#us pharmacy market

[herwolfnight]

U.S. Pharmacy Market Size, Share, and Trends: Detailed Insights

"The u.s. pharmacy market share was valued at USD 534.21 billion in 2020 and is projected to expand at a CAGR of 6.3% from 2020 to 2028, reaching USD 861.67 billion by 2028". This growth underscores substantial opportunities in this rapidly expanding, high-volume industry. The report offers a comprehensive analysis of the overall market conditions, trends, regional insights, opportunities, key players, and market segmentation, delivering crucial information for business success.

Get free Report Sample PDF: https://www.fortunebusinessinsights.com/enquiry/request-sample-pdf/106306

The report presents detailed market segmentation, a systematic overview of key players, supply chain dynamics, consumer trends, and insights into emerging geographical markets. It provides an in-depth analysis of major market developments and competitor analysis, highlighting significant competitors to help businesses gain a comprehensive understanding of the market and products, enabling them to craft superior strategies. The team at Fortune Business Insights is committed to understanding clients' businesses and needs to deliver exceptional market research. This report is uniquely tailored to meet specific business requirements, making it highly relevant and commendable.

U.S. Pharmacy Market Key Attributes:

Report Attribute

Details

Forecast Period

2021 - 2028

Estimated Market Value (USD) in 2020

USD 534.21 billion

Forecasted Market Value (USD) by 2028

USD 861.67 billion

Compound Annual Growth Rate

6.3%

Report Type

Global

Our report explores various sectors, from pharmaceuticals to medical devices, offering stakeholders actionable intelligence to navigate and thrive in this dynamic market. Whether you are a healthcare provider, investor, or policymaker, our research equips you with the knowledge necessary to make informed decisions and drive innovation in the ever-evolving healthcare sector.

Top 10 Major Competitors of the of U.S. Pharmacy Market:

CVS Health Corporation (Rhode Island, U.S.)

Walgreens Boots Alliance, Inc. (Illinois, U.S.)

Cigna (Express Scripts) (Connecticut, U.S.)

UnitedHealth Group (Optum) (Minnesota, U.S.)

Walmart Inc. (Arkansas, U.S.)

The Kroger Company (Ohio, U.S.)

Rite Aid Corporation (Pennsylvania, U.S.)

Albertsons Companies, Inc. (Idaho, U.S.)

U.S. Pharmacy Market Key Drivers:

Increasing demand for prescription and over-the-counter medications due to aging population and chronic disease prevalence.

Technological advancements in pharmaceutical manufacturing, distribution, and dispensing, enhancing efficiency and accessibility.

Rising healthcare expenditure and insurance coverage driving pharmaceutical spending and retail pharmacy sales.

Expanding scope of pharmacy services, including medication therapy management, immunizations, and point-of-care testing.

Regulatory changes and healthcare reforms shaping pharmacy practice, reimbursement models, and drug pricing policies.

Here are some key elements of the u.s. pharmacy market 2024-2030 strategy:

Define the Research ObjectivesThe first step in the u.s. pharmacy market strategy is to clearly establish the research objectives. This involves pinpointing the specific questions that need to be answered and the information required. Clear objectives will steer the entire research process, ensuring the data collected is relevant and useful.

Identify the Target MarketBusinesses must pinpoint their target market and understand their needs, preferences, and behaviors. This involves segmenting the market based on factors such as demographics, psychographics, and geographic location. A thorough understanding of the target market allows for products, services, and marketing efforts to be effectively tailored to meet customer needs.

Select the Research MethodologyChoosing the right research methodology is crucial for gathering accurate and relevant data. Various methodologies, including surveys, focus groups, and observational research, can be employed. The chosen methodology should align with the research objectives and the type of data needed.

Collect DataWith the research methodology selected, data collection can commence using techniques such as online surveys, phone interviews, or in-person focus groups. Ensuring that the data collected is reliable, valid, and representative of the target market is essential for making informed decisions.

Analyze the DataAfter data collection, the next step is to analyze the data to identify trends, patterns, and insights. This analysis can involve statistical methods for quantitative data or qualitative techniques for open-ended responses. Proper data analysis is critical for drawing meaningful conclusions.

Draw Conclusions and Make RecommendationsBased on the data analysis, businesses can draw conclusions and make informed recommendations for future actions. These recommendations might include changes to product offerings, marketing strategies, or business operations. The goal is to use the insights gained from the research to drive business improvements and growth.

Continuously Monitor and AdaptMarkets are dynamic and constantly evolving. Therefore, it is important for businesses to continuously monitor their performance and adapt their strategies as needed to remain competitive. This ongoing process of monitoring and adaptation ensures that businesses can respond to market changes and emerging trends effectively.

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The u.s. pharmacy market report equips investors with the tools to enhance decision-making, explore a variety of investment opportunities, and achieve their financial objectives more efficiently. Moreover, the u.s. pharmacy market industry is experiencing rapid growth, fueled by factors detailed in the report, with significant expansion anticipated during the forecast period.

Our report offers valuable insights for stakeholders, including healthcare providers, policymakers, and investors, enabling them to make informed decisions and capitalize on market trends. Through comprehensive analysis and data-driven insights, we aim to assist stakeholders in navigating the complexities of the healthcare sector, fostering innovation, and achieving improved patient outcomes and sustainable growth.

