Pharmer

Hey @RepGregMurphy , while you are at it, why not meet with Biden to learn how to stop mass illegal migration. SMH

100% 🎯

100%🎯

"maybe"?

@KenPaxtonTX @TexasTDI This is business as usual for this PBM and while you are at it Centene same. Getting rich off taxpayer's hard earned money while not producing corresponding value.

@nostalgiafkninc I love the USA

Announcer: “We will not be playing the national anthem. Let’s play ball.” Americans: “Step aside, commie.”

@JohnEDeaton1 @realDonaldTrump Awesome!!!!

GREAT MOVE BY POTUS Soon, I’ll be releasing a housing plan. Part of my plan calls for no more hedge funds or financial institutions buying up single-family homes. This move by @realDonaldTrump is NECESSARY and should be applauded. LET’S TALK MA: In 2021, business entities purchased nearly 6,600 single-family homes in MA - about 9% of all single-family sales. This rate is double what it was in 2012.  Between 2004 and 2018, investor activity in Greater Boston grew from 16% to 23% of ALL residential sales. But by outbidding ordinary people - the price increases impact ALL sales. Furthermore, cash is king and institutional and large investors are 3X more likely than traditional buyers to pay in cash - which allows them to outbid families even when their offers are lower. THE RESULT: In 2012, a young couple in Springfield or Quincy was competing against other families. Today, they are competing against $5.6 billion in corporate cash. These aren't just landlords - these are financial entities that treat your neighborhood like a stock portfolio. When a hedge fund buys a starter home to flip it for an 85% profit - they aren't just making money - they’re stealing the American Dream from a MA family. I wholeheartedly support this move by President Trump.

@EricSpracklen @elonmusk These somalian bullies are disgusting

@elonmusk It’s widespread in Ohio too!

The fraud in California, New York and Illinois is far greater than in Minnesota. My guess for how much fraud is happening nationwide is roughly 10% of the Federal budget, so about $700 billion per year.

@angrydadwi I hear you and thank you for all you do!

Lately I’ve noticed something strange: when I speak up about patient safety, almost nobody sees it anymore. I’m going to keep telling the truth anyway — because families deserve better. If you can see this, please tap like or share so I know my voice is still reaching people.

@Jeff_Pharma @RepJamesComer @RepBuddyCarter @SpeakerJohnson @realDonaldTrump 100%

@RepJamesComer @RepBuddyCarter @SpeakerJohnson @realDonaldTrump

@DutchRojas Damn good point.

Imagine the world’s biggest market. Bigger than housing, bigger than energy. And somehow, it’s still unpriced. That’s healthcare.

@mass_marion @PPA_USA @Free2CareHC @RepMTG @RichforGA @mcuban @newtgingrich @marklevinshow @SenatorHassan @michaelcburgess @sdemarcoii Brilliant. Simple, factual and right to the point. 🎯

Remember when Cigna bought the big PBM Express Scripts and their revenues tripled the next quarter? I sure do! PBM are the cash cows for the big insurers! Moo 🐮 And the cost drivers!

@sterlingkoonce @MarkWarner Our politicians really don’t care about the numbers or deaths. He only cares about politics. It is a shame. I am glad RFK has a spine to fight back these imbeciles.

@MarkWarner Nobody can. The reporting was crap. Many died with covid but not from covid. BIG difference if you can think independently.

RFK Jr. has been in this job for months… and he can’t answer how many Americans died of COVID or if the vaccine saved any lives? It’s unbelievable and I’ll keep pushing for him to resign.

@JohnEDeaton1 I am grateful we have people like @mcuban and @JohnEDeaton1 bringing attention to the PBM middleman monopoly issue.

Mark is 💯 correct when it comes to how fucked up our system is related to drug pricing and the 3 PBMs that control it all. We MUST reform our healthcare system and IMO, the very first step is ELIMINATING PBMs! For those that don’t know, PBMs sit between drug manufacturers, insurers, pharmacies, and patients, and they’ve grown so powerful that they control which drugs are covered, how much people pay, and what pharmacies get reimbursed. 3 PBMs control 80-90% of all prescriptions in America. These 3 PBMs negotiate rebates from drugmakers, but the savings don’t reach patients. We engage in spread pricing - where they charge insurers/employers one price and reimburse pharmacies at a lower one - keeping the difference for themselves. It’s a Mafia-like business model. PBMs also decide which drugs are “preferred,” sometimes pushing patients to more expensive medications because the rebates are higher. I have watched Independent pharmacies in MA get squeezed so hard they’re forced to close. Often times these independent pharmacies operate in underserved communities like Dorchester or Roxbury. I interviewed an owner of an independent pharmacy and he was literally getting reimbursed under his costs. He’s trying to survive (it’s been a family business for 50 years) but what business can survive if you routinely get reimbursed less than your costs? The 3 PBMs are doing this intentionally and it’s driving closures. Some of these independent community pharmacies deliver life-saving drugs to their customers because their customers don’t drive and it’s physically too much for them to try and catch public transportation and they certainly can’t afford to take an Uber. Here’s how we get rid of PBMs: 1. Ban spread pricing and require PBMs to pass 100% of rebates and discounts to patients or insurers. 2. Require transparency. Force PBMs to disclose what they negotiate and where the money flows. We should be able to compare the price of drugs the same way we compare prices for microwaves, refrigerators, cars watches or any other consumer product. 3. End rebate schemes and move toward fixed-fee payments for PBM services instead of percentage-based rebates. 4. Ban gag clauses so pharmacists can tell patients when cash pay is cheaper than insurance. 5. Federal regulations enacted treating PBMs like utilities and thus, subject to price oversight. 6. Facilitate competition. The 3 PBMs control 80-90% of all prescriptions. If we eliminate their stranglehold it will allow more competition like direct-to-consumer pharmacy models like @costplusdrugs that sell medications at transparent markups (cost + 15%). Competition drives prices down. Nothing is more American than facilitating that!

Texans don’t run from a fight—they face it head on. These Texas Democrats that fled the state are not serving Texans. They are serving themselves. They forfeited their seats and are facing potential felony charges.

@HokiePharmacist Damn good point

It is funny to me that Las Vegas was far less expensive and economically healthy when the mob was in control as opposed to corporations.

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@LtGovTX I wish you would focus your energies on the PBM monopoly fraud. Good grief, learn how to prioritize.

In the current special legislative session, testimony to ban THC in Texas was powerful, just like we heard in the regular session. Senate Bill 5 is a total ban on THC. Of course, CBD and CBG products will still be legal and available. #txlege

@TaraBull808 @redlgb1969 Wow. So impressive. God bless this young lady.

Burger King worker went viral for running the entire store alone during a 12-hour shift — no crew, no help, just pure hustle

@GrumpPharmacist @A_Ciaccia It is easy when you have the power of a monopoly

@A_Ciaccia Always two steps ahead. You cut off one cash flow tentacle and it grows back into something else to generate cash.

Decades after retreating from their former marriages, PBMs are blending their DNA with drug companies once again, this time through private labelling. Here's what it means for the costs of medicines. Our latest: 46brooklyn.com/research/welco…