Quote:
... Getting the same three drugs in four 90-day fills and billing it to my insurance would cost $800 to $1,000 per year out-of-pocket since I have a $5,000 annual deductible. There appears to be immense savings in keeping a for-profit health insurance CEO out of your business. ... People don't realize how much they're getting screwed by their for-profit, employer-based health insurance...
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John obviously realizes that by law the most that health insurers can charge is 125% of their claims costs... anything they charge in excess of that they later have to refund to policyholders. So the most the health insurer could make on John's $800 to $1,000 prescription is $160 to $200... and that $160-200 needs to cover any expenses other than claim administration, overhead (including the CEO salaries that he seems so wound up about), taxes and profit. $640 to $800 goes to the pharmacy. IOW, the real culprits are big pharma and the middlemen to the pharmacy and not the health insurer and it seems he is focused on the wrong bad guys.