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Everything the government touches gets more expensive. Everything it leaves alone gets cheaper. Since January 2000, overall prices are up 93%. Wages are up 131%. Now look at what happened sector by sector. Prices that exploded: - Hospital services: +240% - College tuition: +180% - College textbooks: +150% -...

53,541 次观看 • 4 天前 •via X (Twitter)

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Friedberg: Two Reasons Why Drug Prices are So Expensive in America 📈 🫰 1) Government intervention in the market 🏢 "The way that we negotiate drug prices is pretty messed up." "As is the case with the cost of education and the cost of housing, the cost of drugs is largely inflated because of the federal government's role in being the primary buyer or capital provider to that market." "Through our purchases of prescription drugs, the federal government, as a buyer, doesn't have any incentive to keep prices low." " If every individual had to pay for their drugs, or private insurance was the only way to get your drugs, we would have a much more dynamic marketplace." 2) PBMs marking up prices 📈 "There's also this construct in the market, these PBMs or pharmacy benefit managers." "If they got cut out of the market, it would save a lot." "There's three major PBMs, CVS Caremark, Express Scripts, and Optum RX. They make money in markups." "The FTC has been investigating them and have several open cases." "Between 2017 and 2022, the estimate is that these companies generated $7.3B in excess profit by marking up prices on specialty generic drugs." "So as an intermediary, they provide this role where they can coordinate between the health insurer, the pharmacy which dispenses the drugs, and the drug manufacturers." Chamath: " But they're allowed to be owned by the payer, which is crazy." Friedberg: " And now they're allowed to be owned by the payer." "And there's a lot of obfuscation of the true cost of the drugs. There's a lot of markups, a lot of spread taking." "And so if you took the PBMs out of the market, that would solve one of the problems." " But at the end of the day, anytime the federal government is involved as a payer in any market-based system, it creates a distortion and the market is no longer free or efficient." david friedberg

The All-In Podcast

45,353 次观看 • 1 年前

An entire empire was overthrown over a two percent tax on a breakfast beverage. Look at what you tolerate now. You are taxed when you earn it. Taxed when you spend it. Taxed when you save it. Taxed when you invest it. And when you die, they tax whatever is left. That is not a system. That is a harvest. You commute in a car you paid sales tax to buy. You drive it on roads you were already taxed to build. You fill it with gas taxed by the gallon. When you sell that car, the next buyer pays sales tax on it again. The same car. Taxed every time it changes hands. You arrive at a job where your salary is cut before it ever touches your hands. If you work for yourself, you pay both sides. Two people on paper. Neither one keeps what they earned. Then you go home. Every bill you open has a government standing behind it with its hand out. You buy a house with money they already took their share of. Then they charge you property tax on it every year for the rest of your life. You want to renovate your own kitchen. You need a permit. You want to build a deck on your own land. You need a permit. You pay for the property. Then you pay for permission to use it. Stop paying property tax and they seize your home. Not because you missed a mortgage payment. Because you missed a payment to the government for the privilege of keeping what is already yours. You do not own your home. You rent it from the state. If you leave something behind for your children, they are taxed on what you were already taxed to earn. The same wealth. Taxed at every stage of your life. Then taxed one final time because you had the audacity to die. They found a way to monetize your absence. We are told this is the price of civilization. It is not. It is architecture. The most effective prison ever built is the one where the inmates believe they are free. They did not take your freedom. They priced you out of it. If you kept the full value of your labor, you would be free within years. Not decades. Years. The system cannot allow that. A machine built on consumption needs a consumer that never stops. You did not sign a social contract. You were assigned one. Now pay attention. They spent decades perfecting the extraction of your productivity. Now they are building the technology to replace you. AI is not coming for your job because corporations are greedy. It is coming because a system that already takes half your output just realized it can take all of it. Without needing you in the equation. You were never the point of this arrangement. You were the input. And the moment they engineer a cheaper one, you become a rounding error on a quarterly earnings call. They did not build AI to free you. They built it to finish what the tax code started. It was never about the tea. It was about the precedent. Today we hand over half our waking lives and thank them for the potholes. You do not live in a free economy. You live in a subscription you never signed up for. And the penalty for canceling is everything you have.

Dustin

27,758 次观看 • 3 个月前

Rand Paul just introduced a bill to end vaccine manufacturer liability protection. And every single American regardless of where you stand on vaccines should be paying attention. S. 3853. It is simple. It lets individuals sue pharmaceutical companies for vaccine injuries and deaths. Just like every other product in the United States. Just like every other drug. Think about that for a second. Every other drug on the market can be sued over. Pharma pulls products all the time. They pay out lawsuits all the time. The industry survives. So what exactly is it about vaccines that requires a special shield from accountability that no other product in America gets? Ask yourself that question honestly. If you trust these products, if you are lining up to take them, it should bother you that the companies making them have zero financial incentive to make them safer. Because they cannot be sued. Because since 1986 they have been legally protected from the consequences of harming you. That is not a free market. That is not how a republic works. This bill cuts across every political line. Every ideology. It unites people who agree on very little else. And we should all be watching very carefully to see which members of Congress vote against it. Because a vote against this bill is a vote to protect corporations over the people they have harmed. Call your representatives. Today. Be loud. Tell them clearly: if you do not support this bill, you will not have our trust and you will not have our vote. This is the moment. Don't let it pass quietly.

