Health Care Gone Mad

Entries categorized as ‘Medical Care’

A Look at Pharmaceutical Industry Lobbying

July 3, 2008 · Leave a Comment

from interfaith center on corporate responsiability

Whose Interests are PhRMA Protecting? A Look at Pharmaceutical Industry Lobbying


Special Web-only Feature

The pharmaceutical industry, often considered an untouchable ally of Republican leadership, has suffered from a recent bout of backlash. Republicans have partnered with Democrats to examine the lobbying and advertising activities of U.S. drug companies; this appraisal followed a heavy-handed industry campaign against Congress’ Emerson-Gutknecht bill (a bill requiring that the FDA implement a system of prescription drug reimportation). The Pharmaceutical Research and Manufacturers of America (PhRMA) lined up with a far-right Christian advocacy group to fight the legislation as an abortion-rights issue. This move angered traditional pro-life allies, and now shareholders are asking: whose interests are PhRMA protecting?

The pharmaceutical industry has long been a first-rate interest group. PhRMA employs one of the largest lobbying staffs on K Street, makes hefty political contributions, and funds extensive issue advertising campaigns; and the trend has been increasingly partisan. In 1990, for example, Bristol-Myers Squibb Company donated $150, 260 to political candidates, with 31% reaching Democrats and 69% reaching Republicans. By 2002, Bristol-Myers Squibb was donating $1,590,813 to politicians, and only 16% went to Democrats (opensecrets.org).

PhRMA’s political power has set the stage for industry-wide business strategies. Political connections have helped drug companies to battle price restraints, stretch patent guidelines, and avoid litigation. PhRMA’s actions have not been without consequence. A 2003 poll conducted by Advanstar Communications found that only “13% of people regularly believe a pharmaceutical company statement,” and 57% feel that pharmaceutical companies should be subject to more government regulation.

PhRMA’s tactics have alienated consumers and regulators. Negative press and uncompromising policies are threatening to marginalize drug companies in the public sphere. Corporate resources have gone towards lobbying, aggressive marketing and legal fees; these same resources, poured into socially responsible actions, could help stop the reputational hemorrhaging and protect shareholder value.

The industry has tried to rebound and appear in touch with consumer needs. PhRMA publicly supports the expansion of health care, especially Medicare coverage for the elderly. President Alan F. Holmer called on Congress to pass “meaningful prescription drug coverage.” The group’s understanding of “meaningful” coverage, however, is limited. According to PhRMA, prescription drug coverage should be provided by the private sector, with no room for the large purchasing blocks that the government uses to negotiate better consumer deals.

When a new Medicare drug benefit emerged under Bush, PhRMA spokeswoman Jackie Cottrell admitted that PhRMA provided an “unrestricted educational grant” to the United Seniors Association. The USA is a strong partisan organization of retired GOP staffers and corporate executives, including Craig Shirley, whose P.R. firm represents the Republican National Committee. The PhRMA money financed USA’s $16 million issue ad campaign. While House and Senate versions of the bill differ, both include the private sector partnerships essential to PhRMA’s strategy.

This heavy-handedness has upset more than just the usual opponents. Despite the industry’s opposition, the new reimportation bill passed in the House, 243-186.

The bill would allow U.S.-exported drugs to reenter the country at foreign, government-controlled prices. American drug companies, resistant to a national drug -pricing program, would be faced with imported price controls. To avoid this embarrassing loss, the industry turned to the Traditional Values Coaliton (TVC), a Christian advocacy group, to fight the legislation.

TVC is known in Washington as “Rent-A-God.” PhRMA used the group as a front for its own operation, not wanting to attach its name to an unpopular pro-life position. As Alan Murray of the Wall Street Journal stated, “(PhRMA) has euphemistically named organizations like ‘Citizens for Better Medicare’ and ‘United Seniors’ to launder its message. Little wonder people ask: What are these guys trying to hide?”

PhRMA did not publicly lend support to the TVC campaign; it did, however, privately lend cash and lobbying staff. Andrea Sheldon Lafferty, TVC’s executive director, distributed a letter to lawmakers stating that the bill would provide greater access to mifepristone, an abortion-inducing drug, and would “effectively repeal” a law that prohibits the postal sale of abortion products (kaisernetwork.org). Computer records revealed that Tony Rudy, a lobbyist for the pharmaceutical industry, wrote the letter’s initial draft.