Table of Content u.s. pharmacy market: 

Introduction u.s. pharmacy market

Research Scope u.s. pharmacy market

Market Segmentation u.s. pharmacy market

Research Methodology u.s. pharmacy market

Definitions and Assumptions u.s. pharmacy market

Executive Summary u.s. pharmacy market

Market Dynamics u.s. pharmacy market

Market Drivers u.s. pharmacy market

Market Restraints u.s. pharmacy market

Market Opportunities u.s. pharmacy market

Key Insights u.s. pharmacy market

Key Industry Developments - Merger, Acquisitions, and Partnerships U.S. Pharmacy Market

Porter’s Five Forces Analysis u.s. pharmacy market

SWOT Analysis u.s. pharmacy market

Technological Developments u.s. pharmacy market

Value Chain Analysis u.s. pharmacy market

TOC Continued…!

Quick Buy - U.S. Pharmacy Market Report: https://www.fortunebusinessinsights.com/checkout-page/106306

Key questions answered in this report

Q.1. What is the estimated U.S. Pharmacy Market size and growth rate for 2032?

Q.2. What are market trends of the U.S. Pharmacy Market?

Q.3. What factors are fueling the growth of this U.S. Pharmacy Market?

Q.4. What challenges are facing the U.S. Pharmacy Market?

Q.5. Who are the primary key players in this market?

Q.6. What threats and opportunities do these key players encounter?

[rahulp3]

What Are The Major Factors Driving Retinal Biologics Market Growth?

The Retinal Biologics Market is experiencing a surge in demand, fueled by advancements in eye disease treatments and a growing emphasis on vision health. According to a recent analysis by Future Market Insights (FMI), a leading market research firm, the market is currently valued at an impressive US$22.25 billion in 2022. Looking ahead, the market is projected to witness a remarkable Compound Annual Growth Rate (CAGR) of 11.1% over the next six years. This translates to a staggering market valuation of US$41.92 billion by 2028, highlighting the significant potential of retinal biologics in revolutionizing eye care.The remarkable expansion of the Global Retinal Biologics sector is fueled by advancements in technology, innovative research, and a growing demand for cutting-edge treatments. As the industry continues to evolve, it presents unprecedented opportunities for stakeholders, investors, and healthcare professionals alike.Key Retinal Biologics Market Insights:

Rising Prevalence of Diabetes-related Eye Disorders and Age-related Macular Degeneration (AMD) The prevalence of diabetes-related eye disorders and age-related macular degeneration is on the rise, underscoring the growing need for innovative solutions within the Retinal Biologics Industry.Substantial Investment in R&D for Biologics in Retinal Disorders The industry is witnessing a significant influx of research and development resources, aimed at advancing biologics for both infectious and non-infectious retinal disorders. This investment underscores the commitment to addressing unmet medical needs.

Emergence of Specific Biologic Molecules as Therapeutic Targets Specific biologic molecules are gaining prominence as highly promising therapeutic targets, offering new hope for patients with retinal conditions.Gene Therapy as a Solution for Monogenic Retinal Illnesses With a growing number of monogenic retinal illnesses, gene therapy is emerging as a pivotal component of the Retinal Biologics Market, presenting innovative solutions for these challenging conditions.

Request a Sample Copy of This Report Now.https://www.futuremarketinsights.com/reports/sample/rep-gb-8663

[heart-forge]

@fiddles-ifs replied to your post “I read that as sexy Barista and had to go back and...”:

Being a barista is worse than the corps. If anything they'd be even MORE yolked

​training the newest summer college hire like "you know how I got this scar? it was christmas, 2022. there was a designer ornament pop-up in the mall....I was lucky to get out alive...."

[ballsballsbowls]

I'm sure someone in the notes probably addressed this as well, but on top of literally every issue that cut-to-the-bone pharmacy staffing introduces for patients, it makes for a lot of issues for the staff, too, especially pharmacists.

If your retail pharmacy has one pharmacist working that day (which is....basically everywhere I worked, barring one place), you are there all day, open to close, alone. The pharmacy cannot remain open if the pharmacist is gone. So that means that if you are the pharmacist on duty, you cannot leave the store.

You can't leave if there's an issue with your child. You can't leave if the only toilet in the store stops working (happened to my store once!).

Most importantly, you can't leave if you are having a 10/10 "I need to go the ER immediately" medical emergency. You have to call your boss, who has to FIND someone to cover for you, and THEN you have to wait until they are there (and because of the way the chain stores are, and how they sort into regions, waiting 2 hours for your coverage to get there isn't uncommon).

I had a coworker who waited 3 hours to get coverage while he was passing a kidney stone, which is wildly unsafe for him AND any scripts he filled or patients he counseled while it was happening.

NBC News CNN

[marketsndata]

[fingertipsmp3]

In some other news I am not being assigned projects so for all I fucking know I don’t have a job anymore 👍🏻

[cmibloggers]

U.S. Compounding Pharmacies Market Is Estimated To Witness High Growth Owing To Increasing Demand for Personalized Medications

The global U.S. Compounding Pharmacies Market is estimated to be valued at USD 4,789.6 million in 2022 and is expected to exhibit a CAGR of 5.9% over the forecast period 2022-2030, as highlighted in a new report published by Coherent Market Insights.

A) Market Overview:

Compounding pharmacies specialize in creating personalized medications tailored to meet individual patient needs. These pharmacies have gained significant popularity due to their ability to produce medications in specific strengths and dosage forms, such as creams, gels, or injectables, which are not commercially available. Compounded medicines play a crucial role in treating patients who have unique healthcare requirements, including those with allergies, pediatric patients, or those who require customized dosages.

B) Market Key Trends:

One key trend driving the growth of the U.S. compounding pharmacies market is the increasing demand for personalized medications. Patients and healthcare professionals are recognizing the benefits of personalized medications that address specific patient needs and preferences. The ability of compounding pharmacies to create customized dosage forms and strengths allows for more precise medication delivery and improved patient outcomes. For example, compounding pharmacies can produce allergy medications without certain allergens or create pain relief creams with specific active ingredients.

