Brigham Buhler

Terrible way to deliver the message, right? Nobody's condoning that. But it's also equally terrible and tragic to delay, deny, and depose people's ability to get the care they so desperately need. When people pay their hard-earned paycheck every month, and all they expect is to have you there when you need it, and then you don't allow them to access care. And I can explain why.

And I broke this down before. These insurance companies, right? They've made four times the revenue of the big pharmaceutical companies. Ask yourself how? How? They don't have a product. Their product is to be there in a time of need and provide you with care. And insurances were started right in Texas, at Baylor in Houston, Texas, where I was a device rep for literally 15 years.

And I broke this down before. These insurance companies, right? They've made four times the revenue of the big pharmaceutical companies. Ask yourself how? How? They don't have a product. Their product is to be there in a time of need and provide you with care. And insurances were started right in Texas, at Baylor in Houston, Texas, where I was a device rep for literally 15 years.

And I broke this down before. These insurance companies, right? They've made four times the revenue of the big pharmaceutical companies. Ask yourself how? How? They don't have a product. Their product is to be there in a time of need and provide you with care. And insurances were started right in Texas, at Baylor in Houston, Texas, where I was a device rep for literally 15 years.

And Baylor College of Medicine realized we need to be able to help people finance essentially preventative care and protect their bodies. Let's build in a monthly fee and then we'll allow them accessibility to stay healthy. But that eventually became a profit center.

And Baylor College of Medicine realized we need to be able to help people finance essentially preventative care and protect their bodies. Let's build in a monthly fee and then we'll allow them accessibility to stay healthy. But that eventually became a profit center.

And Baylor College of Medicine realized we need to be able to help people finance essentially preventative care and protect their bodies. Let's build in a monthly fee and then we'll allow them accessibility to stay healthy. But that eventually became a profit center.

And as these big insurance companies came in and acquired all the middlemen and all the checks and balances, 60% of the revenue of UnitedHealthcare last year, which was $361 billion with a B, 60% of it came from prescription drugs via an entity called a pharmacy benefit manager. Here's why this is a problem. You have now incentivized the insurance companies to put you on drugs.

And as these big insurance companies came in and acquired all the middlemen and all the checks and balances, 60% of the revenue of UnitedHealthcare last year, which was $361 billion with a B, 60% of it came from prescription drugs via an entity called a pharmacy benefit manager. Here's why this is a problem. You have now incentivized the insurance companies to put you on drugs.

And as these big insurance companies came in and acquired all the middlemen and all the checks and balances, 60% of the revenue of UnitedHealthcare last year, which was $361 billion with a B, 60% of it came from prescription drugs via an entity called a pharmacy benefit manager. Here's why this is a problem. You have now incentivized the insurance companies to put you on drugs.

The average American's on four or more fucking prescription drugs. Why? We're not lazier than we've ever been. I don't buy that. Do we have some lazy people? Yeah, we do. But there's no way. What came first, the chicken or the egg? Did we get chronically ill and chronically obese and then became lazy? Or did we become lazy because we were chronically ill and chronically obese? I don't know.

The average American's on four or more fucking prescription drugs. Why? We're not lazier than we've ever been. I don't buy that. Do we have some lazy people? Yeah, we do. But there's no way. What came first, the chicken or the egg? Did we get chronically ill and chronically obese and then became lazy? Or did we become lazy because we were chronically ill and chronically obese? I don't know.

The average American's on four or more fucking prescription drugs. Why? We're not lazier than we've ever been. I don't buy that. Do we have some lazy people? Yeah, we do. But there's no way. What came first, the chicken or the egg? Did we get chronically ill and chronically obese and then became lazy? Or did we become lazy because we were chronically ill and chronically obese? I don't know.

But we do know we're chronically ill, chronically obese, and probably a little lazy. I thought there was supposed to be caps on insurance company profits. Is that not the case? I'm unaware of any caps. The way that this is structured is, so PBMs were established in the 80s, and the premise was this.

But we do know we're chronically ill, chronically obese, and probably a little lazy. I thought there was supposed to be caps on insurance company profits. Is that not the case? I'm unaware of any caps. The way that this is structured is, so PBMs were established in the 80s, and the premise was this.

But we do know we're chronically ill, chronically obese, and probably a little lazy. I thought there was supposed to be caps on insurance company profits. Is that not the case? I'm unaware of any caps. The way that this is structured is, so PBMs were established in the 80s, and the premise was this.

The federal government here in the United States, as capitalistic as we are, realized we had a problem. And they said, look, these pharmaceutical companies are out of control. Their profit margins are through the roof. We've got to make medications affordable for the average American consumer and patient.

The federal government here in the United States, as capitalistic as we are, realized we had a problem. And they said, look, these pharmaceutical companies are out of control. Their profit margins are through the roof. We've got to make medications affordable for the average American consumer and patient.

The federal government here in the United States, as capitalistic as we are, realized we had a problem. And they said, look, these pharmaceutical companies are out of control. Their profit margins are through the roof. We've got to make medications affordable for the average American consumer and patient.

We're going to establish these pharmacy benefit managers that will go out and negotiate on behalf of companies, corporations, and the little man. And they will fight for us to drive down the cost of health care. And so they did.