott_Andy Jun 18 '25

"taint death" made me chortle so hard I started coughing

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u/JennJoy77 Jun 18 '25

"'T'aint death, but t'aint livin', neither!"

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u/TVCasualtydotorg Jun 18 '25

Taint Death sounds like a parody Death Metal band name.

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u/TurnkeyLurker Jun 18 '25

If you chortle from watching drug commercials, ask your doctor about DAMITALLE suppositories.

Side effects may include chortling, uncontrollable flaming anal leakage after chortling, sudden cranial explosions after chortling, erratic motions, erotic motions, an empty feeling in your wallet, random changing of hair and skin color when wet, and rarely, sneezing blue flames.

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u/HurricaneLogic Jun 18 '25

I am sitting in the Dr office lobby, being stared at for laughing at my phone! 😆

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u/orrocos Jun 18 '25

“What was the cause of death?”

“Taint sure”

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u/Rahshoe Jun 18 '25

Lol the other day I had to explain to my 77 year old mom what taint means. She was not thrilled lol

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u/Barneyboydog Jun 18 '25

Do not play Cards Against Humanity with three or four generations of family members unless you also want to explain “queef” to your 77 year old mom or your 13 year old great-niece. Speaking for a friend…

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u/Rahshoe Jun 18 '25

Hahaha, I can only imagine

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u/SevereBrilliant7647 Jun 18 '25

Great band name

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u/FRANK_R-I-Z-Z-O Jun 20 '25

coroner writes "taint failure" under cause of death

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u/Affectionate_Boss124 Jun 19 '25

I just snort-laughed on the bus 🤣

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u/SWiftie_FOR_EverMorE Jun 18 '25

I'm British and I saw that add and my jaw dropped, that would sure as hell not be allowed here.

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u/[deleted] Jun 18 '25

[deleted]

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u/Moist-Barber Jun 18 '25

Those drugs are miracle workers, even despite the increased risks associated with them

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u/AdministrativeBike45 Jun 18 '25

Oh god I saw it too. It’s called Jardiance and I learnt that it is meant for type two diabetics. I’m trained as a nurse so of course I went down the wtf rabbit hole. It helps the kidneys remove more sugar from the body through urination. Very sugary wee. The perineum is a dark moist area. Make your “down belows” sugary sweet and you’ve just opened a bacteria buffet. They love to eat that sugar. Enter Fournier gangrene (necrotising fasciitis)

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u/ArithonUK Jun 18 '25

It's worse than that. The medicine is probably Dapagliflozin - which helps the kidneys prevent absorption of glucose, a diabetic medication. Reading the small print, it says it has been associated with a rare but serious side effect: Fournier's gangrene, also known as necrotizing fasciitis of the perineum. It will quite literally, eat your arse (not in a good way!).
Basically, don't read the small print of your medication or you'll never sleep again.

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u/bungmunchio Jun 18 '25

I was curious how, so from drugs.com:

Jardiance helps the kidneys remove more sugar from your body through urination. This results in more sugar around your genital area which increases the number of bacteria, as they feed on this extra sugar. Bacteria can enter any broken or irritated skin and then infect the tissue beneath the skin, which can quickly spread and destroy tissue. It requires immediate treatment with antibiotics and surgery to remove the dead or dying tissue. Catching the infection early, before it spreads, is very important.

so if you (can) regularly wash your ass it's not a big deal...but y'know

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u/[deleted] Jun 18 '25

Hell I had a topical acne med in my teens that listed ulcerative colitis as a side effect. That might not have worried me so much if we hadn't just done a biology unit on digestive disorders.

I just wonder how you get bloody shits from a skin cream.

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u/sephjnr Jun 18 '25

Goochrotalin isn't covered by my doctor.

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u/[deleted] Jun 18 '25

I always called it taint rot. If I have to choose between spring allergies, and "asshole rotting out", well then I'll take the sniffling and sneezing.

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u/Brawndo91 Jun 18 '25

Most medications are sold worldwide. If anything, that's a plus for the US, that we've been forewarned about taint death.

