Open Letters to the Incoming Trump Administration: Cutting Out the Middle Man*

*with medical devices

The Frontier Psychiatrists is a daily health-themed newsletter. We tackle the intersection of humor, policy, healthcare economics, novel treatments, and whatever strikes my fancy. One of the underlying themes of the newsletter and my career is that medical devices will matter in the future.

Today, I was surprised to see President-Elect Donald Trump agree with me! OK, so I'm not sure it's him agreeing with me, although I have written several letters to his incoming administration, including Dr. Oz on deck for CMS, as well as RFK on the topic of the pending appointment of Dr. Drew to SAMSHA, and Dr. Makary at FDA. But I hope it's clear that I've been advocating against Pharmacy benefit managers, taking up all the money and healthcare, and in favor of medical devices, particularly as they apply to the treatment of neuropsychiatric disorders.

Today, Mr. Trump seemed to be listening:

"The horrible middleman that makes more money, frankly, than the drug companies, and they don't do anyth…