Imagine you get a call. The kind that changes the air in the room the moment you hear the doctor’s voice. A diagnosis. Terminal. And in the seconds it takes for that word to settle into your body, a clock you didn’t know existed begins to run. For many...
The United States is the only high-income nation where losing your job can also mean losing your health insurance. That structural quirk was born not of policy design but of wartime accident. It has since become load-bearing infrastructure in our economy. And it is quietly distorting nearly every labor...
In the first issue, I introduced the concept of pharmacy benefit managers (PBMs) as one of the central reasons Americans pay far more for prescription drugs than patients in any other nation. PBMs are large intermediaries that negotiate rebates from drug makers on behalf of insurers and employers. The...
We pay more for prescription drugs in the United States than any other country in the world, by design.