C) PEST Analysis:

- Political: Government regulations play a significant role in the compounding pharmacies market, as these drugs are not regulated in the same way as commercially available medications. The FDA has established guidelines to ensure the safety and quality of compounded drugs.

- Economic: The market is driven by the growing demand for personalized medications and the increasing prevalence of chronic diseases, which require tailored treatment options.

- Social: The aging population and rising healthcare costs have led to increased awareness and acceptance of compounding pharmacies as an alternative to traditional pharmaceutical products.

- Technological: Technological advancements in compounding techniques and equipment have made it easier for pharmacies to produce customized medications efficiently and accurately.

D) Key Takeaways:

- The global U.S. compounding pharmacies market is expected to witness high growth, exhibiting a CAGR of 5.9% over the forecast period, due to the increasing demand for personalized medications.

- The market is segmented into different regions, with North America expected to dominate the market due to the presence of a large number of compounding pharmacies and supportive government regulations.

- Key players operating in the global U.S. compounding pharmacies market include Avella Specialty Pharmacy, Ltd PharMEDium Services, Institutional Pharmacy Solutions, Cantrell Drug Company, Triangle Compounding Pharmacies, Hoye’s Pharmacy, Vertisis Custom Pharmacy, Smith Caldwell Drug Store, Nephron Pharmaceuticals Corporation, Rx3 Compounding Pharmacy, B Braun Melsungen AG, Clinigen Group PLC, QuVa Pharma, ITC Compounding Pharmacy, and Lorraine's Pharmacy. These players focus on strategic initiatives such as mergers and acquisitions, collaborations, and partnerships to expand their market presence and cater to the growing demand for personalized medications.

In conclusion, the U.S. compounding pharmacies market is witnessing significant growth due to the increasing demand for personalized medications. With advancements in technology and supportive government regulations, compounding pharmacies are well-positioned to meet the unique healthcare needs of patients and contribute to improved patient outcomes.

[wheelie-sick]

I'm moderately immunocompromised due to the medications I'm on that suppress my immune system

I'm also...

a university student. I'm in your classes

a community member. I'm in your public spaces

someone who does my own groceries. I'm in your grocery stores

someone who takes medications. I'm in your pharmacies

someone who likes to eat out with friends. I'm in your restaurants

someone who shops. I'm in your malls and shopping centers

someone who appreciates local artists. I'm at your markets

I am not elderly. you cannot look at me and see that I am high risk. You can't know to avoid me if you leave the house with covid or the flu but covid or the flu could kill me

new covid guidelines are suggesting that you can leave isolation while you're sick but that you should avoid high risk people. you cannot do this, we are everywhere. we look like elderly people on ventilators but we also look like fit young adults and energetic children. you cannot spot someone high risk. you cannot avoid us. if you're sick stay home

[sonicenvy]

literally why does seeking medical care and medical billing have to be such an awful goddamn time. i just want to know if my plan covers my provider and if i owe money and what pharmacy i have to use. fucking tell me goddammit

[mostlysignssomeportents]

What the fuck is a PBM?

TOMORROW (Sept 24), I'll be speaking IN PERSON at the BOSTON PUBLIC LIBRARY!

Terminal-stage capitalism owes its long senescence to its many defensive mechanisms, and it's only by defeating these that we can put it out of its misery. "The Shield of Boringness" is one of the necrocapitalist's most effective defenses, so it behooves us to attack it head-on.

The Shield of Boringness is Dana Claire's extremely useful term for anything so dull that you simply can't hold any conception of it in your mind for any length of time. In the finance sector, they call this "MEGO," which stands for "My Eyes Glaze Over," a term of art for financial arrangements made so performatively complex that only the most exquisitely melted brain-geniuses can hope to unravel their spaghetti logic. The rest of us are meant to simply heft those thick, dense prospectuses in two hands, shrug, and assume, "a pile of shit this big must have a pony under it."

MEGO and its Shield of Boringness are key to all of terminal-stage capitalism's stupidest scams. Cloaking obvious swindles in a lot of complex language and Byzantine payment schemes can make them seem respectable just long enough for the scammers to relieve you of all your inconvenient cash and assets, though, eventually, you're bound to notice that something is missing.

If you spent the years leading up to the Great Financial Crisis baffled by "CDOs," "synthetic CDOs," "ARMs" and other swindler nonsense, you experienced the Shield of Boringness. If you bet your house and/or your retirement savings on these things, you experienced MEGO. If, after the bubble popped, you finally came to understand that these "exotic financial instruments" were just scams, you experienced Stein's Law ("anything that can't go forever eventually stops"). If today you no longer remember what a CDO is, you are once again experiencing the Shield of Boringness.

As bad as 2008 was, it wasn't even close to the end of terminal stage capitalism. The market has soldiered on, with complex swindles like carbon offset trading, metaverse, cryptocurrency, financialized solar installation, and (of course) AI. In addition to these new swindles, we're still playing the hits, finding new ways to make the worst scams of the 2000s even worse.

That brings me to the American health industry, and the absurdly complex, ridiculously corrupt Pharmacy Benefit Managers (PBMs), a pathology that has only metastasized since 2008.

On at least 20 separate occasions, I have taken it upon myself to figure out how the PBM swindle works, and nevertheless, every time they come up, I have to go back and figure it out again, because PBMs have the most powerful Shield of Boringness out of the whole Monster Manual of terminal-stage capitalism's trash mobs.

