This is a real CASE ROOM workshop, opened up for you. Its question is deceptively simple: why does the same medicine cost more in one country than in another?
Over twelve private lessons, you learn to answer it in English, with data, in front of a board. Scroll, and walk through it as a participant would.
The material is not a course book. It is three real video investigations, watched and read in full, alongside Brazil’s own system.
It is designed for health insurance and healthcare professionals who already know this world in Portuguese and need to explain it with authority in English.
Every lesson ends with a timed challenge that proves the skill, rather than merely practicing it.
This is the kind of chart you will learn to explain. In four years, Humalog’s list price rose 52%, while the price actually paid, after rebates, fell 8%.
By the end of the workshop, you describe this trend in forty-five seconds, explain why it happened, and argue it as a drug maker, a PBM or an insurer would.
And every number carries a label: confirmed, corrected or outdated. This one has since changed, and you will know exactly how.
The workshop is a road trip in four units: the price gap, who pays and who decides, following the money, and finally the board.
Each lesson is named for what you can do when it ends, from opening with a hook to delivering a full board presentation on where Brazil fits.
Four skill sets grow together: the vocabulary of drug pricing and insurance, numbers and charts, the grammar that carries an argument, and the craft of presenting and influencing.
By the end, you compare with precision, describe change, explain processes, and separate facts from claims, without reaching for the words.
Before each lesson, about thirty minutes of preparation: a video, a section of its transcript, and three short questions.
In class, your answers sit beside a model answer. Signposts in gold, keywords in bold, the same structure every time, until it becomes automatic.
Lesson by lesson, you read all three transcripts from start to finish, almost without noticing the effort.
Inside the ninety minutes, the rhythm never changes: a quick review, the prep check, new input, a drill ladder, then the board.
And the floor is yours. You speak for at least forty-five of the ninety minutes, because fluency is built by speaking, not by listening.
During class, the drill ladder takes one structure from accuracy, to fluency, to transfer.
It begins with sentence frames taken from the transcripts, and ends with your own company and your own data, in thirty seconds, without notes.
Then comes the board challenge: proof, not practice. A timed demonstration, at the board, scored on four points.
A skill counts as demonstrated only when all four are ticked. If it is not there yet, you receive feedback and one more attempt before the lesson ends.
After every lesson, the new language becomes flash cards: the word, where its stress falls, the Portuguese equivalent, and a plain definition.
On the back, always, the exact line from the transcript where you met it, so each word arrives with its context and its source.
Every skill lives on your Kanban board, moving from Backlog to Introduced, to Practiced, and finally to Adopted.
The board challenge moves a card to Practiced. Only correct, unprompted use in two separate lessons, and then at work, makes it Adopted.
At the end of each lesson, you add a row to your skills map. A gold dot means the skill was demonstrated at the board, not merely taught.
By lesson twelve, every column is full, and you can explain the price gap, in English, to any room you walk into.
The videos date from 2017 to 2019. Before any figure reaches a lesson, it is checked against its original source.
Lesson 1, The $300 EpiPen, begins with your prep work: watch the first video, read section 1 of its transcript, and answer three questions. It starts with a confidential conversation.