in US Healthcare, prices aren't an indication of quality at all.

instead, prices are a ransom note determined by administrators
they are most definitely not a proxy for quality--which is what you'd expect in a free market--but rather a proxy for how much the hospital system thinks they can get away with

the govt shutdown is over healthcare expenses...good. way overdue to point the spotlight at this wasteful fiat system.

PMOs were supposed to give small pharmacies leverage. Now they’re just another layer in the stack.

Most of the big ones are owned by wholesalers anyway, so “choice” usually means picking which middleman you like.

Three wholesalers and three PBMs control almost everything. The PMOs just make it look plural.

Joining a PMO is survival math. Opting out isn’t brave—it’s financial suicide. It’s not a legal monopoly. It’s a network you can’t afford to leave.

Independents didn’t get crushed—they got slowly absorbed under “management services.” “Independent pharmacy” is now more of a tax status than an actual business model

not being a slave to lust is a key low preference hack for young men

you don't realize how boring most women are if you don't project onto her your own desires

cant sleep. tinnitus. send help 🥺

I tried out ngit for the first time the other day and was quite impressed. you go into one of your repos, define a nostr remote, authenticate your nostr identity and ngit cli will automatically upload your entire repo onto relays! actually wild. congrats @DanConwayDev

hello @fitbounty | fitness bot 👋