I Refuse to Let the Pharmacist do my PAP Smear.

I don’t need the analysis tools I was supposed to have learned while pursuing my Finance degree to know that the proposed merger between CVS Health and Aetna is a raw deal for consumers. It gives me the same foreboding feeling many young actresses must have felt when entering a Harvey Weinstein meeting to discuss their career.

You have to look no further than the terrifying corporate-speak catch phrases that are littered amongst the press releases to feel dirty. There’s going to be “a new front door for health care in America.” CVS stores are now going to be “health hubs”. They tout the “human touch” of CVS. The Chairman of Aetna, Mark Bertolini is quoted in one Washington Post article as saying,
“We want to get closer to the community, because all health care is local,” Bertolini said. “What was going to draw people into an Aetna store? Probably not a lot. We looked for the right kind of partnership.” I hear that in Kevin Spacey’s voice.

I don’t want a drugstore to be my first stop when I need medical advice or even preventative care. I certainly don’t want to touch anything in a filthy drugstore, especially the people working there. It’s not personal. I don’t think they want to touch me either. I’m certain that when making a career choice, the prospective pharmacist thinks something like, “ I love science and medicine but I don’t want to touch the human body.” I will say however, in a sweeping generalization, that the pharmacists I’ve encountered may excel at many other things in their lives but interpersonal communication skills is not one of them.

There’s talk of nurses being available and I have the highest respect for those in the nursing profession. I think many of them are capable of doing as good if not a better job than many with the MD designation. However, while I don’t mind having a different service writer when I bring my car in for an oil change, I don’t want to see a rotating army of medical advisors. I want my doctor to remember the various infections or injuries I’ve had to help connect the dots if there’s a more significant problem.

When was the last time in capitalism history that a vertical chain resulted in benefits to a customer? It is laughable that CVS and Aetna are touting choice and cost savings as benefits to the deal. If you have Aetna insurance, can you ONLY fill at CVS? Will CVS refuse to fill other prescriptions for patients with other coverage? Will they charge you more than an Aetna customer? Will Aetna refuse to provide reimbursement to doctors for routine services that your “health hub” provides?

The Department of Justice just nixed the AT&T/Time Warner deal. Like this proposed match, AT&T and Time Warner were complimentary but not competing companies. Still, the DOJ saw the danger signs ahead if those two combined. But this DOJ may have just been doing the bidding of President Baby who thinks the media is a big meanie and that this merger would have given them a larger slice of the schoolyard. Now maybe it’s time for the republicans to start paying back the lobbying support of Big Pharma and to reward insurance companies for providing the financial strangulation of the american public as proof of Obamacare failures. Don’t be surprised if this CVS/Aetna deal slides right on through. And if it does, you can be sure there will be additional consolidations.

PAP Smear by the pharmacist? No thanks. You can pick up my DIY kit on Etsy; a bottle brush and microscope slide. You’re welcome.