Watch this first: Bill Moyers interviews Melody Petersen on the marketing of "Our Daily Meds."
The NYT is confirming what we feared was true: the White House deal with Big PhRMA to reduce the drug manufacturers’ prices by $80 billions over ten years included White House promises not to require the manufactures to face competition or negotiations with Medicare.
When the deal was announced in June, the WH refused to release details but hailed it as a sign that Big PhRMA would we willing partners in the health care reform effort. So we’ve been getting the "good" Harry and Louise ads paid for by Big PhRMA.
But the price of that cooperation will be to allow the drug companies to sustain drug costs for Americans well above levels that could be justified by competition. From the Times article:
Pressed by industry lobbyists, White House officials on Wednesday assured drug makers that the administration stood by a behind-the-scenes deal to block any Congressional effort to extract cost savings from them beyond an agreed upon $80 billion.
Drug industry lobbyists reacted with alarm this week to a House health care overhaul measure that would allow the government to negotiate drug prices and demand additional rebates from drug manufacturers.
In response, the industry successfully demanded that the White House explicitly acknowledge for the first time that it had committed to protect drug makers from bearing further costs in the overhaul. The Obama administration had never spelled out the details of the agreement.
So now the House’s original Blue Dog, Billy Tauzin, now the head of the big pharma trade group, is shaking down the White House, exposing the deal, and demanding that Rahm Emanuel keep the Congress from forcing drug manufacturers to accept Medicare negotiations or Canadian competition. And this is after the drug kings have already pressured Congress into agreeing to lengthy patent and other protections against generic drugs.
The promised savings applied only to the purchase of brand name drugs purchased by seniors in the donut hole, which Congress is trying to end. And the $80 billion in promised price reductions? That small piece of Medicare drug costs is a drop in the bucket in the nation’s total drug bill.
The White House has been telling the American people that we need to have an insurance Public Option to compete against the private, for-profit insurers to encourage price reductions and to keep the insurers honest. But the same arguments apply with at least equal force to the major drug companies, whose record of deceptive advertising, misrepresentation (here and here), corruption and price collusion (more here, here, and here, and here) are every bit as offensive as the mega insurers’ practices.
The Times notes the deal was negotiated by Senator Max Baucus, with WH participation and approval. The LA Times version adds the deal was cut in the White House with Rahm Emanuel. So what should we expect from the WH/Baucus’ negotiations with Republicans on the rest of the reform package?
More:
Video, Bill Moyers interviews Melody Petersen, author, Our Daily Meds
WSJ, background on House efforts to reintroduce Medicare drug negotiations
Dean Baker on the merits of drug patents
Consumer Reports, initial reaction and comparison with certain generic drugs
James Ridgeway, Mother Jones, PhRMA’s Phony Gift to Reform





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When we saw those Harry-and-Louise ads, from first principles we all knew that the fix was in. But still, it’s somehow reassuring to know that first principles haven’t suddenly changed.
So, how do the costs of drugs in the U.S. compare to those in Canada? How badly are we allowing ourselves to be screwed?
Ian Welsh has a pertinent remark quoted here on why politicians can be bribed for so little:
Surely an obvious answer to “Why?” is that this is just the Chicago Way?
Maybe Progressives should sink the deal now. Where is the savings going to come from? We need a program that will work better and cheaper otherwise it won’t work and the GOP will cancel it.
The Beltway Mantra: Profit Over People.
I believe that “shakedown” accurately describes the situation. And the report sure smells like it came totally from Tauzin’s shop.
Just another piece of the puzzle to report to the American people so we can keep the folks we elected in November true to their promises.
And another reason to come down like a ton of bricks on Baucus and Rahm.
Nah, Chicago politicians demand more. It’s the amateurs from outside Chicago.
Billy Tauzin’s from Louisiana, actually. And Mike Ross of Ross Pharmacy infamy is from Louisiana’s next-door neighbor Arkansas, home of the Clintons (at least until they moved to New York so Hillary could run for the Senate). It makes more sense to talk of The Arkansas Way, really.
