Ambi: Pill being counted and stored in pill bottles.
Host Intro: Consolidation of the healthcare industry has become a major sticking point in the national healthcare debate leading up to the 2020 Presidential election. Wholesale mergers between healthcare insurers and pharmacy benefit managers (or PBMs) dominated healthcare news in 2018 and 2019, promising patients lowered costs and an end to the complicated drug supply chain. With prescription drug pricing under scrutiny from regulators and voters alike, the conversation has intensified, hoping these major conglomerates stand by their word. But how do these mergers really affect patients and their local pharmacies to boot? Vlad Silver has the story.
Track: I’m sitting in Forever Coffee Bar near Bennett Ave and 181 Street looking at the entrance to CityDrug and Surgical, one of the lone local pharmacies in Washington Heights amid a sea of chain drug stores. The mood is peaceful in the coffee bar, a stark contrast to the constant bustle of patients and staff in the store across. There, pharmacist Alex Kronis shares his concern for the state of his business in the face of these mergers.
Act: It’s crazy that PBM’s and the biggest chain drug stores can merge. What’s next, that they can own the manufacturers? That’s one thing they don’t need because that they can outsource. That’s too much of a problem. But if they buy a few manufacturers that’s it, they can buy a couple of generic companies and that would be it.
Track: Besides Alex stands Eugene Paus, a pharmacy technician and first-hand witness of the effects Big Pharma can have on local pharmacies.
Act: Small business will be out of business before they come up with a plan of action against Big Pharma. One couldn’t point a finger and say that CVS took all my business, but they did. They have made it harder for small business owners to fill prescriptions because they own certain PBMs by making reimbursements so they that we are forced out of business. There’s not much we can do.
Track: CityDrugs patrons echo these concerns, including Alan Sidransky, local writer and activist who questions the merits of the system from the ground up.
Act: Our medical system is a disaster. This is a nightmare. There is no way we should be the most advanced country in the world and still be dealing with this. The problem is that people are used to this. This system flat out does not work. This is a nonsensical system that is based on profit and profit only. It turns a blind eye to reasonable things that must be done to change the system.
Track: Mr. Kronis goes on to criticize the system further and suggests insurance companies prey upon the public.
Act: Generally, unless you work in this field, the population has no idea what’s going on, and on some levels its quite complicated. The way its all linked together is simple and its complicated; the mechanics are complicated; the idea is simple.
Track: Eugene counters with a wholesale overhaul, suggesting what the system needs is radical change, from top to bottom.
Act: If you got rid of PBM and insurance, healthcare would become as cheap as modern boxed food, where ramen noodles cost 99 cents. You’ll be buying your blood pressure for 99 cents a bottle, not $100 for a month’s supply. Just get rid of insurance and PBMs all together and your problem is completely solved. The drug companies will be forced to lower the cost of their drugs, otherwise no one would buy what they’re selling.
Track: This is Vlad Silver, from Baruch College, signing off.