HealthCommentary

Exploring Human Potential

Why Is Lamar Alexander (R-TN) Confused?

Mike Magee The Medical-Industrial Complex in the United States is expert at feigning cross-sector competition while quietly signaling to members that there is plenty of graft and profit in the $4 trillion (20% of GDP) for all. The net output, more evident than it ever was in the days of ’90 era “Harry and Louise” […]

Will the Health Care Bubble Burst in 2019?

source Mike Magee In the dead heat of the summer of 2018, we’re experiencing an epic  “non-real fight” over “non-real work” with potential real consequences in 2019. The initial battle lines were drawn some months back when Jeff Bezos, Warren Buffett and Jamie Dimon recognized a unique opportunity to dip into the wasteful troughs of […]

The Pharmacy Benefit Manger (PBM) Syndicate

Mike Magee “Syndicate: a self-organizing group of individuals, companies, corporations or entities formed to transact some specific business, to pursue or promote a shared interest. In most cases formed groups aim to scale up their profits.” Drug channel companies including Pharmacy Benefit Managers (PBMs) (like United Healthcare’s Optum, Express Scripts and CVS/Caremark) and distributors (like […]

The Basics of Pharma Kickbacks – Opaque & Complex

Mike Magee With great fanfare, the New York Times announced this week that UnitedHealthcare   “would stop keeping millions of dollars in discounts it gets from drug companies and share them with its customers.” For awhile, pharma, insurers, pharmacies and PBMs have been pointing fingers at each other over escalating costs. That’s become more difficult of […]

The MIC Circular Firing Squad

Mike Magee If you want to see the Medical-Industrial Complex (MIC) in full “circular firing squad” mode, simply check out the recent Energy & Commerce Committee hearings on soaring drug prices hosted by chairman Rep. Greg Walden (R-OR). Delivering tough talk to committee members, he said, “Consider yourself on [the working group] if you’re on […]

The U.S. Pharmaceutical Supply Chain – Seen and Unseen

Mike Magee Complexity is the friend of the Medical Industrial Complex. Whether hospital, insurer, organized medicine, pharmaceutical or government agency, profitability, market advantage and career advancement can be found in the cracks of the deliberately Byzantine network. For those intent on regulating or managing the American system as it is, just understanding and unraveling the […]

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