How Government ‘Affordability’ Turns an $18 Antibiotic Into $2,500

Nothing makes anything less affordable than a government promise to make something more affordable, and a Texas pharmacist revealed this week how an $18 generic antibiotic gets listed for $2,500. But from there, things get so seriously stupid that you just know there must be a government program involved.

Brad Hart, along with his wife Glenda, own Forest Park Pharmacy in Fort Worth, so he knows a thing or two about how the system works — and just how dysfunctional it is.

“A family came in wanting to transfer their kid’s antibiotic to us,” he posted to X earlier this week. “The child had already STARTED the course. Then, mid-treatment, the insurance company decided the last 14 tablets suddenly needed a ‘prior authorization’ before the other pharmacy could hand them over.”

All this for Linezolid, a generic antibiotic that costs Forest Park $18.

Why all the fuss for something so inexpensive? 

Hart explained, “Insurance and the PBMs [Pharmacy Benefit Manager] behind them price drugs off a number called AWP — ‘Average Wholesale Price.’ People in my industry have another name for it: ‘Ain’t What’s Paid.’ It’s a benchmark number, not a real-world cost. On paper, the AWP for just those last 14 tablets is about $2,500.”

“The system that’s supposedly ‘protecting’ this family from cost is the same system that inflated an $18 medication into a $2,500 line item, then slapped a prior auth on it to “review the expense” THEY invented,” Hart continued. “They manufactured the problem, then billed everyone for the privilege of solving it.”

PBMs and AWPs were unfamiliar to me, so I asked Grok to explain how they work and why they exist.

The short version is that Washington’s tax incentives and Affordable Care Act (thanks, Obama!) mandates push everything into third-party insurance, disconnecting patients from real costs. Medicare Part D (thanks, W!) and weak transparency rules empower PBM middlemen (another Washington creation) to profit from fictional AWP benchmarks, delaying care and sucking up tax dollars while also overcharging sick people.

You get robbed coming and going.

Really, what the insurance companies do here is play arbitrage games enabled by government meddling in the name of affordability. That’s why Forest Park Pharmacy doesn’t take insurance and just sells medications at a market-rate markup from their wholesale cost.

One solution — and this is exactly what I used to do — is to buy bare-bones high-deductible health plans with catastrophic coverage and pay cash for everything else. But I can’t do that anymore because Obamacare made those plans mostly illegal or unobtainable. 

Why, it’s almost as though the entire system were geared for price-gouging. 

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NO PENSIONS, NO WARSHIPS: Broken Germany To Raise Retirement Age to 70, as Plans Are Scrapped for Its Frigate Program That Already Cost Taxpayers $2.6 Billion

Germany is down and out.

13 months into his Chancellorship, Friedrich Merz is polling as the most unpopular German head of government in modern times.

That apparently does nothing to tamp down his cocky self-confidence and sense of self-importance, which so annoy the public.

And things may be about to take a turn for the worse as the German financial reality is biting.

To begin with, Germany is considering raising its pension age from 67 to 70 – the kind of move that set France ablaze for months while Emmanuel Macron tried to pretend all was great.

Germany is Europe’s largest economy, but it is stagnant, and the public finances are collapsing, so a ‘government-appointed commission’ has recommended a ‘radical overhaul of the pension system’.

The Telegraph reported:

“The commission, whose proposals are set to be presented to Friedrich Merz, the German chancellor, on Tuesday, has suggested incremental increases to the pension age every decade according to ‌life ‌expectancy, rising to 70 by 2092 under its current calculations.

They propose a 2:1 ratio formula. For every additional year of statistical life expectancy gained by the population, eight months must be spent working and four months can be spent in retirement.”

Currently, Germany takes the contributions taken from current workers to fund the pensions of current retirees, but the former keeps shrinking, while the latter keeps growing.

“We want to reform our country in such a way that future generations, young generations, also have the opportunity to live in freedom, in peace and in prosperity,” said Mr Merz last week.

[…] The commission also wants to reduce the number of gold-plated civil servant pensioners who receive an average of more than €40,000 (£35,000) a year. A recent calculation by Welt newspaper found the annual cost of these pensions, which teachers in many states can access, to be €67bn (£58bn).”