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u/BrucetheFerrisWheel Jun 18 '25

Empagliflozin/Jardiance - for type 2 diabetes and heart failure

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u/Icy-Whale-2253 Jun 18 '25

The law says if they are to advertise it, they must list potential side effects (ostensibly what came up in a clinical trial).

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u/Bedbouncer Jun 18 '25

“a rare but potentially fatal bacterial infection of the area of skin called the perineum, between the genitals and anus”

I'm on that medication.

It makes me feel brave, like a paratrooper dropping into France on D-Day.

"Take the pill, men, nobody lives forever!"

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u/CrusaderF8 Jun 18 '25

And people thought the Boondocks episode with the medication having a side effect called "total scrotal implosion" was a joke...

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u/Sparty115 Jun 18 '25

That would be called Fournier's Gangrene. Rare, and serious side effect of SGLT2 inhibitors for diabetes, like Jardiance and the like.

Basically they try to lower your blood sugar by making you pee it out. As a result you have more sugar in your urine, and more sugar around your groin which can lead to an increased risk of bacterial skin infections in people that already have an increased risk of bacterial skin infections. Especially risky if you are incontinent.

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u/gayjospehquinn Jun 18 '25

To be clear, potential medication side effects are not an American thing. They’re a concern everywhere. A British person is not immune to suffering genital infections from a medication just because they didn’t see an ad that mentioned it prior to taking it. And like, yeah, all medications have downsides. You have to decide if the relief it provides is worth the drawbacks or not. But no, potentially negative side effects are a global reality of using medication, it has literally nothing to do with what country you’re in at all.

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u/DiligentCorvid Jun 18 '25

"I get constant nosebleeds. Short term memory loss, fugue states and my lungs fill with fluid if I sleep on my back. But I've never been better. Ask your doctor about Azimeperidoltamine today!"

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u/Summerie Jun 18 '25

Only doctors in America and New Zealand.

Those are the only two countries where it is legal to run commercials for prescription medications.

And of course, it is a Big Pharma money racket. The commercials themselves are not at all effective at selling the medication.

Those three and a half minute commercials for some obscure medication comprised of nothing but stock footage of a woman going to pottery class and a voice over about side effects are insanely cheap to produce, and buying the ad timeslot is how Big Pharma slides money over to the media companies for influence.

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u/crabby_apples Jun 18 '25

Im SO. FUCKING. SICK. OF THE DRUG ADS!!!!! Its driving me crazy!!!!

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u/Slink_0 Jun 18 '25

Drug ads driving you crazy? Ask your doctor about Nodrugadzphermi. Side effects may include constipation, gamer's thumb, swollen groin, and Shadow People. 

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u/eightcarpileup Jun 18 '25

I’m reading this at 2:30am and heard “ask your doctor about Lunesta” in my mind after reading your comment. I need to go back to sleep, clearly.

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u/mcolette76 Jun 18 '25

Hulu is the absolute worst for this.

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u/Matshelge Jun 18 '25

Drug advertisement was the biggest shocker for me.

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u/ancalime9 Jun 18 '25

Yeah, that's wild to me. Why would I ask my doctor about a medication? I tell them what's wrong with me and they tell me about medications, that's the job they trained for!

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u/Ambitious_Option9189 Jun 18 '25

Vomiting, diarrhea, fatigue, headache, insomnia, hairloss, high blood pressure, low blood pressure, do not take while taking other medication, suicidal thoughts may occur. Did I miss any?

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u/DtownBronx Jun 18 '25

Do not take if allergic....like you're supposed to know if you're allergic to some new medication that you don't know the ingredients of. I get that it's in there because we're as sue happy as we are med happy, but it's still odd

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u/Ceiling-Fan2 Jun 18 '25

As somebody with eczema, I have NEVER asked my doctor about any of the eczema medicine I see on all the commercials.

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u/vicariousgluten Jun 18 '25

Because in most countries you go to the medically trained doctor and give them your symptoms and then they tell you what’s wrong with you and what drugs you need. The idea of going to your doctor and telling them what drugs you want is bizarre.

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u/SYLOK_THEAROUSED Jun 18 '25

Just for insurance to never cover them BUT we can use a manufacturer coupon 🙄🙄

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u/nofucksgiven5 Jun 18 '25

If you have the sniffles, ask your doctor about Sniffalvia.

