And, it is real work that Teresa is doing. Rather than simply writing checks, Teresa has spent decades working with private NGO’s, foundations, corporations, unions, and academic institutions in a non-partisan manner. But the extent of her involvement came as a surprise to me as she almost off-handedly described how directly she’s been involved with doctors at the University of Pittsburgh in designing pilot programs to study the effectiveness of early childhood initiatives, including one called Early Start. Then there was her discussion of PBMs (Pharmacy Benefit Management plans). Again, I was surprised at her hands-on experience in this area. Teresa has worked through her foundations to set up a state-administered prescription drug plan for the state of Massachusetts and one in Ohio for the uninsured and emphasized the need to offer different solutions for the needs of different states. She knows that unless they are set up with transparency and accountability, many of the private PBM plans set up through employers and pension plans to distribute drugs are just no-risk, cash cows that add an unnecessary layer of costs in our healthcare system.
Definitely the kind of perspective that needs to be brought to the problem.