This whole model is patently and obviously completely unsustainable. even if one DOES “heart” the insurance/big phrma corporations.
Obama is just out of his gourd if he thinks a partial overhaul (again) will fix anything. Chris Hayes was on MSNBC last night expressing his frustration (good word; not one I’d have used)with Obama’s “backroom deals” and just now taking before the people to sell it when even HE doesn’t know what’s going to be the final bill.
Negotiating in bad faith with the America people? No wonder everyone, even supporters are so confused.
Great article for “pragmatists” : Healthcare Reform Obstructionists Can No Longer Be Taken for Serious Players
G’day!
When visiting a cousin in France early this summer my cousin showed me the medications she was taking for various health conditions including breast cancer (now in remission). It was a 2 month supply and was in a plastic tub approximately 18″ long, 10″ wide, and 8″ deep. It was completely filled from top to bottom with prescription medications. I asked her how much it cost her for all this medicine and she said it cost her, drumroll please, nothing. I can’t begin to imagine how much it would have cost for someone in the U.S..
I’m wondering if this is one of the deals cut to get the Blue Dogs like Arkansas’ Mike Ross (who until 2007 owned a pharmacy company) on board?
Canadian drugs are about 2/3rds less expensive.
If anybody wants to know; the VERY best deal on prescriptions is from the Costco pharmacy, If you have a Costco near you, you don’t have to be a member. This info should be widely disseminated, as Costco’s price are at the least half of what most others, esp beginning with WAL, is charging
Yup. Oh, and as Molly Ivins explained years ago, all of Big Pharma’s talk about needing to hose US customers more than other customers “because our research costs are so high” is hogwash: Drug companies pay out far more in advertising than they do for research, much of it not for new treatments but for drugs that aren’t any better at treating specific diseases than the existing drugs that are no longer protected by patents.
Chicago Way They pull a knife you pull a gun they send one of yours to the hospital you send one of theirs to the morgue.
Obama and Rahm have yet to show they know the Chicago Way.
Costco’s also run by people who aren’t total oncological capitalists like the Waltons.
Heh! And since the two biggest pharma shills are Tauzin from Louweezianner and Ross from Arkansaw, it’s more accurate to speak of the Arkansas-Louisiana Axis.
Great point we should ban drug advertising and tell big Pharma use the advertising dollars for research.
I’m afraid to ask what their way is Tauzin was a founding Blue Dog.
My uninsured partner had to undergo 8 sessions of R-CHOP chemotherapy last year for non-Hodgkins lymphoma. The drugs used in a single session cost about $33,000 making the total approximately $264,000 for the drugs alone. In our crazy system, Rituximab (the R in R-CHOP) is charged anywhere between $8000 and $17,000 for a single dose.
This morning he is at the hospital getting his next scan and we are hoping like crazy that we won’t be starting all over again.
Just because we’re supposed to be these intellectual, liberal elitists, I have to suggest you meant “ontological” rather than “oncological” — although the Waltons world view is quite cancerous.
I could see a grand compromise here. If the progressives would attach tort and regulatory reform to reduce the COSTS of making drugs and treating patients (remember, for every successful drug patented and approved, at least 19 are rejected for various reasons)–if the costs for doctors and pharmaceuticals were to go down then negotiated prices would be fair. But as long as the degree of government regulations artificially make the price high, then it’s fair that they be insulated from negotiating especially since Medicaire and Medicaid has to buy in bulk.
The White House is asking the people who supported him during the campaign to go to town hall meetings and defend…what? The great deal Big Pharma got behind closed doors?
No wonder Obama wants left-wing groups to quit bashing Blue Dogs.
I wonder what kind of deal they struck with AMA to get them on board
Because Canada and Europe engage in intellectual property theft on a grand scale. And the drug companies to a certain extent make allowances for currency valuations and cost of doing business.
Senator Dorgan is offering a way for us to exercise our opinions…learn more about his petition that tackles exactly this issue at Pharm State Action.
In synergy there is power.