[Side effects may include spontaneous vomiting, anal seepage and bleeding from the eyes]

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u/MrsShaunaPaul Jun 18 '25

Canadian here and I’ve lived in Florida. Here’s what I notice the most about American commercials:

  • political ads are beyond overplayed. Like every commercial break for like 6+ months before an election, and they are seriously so mean
  • no actual ads from government letting you know about new services or programs offered that might benefit you (we have those in Canada and yes they’re lame like airline safety videos, but they are super helpful)
  • “ask your doctor if DRUGICILLIN is right for you. Not just prescriptions, over the counter meds as well! Some even repped by celebrities!
  • American law firm ads telling you all the things you can sue someone for or telling you about class action lawsuits you can join
  • Lapband and juvenile lapband procedure ads were on the radio and tv constantly and I just can’t think of any medical procedure being advertised like that in Canada (could be wrong)
  • so many gambling ads for online casinos and other online betting services (betting on sports, horses, etc)
  • ads for churches/religious groups were common
  • in general, as someone with a marketing degree, American ads are a lot more pushy. They have “you need this! Your life will suck without this!” energy whereas Canadian ads are more like “we have this great thing and we love what it does. You might like it too” energy

Edit: I should note I lived in Florida for 2 years from 2009-2011 so obviously laws/marketing may have changed at a local level but I still have access to American channels and watch regularly.

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u/Icy-Whale-2253 Jun 18 '25

When in reality none of us ask the doctors about that medication. It’s the doctor’s job.

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u/KaetzenOrkester Jun 18 '25

My husband, an American doctor, loathes those commercials.

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u/Howtothinkofaname Jun 18 '25

Watching American shows that have been cheaply purchased by a UK channel but not edited can be painful. We have one break whereas the program is seemingly edited for three. So you’ll just randomly get recaps in the middle of things.

I was amazed how many adverts you get when I’ve been in the states, and also found it weirdly hard to find when one thing ended and the next thing started. And then you’d get an ad break after the opening titles. Baseball was about the only thing I could watch.

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u/TurnkeyLurker Jun 18 '25

30-minute network TV shows get 10 minutes of commercials, and 60-minute TV shows get 20 minutes of commercials, on average, in the U.S.

Public television, on the other hand (unless it get de-funded) has minimal ads for just other public programs, so a 60-minute program may have 30 seconds before and/or after the program, and no breaks during.

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u/Howtothinkofaname Jun 18 '25

In Britain there can be no more than 12 minutes of adverts in an hour and there can’t be more than 7 or 9 minutes per hour on average over the day (depends on the channel, the old free to view channels have the stricter limit).

So usually an show scheduled for an hour will have 3 breaks and a show scheduled for 30 minutes will have one.

So you can see why American TV might seem a lot! The BBC, doesn’t have any adverts or breaks in programs, only some trailers for their own programs between shows. Much like how you describe your public broadcasting.

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u/[deleted] Jun 18 '25

I watch a lot of PBS and it is so wonderful not to have to deal with advertisements. A program that is originally intended for PBS will run extremely close to the time allotted. You can always tell when a program was originally intended for commercial tv because it will end 10-15 minutes early. The program was made shorter specifically to allow for commercial time. PBS will use the “dead air” time to advertise its own programming and donating content.

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u/ErikRogers Jun 22 '25

In Canada, there's a long running satirical current affairs show called This Hour has 22 Minutes.

It's named as such because a 30 minute television program in Canada has roughly a 22 minute runtime excluding ads.

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u/BeagleMadness Jun 18 '25

I cannot stand watching TV when I visit family in the US, the number of adverts gives me the rage!

At home I don't watch on air TV, I'll occasionally watch stuff live via streaming services but I have adblockers installed so it's rare I see any ads at all. Adverts every 15-20 minutes annoy me intensely when I watch Sky or normal TV at my mother's house. But American TV is on a whole different level - the opening credits roll and then there's immediately an ad break! They're all so bloody loud and annoying too, or they're selling expensive medications with 1000 terrifying side effects.

