Transcript
Apple Pay Advertiser (0:00)
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Clark Howard (1:10)
It's my pleasure to welcome you here to the Clark Howard show where our mission is to serve you with advice and information that empowers you so you make better financial decisions in your life. And remember, we're here to serve you day and night, 24 hours a day, seven days a week, 24, 7, 365. We're there for you@Clark.com and ClarkDeals.com Speaking of deals, prescription drugs no deal or deal. We're going to talk about what we're going to see moving forward as a result of President Trump's executive order on prescription drugs. And speaking of prices, I'm going to talk about the sticker shock from the price of beef right now. Ugly. I'll share a real life example with you when I talk about that. So the President issued an executive order that was both a blessing and a curse for drug manufacturers. You know, we pay the highest prescription drug prices in the world in the United States, much, much, much higher than anywhere else. And I've talked all kinds of strategies about getting prescription drugs, particularly in Canada, for Americans instead of buying them here in the United States. And the President, what did he say there was a blessing and a curse for drug manufacturers. He was beating up drug manufacturers for how much more drugs are in the United States. But he was also taking direct aim at one of the biggest rip offs in the United States health care market and it's known as pharmacy benefit managers PBMs. If you have any kind of drug benefit from the place you work, you almost certainly have that drug benefit through a pbm. These are organizations owned by insurance companies that live off of kickbacks that they get for the prescription drugs fulfilled through them, through the. For the employer plan. Employers sign up for these PBMs because they think it's the cheapest way for them to provide a benefit to their employees. But the employees end up getting ripped off again and again because the pharmacy benefits managers are taking these big kickbacks, raising the price of the med to you and me. And you and I are paying more than we are as cash customers. Which is key to what the President talked about is for people who pay cash for drugs getting lower prices than people who have insurance plans. Okay? So think how weird that is. You think of having insurance as a way that you end up having to pay less money. But in the upside down world of health care and insurance companies and pharmacy benefits managers, you and I end up paying more most of the time for our prescription drugs under most employer plans, using the insurance instead of just paying cash. I fill almost every prescription I have through Costco. Why? Because Costco marks up meds no more than 14%. So the Costco price on prescription drugs is so crazy cheap that it's cheaper than I can fill through the drug plan I have with my insurance. So I essentially, basically never use that health plan benefit because it's not a benefit to me. It rips me off. And so who knows how this is all going to play, because a lot of the things the President did in this executive order really are just like using the bully pulpit of the White House, of the Oval Office. They don't have force of law. That's up to Congress to implement some of the things or whatever they would choose to, of what the President was talking about. But what he did talk about that you need to know is you need to comparison shop what you have to pay for a med through your work plan versus what you would pay just paying cash. Now, as many people have said when I talked about this last year, is that, well, I'm not running these prescriptions through my drug plan, which eventually will help me with my drug plan, because I'll meet whatever deductible there is in it. And if you're in a situation like that, then you ignore what I'm talking about. But for most people, what I'm doing is the best thing. Just paying direct, paying cash. And by cash, I don't mean cash specifically, Chris. I mean pay with self. Pay Costco. Yes, I use. What do I use?
