PBM Practices Spark Tragic Stories and Renew Calls for Reform

Health care reform bill / law on an American flag.

PBM Practices Lead to Tragic Patient Stories – Drug Topics online article | August 29, 2025

Across the country, patients and pharmacies are speaking out against the harmful practices of pharmacy benefit managers (PBMs). These prescription drug middlemen control access and pricing, yet their actions often lead to delays, denials, and devastating consequences for patients.

A Tragedy That Sparked Advocacy

For Bil Schmidtknecht, PBM reform is personal. His son, Cole, suffered a fatal asthma attack after his insurance dropped coverage for a critical steroid medication. In the aftermath, Schmidtknecht quit his job and launched Patient Protector, a grassroots advocacy campaign dedicated to giving patients a stronger voice.

“Our mission is to educate, enrage, and engage,” Schmidtknecht told Drug Topics. His story illustrates how PBM decisions aren’t just about numbers—they can mean the difference between life and death.

Patient Advocacy on the Rise

Since Cole’s passing, Schmidtknecht has worked tirelessly with pharmacy nonprofits, advocacy groups, and transparent PBMs to drive change. He has supported reform bills in multiple states, pushing for a system that puts patients before profits.

His work has inspired others to share their stories, creating a nationwide call for PBM reform. Each story adds weight to the argument that PBMs’ unchecked power must end.

What This Means for Injured Workers

At RescueMeds, we see daily how PBMs and insurers create barriers for injured workers. These patients already face pain, uncertainty, and lost income. Adding delayed medications, denials, or clawbacks only worsens their situation.

That’s why RescueMeds fights back. We make sure injured workers get their prescriptions quickly, at no cost to them, and without PBM red tape. Just as Patient Protector fights for justice, we fight for access, fairness, and dignity.

The Bigger Picture

PBM reform is not just a pharmacy issue—it’s a patient survival issue. Tragic stories like Cole’s highlight why lawmakers, advocates, and providers must work together to create a more transparent and fair system.

RescueMeds stands with patients, families, and advocacy groups calling for change. Because no worker, no parent, and no child should ever lose access to life-saving care.