Brigham Buhler

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.

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.

For a period of time, they went out and they negotiated with big pharma and they got big corporations and companies together to lobby and put together our buying power to drive down the cost of a prescription drug, making it affordable, you know, for grandma and grandpa. Those were captured in the late 80s by the insurance companies.

For a period of time, they went out and they negotiated with big pharma and they got big corporations and companies together to lobby and put together our buying power to drive down the cost of a prescription drug, making it affordable, you know, for grandma and grandpa. Those were captured in the late 80s by the insurance companies.

For a period of time, they went out and they negotiated with big pharma and they got big corporations and companies together to lobby and put together our buying power to drive down the cost of a prescription drug, making it affordable, you know, for grandma and grandpa. Those were captured in the late 80s by the insurance companies.

And so what you saw, and one prime example I use all the time is insulin. Why does Eli Lilly make the same exact profit margin on insulin almost 30 years later, but the price of insulin has forexed? Where's the money going? It's like, where's the money, Lebowski? Where's the money? And when you peel back the layers to the onion and you look, the money is going to the insurance companies.

And so what you saw, and one prime example I use all the time is insulin. Why does Eli Lilly make the same exact profit margin on insulin almost 30 years later, but the price of insulin has forexed? Where's the money going? It's like, where's the money, Lebowski? Where's the money? And when you peel back the layers to the onion and you look, the money is going to the insurance companies.

And so what you saw, and one prime example I use all the time is insulin. Why does Eli Lilly make the same exact profit margin on insulin almost 30 years later, but the price of insulin has forexed? Where's the money going? It's like, where's the money, Lebowski? Where's the money? And when you peel back the layers to the onion and you look, the money is going to the insurance companies.

And so it's a little tricky to explain. So I'll walk you through it as seamlessly as I can. Insurance companies say, hey, there's these middlemen. Let's go buy them. They bought the middlemen. At that point, they controlled the negotiations with the pharmaceutical companies. And rather than negotiating down the price of the drugs,

And so it's a little tricky to explain. So I'll walk you through it as seamlessly as I can. Insurance companies say, hey, there's these middlemen. Let's go buy them. They bought the middlemen. At that point, they controlled the negotiations with the pharmaceutical companies. And rather than negotiating down the price of the drugs,

And so it's a little tricky to explain. So I'll walk you through it as seamlessly as I can. Insurance companies say, hey, there's these middlemen. Let's go buy them. They bought the middlemen. At that point, they controlled the negotiations with the pharmaceutical companies. And rather than negotiating down the price of the drugs,

They said, aha, what if we negotiate up the price of the drugs via rebates and what we would call kickbacks in any other industry? So they negotiated rebates on almost every major pharmaceutical product. And if you want to be on UnitedHealthcare's plan, you got to pay to play. If you want to be on Medicare, Medicaid, that is all an illusion. Medicare and Medicaid are outsourced to who?

They said, aha, what if we negotiate up the price of the drugs via rebates and what we would call kickbacks in any other industry? So they negotiated rebates on almost every major pharmaceutical product. And if you want to be on UnitedHealthcare's plan, you got to pay to play. If you want to be on Medicare, Medicaid, that is all an illusion. Medicare and Medicaid are outsourced to who?

They said, aha, what if we negotiate up the price of the drugs via rebates and what we would call kickbacks in any other industry? So they negotiated rebates on almost every major pharmaceutical product. And if you want to be on UnitedHealthcare's plan, you got to pay to play. If you want to be on Medicare, Medicaid, that is all an illusion. Medicare and Medicaid are outsourced to who?

the big five insurance companies. And so throughout the chain of checks and balances and the system, they are now monetizing chronic disease. They're incentivized for you to be on more and more medications because it's a profit center for them. And so to explain how that works, people go, wait a second, why would an insurance company mark it up? Because they're the ones paying for it. Bullshit.

the big five insurance companies. And so throughout the chain of checks and balances and the system, they are now monetizing chronic disease. They're incentivized for you to be on more and more medications because it's a profit center for them. And so to explain how that works, people go, wait a second, why would an insurance company mark it up? Because they're the ones paying for it. Bullshit.

the big five insurance companies. And so throughout the chain of checks and balances and the system, they are now monetizing chronic disease. They're incentivized for you to be on more and more medications because it's a profit center for them. And so to explain how that works, people go, wait a second, why would an insurance company mark it up? Because they're the ones paying for it. Bullshit.

They don't pay for it. Insurance companies pass that bill on at the end of the year to your employer. And 92% of people's insurance are from their employer. So most people never realize. And then they also have what's called gap pricing. So the only reason I know all this, just to take people to walk through history on me, is I had the touch points. I was a drug rep and I went from that.

They don't pay for it. Insurance companies pass that bill on at the end of the year to your employer. And 92% of people's insurance are from their employer. So most people never realize. And then they also have what's called gap pricing. So the only reason I know all this, just to take people to walk through history on me, is I had the touch points. I was a drug rep and I went from that.

They don't pay for it. Insurance companies pass that bill on at the end of the year to your employer. And 92% of people's insurance are from their employer. So most people never realize. And then they also have what's called gap pricing. So the only reason I know all this, just to take people to walk through history on me, is I had the touch points. I was a drug rep and I went from that.