Danny Jones

It's bad.

It's bad and it's dark.

And so what people don't realize is a lot of the primary cares in America used to be private practice, right?

So when I was a drug rep 25 years ago, most of these doctors were mom and pop doctors that were independent.

That shifted.

In the nineties, the two thousands and to today, whereas I think it's over 90% of primary cares are now employees of major institutions.

Yeah.

So here's a real world example.

United Healthcare, juggernaut company, owns the PBM Optum.

Optum negotiates rebates with pharmaceutical companies.

Those rebates are held at Optum.

UnitedHealthcare also is now one of the largest employers of primary cares in North America.

They've gone out and acquired practices.

I think it's like 26 or 27% of the primary cares in America are employees indirectly of UnitedHealthcare.

So United is setting the policies, the protocols, the procedures, the reimbursement rates, when, where, and how things get covered.

And then you look at it and go, okay, so the average American's on four or more prescription drugs.

We shouldn't be shocked by that.

And the most simple analogy I use for people is this.

You have to start thinking about your health insurance like you would car insurance.

It's there if you total the car.