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The Truth About PBMs: How Middlemen Are Driving Up Drug Prices and Hurting Patients


A bottle sitting next to a RX notepad with a pen atop it. Other random pills are strewn around.

If you've ever stood at the pharmacy counter and wondered why your medication suddenly costs more--or why it's no longer covered at all--there's a good chance a PBM was behind it.


Most Americans have never heard of pharmacy benefit managers, or PBMs. But these shadowy middlemen control nearly every aspect of your prescription drug experience--from which medications are covered, to how much they cost, to whether your local pharmacy can even afford to keep them in stock.


And they are not working for you.


The Broken Drug Pipeline


Here's how it's supposed to work:


The drug company makes the medication -> Insurance covers it -> The pharmacy dispenses it -> You take it home.


But in reality, there's a powerful player sitting in the middle: the PBM. And their job is to negotiate, rebate, restrict, and profit--at your expense.


How PBMs Game the System


  • They decide which drugs are 'preferred', often favoring those with the biggest kickbacks--not those best for patients.

  • They force independent pharmacies to accept rock-bottom reimbursement rates, driving many out of business.


  • They delay or deny coverage for medications your doctor has already prescribed.


  • And all while they're raking in billions in profits--without ever touching a pill or speaking to a patient.


It's not just frustrating. It's dangerous.


Real People Are Paying the Price


As a physician and a mother, I've seen it up close.


I've sat on the phone for hours trying to get coverage approved for a child who needed seizure medication.I've watched local pharmacists break down in tears because they can't afford to keep their doors open.


And in my own home, I've fought to get the medications my daughter has been on for years--only to be told they're no longer covered.


This isn't how healthcare should work.


We Need Reform--Now


  • End the rebate games that benefit corporations instead of patients.


  • Ensure price transparency across the entire supply chain.


  • Protect independent pharmacies that serve our rural and underserved communities.


  • And most importantly--put doctors and patients back in charge of medical decisions.


Why This Matters to Me


I'm running for U.S. Senate not because I want to join the political machine--but because I've seen how broken the system really is.


I've lived it as a doctor. I've fought it as a mom. And I'm not afraid

to take on the powerful interests keeping families like yours in the dark.


You deserve better. And I'm ready to fight for it.


 
 
 

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