Brigham Buhler

People like my brother, who got addicted to opioids and lost his life because the system chewed him up and spit him out and let him down. How did he get addicted to opioids? He had an ACL surgery in high school, like so many kids, and the insurance companies are incentivized to prescribe opioids.

People like my brother, who got addicted to opioids and lost his life because the system chewed him up and spit him out and let him down. How did he get addicted to opioids? He had an ACL surgery in high school, like so many kids, and the insurance companies are incentivized to prescribe opioids.

That's the article that came out the other day, and that's what I'm trying to explain about the danger of these middlemen called the pharmacy benefit managers. They're not middlemen at all. They're profit centers for the big insurance companies. And so even on opioids, You could have been prescribed a non-addictive, non-abusive pain cream after your surgery.

That's the article that came out the other day, and that's what I'm trying to explain about the danger of these middlemen called the pharmacy benefit managers. They're not middlemen at all. They're profit centers for the big insurance companies. And so even on opioids, You could have been prescribed a non-addictive, non-abusive pain cream after your surgery.

That's the article that came out the other day, and that's what I'm trying to explain about the danger of these middlemen called the pharmacy benefit managers. They're not middlemen at all. They're profit centers for the big insurance companies. And so even on opioids, You could have been prescribed a non-addictive, non-abusive pain cream after your surgery.

It's a topical that uses non-abusive, non-addictive ketamine, but in a topical form. You can't consume it. You can't eat it. You don't get high. There's no physiological high from it, but it works. It's very efficacious. Why would the insurance companies not prescribe that over a highly addictive side effect riddled opioid?

It's a topical that uses non-abusive, non-addictive ketamine, but in a topical form. You can't consume it. You can't eat it. You don't get high. There's no physiological high from it, but it works. It's very efficacious. Why would the insurance companies not prescribe that over a highly addictive side effect riddled opioid?

It's a topical that uses non-abusive, non-addictive ketamine, but in a topical form. You can't consume it. You can't eat it. You don't get high. There's no physiological high from it, but it works. It's very efficacious. Why would the insurance companies not prescribe that over a highly addictive side effect riddled opioid?

The answer is the insurance companies were getting rebates on these opioids. If you look this up, you can do the research. They made hundreds and hundreds of millions of dollars right beside Purdue Pharma, but they floated through all of it unscathed.

The answer is the insurance companies were getting rebates on these opioids. If you look this up, you can do the research. They made hundreds and hundreds of millions of dollars right beside Purdue Pharma, but they floated through all of it unscathed.

The answer is the insurance companies were getting rebates on these opioids. If you look this up, you can do the research. They made hundreds and hundreds of millions of dollars right beside Purdue Pharma, but they floated through all of it unscathed.

So what happens is we'll go back to like a product. Well, here's another hot topic. Insulin will be a great example. Insulin's been out 40 years. Why is insulin six times more expensive than it was when it launched? The pharmaceutical companies are not making more than they did when they launched it. Eli Lilly's actually making less per vial than it ever made on insulin.

So what happens is we'll go back to like a product. Well, here's another hot topic. Insulin will be a great example. Insulin's been out 40 years. Why is insulin six times more expensive than it was when it launched? The pharmaceutical companies are not making more than they did when they launched it. Eli Lilly's actually making less per vial than it ever made on insulin.

So what happens is we'll go back to like a product. Well, here's another hot topic. Insulin will be a great example. Insulin's been out 40 years. Why is insulin six times more expensive than it was when it launched? The pharmaceutical companies are not making more than they did when they launched it. Eli Lilly's actually making less per vial than it ever made on insulin.

Where is all that extra money going? That money is going to the pharmacy benefit manager. So UnitedHealthcare owns Optum. Optum is a pharmacy benefit manager that negotiates rebates or kickbacks with the pharmaceutical companies. So when it came to opioids, they go to Purdue Pharma and they say, okay, Purdue, I'm just gonna use simple math for my small brain. If it's $100 a month, they say, Purdue,

Where is all that extra money going? That money is going to the pharmacy benefit manager. So UnitedHealthcare owns Optum. Optum is a pharmacy benefit manager that negotiates rebates or kickbacks with the pharmaceutical companies. So when it came to opioids, they go to Purdue Pharma and they say, okay, Purdue, I'm just gonna use simple math for my small brain. If it's $100 a month, they say, Purdue,

Where is all that extra money going? That money is going to the pharmacy benefit manager. So UnitedHealthcare owns Optum. Optum is a pharmacy benefit manager that negotiates rebates or kickbacks with the pharmaceutical companies. So when it came to opioids, they go to Purdue Pharma and they say, okay, Purdue, I'm just gonna use simple math for my small brain. If it's $100 a month, they say, Purdue,

If Purdue wants to charge $50, they'll say, charge $100 and give us a $50 rebate. And so then United will show you, the patient, that your opioid cost them $100 that month or whatever the prescription drug is. Prescription drug A cost them $100. They never paid the $100 because they got a $50 rebate. So they paid $50.

If Purdue wants to charge $50, they'll say, charge $100 and give us a $50 rebate. And so then United will show you, the patient, that your opioid cost them $100 that month or whatever the prescription drug is. Prescription drug A cost them $100. They never paid the $100 because they got a $50 rebate. So they paid $50.

If Purdue wants to charge $50, they'll say, charge $100 and give us a $50 rebate. And so then United will show you, the patient, that your opioid cost them $100 that month or whatever the prescription drug is. Prescription drug A cost them $100. They never paid the $100 because they got a $50 rebate. So they paid $50.