PBMs pivot to fees as clients, regulators shun old ways
Key revenue sources for pharmacy benefit managers have gone by the wayside, leading companies to seek new ways to make money.
Now that federal and state governments are writing laws and regulations to crack down on rebates & spread pricing, PBMs are predicted to make up for the lost revenue by imposing larger fees on employer-sponsored health plans and drugmakers when they draw up contracts with clients.
12.03.2026 13:54
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Easy-to-use solar panels are coming, but utilities are trying to delay them
Utilities are convincing lawmakers around the U.S. to delay bills that would allow people to buy solar panels, plug them into an outlet and begin generating electricity.
Utility safety concerns about plug-in solar panels prompted 5 states to delay votes on enabling legislation. Germany has 1.2 million balcony solar panels registered with no safety problems reported. Here's my @npr.org story: www.npr.org/2026/03/12/n...
12.03.2026 12:32
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Powerful piece by @jenna-m-norton.bsky.social
βWhen I saw clinical trials cut short with callous disregard for participant safety, court orders ignored to achieve political ends, & mission-critical colleagues fired based on false accusations of poor performance, I first spoke up inside the NIH.β
12.03.2026 13:36
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No traumatizing shirt and 𧦠today for my nurse despite encouragement from my rheumatologist ππ but finally back to doing double duty: work and infusions for the RA
Tired: β
Happy: β
If you can, and where you can, find your silver linings and absurdities that make you laugh
12.03.2026 13:43
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βViruses donβt know bordersβ: US anti-vaccine rhetoric could impact global measles crisis
Experts say global measles vaccination rates are falling as Trump officials signal a deprioritization of the virus
Yep. The U.S. lies are deadly & despicable. A global threat. π
βViruses donβt know bordersβ: US anti-vaccine rhetoric could impact global measles crisis www.theguardian.com/society/2026...
"The rhetoric that happens in the United States spills over across borders to other countries..."
28.02.2026 23:59
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Quote William Tecumseh Sherman
βIn the councils of government, we must guard against the acquisition of unwarranted influence, whether sought or unsought, by the military-industrial complex. The potential for the disastrous rise of misplaced power exists and will persist.β Pres Eisenhower
28.02.2026 18:32
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I hope you never know the pain of a doorbell being rung, a Chaplin at the πͺ
βI am tired and sick of war. Its glory is all moonshine. It is only those who have neither fired a shot nor heard the shrieks and groans of the wounded who cry aloud for blood, for vengeance, for desolation. War is hell"
28.02.2026 18:32
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Democrats should say that Trumpβs attacks on Iran are unconstitutional.
The American people do not want a war in Iran. The Congress did not authorize a war in Iran. It is an entirely illegitimate action that has no legal or constitutional basis. It is the act of a lawless regime.
28.02.2026 17:31
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Using battlestar galΓ‘ctica gif is a perfect analogy as well
28.02.2026 18:26
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And thank you for all you have and continue to do in the field from research to education including challenging us in how we analyze clinical data and move care forward
All of it is an invaluable gift
28.02.2026 18:25
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2026 IASLC Targeted Therapies of Lung Cancer: Special Presentation by Dr. Ross Camidge
YouTube video by IASLC IASLC
@drcamidge.bsky.social thx for your vulnerability and honesty to give this talk at #TTLC and share it w/ the π when you didnβt have to
As someone w/ 2 sign chronic illnesses thx for not being singular in talking about how illness impacts a π§ββοΈ and the impact of AEs on QOL
youtu.be/cnh579D04QI
28.02.2026 18:25
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Did my care team shake their heads at me when I wore this shirt?
Yes
Did I take joy in following it up with my socks?
Also yes
Were both of these gifts from friends?
Si
In the words of Carrie Fisher, if itβs not funny itβs just true and that is sad and unacceptable
05.02.2026 18:01
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No child should have to ask if itβs okay if they condemn themselves to death
Our healthcare system is broken
We need to elect officials who will at least break up PBMs and insurance monopolies, limit profits and make prior authorization illegal
15.01.2026 16:23
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We are the only country where medical debt exists
We are the only βfirst worldβ country without basic universal healthcare
(also fun fact this would save us all thousands of dollars as instead of insurance and costs averaging 20% of our income it would be 5%)
15.01.2026 16:23
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From the AITAH community on Reddit
Explore this post and more from the AITAH community
our healthcare system is so screwed up even if you have insurance
A 16-yr-old kid is asking if itβs okay from him to tell his parents to let him die. Not because there isnβt treatment that could add tie or cure him but because it could bankrupt his parents and ruin their and his sisters lives
15.01.2026 16:23
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@rsnasky.bsky.social #RSNA25 #Radiology #RadOncSky #OncSky #PathSky Team #DiagnoseAndTreats
#RadSky #MedSky we have now crossed the 100K mark !!! @hcwvshunger.bsky.social
#HCWvsHunger Keep Going !!! Please !!!
