When Standard Oil controlled the flow of energy, it didn’t just compete—it decided who could access the market.
When AT&T dominated telecommunications, it didn’t just provide service—it controlled who could connect.
And today, pharmacy benefit managers—companies like CVS Caremark, Express Scripts, and OptumRx—have taken on a similar role in healthcare.
They don’t manufacture medications.
They don’t prescribe them.
But they decide which drugs patients can access… where they can get them… and at what cost.
This isn’t just about competition.
It’s about control.
History shows us what happens when too much power is concentrated in too few hands—we act.
And for the sake of patients and the pharmacies that serve them, it’s time to take a hard look again.