Health

From an article published in Time Magazine back in 2019. The gist of it is that the game is to a large extent rigged by the Pharmacy Benefit Manager system (aka PBM)

The compensation that goes to PBMs is not driven by providing value to the patient. The manufacturers' list price is pure fiction unless you are a patient unlucky enough to not have the drug in question be be included in their insurance company's formulary. The coupon system is the manufacturer's means to preserve market share in spite of the price fixing efforts of the PBMs.

Too bad the class action system in this country doesn't work any more.