Brigham Buhler

So rather than negotiating down the cost of prescription drug care, they negotiated up the cost. But why? Why would you negotiate up the cost? Because by negotiating up, they get rebates. We would call them kickbacks in any other business. And so essentially, I'll use a real world example. GLP-1s are hot right now.

So rather than negotiating down the cost of prescription drug care, they negotiated up the cost. But why? Why would you negotiate up the cost? Because by negotiating up, they get rebates. We would call them kickbacks in any other business. And so essentially, I'll use a real world example. GLP-1s are hot right now.

So rather than negotiating down the cost of prescription drug care, they negotiated up the cost. But why? Why would you negotiate up the cost? Because by negotiating up, they get rebates. We would call them kickbacks in any other business. And so essentially, I'll use a real world example. GLP-1s are hot right now.

Everyone's talking about the price of Ozempic and how it's so expensive, it's egregious. Roughly 30% of the cost of every prescription drug is because the 30% kickback is going to a PBM. So if Ozempic's $1,000 a month, $300 a month are going to the pharmacy benefit manager via a kickback. It's a pay-to-play system.

Everyone's talking about the price of Ozempic and how it's so expensive, it's egregious. Roughly 30% of the cost of every prescription drug is because the 30% kickback is going to a PBM. So if Ozempic's $1,000 a month, $300 a month are going to the pharmacy benefit manager via a kickback. It's a pay-to-play system.

Everyone's talking about the price of Ozempic and how it's so expensive, it's egregious. Roughly 30% of the cost of every prescription drug is because the 30% kickback is going to a PBM. So if Ozempic's $1,000 a month, $300 a month are going to the pharmacy benefit manager via a kickback. It's a pay-to-play system.

Drugmaker pays the pharmacy benefit manager the $300 per month in order to be placed on a preferred contract with the insurance company, which is the PBM. And it's so staggering. Let's talk about UnitedHealthcare since that's the CEO that was, you know, unfortunately assassinated. If we break down UnitedHealthcare, they generated $373 billion in revenue last year.

Drugmaker pays the pharmacy benefit manager the $300 per month in order to be placed on a preferred contract with the insurance company, which is the PBM. And it's so staggering. Let's talk about UnitedHealthcare since that's the CEO that was, you know, unfortunately assassinated. If we break down UnitedHealthcare, they generated $373 billion in revenue last year.

Drugmaker pays the pharmacy benefit manager the $300 per month in order to be placed on a preferred contract with the insurance company, which is the PBM. And it's so staggering. Let's talk about UnitedHealthcare since that's the CEO that was, you know, unfortunately assassinated. If we break down UnitedHealthcare, they generated $373 billion in revenue last year.

okay 60 of that revenue came from their pharmacy benefit manager a holding company that nobody knows about the general public are politicians they don't understand this and they don't get it and i'm trying to profit margins high in that business the profit margins are not as high as big pharma but there's a lot of levers that they're pulling to hide their profits right and you can make you know there's there's liars there's damn liars and then there's statistics

okay 60 of that revenue came from their pharmacy benefit manager a holding company that nobody knows about the general public are politicians they don't understand this and they don't get it and i'm trying to profit margins high in that business the profit margins are not as high as big pharma but there's a lot of levers that they're pulling to hide their profits right and you can make you know there's there's liars there's damn liars and then there's statistics

okay 60 of that revenue came from their pharmacy benefit manager a holding company that nobody knows about the general public are politicians they don't understand this and they don't get it and i'm trying to profit margins high in that business the profit margins are not as high as big pharma but there's a lot of levers that they're pulling to hide their profits right and you can make you know there's there's liars there's damn liars and then there's statistics

You know, these guys are using a lot of levers to hide their profitability. And so a lot of the profitability is held at the pharmacy benefit manager holding company. And so they can artificially dilute down their profitability on paper. But As an industry, the health insurance companies, and I said this on Rogan, they are the hidden juggernaut that nobody is seeing.

You know, these guys are using a lot of levers to hide their profitability. And so a lot of the profitability is held at the pharmacy benefit manager holding company. And so they can artificially dilute down their profitability on paper. But As an industry, the health insurance companies, and I said this on Rogan, they are the hidden juggernaut that nobody is seeing.

You know, these guys are using a lot of levers to hide their profitability. And so a lot of the profitability is held at the pharmacy benefit manager holding company. And so they can artificially dilute down their profitability on paper. But As an industry, the health insurance companies, and I said this on Rogan, they are the hidden juggernaut that nobody is seeing.

Everyone's saying Big Pharma, Big Pharma, Big Pharma. Big Pharma did, I think, 600... 600 million dollars and you look at these uh big insurance companies they did two and a half that in revenue 2.5 times that in revenue they did 1.5 trillion dollars north of one point they're projecting that they'll do 1.9 trillion dollars in revenue by 2029. so

Everyone's saying Big Pharma, Big Pharma, Big Pharma. Big Pharma did, I think, 600... 600 million dollars and you look at these uh big insurance companies they did two and a half that in revenue 2.5 times that in revenue they did 1.5 trillion dollars north of one point they're projecting that they'll do 1.9 trillion dollars in revenue by 2029. so

Everyone's saying Big Pharma, Big Pharma, Big Pharma. Big Pharma did, I think, 600... 600 million dollars and you look at these uh big insurance companies they did two and a half that in revenue 2.5 times that in revenue they did 1.5 trillion dollars north of one point they're projecting that they'll do 1.9 trillion dollars in revenue by 2029. so

Yeah. So the average American, because of our food and our diet and our lifestyle, 90% of chronic disease is driven by lifestyle. If we peel back and look at what's causing these chronic diseases and get to the root cause, it's not just diet, lifestyle, and nutrition. It's that the system is failing Americans. Again, there is no safety net anymore.

Yeah. So the average American, because of our food and our diet and our lifestyle, 90% of chronic disease is driven by lifestyle. If we peel back and look at what's causing these chronic diseases and get to the root cause, it's not just diet, lifestyle, and nutrition. It's that the system is failing Americans. Again, there is no safety net anymore.