This is why the Republicans were so against the goverment-payer option for Obamacare. Not “because socialism,” but because about 30 percent of the cost of healthcare in the US is actually the result of the middlemen, i.e. the private insurance companies in control of the entire system and their bureaucratic clusterfucks specifically designed to extract as much money as possible from both the patient and provider. A single payer or government option would reduce or eliminate that.

30 percent.

The entire private insurance industry at this point is just a make-work operation to increase the cost and complexity of health care for the sole purpose of benefiting… the private insurance industry.

There was a time when paperwork and such was defensible.

Now, if carriers had a lick of sense, they’d realize that forms are dirt cheap online; and that it’s drastically less expensive just to pay the claim vs fighting it.

They don’t, of course, because mergers and sole-source pharmacies for “scary” meds, but that’s neither here nor there.

Whole idea of PBMs is wrong, offensive, and has set back my care. Know who should manage my pharmacy benefits, my fucking doctor. Full stop.