Healthcare didn’t get more expensive — it was made more expensive.
The government wouldn’t take on insurers, pharma, PBMs, or hospital profits…
So they made patients pay instead.
Costs will double or triple for many.
That’s not leadership. That’s shooting the patient.
#healthcare, #aca
The government wouldn’t take on insurers, pharma, PBMs, or hospital profits…
So they made patients pay instead.
Costs will double or triple for many.
That’s not leadership. That’s shooting the patient.
#healthcare, #aca
December 17, 2025 at 3:57 PM
Healthcare didn’t get more expensive — it was made more expensive.
The government wouldn’t take on insurers, pharma, PBMs, or hospital profits…
So they made patients pay instead.
Costs will double or triple for many.
That’s not leadership. That’s shooting the patient.
#healthcare, #aca
The government wouldn’t take on insurers, pharma, PBMs, or hospital profits…
So they made patients pay instead.
Costs will double or triple for many.
That’s not leadership. That’s shooting the patient.
#healthcare, #aca
7. Pharmacies: The Big Three PBMs are systematically killing independent pharmacies. NYC should drop its contract with Express Scripts and opt for a contract with a smaller PBM or administer benefits directly, as some states are doing.
December 17, 2025 at 1:23 PM
7. Pharmacies: The Big Three PBMs are systematically killing independent pharmacies. NYC should drop its contract with Express Scripts and opt for a contract with a smaller PBM or administer benefits directly, as some states are doing.
Easier, and no more wasted money on PBMs?
AWESOME.
AWESOME.
December 17, 2025 at 9:22 AM
Easier, and no more wasted money on PBMs?
AWESOME.
AWESOME.
Large #PBMs are driving up drug costs and forcing independent pharmacies to close. @schiff.senate.gov & @padilla.senate.gov, please co-sponsor the PBM Price Transparency and Accountability Act to protect #patients and improve affordability. www.finance.senate.gov/chairmans-ne...
Crapo, Wyden Introduce Bipartisan Pharmacy Benefit Manager Legislation | The United States Senate Committee on Finance
Crapo, Wyden Introduce Bipartisan Pharmacy Benefit Manager Legislation
www.finance.senate.gov
December 17, 2025 at 5:02 AM
Large #PBMs are driving up drug costs and forcing independent pharmacies to close. @schiff.senate.gov & @padilla.senate.gov, please co-sponsor the PBM Price Transparency and Accountability Act to protect #patients and improve affordability. www.finance.senate.gov/chairmans-ne...
WITHOUT the "Fitzpatrick Bill" attached, the remaining House GOP bill would include 5 provisions:
1. Codifying Association plans
2. Codifying ICHRA/CHOICE plans
3. Stripping Stop-Loss plans of state regulation
4. Nominal oversight of PBMs
5. Reinstating CSR reimbursement payments
1. Codifying Association plans
2. Codifying ICHRA/CHOICE plans
3. Stripping Stop-Loss plans of state regulation
4. Nominal oversight of PBMs
5. Reinstating CSR reimbursement payments
December 16, 2025 at 8:16 PM
WITHOUT the "Fitzpatrick Bill" attached, the remaining House GOP bill would include 5 provisions:
1. Codifying Association plans
2. Codifying ICHRA/CHOICE plans
3. Stripping Stop-Loss plans of state regulation
4. Nominal oversight of PBMs
5. Reinstating CSR reimbursement payments
1. Codifying Association plans
2. Codifying ICHRA/CHOICE plans
3. Stripping Stop-Loss plans of state regulation
4. Nominal oversight of PBMs
5. Reinstating CSR reimbursement payments
GOP hasn’t tried to do anything serious with healthcare for decades and if they did, could come up with nothing. Universal healthcare is cheaper in the long run than middlemen like PBMs and the healthcare insurers and pharmaceutical companies. Exert extreme pressure on your senators and reps for UHC
December 16, 2025 at 7:30 PM
GOP hasn’t tried to do anything serious with healthcare for decades and if they did, could come up with nothing. Universal healthcare is cheaper in the long run than middlemen like PBMs and the healthcare insurers and pharmaceutical companies. Exert extreme pressure on your senators and reps for UHC
The cost of life-saving prescription meds are way too high. One of the culprits? PBMs.
I’m proud to reintroduce the Pharmacists Fight Back Act – a bipartisan bill to rein in these predatory drug middlemen and lower prices for Americans.
I’m proud to reintroduce the Pharmacists Fight Back Act – a bipartisan bill to rein in these predatory drug middlemen and lower prices for Americans.
December 16, 2025 at 7:19 PM
The cost of life-saving prescription meds are way too high. One of the culprits? PBMs.
I’m proud to reintroduce the Pharmacists Fight Back Act – a bipartisan bill to rein in these predatory drug middlemen and lower prices for Americans.
I’m proud to reintroduce the Pharmacists Fight Back Act – a bipartisan bill to rein in these predatory drug middlemen and lower prices for Americans.