The HighWire

38,005 次观看 • 4 个月前

Investigation exposes the hidden cost of data centers, “It’s in your electric bill” “Companies like Amazon and META striking secret deals with utilities. It's all proprietary. It's all behind non-disclosure agreements and blacked out documents, and lobbying for a system that leaves all of us footing their bill” “The big problem is that we're all subsidizing the wealthiest corporations in the world in their pursuit of artificial intelligence.Americans' utility bills are rising while Big Tech's profits are going through the roof” “Everyday people covering the power costs of the data center build out.” “In 2025, the tech industry is expected to spend about $475 billion on data centers up 42% since last year. Today, data centers make up about 4% of US electricity demand. In just the next three years, that's expected to triple. The United States has never generated more electricity in our history than we are today.” “He explained to me that when utilities have to pay a higher capacity price, they pass it on to consumers in the form of supply charges. According to the PJM's independent monitor, data centers were responsible for 63% of last year's price increase. We saw customers with bills $900 over $1,000. It's unfathomable that they are having to pay higher rates to support wealthy corporations building data centers.” “The basic idea is that utility builds something and you socialize the costs to all of the ratepayers that have no choice but to take that utilities service. The cost of new infrastructure mostly shows up on another part of your electric bill, sometimes called delivery charges. Utility companies are allowed to set those charges high enough to recoup every dollar they spent building, plus a regulated rate of profit, usually around 10%. So this is a huge profit opportunity.” “Last year, a utility company in Louisiana proposed to spend $3 billion on a new power plant to meet electricity demand from a Meta data center. The full terms of its deal with Meta are secret, but redacted regulatory filings have revealed that the public is on the hook for Meta's power plant. Meta has signed a 15-year deal and it only obligates them to pay for about half of that $3 to $4 billion of infrastructure, which means that there's a big risk that everyone else in Louisiana will get stuck with the rest of that bill”

Wall Street Apes

138,820 次观看 • 10 个月前

So the discourse around this Dave Ramsey clip is so mixed up that I’ve just decided to upload the whole thing. In the full context of the call, the caller makes it perfectly obvious that: 1. She has been with this man, whom she is now living with, for six years. 2. She is a nurse and can make her own money. 3. She has been out of school for two years, and in that time she has paid off $70,000 of the debt. In the course of the call, Dave never suggests that this man should have to pay for that debt. Indeed, he actively suggests that she leave him, which guarantees he will not pay for the debt. Dave also all but says that, because of her career choice, the caller will be able to pay for the debt on her own, even if she has to take extra hours. All Dave is saying—and this should have been obvious from the original clip—is that the two are not aligned on money and debt at all. It is also clear that Dave thinks the man is stringing her along, which he is. So they simply should not be married at all, because this is a fundamental failure in the relationship. I myself would add that, at this late stage in the relationship, if you do not trust a woman financially, you should simply not be with that woman. And that is perfectly fine. But what you do not do is drag her along for six years when she obviously wants to get married, and then put another two or three years of financial hoops in front of her so that maybe you will propose. It is a waste of everybody’s time.

CTrefugees

135,314 次观看 • 2 个月前

Elon Musk just diagnosed the disease no one admits they have. Life has become a triage ward. Pay the bill. Dodge the crisis. Survive the week. Repeat until dead. Musk: “Life cannot just be about solving one miserable problem after another. That can’t be the only thing.” Most people can name every problem they are running from. They cannot name a single thing they are running toward. That is the disease. You did not lose your purpose. You replaced it with maintenance. Musk: “There need to be things that inspire you. That make you glad to wake up in the morning and be part of humanity.” Glad to be part of humanity. When was the last time you felt that. Not relief. Not distraction. Not the dull numbness of a weekend burning down to Sunday night. Actual gladness that you exist. Most people cannot answer that question. Not because the answer is painful. Because they have never been asked. We have spent decades staring at the floor. Sweeping the same dirt into the same corner of the same room. Musk quotes Tsiolkovsky: “Earth is the cradle of humanity, but you cannot stay in the cradle forever.” The cradle is warm. The cradle is safe. The cradle is small. And a species that refuses to leave it is not being cautious. It is dying slowly in the only room it has ever known. Musk: “It is time to go forth, become a starfaring civilization… and expand the scope and scale of human consciousness.” Look up tonight. Billions of galaxies. Trillions of stars. An ocean of light stretching 93 billion light years in every direction. And one tiny wet rock figured out how to wonder why it exists. We are not passengers on this planet. We are the universe waking up. And right now the only conscious thing in the universe is trapped in one room arguing about the electricity bill. The problems will never end. There will always be another fire. But you were not built to fight fires. The universe was dark for 13.8 billion years. Then it opened one eye. You.