Big Pharma has discovered new ailments that are surely worthy of their research dollars like “shaky leg syndrome.” Most of their research today is discovering these new “conditions” that people didn’t even know were a problem.
it really is time to storm thr bastille people,they are robbing us blind getyour pitchforks NOW
I’ve got a couple out in the barn.
Ah. So now I see another excuse to be opposed to the “healthcare reform” legislation coming down: BECAUSE IT ISN’T REFORM! It is a protection racket for corporate medicine, nothing more.
I f*cking HATE all these politicians, both sides of the aisle. They are ALL corrupt asswipes.
I’m with you on that. Sink the bastard and let Obama sink with it. He is a terrible disappointment, along with the Democrapic Congress. 60 friggin votes and they can’t pass ANYTHING without kissing GOP ass (by watering down anything of importance to the point that it is actually a GOP bill).
I am opposed to all of them and all they stand for, regardless of party, because they all stand for the same thing: corporatocracy.
I’m weeping right now for the death of ‘the hope’ of a free nation and democracy. Killed off by ‘crony capitalism’ allowed by it’s citizens. I’ve haven’t cried for at least fifty years. There should be a wake for ‘hopes’ death…there should be some closure.
Thanks for the info. That will certainly save me some $.
add in the millionaire MEDIA SHILLS
Restless Leg Syndrome is not funny. A lot of diabetic patients have a form of neuropathy which causes this. It is painful in the extreme and even in best cases causes insomnia, memory loss and a debilitating way of life. It is worth the investment. If only the government would get off our backs, some of these cures would be available faster.
BIG SHAME ON THE BOUGHT OFF POLITICIANS ALL OF THEM
A mere handful of Bluedick Democrats holds the entire country hostage, even though they would be easily neutered and gutted.
Mustn’t offend the GOP either. MUST get a “bipartisan” (conservative) deal on ALL matters of any import or it just wont do.
Screw Obama, screw the Dems, screw them all.
I’ve been systematically unsubscribing to each and every political action group and Dem mailing list I foolishly subscribed to. They are wankers and liars and thieves. To a man and woman.
At this point I want a total collapse. A collapse of the economy to nothing so that it will bring down the government and all the shit that The Powers That Be know and love. Down here in the muck, I can kick their asses fair and square.
We protest we can sink the deal. Big Pharma I’m sure is supporting the tea baggers on the sly so Obama has an out if he wants. But Healthcare with this deal is a joke.
Why not go to a local town hall meeting on healthcare if any are in your area?
http://campaignsilo.firedoglak…..guidebook/
Jane has locations for healthcare meets. I do think this post should be shown daily so everyone at the Lake can see.
http://campaignsilo.firedoglak…..guidebook/
I will be writing to my useless bags of shit (congressional reps) to demand that they NOT support “healthcare reform”. No big whup though because my “reps” are GOP douchebags and a blueshit “democrat” senator. They were opposed from day one to anything remotely similar to “change” anyway so there will be no heavy lifting required on their part (except the heavy lifting of lugging big bags of money from payola).
Seriously, why? Pelosi is not bound by this. Let’s see what she does.
“At this point I want a total collapse”
I understand your anger. Total collapse will result in punishment of the inocent. Be careful what you wish for, you might get it.
Obama was one small step. We need another two of three hunderd.
Nothing even within 100 miles. No surprise really, this state isn’t worth the trouble of flying over, let alone actually holding anything like an important dog-and-pony show for bullshit healthcare reform.