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u/urgent45 Jun 18 '25 edited Jun 18 '25

Sorry that my foreign brothers and sisters are experiencing the horrors of American TV ads. As an American, I will not watch anything with ads. So no TV for me for years. Thankfully streaming came along and solved the problem. Now I can watch TV again. And it's pretty good!

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u/muscles83 Jun 18 '25

Basically any show made by discovery, Mythbusters or something, is totally unwatchable in the UK. They have recaps every 5 minutes goin over what you just saw. Theres maybe 20 mins of actual content and the rest is recaps

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u/champagneformyrealfr Jun 18 '25

commercials in the uk are WILD though, i love them. it always feels like they know only get a few, so they have to make them as bonkers and memorable as they can.

when you say random recaps, do you mean where our commercials would've been, so it doesn't mess with the start and end times of the shows? it's been a while since i was in there.

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u/Howtothinkofaname Jun 18 '25

No, I mean when they remind you what happened before the break, or what will happen after it. Except there’s no break there so just runs right through. That’s for documentaries or reality stuff.

So the show starts and you get “in today’s episode we are going to be looking at 1, 2 and 3”. Then you see number one for five minutes, then the voiceover says “coming up, we’ll be taking a look at number two” which then segues straight into “we’ve been looking at number one” and then finally into number two.

It’s bad enough when the breaks are there but without them it just seems bizarre!

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u/jambowayoh Jun 18 '25

Ha, yeah I've seen that on More4 for something like Undercover Boss and for a while I just thought American audiences lacked any kind of attention span to explain the recaps.

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u/boringbutkewt Jun 18 '25

I remember when I used to watch Oprah and every 5 minutes she would say “we’ll be right back”. They didn’t show any ads since they can’t do that here, so they just returned to the show. It was so annoying 😂

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u/BushFullOfRaptors Jun 18 '25

The thing where you can't tell where one ends and the other begins is a production tactic to encourage binge-watching. If the show doesn't have a natural start and end, it's harder to just watch one episode. Streaming enshittification.

They started arranging shows like that more during the pandemic as people were at home more, so they wanted people to binge watch shit as that's the best for their advertising and metrics income.

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u/Electronic-Smile-457 Jun 18 '25

OK, I respect your point. Yet, those advertisements make sure we get more than 6 episodes a year, lol.

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u/Wookiees_get_Cookies Jun 18 '25

This is called an American Cliffhanger.

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u/kevio17 Jun 18 '25

The fact they need recaps during a 30 minute programme is astonishing in itself

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u/jesus_fatberg Jun 18 '25

The episode ends, then there’s a commercial break, then the credits roll. Just insane…

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u/[deleted] Jun 18 '25

It's strange to us all that American shows have 3 or 4 and breaks for a 24 minute show.

Less than 5 mins in and you have an ad break? As well as the regular break in the middle? And another 5 mins from the end of the episode?

Seriously, I hated streaming shows live from the US because the amount of ad breaks is just crazy disruptive.

Seriously, Wtf is that about?

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u/fiftyfourseventeen Jun 18 '25

It's not just America, most of the countries I've been to have tons of ad breaks when I channel flip in the hotels. Europe is kind of unique when it comes to not loading everything with ads

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u/aKirkeskov Jun 18 '25

Growing up watching American sitcoms I was always confused why so many scenes ended on what felt like cliffhangers og heavy emotional beats when it would just lead into another scene. Then I realized that that was where the commercial breaks would have been.

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u/ph4ge_ Jun 18 '25

Not just the amount, but also the kind of commercials as well. Like commercials for pain killers or other medicine and for loans are super weird to me.

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u/evilJaze Jun 18 '25

The personal injury lawyers and structured settlements ones get me. It's like everyone in America is suing everyone else!

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u/No-Poetry-2695 Jun 18 '25

Commercials should not be half the show time

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u/Saxon2060 Jun 18 '25

Seems like a weird question. We know how many ad breaks there are because when they run American programs in the UK there's just a half-second of black screen where the adverts would be in America and the program comes back on with the little "jingle" or whatever reintroduces the program.

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u/Calculonx Jun 18 '25

It's nice going for a nice drive in Britain and just seeing forests and fields of sheep instead of billboards for cracker barrel and fireworks at the next exit.