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CEO of eCommerce Giant Warns Robots Will Replace Humans in Food Delivery, Other Gig Economy Jobs

The founder of one of China’s largest ecommerce companies has issued a stark warning that its entire delivery workforce of 700,000 people will ultimately be displaced by robotic automation. This replacement of the gig economy with robots, if successful, will spread around the world.

The Financial Times reports that Richard Liu, founder and chairman of JD.com, delivered the warning at the Asia-Pacific Economic Cooperation CEO forum in Shenzhen on Sunday, saying that gig economy jobs will eventually become obsolete as robot delivery systems mature. His comments highlight mounting anxiety among Chinese policymakers about how swiftly advancing automation technologies could destabilize employment for the country’s most economically vulnerable workers.

Liu disclosed that JD.com has already established training partnerships with approximately 120 educational institutions to prepare its army of 700,000 delivery workers for alternative careers, particularly in robot repair and maintenance. He emphasized that mechanical systems inevitably develop faults, creating ongoing demand for technicians capable of servicing automated equipment.

At the forum, Liu stated: “In the future, when robots are delivering parcels, sooner or later, there will be a day when couriers are basically no longer needed.” He added: “It will definitely be robots delivering parcels. But I really do not want our 700,000 brothers to go without meals, without jobs.”

The JD.com founder declined to specify when widespread robot delivery might become reality in China. Nevertheless, various experimental initiatives are already progressing across the country and around the world.

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Trump instructs DOJ to investigate possible gasoline price gouging amid U.S.-Iran negotiations

President Donald Trump has called for the Department of Justice (DOJ) to “immediately” investigate possible gasoline price gouging as prices at the pump are slow to drop after the Strait of Hormuz was reopened during U.S.-Iran negotiations.

“The big Oil Companies are not dropping their price at the pump commensurate with the sharply lower prices they are paying for Oil. Those prices are dropping like a rock!” Trump proclaimed in a Truth Social post early on Wednesday. “In other words, customers are being ‘gouged.’”

“I have instructed the DOJ to immediately start looking into this,” he added. “Gasoline prices better start going down a lot faster than what I’m seeing!”

After the signing of an initial memorandum of understanding (MOU) between the U.S. and Iran, West Texas Intermediate (WTI) oil prices, the American benchmark, were under $70 per barrel as of Wednesday, down from about $112 per barrel in April.

Meanwhile, on Wednesday, the average price of gasoline in the U.S. was about $3.93 per gallon. This is lower than $4.52 a month prior, but more than $0.70 higher than the average price a year ago, according to AAA.

The opening of the Strait improved crude and gasoline supplies, though stockpiles were depleted during the military actions in the Middle East as countries tried to soften price hikes.

In another post on Wednesday, Trump added that Iran committed to imposing zero tolls on ships traveling through the important waterway, which should help to move traffic out of the oil-rich Gulf countries to export to other nations around the globe.

“Iran has informed the U.S. that, despite troublemaking Fake News reporting to the contrary, there are NO TOLLS, NO INSURANCE COSTS, & NO OTHER CHARGES OF ANY KIND BEING SOUGHT OR RECEIVED BY IRAN ON SHIPS TRAVELING THE STRAIT OF HORMUZ. If this is false information, negotiations would end, immediately!” he clarified.

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The Myth Of Price Controls

The Cuban dictator Miguel Díaz-Canel’s recent admission that Cuba’s generalized price caps failed to contain inflation, generated shortages, encouraged illegal markets, and reduced tax revenues is another confirmation of a much older economic lesson: price controls do not solve inflationary pressures, and they intensify the distortions they are meant to prevent.

The Cuban case is especially revealing because the criticism comes not from ideological opponents but from the regime that imposed the controls and later conceded their failure.

According to Díaz-Canel’s own remarks, price controls in Cuba produced the opposite of their intended effect: instead of stabilizing prices, they encouraged product scarcity, illegal-market activity, higher effective prices, and falling tax revenues. The government’s decision to eliminate price controls therefore amounts to an empirical acknowledgment that administrative decrees could not keep pace with economic reality.

