Brigham Buhler

Like, it's terrifying. So I love using the example of metformin because it's a very simplistic number that I can show you. If you come into a pharmacy and you tell me you have UnitedHealthcare, I have a gag clause as a pharmacy owner. It is illegal for me to tell you that I could sell you your Metformin for cheaper than what the insurance is charging you. But you paid for that insurance coverage.

Like, it's terrifying. So I love using the example of metformin because it's a very simplistic number that I can show you. If you come into a pharmacy and you tell me you have UnitedHealthcare, I have a gag clause as a pharmacy owner. It is illegal for me to tell you that I could sell you your Metformin for cheaper than what the insurance is charging you. But you paid for that insurance coverage.

Why can't I disclose to you that I can give you the product for cash cheaper than your copay? So you come in, I swipe your card. Met Forman cost me, I'm going to use ballpark numbers, roughly $2 for a month's supply. I would have sold you the Met Forman for $4. I'm not allowed to tell you that. I swipe your card. It tells me to charge you $10. That's your copay. So I charge you a $10 copay.

Why can't I disclose to you that I can give you the product for cash cheaper than your copay? So you come in, I swipe your card. Met Forman cost me, I'm going to use ballpark numbers, roughly $2 for a month's supply. I would have sold you the Met Forman for $4. I'm not allowed to tell you that. I swipe your card. It tells me to charge you $10. That's your copay. So I charge you a $10 copay.

Why can't I disclose to you that I can give you the product for cash cheaper than your copay? So you come in, I swipe your card. Met Forman cost me, I'm going to use ballpark numbers, roughly $2 for a month's supply. I would have sold you the Met Forman for $4. I'm not allowed to tell you that. I swipe your card. It tells me to charge you $10. That's your copay. So I charge you a $10 copay.

Me, the pharmacy, I don't get to keep that money. Who takes that money? The pharmacy benefit manager.

Me, the pharmacy, I don't get to keep that money. Who takes that money? The pharmacy benefit manager.

Me, the pharmacy, I don't get to keep that money. Who takes that money? The pharmacy benefit manager.

they pull that money out to their holding company and they get the additional seven dollars they short pay me i don't even get what i would have made if i sold it to you for cash they're an unnecessary middleman and when they say they're negotiating down for the behalf of the people that's just not true so i'm going to methodically walk you through what i like to tell people is the margins are made in the mystery when people say why is it so confusing why can't healthcare be more transparent how do i not know what i'm going to pay

they pull that money out to their holding company and they get the additional seven dollars they short pay me i don't even get what i would have made if i sold it to you for cash they're an unnecessary middleman and when they say they're negotiating down for the behalf of the people that's just not true so i'm going to methodically walk you through what i like to tell people is the margins are made in the mystery when people say why is it so confusing why can't healthcare be more transparent how do i not know what i'm going to pay

they pull that money out to their holding company and they get the additional seven dollars they short pay me i don't even get what i would have made if i sold it to you for cash they're an unnecessary middleman and when they say they're negotiating down for the behalf of the people that's just not true so i'm going to methodically walk you through what i like to tell people is the margins are made in the mystery when people say why is it so confusing why can't healthcare be more transparent how do i not know what i'm going to pay

All of that bullshit is because of these insurance companies. It's because of United, Cigna, Aetna, Blue Cross Blue Shield. It is a system built to monopolize and profiteer off of your sickness. There's more money in you being sick than in you being well. And so most of the insurance company's profits come from you being on prescription drugs.

All of that bullshit is because of these insurance companies. It's because of United, Cigna, Aetna, Blue Cross Blue Shield. It is a system built to monopolize and profiteer off of your sickness. There's more money in you being sick than in you being well. And so most of the insurance company's profits come from you being on prescription drugs.

All of that bullshit is because of these insurance companies. It's because of United, Cigna, Aetna, Blue Cross Blue Shield. It is a system built to monopolize and profiteer off of your sickness. There's more money in you being sick than in you being well. And so most of the insurance company's profits come from you being on prescription drugs.

So they obstruct your ability to get surgery because that's a loss leader. They don't want you getting surgical procedures. They don't get a kickback on that. They want you on medicine. There was an article two days ago. They're finally talking about how much the big insurance companies were involved in the opioid crisis. Let's look at that. If you look at a product like an opioid,

So they obstruct your ability to get surgery because that's a loss leader. They don't want you getting surgical procedures. They don't get a kickback on that. They want you on medicine. There was an article two days ago. They're finally talking about how much the big insurance companies were involved in the opioid crisis. Let's look at that. If you look at a product like an opioid,

So they obstruct your ability to get surgery because that's a loss leader. They don't want you getting surgical procedures. They don't get a kickback on that. They want you on medicine. There was an article two days ago. They're finally talking about how much the big insurance companies were involved in the opioid crisis. Let's look at that. If you look at a product like an opioid,

As a compounding pharmacy like mine, we had non-abusive, non-addictive pain creams. We could have prevented the opioid crisis by not prescribing an opioid in the first place.

As a compounding pharmacy like mine, we had non-abusive, non-addictive pain creams. We could have prevented the opioid crisis by not prescribing an opioid in the first place.

As a compounding pharmacy like mine, we had non-abusive, non-addictive pain creams. We could have prevented the opioid crisis by not prescribing an opioid in the first place.