Add in that deductibles have increased 91% over this same time period and you can understand why working Americans have experienced wage stagnation. About half of lifetime earnings go towards healthcare: taxes, premiums, and deductions. Employers hold the largest leverage to

Medical debt is a huge problem in the US. But this is a symptom of a much larger issue. Actions by the administration may seem benevolent but the root causes remain unaddressed. Moral Hazard: When consequence is removed, risky behavior moves in. whitehouse.gov/briefing-room/…

Pharmacy Benefit Managers make a lot of money. Most of it comes from their own subsidiaries: mail order pharmacies, specialty pharmacies, and purchasing orgs. There’s very little that’s transparent in this space. Even from the so-called Transparent PBMs. There’s significant

Wild that this was real.

“Our society, at the present time, seems to have sympathy only for the misfit, the ne’er-do-well, the maladjusted, the criminal, the loser. It is time to stand up for the doer, the achiever, the one who sets out to do something and does it. The one who recognizes the problems and

The end of compounding semaglutide. Will there be outlaws? Absolutely. simparahr.com/blog/2025/2/21…

Best father/son book is The Road by Cormac McCarthy. There are so many devastating paragraphs like this one: “It’s okay, the man said. All the trees in the world are going to fall sooner or later. But not on us.”

My belief that health care has stolen the American dream. Half of our lifetime earnings are being siphoned off to the health insurance/healthcare industrial complex. We can fix this. And give the younger working generation upward mobility.

GLP1 compounders are reeling (check out HIMS stock price this week) - now Lilly announces cash prices for Zepbound starting @ $349. The teledoc market for GLP1s is all but dead.

Viewing managing a corporate health plan through the lens of procurement and supply chain management. Your insurance costs are a function of what you pay for healthcare and medications. Here’s an example of how 4 drugs can be procured smarter to impact 1/3 of total drug

“Tarrifs are not going to tip the US into recession. The numbers do not indicate that a recession is a reasonable expectation. Trade is simply not that large a percentage of US GDP comparatively, and the US economy is the largest on the planet. The US trade deficit in goods

Holy shit Covid.gov

Fuck rebates, this is what we need

Man….I’d hate to be one of those international Rx vendors charging 25-30% of savings to US employers to import meds from AUS.

Captured well. What is the fundamental difference buying UHC as a ground plan versus an individual plan? UHC makes more of its money from claims and sick people than it does your premiums.

People ask me why I am a solo practitioner in pain management. The reason is because I get patients better without spinal cord stimulators or other expensive procedures. I have one of the lowest referral rates for surgery in the country. My patients get better and don't need to

“The one thing that the national debt-ceiling has never done is to put a ceiling on the rising national debt.” -Dr. Thomas Sowell