This episode matters beyond Cuba because it captures the core mechanism of price control failure. When official prices are fixed below levels that would clear the market, legal suppliers reduce availability, quality deteriorate, and transactions migrate to informal channels where the real market price reappears, often with a premium for risk and scarcity. Thus, inflation is not abolished by decree but only transferred from the official statistics into queues, shortages, and the underground market.

The Austrian School of Economics has long argued that prices are not arbitrary numbers but indispensable signals coordinating dispersed knowledge across an economy. Ludwig von Mises claimed that intervening against market prices does not eliminate the underlying forces of supply and demand but rather creates secondary distortions that generate demands for additional intervention. Friedrich Von Hayek reminded us that market prices transmit information that no planner can centrally aggregate in real time, making administrative price fixing structurally destructive.

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MP Materials’ Lawsuit Against USA Rare Earth Highlights Battle For America’s Future In Minerals

USA Rare Earth has dismissed a lawsuit filed by MP Materials, calling the claims “completely without merit” and arguing the case is an attempt to slow its growth. The company said it will deny all allegations that it improperly obtained confidential information from a former MP employee, according to Bloomberg.

The dispute underscores intensifying competition in the U.S. rare-earth sector, where both companies are racing to build domestic mining, processing, and magnet-production capabilities. USA Rare Earth said MP is trying to impede its progress as it develops the Round Top deposit in Texas and a magnet facility in Oklahoma.

Bloomberg writes that MP sued last month, alleging a coordinated effort by USA Rare Earth to recruit MP employees and misuse proprietary information. The lawsuit also questioned the viability of USA Rare Earth’s projects. MP declined to comment on the latest filing.

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Nadella’s Hedge: Microsoft Wants To Make AI Models Cheap – Then Own The Rails They Run On

The entire AI capital cycle – roughly $700 billion in hyperscaler capex this year, an estimated $2 trillion-plus through 2028 – is collateralized by one belief: that intelligence is scarce, and therefore priceable. That belief is already under strain. Per-token inference prices have fallen on the order of 200× in a year, and the only thing holding revenue up is volume; the cost of intelligence is dropping even as the cost of deploying it climbs. Hyperscaler free cash flow is rolling over. The Fed has named AI capital spending a systemic risk. 

And after falling behind in the race to build the best AI, Microsoft is setting up for a massive hedge. The company is on track to spend north of $120 billion this fiscal year – most of it on GPUs and the data centers that house them, $37.5 billion in a single quarter alone, pushing free cash flow negative for the first time in a generation. That is a company betting intelligence is scarce. Yet to the Wall Street Journal last week, Nadella argued the opposite is coming – that intelligence is about to get cheap. The tell isn’t a contradiction. It’s a hedge: if you can’t win the race to build the best model, you make the model worthless and own the road it runs on.

Microsoft is already executing on the hedge. In the weeks surrounding the interview, the company rolled out a new wave of lower-cost models and made Copilot Cowork generally available worldwide – an autonomous agent designed for long-running tasks that lets users (or the system) dynamically route work across multiple models, explicitly including cheaper options. Axios reported that Microsoft is also actively weighing whether to host a version of DeepSeek, the ultralow-cost Chinese model, directly inside Azure for Copilot customers. The model would be optional for users, fully hosted on Microsoft’s infrastructure, and wrapped in the company’s enterprise security, compliance, and data-residency controls.

These aren’t side-quests, they are the product-level proof of the thesis: make intelligence abundant and interchangeable while keeping the customer, the data, and the workflow inside Microsoft’s perimeter.

Nadella believes intelligence is about to become abundant, interchangeable, and cheap, as a wave of agents routes work to the lowest bidder. And as the cost per unit of intelligence plummets, he wants Microsoft to own the rails it runs on.

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Biden Migrant Policy Has Exacerbated Affordability Crisis In Housing — Contributing To 30% Price Hikes In Major American Cities

A recent working paper released by two economists working for the Federal Reserve Bank of Dallas has suggested that illegal migration over the Biden years contributed to as much as a 20% growth in recent years and a whopping 30% increase in housing prices over the last five years.

The paper, titled “The Impacts of Unauthorized Immigration on U.S. Labor and Housing Markets: New Evidence from Administrative Microdata,” provides strong evidence to support the claim that illegal migration has not only worsened an affordability crisis in America, but is one of its key drivers.

