$33.05 Loss for Helping a Patient? Welcome to American Healthcare

Brad Carper helped a patient—really helped.
20 minutes explaining post-op meds. Prevented a likely hospital readmission. Did the job the system refuses to do.

His reward? A $33.05 loss.

Why? PBMs.
Middlemen with no license, no patients, and no shame.

Brad bought a life-saving drug for $575. Medicare Part D—through a PBM—paid him $542. That’s a $33 punch in the face before the DIR fee clawback.

This isn’t broken.
This is working exactly as designed.

The big chains get richer. Independent pharmacies die off. And patients? They lose the last clinician who gives a damn.

If you think this is healthcare, think again.

👉 Watch the full DIRt segment.
👉 Share it with someone who thinks PBMs are “value-based.”

To Brad: You’re the frontline.
To PBMs: Your time’s almost up.
To Washington: Less panels. More fire.

Follow Brad on X: @HortonBrosPha