Not sure what kind of Frankenstein solution the usual suspects will come up with, but 'insurance' isn't a healthcare system. Cut out the 'vulture' capitalists buying up practices, PBMs, insurance CEOs, insurance brokers, incomprehensible pricing structures in a for profit system. 2/2
December 15, 2025 at 11:49 PM
Not sure what kind of Frankenstein solution the usual suspects will come up with, but 'insurance' isn't a healthcare system. Cut out the 'vulture' capitalists buying up practices, PBMs, insurance CEOs, insurance brokers, incomprehensible pricing structures in a for profit system. 2/2
the U.S. Congress, on why the healthcare “debate” is a distraction from the real controllers. Dr. Shiva exposes the hidden gatekeepers running the medical & drug supply chains, GPOs and PBMs, how they align with major insurers to destroy price transparency, block cheaper care, and turn
(Continued)
(Continued)
December 15, 2025 at 8:02 PM
the U.S. Congress, on why the healthcare “debate” is a distraction from the real controllers. Dr. Shiva exposes the hidden gatekeepers running the medical & drug supply chains, GPOs and PBMs, how they align with major insurers to destroy price transparency, block cheaper care, and turn
(Continued)
(Continued)
Cigna and CVS can start by shuttering their PBMs and encouraging all other PBMs to do the same.
December 15, 2025 at 2:10 AM
Cigna and CVS can start by shuttering their PBMs and encouraging all other PBMs to do the same.
What a joke
1). Creates a new layer of complex bureaucracy between patient and provider
2) makes PBMs so reports but does nothing to address drug costs.
Looks like the Pharma cracks to the gop cleared
rules.house.gov/sites/evo-su...
1). Creates a new layer of complex bureaucracy between patient and provider
2) makes PBMs so reports but does nothing to address drug costs.
Looks like the Pharma cracks to the gop cleared
rules.house.gov/sites/evo-su...
rules.house.gov
December 14, 2025 at 7:14 AM
What a joke
1). Creates a new layer of complex bureaucracy between patient and provider
2) makes PBMs so reports but does nothing to address drug costs.
Looks like the Pharma cracks to the gop cleared
rules.house.gov/sites/evo-su...
1). Creates a new layer of complex bureaucracy between patient and provider
2) makes PBMs so reports but does nothing to address drug costs.
Looks like the Pharma cracks to the gop cleared
rules.house.gov/sites/evo-su...
There's been a growing *bipartisan* call for PBMs to be reigned in over the past few years; apparently they're a *major* reason why a lot of drug prices have spiked like crazy.
This provision of the House GOP bill *may* be a genuinely good thing, but I don't know enough about it to say either way.
This provision of the House GOP bill *may* be a genuinely good thing, but I don't know enough about it to say either way.
December 13, 2025 at 4:44 PM
There's been a growing *bipartisan* call for PBMs to be reigned in over the past few years; apparently they're a *major* reason why a lot of drug prices have spiked like crazy.
This provision of the House GOP bill *may* be a genuinely good thing, but I don't know enough about it to say either way.
This provision of the House GOP bill *may* be a genuinely good thing, but I don't know enough about it to say either way.
PBM Reform: This comprises the bulk of the bill & gets REALLY complex. I don't actually understand PBMs very well but basically they're the middlemen between drug companies, insurance companies & pharmacies.
They've grown out of control & 3 of them now control 80% of all U.S. prescriptions.
They've grown out of control & 3 of them now control 80% of all U.S. prescriptions.
December 13, 2025 at 4:42 PM
PBM Reform: This comprises the bulk of the bill & gets REALLY complex. I don't actually understand PBMs very well but basically they're the middlemen between drug companies, insurance companies & pharmacies.
They've grown out of control & 3 of them now control 80% of all U.S. prescriptions.
They've grown out of control & 3 of them now control 80% of all U.S. prescriptions.
Nothing new worth considering here, but I did read they want to rein in the waste from PBMs (like Optum, who I can't stand) and I'd love to see those middlemen pounded into the ground.
December 13, 2025 at 12:58 PM
Nothing new worth considering here, but I did read they want to rein in the waste from PBMs (like Optum, who I can't stand) and I'd love to see those middlemen pounded into the ground.
There are also restrictions for PBMs, among other things.
Another petition from Rep. Josh Gottheimer, D-N.J., has 39 signatures and is broadly bipartisan.
apnews.com/article/repu...
Another petition from Rep. Josh Gottheimer, D-N.J., has 39 signatures and is broadly bipartisan.
apnews.com/article/repu...
Speaker Johnson unveils health care plan as divided Republicans scramble for alternative
The Senate failed to get anywhere on health care this week. Now it’s the House’s turn. Speaker Mike Johnson late Friday released a package of proposal to address growing health care costs.
apnews.com
December 13, 2025 at 12:15 PM
There are also restrictions for PBMs, among other things.
Another petition from Rep. Josh Gottheimer, D-N.J., has 39 signatures and is broadly bipartisan.
apnews.com/article/repu...
Another petition from Rep. Josh Gottheimer, D-N.J., has 39 signatures and is broadly bipartisan.
apnews.com/article/repu...
