Recent content by RxCowboy

I've spent my entire career helping the poor, underserved, and veterans. I love my work. But this could do me in.

Not China and India, they ride it out. Not the PBMs/insurance companies. We already have generics that are tier 3 and prior approval. There will be even more that are tier 3 and prior approval. PBMs are evil, btw. They are middle-middle men. Pharmacies may get squeezed. Reimbursement on...

Let me add a P.S. to this. All China and India have to do is ride out the term. People in the U.S. will pay higher prices for generic pharmaceuticals, but in 3.5 years there will be another administration and the tariffs will be rolled back. Also, in the meantime, we can't live without the...

I'm a clinical guy, not a pharm administration/economics guy. But this is just so damn easy to see through. It's like the administration doesn't know a pharmacist to ask "will this work?" Or the pharmacist they asked is MAGA-brained and simply said yes because that's what's expected. Only one...

What he wants, to shift generic drug manufacturing from India and China, can’t happen regardless of how high he makes the tariffs. New plants would have to be built and said plants would have to meet all regulatory requirements. That means the startup costs would be extremely high, for generic...

Cognitive what?

I’ve been spending a lot of time on twitter. Racism, antisemitism, bigotry are all alive and well in America.

The Sydney Sweeney outrage is stupid Carlo M. Cipolla, an Italian economic historian, outlined the Basic Laws of Human Stupidity in a humorous yet thought-provoking 1976 essay. He argued that stupidity is a powerful, underestimated force in human affairs. Here are his Five Fundamental Laws of...

Cognitive dissonance and head in the sand aren’t the same thing.

Tea app for healthcare.

As a PS, filling up the trough with federal dollars and allowing corporations to feed on it clearly isn’t working. The only people who are really benefiting are shareholders and CEOs.

I think the best way to reduce costs is by increasing competition. But healthcare is the least free and most heavily regulated market we have in the US, and it is difficult for me to see getting the federal government out of it. That only leaves one alternative.