Footnote: If you eliminated PBMs - the effect on pricing would be nominal. Mark's solution generates a LOT of publicity - but it's NOT a total solution. For one thing - many generics are so low price - his 15% margin + $5 shipping is higher than 20 locations I can source locally. #Medsky
Make The Price the VA Price. For everyone. Branded or generic. PBMs can still manage claims. They're mostly owned by insurance companies anyway. Now let's tackle another problem. How about we outlaw ads? For all heathcare, pharma, hospitals, everyone.
I've long supported single-pricing - for all of healthcare - but that would require legislation. That's the bottleneck. Not economic (or moral) logic. What's surprising is Mark's promotion of GOP logic - which is tilted to the status quo of "4 profit" healthcare. The evidence doesn't support it.