PBMs are back in the news because the FTC is now suing the largest of these for their role in ripping off diabetics with sky-high insulin prices. This has kicked off a fresh round of "what the fuck is a PBM, anyway?" explainers of extremely variable quality. Unsurprisingly, the best of these comes from Matt Stoller:

https://www.thebignewsletter.com/p/monopoly-round-up-lina-khan-pharma

Stoller starts by pointing out that Americans have a proud tradition of getting phucked by pharma companies. As far back as the 1950s, Tennessee Senator Estes Kefauver was holding hearings on the scams that pharma companies were using to ensure that Americans paid more for their pills than virtually anyone else in the world.

But since the 2010s, Americans have found themselves paying eye-popping, sky-high, ridiculous drug prices. Eli Lilly's Humolog insulin sold for $21 in 1999; by 2017, the price was $274 – a 1,200% increase! This isn't your grampa's price gouging!

Where do these absurd prices come from? The story starts in the 2000s, when the GW Bush administration encouraged health insurers to create "high deductible" plans, where patients were expected to pay out of pocket for receiving care, until they hit a multi-thousand-dollar threshold, and then their insurance would kick in. Along with "co-pays" and other junk fees, these deductibles were called "cost sharing," and they were sold as a way to prevent the "abuse" of the health care system.

The economists who crafted terminal-stage capitalism's intellectual rationalizations claimed the reason Americans paid so much more for health care than their socialized-medicine using cousins in the rest of the world had nothing to do with the fact that America treats health as a source of profits, while the rest of the world treats health as a human right.

No, the actual root of America's health industry's problems was the moral defects of Americans. Because insured Americans could just go see the doctor whenever they felt like it, they had no incentive to minimize their use of the system. Any time one of these unhinged hypochondriacs got a little sniffle, they could treat themselves to a doctor's visit, enjoying those waiting-room magazines and the pleasure of arranging a sick day with HR, without bearing any of the true costs:

https://pluralistic.net/2021/06/27/the-doctrine-of-moral-hazard/

"Cost sharing" was supposed to create "skin in the game" for every insured American, creating a little pain-point that stung you every time you thought about treating yourself to a luxurious doctor's visit. Now, these payments bit hardest on the poorest workers, because if you're making minimum wage, at $10 co-pay hurts a lot more than it does if you're making six figures. What's more, VPs and the C-suite were offered "gold-plated" plans with low/no deductibles or co-pays, because executives understand the value of a dollar in the way that mere working slobs can't ever hope to comprehend. They can be trusted to only use the doctor when it's truly warranted.

So now you have these high-deductible plans creeping into every workplace. Then along comes Obama and the Affordable Care Act, a compromise that maintains health care as a for-profit enterprise (still not a human right!) but seeks to create universal coverage by requiring every American to buy a plan, requiring insurers to offer plans to every American, and uses public money to subsidize the for-profit health industry to glue it together.

Predictably, the cheapest insurance offered on the Obamacare exchanges – and ultimately, by employers – had sky-high deductibles and co-pays. That way, insurers could pocket a fat public subsidy, offer an "insurance" plan that was cheap enough for even the most marginally employed people to afford, but still offer no coverage until their customers had spent thousands of dollars out-of-pocket in a given year.

That's the background: GWB created high-deductible plans, Obama supercharged them. Keep that in your mind as we go through the MEGO procedures of the PBM sector.

Your insurer has a list of drugs they'll cover, called the "formulary." The formulary also specifies how much the insurance company is willing to pay your pharmacist for these drugs. Creating the formulary and paying pharmacies for dispensing drugs is a lot of tedious work, and insurance outsources this to third parties, called – wait for it – Pharmacy Benefits Managers.

The prices in the formulary the PBM prepares for your insurance company are called the "list prices." These are meant to represent the "sticker price" of the drug, what a pharmacist would charge you if you wandered in off the street with no insurance, but somehow in possession of a valid prescription.

But, as Stoller writes, these "list prices" aren't actually ever charged to anyone. The list price is like the "full price" on the pricetags at a discount furniture place where everything is always "on sale" at 50% off – and whose semi-disposable sofas and balsa-wood dining room chairs are never actually sold at full price.

One theoretical advantage of a PBM is that it can get lower prices because it bargains for all the people in a given insurer's plan. If you're the pharma giant Sanofi and you want your Lantus insulin to be available to any of the people who must use OptumRX's formulary, you have to convince OptumRX to include you in that formulary.

OptumRX – like all PBMs – demands "rebates" from pharma companies if they want to be included in the formulary. On its face, this is similar to the practices of, say, NICE – the UK agency that bargains for medicine on behalf of the NHS, which also bargains with pharma companies for access to everyone in the UK and gets very good deals as a result.

But OptumRX doesn't bargain for a lower list price. They bargain for a bigger rebate. That means that the "price" is still very high, but OptumRX ends up paying a tiny fraction of it, thanks to that rebate. In the OptumRX formulary, Lantus insulin lists for $403. But Sanofi, who make Lantus, rebate $339 of that to OptumRX, leaving just $64 for Lantus.

Here's where the scam hits. Your insurer charges you a deductible based on the list price – $404 – not on the $64 that OptumRX actually pays for your insulin. If you're in a high-deductible plan and you haven't met your cap yet, you're going to pay $404 for your insulin, even though the actual price for it is $64.

Now, you'd think that your insurer would put a stop to this. They chose the PBM, the PBM is ripping off their customers, so it's their job to smack the PBM around and make it cut this shit out. So why would the insurers tolerate this nonsense?