30.11.2025 00:38
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Bird Flu Patient Dies From Rare Strain
Older adult male was the first confirmed human case of H5N5 variant globally.
Washington State Dept of Hlth: βThe older adult male in Washington State who tested positive for avian flu in early November has died and was the first global human case of a rare H5N5 strain of the virusβ #IDsky #Medsky
www.medscape.com/viewarticle/...
30.11.2025 01:36
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Subject: Deaths in children due to COVID-19 vaccines and CBERβs path forward
Dear Team CBER,
I am writing to report that OBPV career staff have found that at least 10 children have died after and because of receiving COVID-19 vaccination. These deaths arerelated to vaccination (likely/probable/possible attribution made by staff). That number is certainly an underestimate due to underreporting, and inherent bias in attribution.
β¦.
For the first time, the US FDA will acknowledge that COVID-19 vaccines have killed American children. Healthy young children who faced tremendously low risk of death were coerced, at the behest of the Biden administration, via school and work mandates, to receive a vaccine that could result in death. In many cases, such mandates were harmful. It is difficult to read cases where kids aged 7 to 16 may be dead as a result of covid vaccines.
β¦.
Putting these facts together, it is horrifying to consider that the US vaccine regulation, including our actions, may have harmed more children than we saved. This requires humility and introspection.
Vinay Prasad MD MPH
CBER Director, CMSO US FDA
In a new leaked memo, the FDA outlined plans to make it much harder to get new vaccines approved, claiming, without sharing evidence, that the COVID vaccines have killed at least 10 children.
This is so reckless. The science shows us that COVID vaccines have saved millions of lives.
29.11.2025 21:30
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I hope notβ¦.policies written in blood
30.11.2025 02:23
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Due to illness a little late to the gameβ¦
But more than ever it will take a community effort to address food insecurity
I have the benefit of having the ability to help
No one should ever be hungry
Thanks to all involved in #HCWvsHunger for all they do to make this happen
29.11.2025 17:09
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Today, after months of requests, I toured the Broadview ICE Processing Facility. I want to share what I saw.
The facility has no food vendor, no medical care, and detainees have to use toilets in the middle of shared cells. These are in no way suitable conditions to be holding anyone β period.
25.11.2025 00:57
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He needs to be removed yesterdayβ¦this move will be written in childrenβs and immunocompromised pplβs blood
21.11.2025 23:50
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Itβs folks who clearly have never been chronically ill and are not listening to the patients themselves
If you listen to a patient they will tell you everything you need to knowππ
21.11.2025 23:48
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Said it before and will say it say it again β¦prevention is the best medicine. Focusing on a better vaccine and antivirals are critical..and looking into targeted treatment post
Exercise studies ignore what we know about COVID and exercise post acute infection and all the research of MEFs/CFSβ¦
21.11.2025 23:47
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Vaccines DO NOT cause autism - there is extensive research showing this. Resurrecting old, discredited, fraudulent work is shameful.
Vaccine-preventable illnesses are serious - this is going to cause real harms.
This is dangerous & disappointing.
21.11.2025 23:40
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CDC in turmoil after agency backpedals on debunking vaccines-autism link
The CDCβs website now says health authorities ignored evidence of a potential connection between vaccines and autism, despite dozens of studies showing no link.
The CDC website is peddling false information about autism.
π Do not trust CDC for vaccine info or guidance
π Look to professional orgs or Public Health Canada (NACI) for unbiased, evidence-based guidance
Gift link:
wapo.st/4idz3Wn
20.11.2025 14:13
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Lung Cancer Deaths Prevented and Life-Years Gained From Lung Cancer Screening
This study examines the current national prevalence of up-to-date lung cancer screening and estimates lung cancer deaths prevented and life-years gained from screening.
βonly an estimated 1 in 5 eligible individuals in the United States received lung cancer screening (LCS) in 2024, and increasing current uptake to 100% could raise the number of lung cancer deaths prevented and life-years-gained by three-foldβ #lcsm
jamanetwork.com/journals/jam...
20.11.2025 14:58
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It would have been Jeiβs 51st birthday today
Some days the grief hits hard even though itβs been 5.5 yrs like when I saw an honor flight at the Vietnam Memorial shortly before Veterans Day
He took such pride in bringing folks home and giving families closure
To remember is to honor
18.11.2025 19:25
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