I worked for a PBM in the late-90s. I wish I would've sold crack cocaine and guns to children. I would've felt better about myself. ... Hyperbole, indeed, but wow, that company, and PBM industry, was shady as fuck.
That whole situation was so strange to me. I was in my mid-20s at the time, trying to make sense of the "adult world". Then they tell me something is both illegal and legal at the same time, depending on how your label it - like Schrodinger's cat, but dumber.
And that's when I really started to feel dirty about working for the PBM. I knew the company was part of the machine, helping push drugs onto people, purely driven by profit, not actual need. Like, I dealt with drugs dealers a bunch in college (weed, ecstasy), and none of them ever tried to push drugs onto me. They just sold it, and that was it. But I really started to see how this whole machine operated, and I was part of it. :'(