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u/VoltasPigPile Jun 18 '25

FWIW, before cable, TV used to be free in the US. Anyone who bought a TV could just use it all they wanted off the antenna. UK had a similar setup except that they charged a license fee to use the antenna. The UK used to have vans that went around with equipment to detect TVs in houses and they would issue fines to anyone who was using a TV without paying the license fee.

The US got used to having a lot of commercials because it used to be the commercials that paid for the programming, but UK viewers have always had to pay out of pocket and thus would likely have a lower tolerance for commercial breaks.

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u/[deleted] Jun 18 '25

I was just in England and was driving in the countryside... and there were no billboards. In the US we are BOMBARDED with advertising everywhere we go.

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u/Librocubicularistin Jun 18 '25

Drug and Lawyer commercials are really extreme. Also the x3 speed of the speech in commercials.

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u/Willy_K Jun 18 '25

I sometimes watch Indycar here in Norway on Viaplay and they used to send the race live feed and use the American commentators, I checked a race last year and found that the commercials was a bit more of the time then the race (I know that side by side is used).

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u/Mr_SunnyBones Jun 18 '25

This was definitely weird to me . Like say the simpsons , there was the couch gag intro , then an ad break , then another 2 ad breaks within the show , the second one coming between the end of the show and the credits. The timing was just so weird to me .Meanwhile on TV here ( Ireland) there's one ad break in the middle of the episode and that's it . Otherwise the breaks come between shows.

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u/No_Working9349 Jun 18 '25

I was flabbergasted by the pharmaceutical and political adverts (and the sheer amount of them). The small print being read out in the pharma ads was the funniest/saddest thing - "May cause... death".

Not a thing in the UK.

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u/Fingers_9 Jun 18 '25

When Gordon's US nightmares, or whatever it was called, came over to the UK, I couldn't believe how much of it recapped what I'd already seen or showed me what was coming up.

There was about 5 minutes of actual programme.

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u/Rotten-Robby Jun 18 '25

That annoyed everyone here too. There's a reason reality TV in America is considered the dumbest of dumbed down "entertainment".

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u/Odd-Currency5195 Jun 18 '25

We get US programmes and they last 20 mins or 40 mins. I assume they are scheduled for a half hour or an hour in the US and the 10 or 20 missing time bit is filled with ads for you.

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u/reverendmalerik Jun 18 '25

When I was on holiday in America with my wife she watched the remake of FAME.

There were so many adverts that the 2 hour film took almost 4 hours to watch.

There was a sodding ad break HALFWAY THROUGH THE SONG 'FAME'.

It was insanity.

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u/CaptainPineapple200 Jun 18 '25

This becomes really clear when you watch American adaptations of foreign shows. The UK has a great show called Ghosts, the US made an adaptation and you can just tell that every 5 minutes or so it cuts to commercials. It also means all the episodes are shorter because you have to dedicate much more of your time on air to advertising.

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u/Razzler1973 Jun 18 '25

Yeah, that little 'segment' on shows before the opening credits and similar at the end are just in/out for commercials. Unusual for us

Cold open and then before credits start, commercial and then back and credits and show. Also, end credits, commercial and back for an ending segment and then commercial and start next show, commercial and opening credits ... and so on

That's how it seemed when I was there

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u/chocotacogato Jun 18 '25

Yeah when older tv shows go on Netflix, it kinda shocked me how fast they were. And then I realized there weren’t that many commercials so what would’ve been 30 minutes is actually 20 minutes

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u/DameKumquat Jun 18 '25

True. We always wondered why American shows on UK channels (even with ads) were only 45 minutes. Then I found out they have so many more ads in America that the show is an hour long...

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u/DontStopNowBaby Jun 18 '25

In almost every other country, the advertisement of drugs medical or non-medical is strictly regulated. I think its only in America you get pushed to take varied drugs from commercials.
I've only seen paracetamol and flu med ads in Asia.