For years, America has faced a chronic shortage of housing, a problem that is most acute in metropolitan areas where the number of new homes being built has severely lagged the skyrocketing demand.

In the years Biden occupied the Oval Office, hordes of illegals – to the tune of, at least, 15 million – entered the homeland.  This placed severe pressure on an already tight and inelastic housing market.

The paper concluded that every 1% addition of illegal aliens to a local area’s initial employment raised rents in that area by 1.4%, while increasing housing prices by 2.2%.

In certain key metro areas, such as Houston, Miami, New York, and Minneapolis, where the concentration of illegal migrant inflows was disproportionate to the national average, those housing markets would experience an especially pronounced uptick.

The result of this distressing trend was that ordinary Americans, particularly new homebuyers and young people, were literally being squeezed out of housing altogether because of the seismic pressures introduced by illegal aliens.

In past generations, Americans would only have to compete among themselves for housing.  Housing followed a typical supply and demand relationship – where greater demand was often manageable because new housing could be easily built, without encumbering supply chains too much.

In recent years, that logic has been totally upended.  First, loose monetary policy has expanded the money supply.  The effect of quantitative easing has driven up housing prices far beyond the demand.

The inflation this caused has been exacerbated further by a restricted housing supply, which has been slow to rebound since the COVID-19 pandemic devastated supply chains nationwide.

This in turn further worsened a problem that had been ongoing for years due to burdensome regulations, red-tape, and excess bureaucracy in the housing market.

The effect of opening America’s borders and letting in the third world during an already unmanageable housing crisis was like adding gasoline to the fire.

The market effects have been catastrophic: new home buyers have been potentially delayed from purchasing their first home by decades.  Many have been forced out of the market entirely.

The problems arising from illegal aliens do not just stop at the supply and demand curve: more people cause more strains on local infrastructure, resulting in setbacks and unintended deterioration of said supply.

Local and state governments, rather than allocating limited resources to build new housing, must now reallocate precious time, money, and manpower to improving the infrastructure already available.

This has the double effect of reducing the resources available for new housing while contributing more delays to a market grossly in short supply already.

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The Wish List Of The New York City Council For The City Budget

The deadline for the New York City deadline for the first budget negotiation cycle is looming for June 30, 2026. The elephant in the china shop is how to close the city’s budget gap projected to reach into the multi-billions of dollars. Thanks to Albany’s bailout which mitigated the impending financial disaster, Mayor Zhoran Mamdani was able to avoid raising property taxes. Nonetheless, the City Council giddily advocates significant NEW spending initiatives. Taxpayers from New York State have facilitated Mamdani’s proposing a $124.7 billion dollar executive budget.

Will the Big Apple expand its Rental Voucher program? Currently the 2023 eligibility rules are in force, although some council members desire an expansion. The mayor already campaigned on expansion but dropped that promise when he realized the prohibitive costs. Any expansion would necessarily exceed the current almost $1.8 billion budget. This contentious issue promises to be a potential sticking point in budget negotiations.

Low income public transportation riders already enjoy a 50% discount, but some council members are proposing up to $135 Million dollar more to make those fares free. Were this initiative to be passed the standing $96 Million dollar would double. However, the IBO (Independent Budget Office) underscores that a Fair Fare expansion would still be cheaper than “Fast and Free” buses.

In what seems to many as counterintuitive, the council, charged with living within budget constraints, still envisions staff increases rather than staff reductions which would add $32 Million over the next three years.

In a point of contention, Mayor Mamdani had initially proposed to cut 100 positions for Parks Enforcement Patrol officers. The council, on the other hand, desires to employ 200 new officers which would raise the budget allocation by about $40 Million.

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Not Just the Dollar: Every Major Currency Has Lost Most of Its Value Since 1971

People predicting the collapse of the dollar often point to inflation and argue that the U.S. dollar has lost much of its purchasing power since 1971, when the United States went off the gold standard. That loss of purchasing power is absolutely true and quantifiable. Based on Bureau of Labor Statistics CPI data, $100 in 1971 is equivalent in purchasing power to about $822 today, a cumulative loss of roughly 87%.

