CVS Caremark, Express Scripts, and OptumRx process 4 of every 5 prescriptions filled in the United States. All three are owned by the same parent companies that own Aetna, Cigna, and UnitedHealth. The FTC's 2024 interim staff report documents the result: a vertically integrated rebate machine where the PBM negotiates lower drug prices on paper, pockets the difference, and the patient pays the list price anyway.
An internal Facebook memo from 2018 confirmed the algorithm was systematically amplifying outrage because outrage drove engagement. Frances Haugen brought it to the Senate three years later. Meta's…
Since 1992, when the Prescription Drug User Fee Act made pharmaceutical companies the FDA's largest funder, the agency has approved drugs faster and policed them less. Industry fees…
Private prison companies operate as both legislative drafter and contract beneficiary. ALEC routes their model bills to friendly state legislators. Bed-guarantee clauses make criminal-justice reform expensive for states.…