Dustin

330,052 次观看 • 3 个月前

🚨 THE BIGGEST IPO IN HISTORY HAS ONE UGLY THING IN COMMON WITH EVERY MARKET TOP This is not a theory. It happened for 100 YEARS. Goldman Sachs in 1928. Intel in 1971. AT&T in 2000. Every one looked like the opportunity of a lifetime. Every one came near a major market top. Every one was followed by a brutal correction. Funny how the biggest “once-in-a-generation” IPOs always show up when the market is already overheated. Probably nothing. Now look at the real problem nobody wants to talk about: A $2 TRILLION listing needs buyers. Buyers need cash. But cash on the sidelines is already sitting near historic lows. So where does the money actually come from? It doesn’t appear out of nowhere. It comes from selling what funds already own. That means: • Big tech gets sold • Indexes get rebalanced • Liquidity gets drained • Retail becomes the exit JPMorgan estimates passive funds may need to dump around $95 BILLION of the biggest tech stocks just to make room for SpaceX. Read that again. $95 BILLION in forced selling. At the exact same time retail is rushing in to buy the hype. And smart money already started moving first. Hedge funds were dumping big tech before the IPO even opened. That is not a coincidence. That is liquidity leaving the room. Now let me be very clear: SpaceX is not a bad company. It might be one of the most important companies ever built. But the best company and the best trade are NOT the same thing. The market doesn’t care about the mission. It cares about: • Liquidity • Positioning • Forced buyers • Forced sellers • Math And the math looks almost identical to every major top of the last 100 years. SpaceX might not mark the exact top. But history is screaming that we are very close to one. Most people will celebrate. Smart money will exit. Retail will realize it too late. Keep in mind: I’ve called every major market top and bottom for over 10 YEARS. I was one of the only people who called the top in October, and I’ll do it again. That’s literally my job. If you still haven’t followed me, you’ll regret it.

DANNY

59,365 次观看 • 1 个月前

Tennessee just did what Congress can't. They passed a law to break up the health insurance giants. Specifically, they made it illegal for pharmacy benefit managers — the companies in charge of pharmacy insurance — and pharmacies to be owned by the same company. That makes perfect sense. For example: CVS Caremark is the PBM, and CVS is the pharmacy. So if you have Aetna insurance, you have CVS Caremark as your PBM, and they're going to do everything they can to make sure you use CVS as your pharmacy. Aetna, Caremark, CVS — all the same company. That causes all kinds of incredibly obvious problems that this law hopes to fix. If your insurance company is in charge of approving your medication, deciding how much to pay for it, AND deciding who gets that money — while also being the pharmacy that gets paid at the end — guess what happens to prices? They go up. Governor Lee signed the law last week. CVS immediately filed a federal lawsuit because they said it will force them to close all 136 stores they have in Tennessee. Let that sink in. I'm not sure most people realize what that says about CVS and health insurance in general. They had to choose between owning the middleman (the PBM) or the healthcare provider (the pharmacy). Without hesitation, they chose the middleman. The biggest pharmacy chain in the country — with a store on every corner — would drop all 136 of their Tennessee locations in a second if it means keeping their middleman business. It is more profitable for them to be a health insurance middleman getting between you and your healthcare than it is to actually provide the healthcare. That is the problem with healthcare in America. We have made the middleman so powerful that they've taken complete control of the entire system. Three PBMs — Caremark, Express Scripts, and OptumRx — handle around 80% of all prescriptions in this country. How on earth can we expect healthcare to work well and remain affordable if that's where the money is? We all auto-pay our insurance straight out of our paycheck before we even see the money. And not surprisingly, they're keeping a ton of it. That's why we fired them. And they can't file a lawsuit to stop us. That lets us offer fair, transparent prices. No PBMs. No insurance games. No hidden markups. You see the cost, you pay the cost.

