Shannon Starks
@shianomom.bsky.social
"Optum is . . . enormously powerful; it’s one of just three pharmacy benefit managers (PBMs) that control almost 80 percent of about 6.6 billion prescriptions nationwide. It manages drug transactions for insurance plans, negotiating prices with drug manufacturers, and reimbursing pharmacists."
December 6, 2025 at 2:03 AM
"Optum is . . . enormously powerful; it’s one of just three pharmacy benefit managers (PBMs) that control almost 80 percent of about 6.6 billion prescriptions nationwide. It manages drug transactions for insurance plans, negotiating prices with drug manufacturers, and reimbursing pharmacists."
Humans must take back governance from “capital.” It doesn’t know what we need.
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The Quiet Coup: Neoliberalism and the Looting of America (with Mehrsa Baradaran)
Law professor Mehrsa Baradaran joins Nick and Goldy to reveal how neoliberalism wasn’t just a misguided economic theory—it was a “quiet coup” that rewired our laws, courts, and institutions to elevate...
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December 4, 2025 at 4:13 PM
Humans must take back governance from “capital.” It doesn’t know what we need.
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