It’s really past time to think about a radical transformation of the U.S.. Given a corrupt and inequitable political system and a major party and large segments of the population totally opposed to any government initiatives or interventions other than military spending the U.S. finds itself tied into a Gordian Knot. Nothing of consequence is accomplished because of crony capitalism and corrupt politicians and the U.S. continues to slide into 2nd world status. If this continues long enough and the unequal distribution of wealth continues unabatted 3rd World status is not out of the realm of possibility for the vast majority of it’s citizens (for many the 3rd World is already their reality). The U.S. has reached a point in it’s history when it’s time to start thinking about breaking up the country into more viable poltical entities. Find a geographic area or areas where the “Dixie” state of mind can be put into practice. Let them have their own nation where they can have their Ayn Randian world view and an unfettered cannibalistic capitalism where every child at birth will be guaranteed a weapon of their choice when they reach “legal” age be “nurtured” and brought into full flower. Those that subscribe to this bizarre anti-social philosophy around the country could be compensated to help them migrate to the new “Dixie” utopia and vice versa for those that do not share their reactionary sentiments. Until those that oppose and obstruct any kind of enlightenment or progress for the citizenry are isolated in some fashion, the tyranny of the minority (typically overly repressented rural states) will keep the U.S. stuck in a ditch with little hope of getting out. The notion of breaking up a nation state into a more managable entity is not out of the realm of possibility. An ancient example was the breaking up of Rome into an eastern and western empire and a more modern example is that of the Czech and Slovakian Republics. Mass migrations of populations are not unknown as well.
Exactly. The rich are the very last to suffer in a total collapse, because money makes for a good way to shield people from its effects.
Speaking of pharma deals, check this out, buried waaaaay at the bottom of Glenn Kessler’s WaPo piece on Bill Clinton’s trip to free the Current TV Two:
http://www.washingtonpost.com/…..id=topnews
I wonder what that could be?
It’d be one thing if they were looking for safer, better, and/or cheaper versions of existing drugs. But all too often, what they’re really doing is looking to create drugs that do the same things as existing drugs, yet are different enough to be patentable.
Oh, no, I meant oncological as in “cancerous” — because the “no limits to growth” crowd really does operate on the oncological model of capitalism.
I understand how you’re feeling. I can’t work up much enthusiasm, either.
I do think certain politicians like Grijalva, Sanders, and a few others are the good guys. Here’s Grijalva from the NYT article:
“We have all been focused on the debate in Congress, but perhaps the deal has already been cut,” Mr. Grijalva said. “That would put us in the untenable position of trying to scuttle it.”
He added: “It is a pivotal issue not just about health care. Are industry groups going to be the ones at the table who get the first big piece of the pie and we just fight over the crust?”
Obama has been not even a small step. Or more accurately, he has been a step sideways.
Seriously: Obama is continuing the core programs and desires of the Bush Admin before him. Indefinite detention is at the top of his “to continue” list. He’s all over increasing military spending, dropping buttloads more troops into Afghanistan (Obama’s war now), refuses to actually repudiate (officially) many of the power abuses and outright constitutional violations of Bush/Cheney, is owned and operated fully by corporate America (he is owned by Goldman-Sachs, BoA, JPM, big oil, military contractors, etc, etc, etc). There is no change coming from Obama of any real import. It is ALL window dressing and paint on a rundown shack.
Obama’s answer to the economic meltdown? Full-on attempts to simply reinflate the bubble economy and get the debt machines going again. C’mon people, BORROW and spend, borrow and spend like it is 2000 again! No change necessary, just click your heels together and repeat, “Ignore reality ignore reality ignore reality” and reality will melt away to be faced by your children rather than YOU.
Obama is presiding over the crumbling and fall of the USA and his policies are helping the process along because he is merely trying to plaster over the gapping cracks in the system. He believes that Wall Street IS the economy and that the DOW IS the economy.
As for “getting what I want” (the innocent being hurt in a collapse)…I can do what I can to help them out but I STILL want full-on collapse. This shit is finished and needs to go. Inertia is not an excuse to continue doing the same old failed shit again and again and again.
Hah. We wont even get the crust. Think crumbs. The crust is already called for by other industries.
You’re perpetrating a lie about the $80 billions in “cost savings.” The drug companies agreed to voluntarily cut cost increases (repeat, cost INCREASES) by 1.5% over a ten year period.
For one thing, they are not obligated to do bugger all in this context. But more significantly, the drug companies made no promise that drugs would therefore cost less! In fact, it’s very likely they promised that drugs would cost more than they do now.