Inflation, while not good, does not necessarily mean that people are poorer. Inflation means that each dollar purchases less than it did in the past. However, people have dramatically more dollars today than they did in 1971. Nominal wages are dramatically higher today than in 1971. After adjusting for inflation, today’s average hourly wage has about the same purchasing power it did in 1978, but falls short of 1971 levels.

The decline in the dollar’s purchasing power is therefore real, but it does not by itself prove that the dollar is destined to collapse. A collapsing currency produces hyperinflation and a flight out of the currency. Zimbabwe’s inflation peaked at an estimated 89.7 sextillion percent annually in November 2008, with the Reserve Bank of Zimbabwe issuing a $100 trillion note that could barely cover a bus fare. The government legalized foreign currencies, primarily the U.S. dollar, South African rand, and Botswana pula, for transactions, though successive versions of the Zimbabwean dollar continued to exist in various forms alongside them.

Venezuela’s peak annual inflation reached 1.37 million percent in 2018, according to the IMF, and the country had not recovered to anything resembling monetary stability before President Maduro was removed from office by the United States military.

The U.S. case is nowhere near this. Not only does the dollar persist, but it also remains the world’s preferred currency for trade settlement, foreign exchange reserves, and currency trading, and for good reason, because every major currency has experienced inflation and loss of purchasing power since 1971.

The British pound has lost roughly 95% of its purchasing power between 1971 and today, with £100 in 1971 equivalent to about £1,835 now, according to the Office for National Statistics’ composite price index data. Italy is even worse. The lira, which was Italy’s currency until 2002, depreciated so severely through the 1970s and 1980s oil-shock decades that prices in Italy today are roughly 20 times higher than in the late 1960s.

The euro, which replaced the lira, has itself lost purchasing power: €100 in 1997, the year the ECB’s Harmonized Index of Consumer Prices series begins, is equivalent to about €184 today, a loss of 46% in under three decades.

The ruble is the most extreme case among major economies, though a direct 1971 comparison is not possible because the Soviet ruble and the post-1992 Russian Federation ruble are effectively different currencies. From 1993 alone, the ruble lost over 99.9% of its purchasing power, per OECD and World Bank data.

In addition to the gold standard exit, U.S. debt is frequently cited as evidence of dollar decline, which is only partly valid. The underlying assumption that other countries carry little or no debt is false.

Japan’s government debt stands at 230% of GDP, making it the most indebted nation. The U.S. ranks 11th globally at 125%. China’s overall non-financial debt reached 312% of GDP in 2024, placing it among the most indebted countries in the world.

Countries with lower government debt-to-GDP ratios than the U.S. experienced similar declines in their currencies while paying substantially lower wages. This means their citizens are poorer than Americans despite their governments practicing greater fiscal austerity.

The UK’s government debt stood at 94.3% of GDP in 2025. The UNECE puts the UK’s average gross wage at roughly $57,260 annually, compared with a U.S. figure of approximately $82,900.

South Korea’s government debt was 46.8% of GDP in 2024. That is less than half the U.S. ratio. Yet the average gross wage in South Korea was $40,320, less than half the U.S. figure.

Canada’s government net debt-to-GDP ratio stood at 110% in 2024-25. Yet the Canadian dollar has lost roughly 87% of its purchasing power since 1971. Canada’s gross average wages came to roughly $60,680.

Germany is the most instructive example. Even Germany, the country most celebrated for monetary discipline and whose Bundesbank is often considered the gold standard of central banking, saw the Deutsche mark lose roughly 76% of its purchasing power between 1971 and 2002, when it was absorbed into the euro. Germany’s government debt stood at 63.5% of GDP in 2025, making it one of the least-indebted G7 economies. Despite that record, Germany still has the highest average wages among the major eurozone economies. Yet even those wages, at $69,433 annually, remain well below the U.S. figure of $82,933.

In short, while the U.S. government’s legendary debt is not good and inflation has taken a bite out of purchasing power, all countries have inflation, and all currencies have lost significant value over the past 50 years. The U.S. dollar is no closer to collapse than the euro, the pound, or any other major currency. On the contrary, the dollar remains the world’s currency of choice.

America remains the world’s largest economy by GDP and the eighth-richest country by GDP per capita, while maintaining one of the lowest inflation rates and unemployment rates among major economies.

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