Here's why: the PBMs are divisions of the big health insurance companies. Unitedhealth owns OptumRx; Aetna owns Caremark, and Cigna owns Expressscripts. So it's not the PBM that's ripping you off, it's your own insurance company. They're not just making you pay for drugs that you're supposedly covered for – they're pocketing the deductible you pay for those drugs.

Now, there's one more entity with power over the PBM that you'd hope would step in on your behalf: your boss. After all, your employer is the entity that actually chooses the insurer and negotiates with them on your behalf. Your boss is in the driver's seat; you're just along for the ride.

It would be pretty funny if the answer to this was that the health insurance company bought your employer, too, and so your boss, the PBM and the insurer were all the same guy, busily swapping hats, paying for a call center full of tormented drones who each have three phones on their desks: one labeled "insurer"; the second, "PBM" and the final one "HR."

But no, the insurers haven't bought out the company you work for (yet). Rather, they've bought off your boss – they're sharing kickbacks with your employer for all the deductibles and co-pays you're being suckered into paying. There's so much money (your money) sloshing around in the PBM scamoverse that anytime someone might get in the way of you being ripped off, they just get cut in for a share of the loot.

That is how the PBM scam works: they're fronts for health insurers who exploit the existence of high-deductible plans in order to get huge kickbacks from pharma makers, and massive fees from you. They split the loot with your boss, whose payout goes up when you get screwed harder.

But wait, there's more! After all, Big Pharma isn't some kind of easily pushed-around weakling. They're big. Why don't they push back against these massive rebates? Because they can afford to pay bribes and smaller companies making cheaper drugs can't. Whether it's a little biotech upstart with a cheaper molecule, or a generics maker who's producing drugs at a fraction of the list price, they just don't have the giant cash reserves it takes to buy their way into the PBMs' formularies. Doubtless, the Big Pharma companies would prefer to pay smaller kickbacks, but from Big Pharma's perspective, the optimum amount of bribes extracted by a PBM isn't zero – far from it. For Big Pharma, the optimal number is one cent higher than "the maximum amount of bribes that a smaller company can afford."

The purpose of a system is what it does. The PBM system makes sure that Americans only have access to the most expensive drugs, and that they pay the highest possible prices for them, and this enriches both insurance companies and employers, while protecting the Big Pharma cartel from upstarts.

Which is why the FTC is suing the PBMs for price-fixing. As Stoller points out, they're using their powers under Section 5 of the FTC Act here, which allows them to shut down "unfair methods of competition":

https://pluralistic.net/2023/01/10/the-courage-to-govern/#whos-in-charge

The case will be adjudicated by an administrative law judge, in a process that's much faster than a federal court case. Once the FTC proves that the PBM scam is illegal when applied to insulin, they'll have a much easier time attacking the scam when it comes to every other drug (the insulin scam has just about run its course, with federally mandated $35 insulin coming online, just as a generation of post-insulin diabetes treatments hit the market).

Obviously the PBMs aren't taking this lying down. Cigna/Expressscripts has actually sued the FTC for libel over the market study it conducted, in which the agency described in pitiless, factual detail how Cigna was ripping us all off. The case is being fought by a low-level Reagan-era monster named Rick Rule, whom Stoller characterizes as a guy who "hangs around in bars and picks up lonely multi-national corporations" (!!).

The libel claim is a nonstarter, but it's still wild. It's like one of those movies where they want to show you how bad the cockroaches are, so there's a bit where the exterminator shows up and the roaches form a chorus line and do a kind of Busby Berkeley number:

https://www.46brooklyn.com/news/2024-09-20-the-carlton-report

So here we are: the FTC has set out to euthanize some rentiers, ridding the world of a layer of useless economic middlemen whose sole reason for existing is to make pharmaceuticals as expensive as possible, by colluding with the pharma cartel, the insurance cartel and your boss. This conspiracy exists in plain sight, hidden by the Shield of Boringness. If I've done my job, you now understand how this MEGO scam works – and if you forget all that ten minutes later (as is likely, given the nature of MEGO), that's OK: just remember that this thing is a giant fucking scam, and if you ever need to refresh yourself on the details, you can always re-read this post.

The paperback edition of The Lost Cause, my nationally bestselling, hopeful solarpunk novel is out this month!

If you'd like an essay-formatted version of this post to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:

https://pluralistic.net/2024/09/23/shield-of-boringness/#some-men-rob-you-with-a-fountain-pen

Image: Flying Logos (modified) https://commons.wikimedia.org/wiki/File:Over_$1,000,000_dollars_in_USD_$100_bill_stacks.png

CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0/deed.en

[mamaspark]

This is from a friend on FB.

BEST. NEWS. EVER !

“Happy Friday everyone! FIP Global CATS has been supporting treatment for FIP cats for years, but our dream and goal has always been legal treatment available through veterinarians. Today I have an exciting announcement that legal treatment with GS-441524 will be available in the US starting June 1!

Stokes pharmacy in the US has partnered with BOVA to bring legally compounded GS tablets to the US. The tablets will be compounded in the US in a formulation identical to the BOVA formulation currently in use in the UK and Australia. Availability begins starting June 1!

Pricing is not yet available, but I'll share more information as I have it!”

My cat, Cole, had FIP. The only way he survived it was by me obtaining treatment through the secondary market. The network is extensive and the medicine expensive. I’m super excited for it to be legal and available here in the US!

Please reblog and share share SHARE!