Here’s what Obama said:
It was absolute bullshit from beginning to end.
That sounds good to me…leave us Texas and the South…where there’s oil and natural energy. Let us keep Alaska. You guys keep the East Coast north of Virgina and the West Coast. You gets get Hawaii (lucky you), we’ll divvy up the rest. I’m game.
They like to do minor changes and repatent the variant as a new drug.
Profits are, after all, so very important. [/s]
The current Consumer Reports has an article about which currently-available drugs are better for what conditions, with some price comparisons.
If only the government would get off our backs, some of these cures would be available faster.
You like the idea of untested drugs, I see.
The government is protecting you by requiring even minimal testing.
But you’re a troll, so you don’t care.
Look, I’ve been away from this site (and others like DKos) for a while – just periodically passing by to scan headlines and synopses. I’ve spent more of my time at various economics-based blogs and, even though SOME of them hold political views (”libertarianism”) that I oppose as mere selfishness, they all do tend to provide good information that the MSM simply ignores.
The economy CANNOT “recover” under the current circumstances. CAN’T. Consumer debt is THE biggest lead brick there is, and it is tied to an IMMENSE federal debt. The economy of the last 30 years has been virtually entirely based on debt spending. People using their homes as ATMs, people ramping up credit card debts, people buying things they don’t need with money they simply do not have. And the bubbles burst as they inevitably ALWAYS do (and they NEVER reflate even though Obama is desperately trying to reflate the housing bubble plus a few others).
ONLY when consumers (consumption is 70% of the US economy) have deleveraged (they haven’t even begun to deleverage – and the cash for clunkers thing is driving them further into overleverage!) can the economy based on consumer spending actually recover. But then, THIS requires that people actually have JOBS that PAY. REAL income has dropped since the 70s for the bottom 99%. The only people getting BIG income increases have been the top 1% and they do not an economy make.
The shit isn’t going to recover. I’ve liquidated my mutual funds, am considering cashing out my IRA, because the current “bull market” is 100% unsustainable: corporate earnings are STILL NEGATIVE. Jobs are STILL BEING LOST. There is NOT manufacturing base of any import left in the USA because NAFTA, GATT, and other shit has consciously sent all that stuff to 2nd and 3rd world slave labor nations. There can be no recovery and with no recovery the government efforts to reflate the bubble economy must fail as all it is doing is driving the government further into MASSIVE debt.
The healthcare reform debacle is NOT going to save any money for anyone so it is simply going to add to consumer debt AND to government debt even further. “Healthcare reform” is simply further enriching for-profit hospitals, over-specialized MDs, insurance companies, and Big Pharma. Add to that the continued bleeding of billions into Iraq and Afghanistan (on top of the 250 billion/year necessary to maintain our military empire of >800 foreign bases), the increase in military spending even after canceling the F22 fighter (when it was already 90% complete while continuing the even MORE massively expensive F35 fighter boondoggle)…and the virtual refusal to increase taxes as they MUST be raised.
The way of life ya’ll have been accustomed to is dying and it ain’t coming back. Ever. Obama is a disaster and the Dem congress is just as big a disaster/failure as the previous GOP congress.
It is time to fold up the tent before it simply collapses on top of us. Obama sucks.
No…as someone with a good deal of experience with dealing with government bureaucracy, the delay in getting needed drugs out to the public is often in moving the paperwork off someone’s desk. I want to cut staff but improve technology and interfaces between the drug companies and pharmaceuticals so that information can be shared and the approval process expedited. If you don’t think bureaucracy slowness is part of government, apply for any kind of a patent nowadays… And if I need the choice between a quack drug and some overpriced “approved” drug…let ME take the chance. Give the patient the choice.
If our president has been buffaloed, and a deal was made with the pharma companies, then he should resign. This is beyond criminal, it is conspiratorial.
Obama wasn’t “buffaloed”, he is full-on in corporate pocket. Bought and paid for from day one.
His ENTIRE economic staff is made up of Goldman-Sachs criminals for hell’s sake.
