> The bulk of the rents is captured instead by providers of health-care services such as hospitals and the system’s true money-makers: insurers, pharmacy-benefi

> The bulk of the rents is captured instead by providers of health-care services such as hospitals and the system’s true money-makers: insurers, pharmacy-benefit managers and other middlemen taking advantage of its opacity. Did a ctrl+F for "PBM," and when that failed, "pharmacy" :P And yeah, the thing about drug manufacturers is that they _are_ ripping us off, but at least they do actually provide a useful service. PBMs, by contrast, inflate costs without any real benefit to consumers.