This is my healthy best friend! He turned 7 this year. Without treatment I would have lost him after only 3 years. 🖤🐈‍⬛🖤

[honeydazai]

୨୧·࣭࣪̇˖ taking care of you when you're sick

feat.: Dazai, Chūya, Ranpo, Fyodor, Nikolai, Sigma

warnings: none!

join my tag list here! 🪻

The moment you fall sick, DAZAI gets all the more annoying, obnoxious to the core as he whines about how unfair it is that you're sick and he's not — translating to “that you don't have to go to work and he does”. He might just use your sickness as an excuse to stay at home himself; after all, when you're in this critical of a condition, he has to be by your side at all times, right? Just in case of an emergency. Surely Kunikida and the President agree.

Taking care of others or even of himself isn't what he's particularly good at, though he will pretend to be absolutely certain about cuddling being a certain cure for any illness. If you threaten to give him the cold shoulder otherwise, he'll also go to the pharmacy and buy you medication, though he will either complain about it, or he'll play it up to be his God-given mission to save his stunning girlfriend's life.

“Hm? What do you mean, bella? Of course I've got the President's 'okay' for staying at home. Taking care of you is most important, after all, don't you agree? .. Don't be mean, I am taking care of you. I made you tea just now, didn't I?"

CHŪYA really doesn't like it whenever you're sick. While he's faced a handful of way more threatening situations before, he can't help but worry when you whine about your head hurting and your throat aching, about your stomach acting up or your vision blurring. It's not his fault that you're on his mind all day — he just wants you to be well. Is that too much to ask for?

Naturally, that translates to him being awfully good when it comes to him nursing you back to health. He wouldn't describe himself as a natural caretaker, but he is, in a way; he's protective and caring by nature, and he makes sure you're relatively well before he leaves for work every day. You don't just get the best medication on the market, but also energising meals made by him with the help of authentic recipes from elderly women he found online. To not fully lose his image, he half-heartedly complains occasionally, though his words are immediately redeemed by his beaming smile when he notices you're faring better.

“Jeez, that's one annoying cold you've got. It's been, what, like two weeks now and it's still not gone. Whatever. I've found this new soup recipe, though. It looks promising enough, doesn't it? I'll try to make it for dinner.”

RANPO admittedly is rather bad at taking care of you. To be blunt, he much prefers it when you coddle and spoil him, not the other way around, though he tries in his own ways — which mostly include sharing his snacks with you and being near you despite the risk of getting infected himself.

Unfortunately, you're not spared from his usual honesty; when you look downright awful, dark circles underneath your eyes, he will tell you just that. If you flake out on any dates the two of you had planned previously, he will whine, but at least he won't hold a grudge. While he's not particularly committed to being a caretaker, he at least stays by your side and brings you medicine and painkillers.

“You should eat more, y'know. Yes, I know you're nauseous. You've said so about twenty times already. You won't feel any better until you eat and drink enough, though. That's common sense.”

Naturally, FYODOR is more than simply good at taking care of you whenever you fall ill. With his age, it's no wonder that he has quite some experience and knows of many ways to heal you, though some of them might include disgusting homebrewed potions. You're best of just not asking what they're made of if you want to have any chance in downing them.

Unfortunately, his approach to helping you regain your health is more clinical than loving. He takes wonderful care of you, but he's not the type to cuddle with you and whisper sweet nothings in your ear while you're sneezing and coughing. If you ask sweetly enough, however, he might just read you a bedtime story or two.

“What is it, dear? I was just going to get you a new glass of water. .. Ah, I see. Do you really want me to stay that badly? Alright, then. Though me remaining by your side won't give you an excuse to skip taking your medication.”

It's no surprise whatsoever that NIKOLAI is not the most caring guy, simply put, and he might just tease you about being sick throughout the whole ordeal. He can't help it; you glaring at him, exhausted and sneezing, makes him giggle. Still, he's not all bad — he revels all the more in your surprised expression when he presents you with homemade soup, a family recipe, or so he tells you, and he smiles, content, when you admit that it tastes rather lovely.

With his ability, it's easy for him to get whatever you might need, whether that's food or a cup of tea or a bucket to throw up in, from the kitchen without moving from your bedside, so be prepared to spend quite a lot of time with him in the next few days — or weeks. Though, luckily, he's there to entertain you, not the other way around; when you say you want to curl up and just sleep the sickness off, he'll just keep watch next to you, silent and calm. After all, he does want you to feel better.

“Hmm, what did you say? You like my cooking? I'm honoured, doll! You're too kind! How about a quiz about what I put in there — poison, carrots, red beet, or all three? Ah, not feeling up for it, are you? What a shame. It's all three, if you're curious. I'm just kidding, of course. Don't you worry your pretty little head.”

SIGMA is the best choice for who to go to when ill. Not only is he kind and caring, he's also responsible and organised and, if you follow every step he tells you — eat his home-cooked soup, drink this medicine, sleep for as much as possible, take hot or cold compresses, inhale water with herbal essences —, you'll be at full health again in no time.

Even though he unfortunately can't stay at home all day to be by your side — duties at the casino call, even though he'd much rather not go —, he tries to spend as much time as possible with you, telling you about what has happened that day and how much he looked forward to being home with you again while your eyes flutter closed. When you've almost fallen asleep, his lips gently press against your forehead, even if that means he risks getting sick himself.

“Are you feeling better yet? No? Well, that's to be expected. It's only been a day, after all. I've brought you some more medicine, as well as some soup. Here, give it a taste, will you?”