Forest Park Pharmacy

33,212 次观看 • 2 个月前

WOW 🚨 DC Lobbyist exposes the real reason Democrats are keeping the government shutdown is because they’re being paid off “It has to do with dark money from the billion dollar health insurance companies” Also, even while the federal government is shutdown, the Big Health Insurance Companies are getting funneled our tax money “I understand why this shutdown is happening because I've been scratching my head, like, why would the Democrats be shutting down the government, depriving federal workers in the military of basically pay in food and then depriving the military of their health care through TRICARE. — It has to do with the f*cking insurance companies.” “So I found out these people, even Even though the government shut down because of the ACA, their payments every month are coming directly from the Treasury to their bank accounts. So the insurance companies, UnitedHealthcare, Aetna, Molina, Kaiser, they are getting paid right now, mandatory pay every single month while the federal workers and the military get nothing. And so now it's finally making sense. This has nothing to do with healthcare. “It has to do with dark money from the billion dollar insurance companies. Because keep in mind, if they lose the ACA credits for next year, they're not going to get any of that money. They won't get any of that money. So even though the tax credits are tax credits, what actually happens is these tax credits get paid on behalf of you, the insured, and they go directly to the insurance companies. So that's why the Democrats are fighting so hard on this. That's nothing. It has to do with people's premiums. It has to do with the fucking insurance companies not getting billions and billions and billions of dollars in January and next year.” “It's about the billion dollar insurance companies. And so everyone in, at least the talking points of the Democrats are like, oh, the premiums are going to go up. Why don't you hold the insurance companies accountable? These are not market rates. They're setting the premiums. They're the ones that are deciding to keep human beings without Health Care. That has nothing to do with what the government does. — They own the hospitals, and the providers are setting. These obscene rates for procedures. And so then they're making money off of the hospitals. This entire shutdown has nothing to do with health care and everything to do with the billion dollar corporations United Health Care, Aetna, Kaiser, Molina, they are the ones that are keeping the government shut down right now”

Wall Street Apes

516,873 次观看 • 9 个月前

TODD SCHULTE of FWD.us on Republicans circumventing Democrats to fund ICE through reconciliation: Yeah, look—our understanding is that if they choose to move forward with a reconciliation bill, there are three things that are really important. Number one, it’s a party-line vote, and it’s something you have to pay for with offsets. Number two, DHS already has $150 billion for ICE and CBP, and now they’re talking about adding tens of billions more on top of that—for three years, along with funding for the war in Iran. So third, you’re talking about a couple hundred billion more for ICE and CBP, a couple hundred billion more for Iran—paid for at a time when costs are skyrocketing—with what, half a trillion dollars in cuts to healthcare, to Medicaid, to Medicare? Look, that’s bad policy, but the politics couldn’t be more clear. The public does not want hundreds of billions of dollars spent on ICE, paid for by cuts to their healthcare. And I think it’s important to understand the difference between this reconciliation package and the One Big Beautiful Bill Act, which was also a reconciliation bill. People may remember last year’s bill—it was a party-line vote that only needed 50 votes. Last time, it was about big tax cuts paid for by roughly a trillion dollars in cuts to Medicaid. It wasn’t popular, but it passed. There was $191 billion for DHS in that bill—it didn’t get a lot of attention, but it should have. Vice President Vance said that was actually the most important part of the bill—the funding for ICE and CBP. But now, this is going to be about ICE and Iran, paid for by healthcare cuts. At a time when the public is outraged after events in Minneapolis and Los Angeles—when places like Home Depot, churches, and schools are being described as deportation sites—this is going to be a huge, nasty political fight. And I hope Republicans abandon it.

Pablo Manríquez

40,070 次观看 • 3 个月前

VIDEO | Talking on whether India will stop buying Russian oil as claimed by the US, foreign secretary Vikram Misri says the country is neither dependent on any single source for this, nor intend to be. He says, "You are aware that India is a net importer in the oil and gas sector. We are a developing economy; we have to be conscious about our resource availability. Naturally, when you are dependent to the extent of 80–85% on an imported resource, you have to have concerns about the possibility of inflation driven by energy costs. So, it’s not surprising therefore that our foremost priority is to safeguard the interests of Indian consumers insofar as energy is concerned—to really ensure that they receive adequate energy at the right price and through reliable and secure supplies. And our import policy insofar as energy is concerned is therefore driven entirely by these objectives. Now, you would also have observed that in recent years, the global economy has faced significant uncertainties which have had a major impact on the stability of global energy markets... We are neither dependent on any single source for this, nor do we intend to be. And it is natural for the mix of sources to vary from time to time, depending on objective market conditions. Our approach is to maintain multiple sources of supply and diversify them as appropriate to ensure stability. Therefore, I would say that the more diversified we are in this area, the more secure we are. So far, as actual sourcing of energy is concerned—again, all of you follow this closely, so you know that the actual sourcing is done by oil companies. Oil companies in the public sector, oil companies in the private sector. And they make decisions based on market conditions. They assess availability at any given point in time, they assess risks, they assess costs in this process. And obviously, all of these companies also have their own internal accountability-related processes to look at and certain fiduciary responsibilities in the market..."

Press Trust of India

63,178 次观看 • 5 个月前