I help my octogenarian mother with her daily life. One of the many things is with her health. Her Medicare Advantage plan of 20 years changed PBMs this year. As some of you might guess, all of her medications require new prior authorizations. The cost of the copays has gone up, some of the medications have far lower plan limits than they had previously. Fortunately,
@costplusdrugs is an excellent resource for moving many of the Rx and avoiding the majority of the complications. I can't imagine how many elderly people manage this without an advocate.
Thankfully, I am here to help, and this is just an inconvenience. However, for many, this could represent harm and a significant financial burden. The level of frustration and resentment this barrier to healthcare presents I believe was reflected recently in the national consciousness in the case of Brian Thompson and Luigi Mangione.
There are two overlapping story arcs here: one is human, and the other is mythic. The human story will unfold in a court of law. Luigi has been accused of murdering Brian, which we condemn as a society, and the question of his guilt remains to be decided.
On a mythic level, Luigi and Brian represent more than just themselves. They appear as avatars in a recurring morality play. In this narrative, the health insurance industry has taken on a godlike role in our lives, wielding the power of life, death, and financial ruin, demanding constant sacrifices and supplication. Brian symbolized this power. Luigi became the avatar who defied it, breaking social norms in an act of rebellion.
This story resonates with our collective unconscious as the classic trope of “slaying the tyrant deity,” which typically follows these stages:
* Establishment of Absolute Power – The oppressive figure controls life, death, and resources.
* Subjugation & Sacrifice – The oppressed must continually petition or sacrifice to appease the overlord.
* Catalyst for Rebellion – The oppressed can no longer bear the tyranny.
* Transgression of Norms – The rebel breaks laws or taboos in a forbidden act of liberation.
* Overthrow or Renewal – The tyrant’s downfall or a major shift in power leads to societal transformation.
I think when we start to understand the unnatural power that this industry has taken over our lives, the sacrifices it demands, and the constant petition for access to care, we can see that it is, in fact, immoral.