Editor: I’m speaking out as a concerned mother-turned-patient-advocate because my young son suffers from frequent and unpredictable seizures. Our healthcare system is not designed with his best interests in mind. His condition is unpredictable, and he depends on daily medications. Any disruption in his treatment, even a delay of a day or two, can have a significant impact on his health and well-being.
We don’t have time to deal with insurance games or middlemen standing in the way. However, that’s exactly what happens. PBMs -- pharmacy benefit managers -- make it harder than it should be to navigate our already dysfunctional healthcare system. They enforce prior authorizations, change formularies, and steer us toward medications that don’t work for him. These gr