You are absolutely correct about the economy. Few people understand this so many will experience more losses like they did last year. I suspect these losses may not start until next year but when they do, it will be most unpleasant.
Very good post!
Keep your hydrocarbons, the new nation will rely on renewable resources. When the oil is gone you and your home schooled boys can come begging with hat in hand.
But for people who know they will die very soon anyway. They should have the ability to try drugs that may not be fully tested.
Hey! Not all us Waltons are like that! Many of us are middle class, just like you.
THAT I have no problem with. Informed consent by terminal patients who have already been through all the approved drugs and treatments should be able to elect to try experimental drugs. What is the worst that can happen? They die? They’re dead anyway! The best that can happen is the drug works for them and they live.
Drug patents need to be abolished and the entire drug discovery and development system revamped. There are multiple proposals out there (Denis Kucinich has his own very valid offering). Doing so would not only eliminate the bogus costs that Big Pharma inflicts upon itself to simply develop slight variants of current perfectly working drugs instead of NEW drugs, it would bring down drug prices TREMENDOUSLY.
As for eliminating medicare drug price negotiation, etc, I’ll personally drive to Canada and/or Mexico to get what I need, whether or not it is “legal” (ie, illegal in the sense that the criminal Congress passes a law to protect Big Pharma profits at human expense). Since Congress and Obama have completely quit representing actual human being Americans, I am perfectly fine and justified with ignoring any and all rules and restrictions such a criminal organization seeks to pass to protect corporate profits.
What’s on our national dancecard. Alabama is just the beginning (most states are in dire straights and those that are OK at the moment WONT be soon):
http://exiledonline.com/declin…..eep-order/
Christy has a new post up for our edification: “SCOTUS: Tipping The Scales Between Politics And The Rule Of Law”
Alaska gives us nuclear fuel too. I’m REAL comfortable with that. With a seperate country we can get nuclear power plants up and running fast without a lot of environmental stuff to stop us.
You stop patents, you’ll stop new drugs. People don’t do things without incentives. It’s in the constitution.
The deal with Big Pharma is just more evidence of the ongoing sellout. The only healthcare that is at stake here is that of the insurance companies, Big Pharma, and the medical industry. They are guaranteed trillions. In exchange, ordinary Americans get the shaft.
I agree with your statements about the economy, but pulling the crumbling termite and rot infested house down on top of my head seems a tad foolhardy to me.
I don’t know what the answer is. Every man for himself has a certain appeal, if you’re close to a door or window or maybe already outside, but I’m in the basement with the lights out, trying to find the stairs, and my last match just burned out.
I know we are stronger if we work together and panic is counterproductive. We do need a plan, however, and we have to do this ourselves because we sure as hell can’t count on our government to help us. We also need to realize that our President is a slick con man who sold his soul to corporate America a long time ago. He is our enemy and not our friend.
Stop constructing strawmen. Most of Big Pharma’s drugs are of the “me too” variety or even simple reformulations so that a pill taken twice a day can be taken once a day. These are at best only technical innovations. They represent ways to milk patent law (and consumers) without doing any real research. The patent extensions proposed are just another way to do this. The ad budgets of most pharmaceuticals are bigger than their research budgets. Smell the coffee.
Emptywheel has a new post up awaiting our attention: “On PDB Day, a New Direction against Terrorism? John Brennan’s Coming Out Party?”
Have you ever heard of a phenomenon called regulatory capture? Your suggestion is a recipe for completing the capture of the FDA by Pharma.
Have you ever heard of a drug called Vioxx? It scooted through the system without thorough Phase IV testing and killed people. The manufacturer’s monitoring system was tracking that, they knew their drug was likely causing cardiac problems and chose to do nothing about it. The only reason we found out was that the (ooh, ooga-booga-booga-booga, a Government-run health care system) Veteran’s Administration’s hospital system was also tracking patient outcomes and noted cardiac problems from Vioxx.
These are the people you want to have essentially free rein (and free reign, for that matter) over our pharmaceuticals?
