Jay Pee is just “Steam Release”. You visit “Angry”, “Angriest”, “Drug Monkey”, plenty of others and Jim Plagakis and you get the same thing in context: How Bad It Is! The particles may be different, but the messages are the same: There is trouble in pharmacyville.
The Internet seems to be a wonderful thing. Instant answers. Music. Videos. Full length movies and “Steam Release”.
Two types of “Steam Release” come to mind. Porno and Pharmacy Blogs. The Internet IS a wonderful thing if you are able to control yourself and insist that you maintain objectivity. But that is not going to happen much.
The Internet lets us wallow in subjectivity. I tell you about the $4.00 Rx. I tell you that it is a disgrace and you say, “That’s what I’m talking about, Plagakis, you tell what’s really going on. The bastards”. Screw them all and their $4.00 prescription. “Steam Release”.
Angriest points at the famous Pharmacy Benefits Manager (as only he/she can point with colorful language squared) as the asshole of the prescription drug delivery. You love that stuff. You love it because Angriest has a knack for belittling and demeaning the subject (PBMs). It makes you feel so good. You turn off the computer and go to bed. Spent. Like you had just been in a tough street fight and came out on top.
Is it that much fun when your team always wins. I do not think that Angry is looking at writing a piece about the difficult situation the chain drug store got themselves into when some minor functionary signed the last PBM contracts. The idiot took another 1.5% hit and that means that you are just trading dollars on most brand name, mid-priced prescriptions. That means that the company is not making any money on 30% of the prescriptions you fill and is actually losing money on another 10%. The only Rxs that you make money on this group of PBM contracts are generics.
That same group of idiot middle managers look to save money where they always look so they can save their own asses. Pharmacist overlap and technician hours. This has not changed in four decades, you guys. It is the easy place to look. It is the loser’s place to look. It is the quick fix so that the idiot can report to the upper management that money is being saved by cutting what they say are superfluous, redundant hours. WTF? Redundant? Superfluous?
How about those upper managers coming and talking to you? The idiots would be out on their asses.
Can you feel the Steam starting to build up? After 7:00 PM the steam is about to blow your head off. You go home and read what Drug Monkey has to say and, Ohmygawd, David is talking about my store, about me. Dammit, David, you are so right about this. It is customer service that suffers. It is me who suffers. My language, man You are talking to me. STEAM RELEASE!
The two wars that our kids are fighting in Iraq and Afghanistan have millions of us outraged. There were millions outraged 40 years ago and we took to the streets. We demonstrated. The stream built up to such a critical pressure that we had to do something. We were active and vocal. We did stupid things, but we had a lot to do with the end of the Vietnam War. We had to vent some of the steam pressure. There was no Internet. There were no anti-war blogs were we could go.
What if there was no Jay Pee, no Drug Monkey, no pharmacy blogs. What would you do with the hissing of the superheated steam then? Some of you might troop up to the district office, go find your pharmacy DM and tell her, “You get me 16 more hours a day of tech help and a relief pharmacist on Tuesday and Wednesday or I am giving you my nametag and store keys right now.
NOW, THERE’S SOME STEAM RELEASE.
“But, but Terry, you do not want to do that.”
“Oh yes I do, Mildred. Yes, I do.” That first rush of epinephrine and cortisol is abating and you feel worried. You’ve worked for this company for 15 years.
“Terry, let’s talk about this.” Mildred has a look. Devious eyes. “Terry, I’m asking the secretary to come in and take notes.”
The bitch wants a witness to cover her own ass. You take off your nametag and start fishing for your keys. “By the way, Mildred, I’m riding this horse as far up the pike as he’ll take me. Right to the CEO’s office at a gallop. I’m not stopping until everyone knows that it is not the pharmacies who have screwed up.”
Now that is some bona fide STEAM RELEASE.
What does Terry do in real life? He goes to some pretend life on the Internet to find some ranting to make him feel better.
“When you coming to bed, Terry?”
“Damnit, Betty,” Terry says to his wife, “This Angriest Pharmacist is right on target and he calls them, oh hell, Betty, you don’t like that kind of language, but, baby, he hits them right where they live.” Haw Haw Haw. “This cracks me up.”
Steam release. Me too. So, I am included in the group that comes to the pharmacy blogs basically to masturbate rather than have real sex in the manager’s office.
If I am even close, this is very dangerous. Not just for pharmacists, but for everybody in our culture, perhaps the world. First, we read only what we agree with and second we read rather than actually doing something about it. Brrrrr. Where is George Orwell when we need him?
Instead of whining about the state of retail pharmacy, how many of you are engaged in a written, face to face or telephone conversation with your state board trying to get the board to acknowledge that a tired pharmacist is a dangerous pharmacist?
The wars, health care, taxes, pharmacy schedule budget cuts. What’s the difference?