@chxrry-doll @irethepotato @beandaifuku, @the-foreigner , @ranpobb, @arixsux, @dei-lilxc , @atsyushi @satoruislove @pastelsbaby @marina-and-the-memes @texchou @shiggysredhead @savagemickey03 @rosepxtlz @nikolaiswife @okura-s @ladykatakuri @lunerenzo @berywritesstuff @xelia25 @yuuotosaka3 @double-black-dazai @alice0blog @fyodorstolenushanka @ttaiyaki @itsnovariella @C4xcocoa

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[lehguru]

FIRST TASK + ONE PIECE MEN

how they would react to their child first task + trafalgar law, roronoa zoro, sanji

info + tw: for the people that dont know— first tasks are something that the kids do alone for their parents in japan, its usually simple stuff, like buying one or two things at the market! also, ive randomized the kids for each of them tw children — ko-fi

trafalgar d.water law thought he wasn't a protective father—when the idea of sending his three year old daughter to buy basic medical supplies alone came up, he was calm about it and agreed. bepo gave her a bag that matched her father's hat, berries to buy the supplies and a pocket den den mushi. while everyone in the crew was almost crying seeing her walk off alone, law let out a soft 'tsk' and said "all of you are overreacting. she will be fine."

it didn't take 10 minutes for him to wonder if she was really fine, where she was, if she was coming back or was still buying things—what if she never made it to the pharmacy at all. he tried to focus on other matters, but those thoughts never left him. he got up and went to leave the submarine, the crew following suit and telling him to wait.

when the door was swung open, golden eyes that mirrored his blinked up at him. she proudly showed the bag with the supplies, her lips splitting into a smile. feeling tears tickling his lower eyelid, law kneeled and gave her a tight hug. "'m so glad you're okay." he murmured, more to himself than anyone else. he pulled away and patted her head. "you did well." while they walked back inside the ship, the little girl started to ramble about her adventure, making a soft smile appear on trafalgar's lips.

roronoa zoro always did things alone as a child, so when nami proposed that he asked his son to do a task in the next island they stop at, zoro groaned a yes. when the day came, he sent off his son with one of his swords—the excuse was to fix it's guard—and just went to take a nap like always. "aren't you worried he might get in trouble?" nami asked, looking at the green haired man with raised eyebrows. zoro shook his head and nami murmured: "okay, well, let's just hope he knows how to use your sword."

upon hearing that, zoro immediately jumped out of the ship, the two swords he still had tied to his belt clicking together. his heart raced as he ran around town, looking for the tiny version of himself—when he found him, it was quite hilarious. "are you challenging the son of the greatest swordsman? how dare you!" the kid yelled, waving his father's sword at a stray cat that didn't seem phased at all. zoro cleared his throat and the green haired child turned fastly, dropping the sword and startling the cat.

"h-hi da—" zoro approaching him made the boy shut himself up. he gulped, his black eyes going wide and his lips pursing. as zoro raised his hand, he prepared himself for a good smack, he closed his eyes and—felt a soft pat on top of his head. "your posture holding the sword was wrong. pick up the sword and let's go, i'll teach you." they started to walk back (away) to the ship, the 'task' long forgotten. but zoro was quite proud of his little one, nonetheless.

sanji adored his son more than everything in the world. even if they didn't look alike appearance wise, the kid behaved so much like him, sanji would do anything to protect him. "i can do it, daddy!" his kid exclaimed one day while they were out getting groceries for the ship. "imma get spices! alone!" the little giggle that left his lips made sanji simply nod and the boy ran away happy before his father could even process his sentences.

after a couple of seconds, sanji ran after the kid, but keeping his distance and watching out for him. surprisingly, the little one was picking up all the right spices and even held the door open for a lady to walk out. feeling his chest swell with pride—and his eyes filling up with tears—, he went back to the store he was previously.

"dad, i got them!" he exclaimed as soon as he saw the blonde. their bright smile could blind everyone around the duo. sanji kneeled to hug him and chuckled. "i'm so proud of you." they walked back home holding hands, talking happily about the exciting dishes they could cook—sanji felt like something inside him was slowly healing.

2024 © content belongs to lehguru, do not repost, translate or feed it into ai without permission

[wuwapetal1s]

write anything abt geshu lin or calcharo im begging on my hands and knees ill give u my first born or a kidney whichever u want

I don't need any organs can I have a pair of knees maybe (ty for the request anon :3)

Love languages

content: sfw, rambling-ish format, not entirely proofread (it's midnight currently), swearing used, etc.

reqs open!

— Calcharo.

Calcharo is an ‘acts of service man’ through and through. To me, he doesn't seem the best at giving affection verbally though he thinks he's *very* good at it personally. As in, you will ask him for comfort or reassurance and he'll give it to you readily… But it will sound so stern coming from him.

“I feel uncomfortable with [such and such]..”

“I understand. I will rectify/fix that.”

Communication KING, though I imagine it can still feel very intimidating to bring stuff up to him. It will always be met with understanding, and he certainly would try his hardest to accommodate what language/tone you'd rather hear in those moments (autistic.)

Getting back to the original point, he will do just about anything for you. There's hardly any limits or rules to that fact. He will kill for you, he will fight for you, he will get in trouble with the law for you, etc etc. He'll also grab extra of your snacks the moment he's back in town and stops at the market before he goes to visit you.

Tired from a long day at work or studying? He'll clean up as quietly as he can while you sleep. You'll wake up to all the dishes done and your living space looks pretty much spotless.

He's the kind of man to learn how you organize things pretty easily, even if you're a very messy person. He's very clued in on anything that involves you (smitten, much?) and he's also just got a keen eye on him.

"Ugh, I can't find where I left my-”

“Bottom drawer of the nightstand.”

“Oh.. Thank you!”

He loves holding and kissing you as well, it's his favorite thing to be welcomed home to. Just the ability to sink into your arms is like heaven to him. Receiving, he probably likes physical touch a lot more, but he feels 100x more satisfied doing something for you to show he cares :).