I never expected much real change from this centrist President and Congress, so why am I shocked? I guess I thought there was some difference between a community organizer’s approach and Cheney’s deal-making with with Big Energy. If there is a difference, maybe someone can explain it to me.
Some are new formulations. New formulations can be valuable in delivering the active drug when the patient needs it instead of the “spike…” down and wait until the next time. But some drugs are indeed innovations. and BargainCountenor@72, Vioxx was found “guilty” in one of your trial liar kangaroo courts. Was it dispensed to some folks who shouldn’t have had it? Sure, but sometimes you don’t find out until that rare one comes up for real. I do computer systems programming and believe me, there’s always something different that no one has seen before. It’s like Celebrexx…there are some NSAIDS that all have the same structure that a few folks react badly to. The PATIENT should have the choice…not the government.
And it smells like Rahm was involved too.
Dirty deals behind closed doors + bashing Progressives = Rahm’s Favorite Things.
Sorry but you are simply wrong. Various drugs are cleared out of the system in anything from hours to weeks. Dosing and timing are worked out so that an effective concentration is maintained if medications are taken according to the inclosed guidelines.
I should point out that a third type of non-innovative innovation is to bring an off-label use of a medication on-label.
The thing that I find personally dismaying is the sheer deluge of slick, expensive “ask your doctor” commercials running in seemingly endless succession on TV, radio, and in glossy magazines.
Every single one of them adds to the cost of meds, and encourages people to practice medicine on themselves.
As with the GOP, these industries simply cannot be trusted, period.
Go for it Jethro.
DLoerke, appreciated the dig of “it’s in the constitution”. But there actually are some non-profit organizations that are doing research for drug developments for particular diseases, like the scourges of TB and other mass killers and then are sold at minimal costs.
Scarecrow, thanks for the reference to the Moyers interview. I’m glad that this issue is getting broader exposure, altho it needs to be on corporate TV – which of course will never happen. For many in the health advocacy world, this is “old news” but not in the usual usage by politicians of either party.
The reality is that the pharmaceutical companies give lots of money to mainstay NPO health interest groups beyond the PR shils discussed in the
interview to support patient education activities. Two of the biggest donors in the neuropathy world are Pfizer and Lilly, both of whom I abhor, who produced Lyrica and Cymbalta, which are subscribed for neuropathy. Their extensive advertising on TV and print media has in fact been a major and somewhat effective public awareness campaign in educating a lot of people with neuropathy who never knew the name of their condition or that there was an “answer” although the advertised product answers are very problematic with very serious die effects. The problem is that just having a name and knowing a couple of products is hardly enough to get competent diagnosis and treatment care. Doctors and patients alike desperately need in depth patient education information.
One corporate sponsored advocate I know has been pushing legislation in California to prohibit the common (cost saving motivated practice) of requiring neuropathy and other patients go through a series of older drug options before one can get to “what works” – i.e. the unnamed beneficiaries being Pfizer and Lilly. I immediately saw the proposed legislation as guaranteeing markets for these companies from the desperate needs of neuropathy patients and refused to participate in the advocacy effort. Do these products work for some? Yes, they do, at least until the side effects really catch up with them. Do the older products and other classes of commonly prescribed meds work? Yes for some, and they also have side effects.
Do alternative treatments (meds or procedures) that could be as effective, if not more in some cases, get advertised? Only very rarely. And insurance usually won’t pay for them anyway as they’ll be classified as experimental and treatment claims will generally be denied unless they’ve gone through all the FDA loops. And like the lady said, the FDA process is corrupt through and through. Something a lot of us have known for years.
But thank God for Moyers and this post.
Now as to what the hell we should do about it. I read on these pages increasing desires to shut down the health care reform process because it’s totally controlled by the industry and doesn’t give a damn about patients and their needs. Others are saying, crash the whole socio-economic system.
I’m not inclined to go that far; but the former may be the only moral way to go. Do you suppose there will be an FDL consensus on this, one way or another?
Thanks to all who are keeping the discussion going deeper and deeper, broader and broader.
