Yes but they don’t really have a way to expand outside of the US, they are basically an answer to a uniquely American problem unless they’ll go they’ll target the self medicating crowd that uses the relatively dodgy online questionnaire/chat prescription pharmacies.
This is not really a problem. If they were in a situation where they didn't have a way to expand outside of say, Burundi, that would be a problem, but the US is 25% of the global economy.
> Yes but they don’t really have a way to expand outside of the US, they are basically an answer to a uniquely American problem
The US accounts for 45% of global pharmaceutical sales. Even if they're limited to "only" half of the global pharmaceutical market, that doesn't sound like the worst position to be in.
I think that’s for North American and it’s in revenue not in actual sales, but yes that is currently the case but it’s also clear that the US health system cannot continue as it does for much longer.
So overall while they can clearly profitably operate in the current market I’m not so sure about their longevity.
Yes you are missing the point that this company can only operate because of just how utterly broken the US healthcare system is, and sooner rather than later there will be sufficient political pressure to change that.
Medicaid for All almost made it into the Democratic Party manifesto this time, it was cut but realistically it will make it into the 2024 or 2028 one especially once the longer term effects of COVID-19 will be more apparent because many of the recovered will suffer long lasting effects potentially for the rest of their (hopefully long) lives, and overall once all the bullshit settles down people will see it as a pretty good wake up call.
You're almost proving my point. Look at the numbers; between now and any reform in 2024 they'll be making $100MM/yr in Net Income -- by 2028 they'd have a war-chest of $800MM -- cateris peribus.
"sooner rather than later" won't be in 4 and could take 8! years (that's seems later to me)
If you're concerned about their longevity it looks like they'll have plenty of cash to figure it out over plenty of time.
It depends on the time scale you are looking at 4-8 years isn’t a lot, and also there are plenty of other changes that could happen in the prescription drug market and there have been many pushes for that which don’t require a full on single payer system.
Most of these changes still maintain the necessity for price transparency, which GoodRx still offers. There will always be some need for an online portal through which to shop for medication, regardless of whether or not there are price controls or if the payments are reimbursed/subsidized by the state.
They seem pretty vulnerable to being obsolete if there is any sort of substantial change in the prescription drug market. And there seems to be quite a push to change the prescription drug market. Just look at how convoluted their revenue generation is, there are like 5 middle men.
This is true of basically any major healthcare play. On the (at this point extremely) off chance that we move to single payer, for instance, insurance companies face an existential crisis. On the off chance that we fix prescription drug price gouging and absurdly inconsistent pricing and all of these problems that GoodRx solves for patients simply by _cutting them in on the scam a bit_, then GoodRx faces an existential crisis.
The fact that there are 5 middle men is... more of a moat in this case? They've solved a complex, intractable problem profitably. Does this mean they're a 20-year company? Eh, not without some significant additional revenue streams or pivots into different areas, and to that point I agree with you about their vulnerability. But for the next 10 years? These are good margins building a business that only incrementally reduces the fucking over of the consumer.
The issue I’m seeing is that many people would prefer a US where a company like that couldn’t exist, and yes the Dems killed Medicaid for All from their manifesto for this round but I’ll wager that the US will move towards universal and single payer system within the next 10 years.
> yes the Dems killed Medicaid for All from their manifesto for this round
“Medicare for All”, and while it's not part of the current platform (which focussed on a public option), removing federal program
barriers to states enacting universal plans while participating in the various federal plans is part of the platform, and state policies providing models for federal progress is a common thing.
But, more immediately, even without Medicare for All, the Democratic 2020 has a plan for universality centered around a public zero-deductible option that all Americans would be able to buy into via existing exchanges and with existing exchange subsidies and some low income Americana would be enrolled in automatically with no premiums.
Admittedly my comment was snarky, but you're speaking of ideals and we're speaking of solutions. Right now GoodRx is a very successful company solving a very real problem. Meanwhile the US government has completely fucking failed to fix it's healthcare issue.
You can keep waiting for a government solution. In the meantime I will continue to be a happy customer of GoodRx.