Canada is one of the few “western” countries without annoying customs duty/tariff requirements to ship to by post these days. US is a mess, and UK/Europe are going in the same direction.

Speak for yourself, if mine goes any lower I’m going to pass out

“Independent pharmacies, often excluded from networks by pharmacy benefit managers, were more than twice as likely to face closure compared to chain pharmacies.”

Iunno, pretty sure a car manufacturer will sue me for trademark infringement if I try to manufacture a Beetle under my brand name.

The bigger answer is regulations in some places against the drug name inferring what it treats.

If you want to do global marketing; you gotta go for lowest common denominator: something meaningless in every language/slang.

Oh, I’ve had this before. Apparently there was some background “registered address” and I had only updated my “mailing address”. They happily sent monthly statement to the mailing address for years but sent important notices about shutting down their entire small biz account service to my out-of-date “registered address”.

Fun times walking into a branch because you haven’t gotten a statement for a few months and they say “oh, your account has been closed, we sent a $$$ bank draft to $oldaddress”

Deregulation at every level = small/low leverage players get squeeeeezed.

Most likely in Spain (and much of the world), you have controlled pricing of drugs and fixed markups/fees at pharmacies. Quite possibly it’s illegal there for a non-pharmacist to own a pharmacy and they can’t own a bunch as a silent/relatively inactive partner either.

https://schaeffer.usc.edu/research/pharmacy-closures-united-...

The bigger thing is consolidation and independents being replaced by bigger fish because their leverage is very very low.

If they were otherwise high profit customers, they wouldn’t/shouldn’t have put them into IVR hell in the first place.

Anywho, I’m off to acquiring a DID that suggests I’m from a high-net-worth area. Until then, I’ll forge my caller id.

But I thought the issue with customer surveys was how biased they could be toward negative experiences cuz nobody else is angry enough to respond.

It’s nice that this remains an option. It’s a dying one. So much is better handled and more easily handled in person than over the phone/mail/web/fax/email/blah, even if they’re 1:1 with a human.

It’s why I stick with my credit union instead of moving everything over to an online bank even tho I’ve managed to get 99% of everything done with the CU without going to a branch.

Insurance companies and PBMs would probably say the same they have competitors (ie:replaceable) and can’t just pay more for this or that, or reject any cost saving measure available.