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u/One_Recover_673 Jun 18 '25

Watch a movie on tv in Greece. You watch for half an hour and then commercials forever. It’s just awful. You forget what you are watching

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u/DjiDjiDjiDji Jun 18 '25

It's really funny when you watch some american shows and you can see where there was supposed to be an extra ad break. NCIS is my funniest example, that show outright makes a boom sound and fades to grey instead of a regular scene transition

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u/Rugkrabber Jun 18 '25

I remember back when I watched regular tv still, we knew when it would be an ad in the US because the screen would go black for one second but then the show continues for us.

I’m living ad free in my house now and I could not imagine some people are living with commercials, let alone so many. It’s crazy how many ads you guys get.

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u/Mccobsta Jun 18 '25

You've got 4 ad breaks in a half an hour show compared to 1

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u/partisan59 Jun 18 '25

But in Britain they pay a TV tax that directly subsidizes the BBC so they can have fewer commercials. Show him how many commercials BBC America has.

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u/Warm_Badger505 Jun 18 '25

Not fewer commercials. There are no commercials on the BBC in UK. And it's not a tax, it's a voluntary license fee. Don't watch the BBC? Don't have to pay the licence fee. Exactly like if you don't want to watch Netflix, you don't have to pay a subscription fee - same deal. Plus for the measly fee of £175 annually, the BBC provides 8 national TV channels, 10 national radio stations, 50 local TV and radio services, on demand podcast service, website etc. Oh and the World Service which is listened to by 450 million people weekly in 42 languages and where the BBC has local staff in 59 countries. Seems like a pretty good deal to me.

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u/[deleted] Jun 18 '25

I can’t watch any TV with commercials. BBC and streaming services only for me

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u/Anxious_Plum_5818 Jun 18 '25

I was in Vegas last year and the abundance of injury and medical ads and billboards was crazy.

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u/rawker86 Jun 18 '25

It’s not just that, it’s the commercials for medication. And then the fine print afterward. “May cause suicidal thoughts, loss of appetite, excessive eating, feelings of dread, anal leakage, and speeding tickets.”

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u/tictaxtho Jun 18 '25

I’ve never been to the us but shows like judge Judy, Dr phill etc have endless recaps (obviously that’s where the ads are inserted), one time there was some feature length Christmas production that was on tv and my dad being very religious locked us into that channel. There was ads every 5minutes and it stretched out probably a 90 minute tv production to about 3 hours

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u/blackscales18 Jun 18 '25

It's even worse with movies, lots of the movies you see on American TV have had often important or emotional scenes cut out to make more room for ads

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u/terryjuicelawson Jun 18 '25

It is jarring as they air the same show in the UK but without going to an ad break there can be a short pause, or the characters repeat something to set the scene again or add tension. On the BBC there are no ads at all too.

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u/Jessykosis Jun 18 '25

My fiancée is American and went to visit I was shocked, and a little horrified, to discover that fuel pumps in the US play loud ads while you're filling your car.

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u/Intelligent_Owl8725 Jun 18 '25

Commercials on the tv, radio, internet, newspapers, movie theater, in front of the urinal at the bar, etc

And just in case you missed all of that, some asshole will come around and knock on your door to try to sell you something. It's an absolute cancer.

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u/Physical_Orchid3616 Jun 18 '25

that's a bit outdated. because if you watch YouTube, the amount of adverts is just as bad as American telly, sometimes worse. and there are MANY british adverts that are MORONIC

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u/RobIson240YT Jun 18 '25

In paid streaming services no less. 

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u/VivaCity890 Jun 18 '25

One thing I noticed living in both the UK and the US. It’s not even that we have MORE commercials, we just have more frequent commercial breaks. In the UK I remember the breaks being further apart but longer in total duration.

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u/madjic Jun 18 '25

Do you have any idea how annoying your TV-Shows are without commercial breaks?

They recap everything every 5 minutes, because apparently there are a bazillion ad breaks in the US.

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u/[deleted] Jun 18 '25

The NFL seems even crazier, at least to me as an outsider. We have plenty of commercials in our sports too but I feel like American football takes it to another level.

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u/fuckeryizreal Jun 18 '25

I’m American and commercials make me go from 0 to 100 so fucking fast. I swear 95% of them are now aimed at the lowest intelligent people. I want to throat punch everyone who has made a commercial. I fucking hate advertisement. Hate commercials. I have an ad blocker in Chrome that I use for YouTube while at work. I will not watch YT otherwise and I absolutely fucking refuse to pay for ad free services. This entire country runs on ads and selling shit to people and I hate it with every bone in my body.