— Genshu Lin.

Genshu Lin is a possessive man. It's subtle, but it's definitely there. Above all else, he adores you. He's a deeply devoted person when in a relationship, though I don't feel like he's had a lot of experience to pinpoint that exactly, but it's his nature. I believe he enjoys gifting you things he gets his hands on, trinkets or otherwise.

He mostly enjoys giving you things you can make use of or wear. He always gets a warmth in his chest when he sees you in the bracelet he got you (one that matches his that he keeps tucked away for safekeeping) or using pens he gave you after you kept losing your last ones. As long as it works, suits you, and it means a lot to you, he's snatching it up.

I also believe he's a sucker for stealing kisses in private. He may not seem it to anyone else, but he's a softie. Just for you though. Cooking something or simply sitting around? Funny how his lips just found their way to your cheek!

He's a bit more apprehensive about receiving it unless it's the time you two lay in bed together, then he'd let you rub his back or play with his hair. In return, he most enjoys quality time.

Even if it's something as mundane as running an errand or having to pick something up from the pharmacy he wants you there. He'd tell you “I don't need your presence, I just prefer it” if questioned, but he does need it. More than he knows or even lets on, he wants you and needs you there. He hates having to be away from you. It drives him up a wall almost. Like nearly insane.

After long hours working or even days/weeks of it he wants nothing more than to just lay with you and bathe in your presence as if it's a balm for his soul :’).

I love these men they're so fine

[marketsndata]

[evilminji]

Gold can be exchanged for goods and services (o.o )

Pariah's Keep probably has a shit ton of Precious Goods from various places.

Danny is become King?

If Danny becomes King... then the Zone will somewhat obey him. The Crown and Ring could EASILY tell him where the next natural portal is, where it opens up, and for how long. How many there are. Could probably make a few.

Probably WAS supposed to be making them. Consciously. But, well, Coma(tm).

Would probably count as Kingly Duty to filter and collect. Clean Ecto goes out for souls that remain, a Gateway home for those that wish to LEAVE, so forth and so on.

Effectively, being The Grim Reaper. You don't CAUSE Death. You just guide the way home. If folks so choose.

And that's neat! Horrifying, but neat! And Danny can TOTALLY see how it would eventually drive him completely breakfast cereal fruity nuggets! LUCKILY, he's got a vaguely bro's/Mentor thing going with the ghost who has ALL OF POSSIBLE TIME flowing through HIS head! So Danny should be Gucci!

The headaches suck though.

But WHAT... to do with all this Gold and valuable Space Goods? Most of these aren't even recognized currency on earth! Like the Shells. You could buy a mansion with one of those... on the right planet. On Earth? Pretty paperweight. Hmmmm >.>

Wait.

WAIT!

<o> *points to top of head!* CROWN! It can? Predict and make PORTALS!

Portals lead any WHERE and any WHEN!

:O

Gold... can be exchanged for goods and services. He remembers, holding a gold brick, about to eat so, SO much pizza.

But WAIT! I hear you wondering! Surely, you mean? Within his past? The history and region of space he knows, right? Ha ha :) Nope! Cowards.

Danny is on the alien otter's planet, trading those sweet, sweet Shells for some snacks no human could eat and a shawl for his sister! He's hiding, badly, behind a food stall in the Martian market place. Hoping future hero J'onn Johnes doesn't notice him.

Lying to the Space Cops, bout where his untraceable Space Money came from, on an alien trading satellite. The Green Lantern's not buying it. Oh noooo >.> sudden Fright Knight. Looming Menacingly by the loading doooocks. Everyone's upset! Definitely not related to him! Better go check on that! :) *gets the heck out of dodge* (my king. Please stop using me as a distraction.) (No promises)

But! It's all fun and games? Until your human friends get sick. Like... REALLY sick.

And then you suddenly remember time and space mean nothing to you. One 15 minute flight that way, two doors, a quick flight of stairs, and a literal child's play place slide? You could be in the 32nd century.

That disease is AT BEST, an unpleasant afternoon, there.

Here, your friend could die.

You trade a student two Spanish dubloons. They have no idea what they are. Just like the look of them and know they're real metal. They walk into the pharmacy for you. Don't question your "social experiment paper" lie.

You're back in less then an hour.

The screaming argument about ethics and mortality lasts hours.

She still takes the medicine. Gets better. Won't talk to you for months. Because why does HER life matter more? Why bend the rules for HER? And you can't bring yourself to say what pulses as Truth from both Crown and Ring.

You could because she didn't Matter. Time... would not notice, nor change. She was in no way pivotal to the flow of history, must one more ant beneath its unrelenting march. Mattering only because those who love her CARE. Because one or two little things might change for the better.

But it takes the shine off of it, a little.

Being able to go to the FUTURE. Watch movies and see aliens and humans alike in the crowd. Read books and dance to songs from people who won't be born for hundreds of years. Eat snacks from the farthest reaches of the cosmos. Or the early BCs!

And that's BEFORE other time travelers clock him as That Shopping Guy. The one who keeps popping up... buying things. For what? Unknown. Probably dinner. Half the time it's food. Trinkets. Once it was a really, REALLY nice goat. (His aunt was THRILLED.)

It probably drives Bart crazy. Because NO ONE knows anything about the guy? Everyone just universally goes "oooh yeah! HIM! Yeah, he sure does Exsist(tm). Very... present and exsistant." Like that's not CRAZY! He has so many question. So Many! What is he even BUYING!? Why? Is there an order? Or is he winging it?!

*pulls out list* he needs ANSWERS!

@hypewinter @hdgnj @ailithnight