The Republicans’ proposal would also require more data from pharmacy benefit managers, or PBMs, as a way to help control drug costs. Critics say PBMs have padded their bottom line and made it more difficult for independent pharmacists to survive.
apnews.com/article/repu...
apnews.com/article/repu...
Speaker Johnson unveils health care plan as divided Republicans scramble for alternative
The Senate failed to get anywhere on health care this week. Now it’s the House’s turn. Speaker Mike Johnson late Friday released a package of proposal to address growing health care costs.
apnews.com
December 13, 2025 at 12:05 PM
The Republicans’ proposal would also require more data from pharmacy benefit managers, or PBMs, as a way to help control drug costs. Critics say PBMs have padded their bottom line and made it more difficult for independent pharmacists to survive.
apnews.com/article/repu...
apnews.com/article/repu...
1. Pays bills,
❌ health outcomes → redesign: prevent + chronic + measure outcomes
2. Keeps broken $ system → full price transparency, standard cash prices, reference pricing
3. Middlemen still capture rents (PBMs, insurers, GPOs) → eliminate PBMs, direct manufacturer→ pharmacy $ (Cost Plus model)
❌ health outcomes → redesign: prevent + chronic + measure outcomes
2. Keeps broken $ system → full price transparency, standard cash prices, reference pricing
3. Middlemen still capture rents (PBMs, insurers, GPOs) → eliminate PBMs, direct manufacturer→ pharmacy $ (Cost Plus model)
December 13, 2025 at 11:35 AM
1. Pays bills,
❌ health outcomes → redesign: prevent + chronic + measure outcomes
2. Keeps broken $ system → full price transparency, standard cash prices, reference pricing
3. Middlemen still capture rents (PBMs, insurers, GPOs) → eliminate PBMs, direct manufacturer→ pharmacy $ (Cost Plus model)
❌ health outcomes → redesign: prevent + chronic + measure outcomes
2. Keeps broken $ system → full price transparency, standard cash prices, reference pricing
3. Middlemen still capture rents (PBMs, insurers, GPOs) → eliminate PBMs, direct manufacturer→ pharmacy $ (Cost Plus model)
To be fair, reigning in Pharmacy Benefit Managers (PBMs) is a good idea. The rest of the GOP proposal, however, is a replay of Trump's prescription for families facing a spiraling cost of living due to his failed policies: just make do with less. In this case, less health care and insurance.
House Republicans propose healthcare plan with no extension of tax credits
With insurance premiums set to rise sharply for at least 22 million Americans, Mike Johnson unveils alternative
www.theguardian.com
December 13, 2025 at 3:16 AM
To be fair, reigning in Pharmacy Benefit Managers (PBMs) is a good idea. The rest of the GOP proposal, however, is a replay of Trump's prescription for families facing a spiraling cost of living due to his failed policies: just make do with less. In this case, less health care and insurance.
GOP proposal will:
1. allow employers to band together to purchase coverage;
2. fund cost-sharing reduction program to lower premiums for certain ACA enrollees.
3. transparency requirements on PBMs in a bid to lower drug costs.
Note: Trump has not offered a plan of his own.
🗞️ tinyurl.com/2a6mgj9h
1. allow employers to band together to purchase coverage;
2. fund cost-sharing reduction program to lower premiums for certain ACA enrollees.
3. transparency requirements on PBMs in a bid to lower drug costs.
Note: Trump has not offered a plan of his own.
🗞️ tinyurl.com/2a6mgj9h
House GOP unveils narrow health care package with key deadline looming | CNN Politics
House Republicans unveiled a narrow health care package on Friday that does not extend soon-to-expire enhanced Affordable Care Act subsidies — the latest sign that Congress is unlikely to avert skyroc...
www.cnn.com
December 13, 2025 at 12:07 AM
GOP proposal will:
1. allow employers to band together to purchase coverage;
2. fund cost-sharing reduction program to lower premiums for certain ACA enrollees.
3. transparency requirements on PBMs in a bid to lower drug costs.
Note: Trump has not offered a plan of his own.
🗞️ tinyurl.com/2a6mgj9h
1. allow employers to band together to purchase coverage;
2. fund cost-sharing reduction program to lower premiums for certain ACA enrollees.
3. transparency requirements on PBMs in a bid to lower drug costs.
Note: Trump has not offered a plan of his own.
🗞️ tinyurl.com/2a6mgj9h
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reforming PBMs should be a no-brainer.
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www.sandiegouniontribune.com
December 12, 2025 at 3:19 PM
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reforming PBMs should be a no-brainer.
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www.ocregister.com
December 12, 2025 at 2:57 PM
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reforming PBMs should be a no-brainer.
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www.dailynews.com
December 12, 2025 at 2:43 PM
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reforming PBMs should be a no-brainer.
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www.sbsun.com
December 12, 2025 at 2:34 PM
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reformi...
#Commentary #Opinion
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December 12, 2025 at 3:27 PM
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reformi...
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