The President calls TrumpRx "the most transformative healthcare initiative of all time." So what does it actually do? In this episode, Jamie and Melissa pull apart the branded drug-discount rollout — and find a website that links you to manufacturer coupons, not a pharmacy.

To understand why the same generic pill can cost $4 at one store and $19 at another, they follow the money through pharmacy benefit managers (PBMs) — the middlemen who now control roughly 80% of the market through rebate games, spread pricing, and the conflict of interest baked into companies that own the insurer, the PBM, and the pharmacy all at once.

They break down the structural fights that could actually change things (the bipartisan Break Up Big Medicine Act; Tennessee's Fair Rx Act and the CVS lawsuit that followed), why TrumpRx explicitly locks out Medicaid patients and won't count toward your deductible, and the now-infamous claim that prices were cut "600%" — a number that's mathematically impossible and rated Pants on Fire.

TLDR: A nurse's-eye view of what TrumpRx does for most Americans: basically nothing.

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