To build on this bipartisan issue. The big insurance companies realize their PBMs are facing hard core legislative changes. Which are great. However. The ins companies aren’t dumb. They are greedy. They are already moving charges and fees across their subsidiaries. It starts with the insurance plan that unfortunately, your CEO (if you get it from work) made the mistake of approving , or from your MA plan They push you into the medical care, pharmacy and specialty pharmacy , clinics, and practices they own or contract with. Those outlets will charge you more than enough to compensate for the lack of rebates they would hold back from their GPOs Plus they will charge you and or your companies fees that you have no idea they are charging you or why. Then they will make your company pay fast and get their rebates slow, or use Pre Auths to delay, both so they can earn interest on the premiums for as long as possible They are too Big to Care. Make them divest. Next class is on how Pharmacy Wholesalers are complicit in high drug prices. Hint: they are multi hundred billion dollar companies , and they buy from manufacturers at retail price. No other industry in the history of industries that I know of , so this. And it helps PBMs/ins companies benefit from higher prices. Break them up !(Mark Cuban)