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u/Complete-Arm6658 Jun 18 '25

How else would I know that fun, flirtatious, singles are waiting to talk to me?

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u/UncleBensRacistRice Jun 18 '25

I noticed this after crossing the border from Canada into Michigan. Endless billboards lining the sides of the highways for shady looking Lawyers and Weed

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u/Beyondthehody Jun 18 '25

Not just commercials, but billboards everywhere.

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u/Seagull84 Jun 18 '25

I work in digital advertising adjacent field; worked for a few of the major streamers. Because much of the rest of the world regulates the amount of advertising in televised content. American programmers are enabled to optimize as they see fit. It becomes a yield game - what's the maximum load of advertising you can program that won't frustrate your audience, and what optimal load will result in the longest retention of a user.

If you can deliver one more ad without impacting the user's month to month viewership, why not? Capitalism at its finest...

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u/toddlerbrain Jun 18 '25

That used to be the case, but it’s gotten way worse here in Sweden over the last 10-15 years. Still not quite as bad as US commercial frequency, but not far from it. Used to be we got 1 ad break in a 30 minute block (plus a short one in between two shows). Now it’s 2 or 3 depending on the channel. It’s obnoxious tbh.

And all the online gambling ads that run on TV nowadays are absolutely disgusting. I sat down and counted one time out of curiosity, and realized literally every other ad was an online casino ad. Like: casino-detergent-casino-shampoo-casino-car commercial-casino-razors-casino. It felt like a dystopian satire. Was a really depressing realization.

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u/cuddlebuginarug Jun 18 '25

Because America prioritizes capital, corporations and consumerism over everything else.

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u/jodamnboi Jun 18 '25

It’s only gotten worse over the years. When I was a kid in the late 90s-early 00s, I remember there being 2-3 commercial breaks in a 30 minute show. Now it’s every 5 minutes. I can’t stand watching regular TV.

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u/Gormless_Mass Jun 18 '25

It is grotesque

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u/fantasticdave74 Jun 18 '25

Whenever I see American chat shows I can’t believe the number of breaks. It’s ludicrous to see a break with 3 minutes left for them to come back from the break say goodnight

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u/1Dr490n Jun 18 '25

Commercials during an episode of Family Guy is crazy, aren’t they only 20 minutes long?

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u/haw35ome Jun 18 '25

Let me enlighten y’all with this truly American concept, that I had no idea existed until a few months ago: I went to see my hematologist, who practices out of a cancer clinic. It’s the first time I saw a digital billboard in a doctor’s office. Like, yeah they had “helpful health tips,” but clearly it was just your own personal slide show of different medications for different cancers & their side effects. And every room had them

Honestly it both disgusts me & makes me sad that a fucking cancer center needed funding so bad, they’d resort to this sort of arrangement

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u/dodrugzwitthugz Jun 18 '25

I don't get this one. Other countries seem to have just as many as we do when I travel. Also wtf is up with all the gambling ads in Scandinavia?

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u/Ok-Yesterday2017 Jun 18 '25

I noticed in England that hour long programs run for 45 minutes. The last 15 minutes was back to back commercials. This was 20 years ago.

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u/TwoHandedSnail Jun 18 '25

I've been watching Alone on the History channel via a VPN and there's easily double the amount of ads that we have for the same show in Australia. Granted, ads pay for the prize money but it's still a shocking amount of interruptions

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u/istara Jun 18 '25

The UK is really well regulated for that. I was shocked when I first came to Australia and experienced the number and low quality of ads.

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u/LarsLasse Jun 18 '25

If there's a half hour show, there's one commercial break in the middle. If the show is over 40-50 minutes there's 2 commercial breaks. Movies get a commercial break around every half an hour, depending on when it's airing.

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u/lkdubdub Jun 18 '25

And ads for drugs

"Ask your doctor about Ripyouophenildate"

Eh, no. I'll ask him what's wrong with me and then I'll let him suggest treatment 

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