My wife and I own Forest Park Pharmacy, and we don't accept insurance. None of it. That decision is exactly why we could fix what happened to a patient today.
A family came in wanting to transfer their kid's antibiotic to us. The child had already STARTED the course. Then, mid-treatment, the insurance company decided the last 14 tablets suddenly needed a "prior authorization" before the other pharmacy could hand them over. A sick kid, halfway through an antibiotic, and the answer was "please hold."
The drug is linezolid. It's a generic. It's been generic for over a decade. It treats serious gram-positive infections — the kind you do NOT want to stop antibiotics in the middle of, because an interrupted course is how you breed resistant bugs and end up right back where you started.
So why the hold-up on a cheap, common generic? Follow the fake math.
Insurance and the PBMs behind them price drugs off a number called AWP — "Average Wholesale Price." People in my industry have another name for it: "Ain't What's Paid." It's a benchmark number, not a real-world cost. On paper, the AWP for just those last 14 tablets is about $2,500.
My cash price for the same 14 tablets? $18.
Read that again. The system that's supposedly "protecting" this family from cost is the same system that inflated an $18 medication into a $2,500 line item, then slapped a prior auth on it to "review the expense" THEY invented. They manufactured the problem, then billed everyone for the privilege of solving it — and made a sick kid wait while they did it.
This is the whole game. When a drug is priced honestly, there's nothing to "manage." When it's priced off a fantasy benchmark, you get spread pricing, PA paperwork, pharmacy phone trees, and delayed treatment — all dressed up as cost control.
Here's the part nobody tells you: roughly 90% of prescriptions are low-cost generics. For the vast majority of what people pick up every day, running it through insurance does two things — raises the real cost and risks delaying your care. That's it. That's the value-add.
That's why we fired the insurance companies. No middleman deciding your kid can't finish their antibiotics on schedule. No fake prices. Just the real number, on the shelf, today.
The medication was always cheap. The insurance was the expensive part.
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Chris Nikic, the first person with Down syndrome to complete an Ironman, completes Ironman 70.3 Massachusetts.
Shortly before the race, Nikic announced that he needed a guide to run alongside him for the race.
That's when Dr. Tommy Martin decided to step up.
"I learned more in this race than almost any other I have competed in, and none of it was about race tactics or how to PR. It was about life, perspective, determination, and grit. I owe all of that to Chris," Martin said.
"I hope every finish line Chris crosses serves as a reminder to the world: your diagnosis, your situation, your circumstances do not define your potential!"
Congrats, Chris!
Video: dr.tommymartin / ig.
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A few weeks ago some boxes showed up at my house. Inside were 30 wedges and thousands of dollars worth of new clothes.
All were for our foundation and will go to High School golf teams in need.
They were from Emiliano Grillo. He just qualifed for the U.S. Open
@WallStreetApes Absolutely!! Just has the same issue. Went in for my annual wellness check, was told I needed a prescription but they couldn’t write it under a “ wellness checkup “. Charged me $135 for a regular visit plus charged Medicare for the wellness checkup. Double bill for a $2.97 med
@BrandonStraka This is the message problem. Why not just say : in order for you to get a US passport you must prove you are a citizen, submit a current photo and pay a substantial fee. It’s a lot easier to vote than to travel.
🚨 FLORIDA’S “STD CAPITAL” OPENED A HOOTERS — RETIREES FLOOD THE ENTRANCE AT GRAND OPENING
This is The Villages, the massive Florida retirement community known for its wild dating scene and party reputation.
They opened a brand new Hooters over the summer and the turnout was immediate.
The second the doors open, a line of older men pushes forward.
Golf polos.
Sneakers and sandals.
Front of the line pressing in first.
Packed before noon.
For a place that already carries the “STD Capital” nickname, the optics are hard to ignore.
Harmless fun? Or exactly what people expect from The Villages?
@KatiePavlich My thoughts exactly! The EPA would be all over this and restitution would be mandatory to businesses affected by this, especially those dependent on spring / summer river business.
Man in California, who pretends to be a woman and goes by the name Sofia Gonzalez, went to a hair salon for an extensive service. The appointment lasted nine hours and totaled $2,500. When it came time to pay, he lied to the hairstylist, claiming he needed to step outside to put on eyelashes, then disappeared without paying.
The salon owner has since asked the TikTok community to help identify the individual so she can press charges.
The irony? This salon routinely records before-and-after videos of clients for social media, and he willingly allowed himself to be filmed throughout the service.
Not exactly a well-thought-out crime.
@Liz_Wheeler Charge the attacker federally for domestic terrorism instead of a local 3rd degree misdemeanor. Watch him spill his guts in under 2 minutes.