Blessings,
You want to lower drug prices? Ending patents would work…
so true – progressives need to stop pretending that nasty Rahm Emmanuel is the problem and kind, gentle king Obama is blissfully unaware, but would put things right if he could.
corporate owned (D)’s deserve to lose at the polls, whether to primaries, Independents, or Republicans doesn’t matter in the least, as has been clearly demonstrated in this health care reform 3 ring circus.
So – Obama will turn his back on promises previously made to civil libertarians, accountability advocates, gays and voters demanding transparency. But he’ll proudly stand firm with a behind-the-scenes deal with Big Pharma to limit healthcare reform.
Isn’t this a great nation!
And treatable REAL AILMENTS that are hurting 3rd world impoverished nations go unaddressed.
Jane and team need $$$ read why
Spread the word far and wide
Every blog you know, your email list etc
http://campaignsilo.firedoglake.com/
Amen! Ending patents would help enormously. I remember Pfizer’s efforts to delay the patent end on neurontin; they were trying to prolong it until they could get lyrica up and approved. Lyrica is simply a tweaking of neurontin ingredients, but with worse side effects. Pfizer had earlier paid huge fans for the fraudulent marketing of neurontin by previous owners and continued by Pfizer.
As a quasi gerontologist and advocate, I’ve been thinking more about the Moyer’s interview and I’m really angered about the discussion of how these seductively attractive marketing claims are being used to promote certain meds for senior use that have major chronic complications and I know that they are promoted for facility (i.e. intermediate and licensed nursing care programs) because staff doesn’t want to have to deal with senior problems; wants to keep them sedated, wants to minimize their actual hands on patient care, never mind the horrendously underpaid and under-trained staff that have the major operational patient care responsibility. That’s also a part of the cost control/profit maximizing model for geriatric care.
On another matter, there is a very valid reform effort to increase the number of primary care folks, but one of the hugest lackings in the present doctor shortages is the lack of geriatricians who are trained to care for the folks in their declining years, much less their dieing years.
But also there is a huge lack of neurologists who understand neuropathy because they’ve primarily been trained to deal with alzheimer’s disease patients – a growing and huge population, and thus a very lucrative practice.
Blessings,
So what should we expect from the WH/Baucus’ negotiations with Republicans on the rest of the reform package?
Roll up your sleeves and bend over. And without 100% public financing of campaigns, our government will always respond to the Buck Dolers. Obama should be rightly criticized for not fighting for a better healthcare package but don’t expect real change to happen till we shutoff the bribers and extortionists.
All I know is I am very familiar with Cymbalta and it DOES work. I agree that there are many drugs that resolve a patient’s problem. As a patient with a number of diseases considered “serious” or “life threatening”, I am familiar with the health care system intimately. And I don’t LOVE it. All I know is that Obama is threatening to charge me more or take away what I already have or limit my options which are already pretty limited. You can’t add more recipients and maintain a neutral cost. The “waste, fraud and abuse” may be there, but you can never really get to it with a bureaucracy. And government, with which I also deal with in my job, is the worst entity to deal with. I work for a major contractor with decent (not great) benefits to State and Federal governments. Believe me, the State workers make less salary than we get, but their benefits are infinitely better. I refuse to have mine reduced to welfare level to let someone else–maybe an illegal, even–get some. So your darn right it’s a complicated issue, but doing nothing is better than doing something bad. Show me something that HELPS the middle class and I’ll listen. But all Obama wants to help is the poor to create a Democrat Chicago Style patronage machine and I won’t be a part of it and I’ll fight to stop him.
See the article on Scarecros’s main topic at today’s Huff Post. Excellent expansion on the issues. Also at Huff Post is an article and incredible video about United Health Care’s denials of claims with testimonies from patients whose lives have been made horrific from their practices. http://www.huffingtonpost.com/…..placed-at-
From what I’m seeing, his interest is very little for the poor. He only talks about the middle class and his actions work to support the upper class with the deals with the health care industry. He appears to have backed off the commitment for a robust public option and that is unforgiveable to me.