Keeping My Public Options Open

Building Local Power

In this episode of Building Local Power, Chris Noble, the Director of Organizing at Health Access California, and Allison Hardt, the Community Development Director at T1 International, share their personal experiences accessing life-saving medication in America that ultimately led to their efforts supporting the CalRx plan to publicly produce life-saving medications, starting with insulin. Chris was diagnosed with Type 1 diabetes at age five, setting in motion a chain of events that motivates his efforts to bring awareness to the market failures that exacerbate the high cost of medicine in the United States. Allison witnessed the challenges her mother faced as a nurse in an increasingly impersonal healthcare system and eventually, through her partner, became intimately familiar with the daily struggles and unbearable costs associated with accessing insulin. In the second half of the episode, ILSR Co-Director Stacy Mitchell delves into the hidden world of pharmacy benefit managers (PBMs) — their role in the pharmaceutical industry and how their practices hinder people like Chris and Allison from obtaining essential medicines at reasonable prices. She explains how three PBMs currently dominate the industry, controlling over 80% of all insured prescriptions in the United States, enabling self-dealing practices that undermine fair competition and transparency at the expense of people’s health. Stacy calls for a “marriage of antitrust policies and public action,” a two-pronged approach to promote competition by decentralizing power and increasing public investment. For additional resources see: https://ilsr.org/building-local-power/