According to the Washington Post, Sheldon Lafferty also distributed a memo linking reimportation to mifepristone availability. The memo was first drafted by PhRMA’s senior vice president, Bruce Kuhlik.

Lawmakers believe that the pharmaceutical industry managed TVC’s direct-mail campaign as well. The mailings contained abortion drug warnings and pictured newborns with captions reading, “do not miss an opportunity to protect the sanctity of life.” Rudy has been linked to the mailing’s funds, and Rep. Dan Burton (R-Ind.) commented, “I am confident, in fact I am dead sure, that the Traditional Values Coalition did not have the money to mail this kind of trash out to congressional districts all across the country.”

Pro-life Republicans were infuriated at the industry’s link between drug access and abortion. Principled religious advocacy groups, including Catholic organizations like the National Catholic Social Justice Lobby (NETWORK), supported reimportation regardless of TVC’s clumsy campaign. House Republicans circulated a paper that challenged TVC’s claim, explaining that reimported drugs would have to adhere to FDA guidelines (mifepristone is only available with a doctor’s prescription). Enraged by the sham campaign, the Values Action Team, a coalition of conservative lawmakers and outside groups, expelled TVC from its organization.

In the end, money, and not abortion, was the deciding factor in the reimportation vote. According to Capital Eye, lawmakers who voted against the bill (in the industry’s favor) raised an average of $39, 813 in individual and PAC contributions from pharmaceutical companies between 1989 and 2002. Members who voted for the bill raised an average of $13, 917. In the 2002 election cycle alone, members against the bill averaged $14, 958 in pharmaceutical contributions, and those for averaged $4, 058.

PhRMA’s reimportation campaign demonstrated a fundamental misunderstanding in how political capital should be raised and spent. The industry targeted its own allies, and again tinged its reputation. It is time for shareholders to reign in PhRMA, refocus corporate resources, and craft solutions that both corporate management and consumers can live with.

Article written by Ilana Zimmerman, ICCR intern

Categories: Formularies · Medical Care · Pharmaceutical Companies

Mental Health in the U.S.

July 3, 2008 · 1 Comment

Maybe some one can explain to me how that in the supposed greatest country in human written history, can be such a failure when it comes to mental health care? We supposedly have the best health care in the world, but that has not been proven to me sufficiently, yet. However, in New York we have aparently a woman dying on the floor of the ER in front of everyone with no one paying even the least bit that she was there. When will we wake up to the real need of decent care for the mentally ill in America? Do not even get me started on what is happening to the rest of us.

Categories: Forgotten Minorities · Medical Care · Mental Health
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My Meds

August 30, 2007 · Leave a Comment

Well now it is my turn I have to call our insurance company about my medications. Before the new prescription plan I was getting my meds for $7 for three months. That’s right for three months only $7. Now I am going to have to buy it from the pharmacy and am scarred to talk to these people. This is like being between the proverbial hard place and a rock. The good news is my medication will be going to the generic maybe soon. That is no help for me though, because now I get to pay up the nose for a medication that actually helps. We need some kind of real national health coverage what we have is more like robbery. Some of our national leaders are scrreeemiing that national health coverage means socialism. So does that mean that is okay if these companies rob patients of their ability to live. If I have a choice between eating and medication I guess I will eat. This really sucks.

Categories: Formularies · HMO's · Medical Care · Pharmaceutical Companies · Prescription Coverage · Social Security

Talking to HMO’s

July 12, 2007 · Leave a Comment

My wife talked to Uni-care about our Prescription Insurance. Some of our medications are not on the formulary. They told her to talk to our doctor, because she can file a form that states that we have used all other medication options and this one is the only one that works. Last time we went this route, they said okay it is covered now just pay $45 for a month’s medication. We were getting one of my medications for a co pay of $7 for three months. Now the Pharmaceutical company says that since we have the prescription drug coverage provided by Medicare I can not get it anymore, this for a medication that actually works.

In my wife’s case it is a medication that is used for migraines, that she has been using for years. It may not sound like much, but $15 is a lot when you are on a fixed income. It seems like it never settles down, but is one issue after another of scams to take money from Americas seniors.

Categories: Formularies · Medical Care · Prescription Coverage

What is with our Medical Care?

July 6, 2007 · Leave a Comment

We just came back from another trip to the University Pharmacy. It feels like everytime we pick up our medications, we feel like we are being robbed. America is the number one country in the world economically, but when it comes to medical care for our citizens we rank below some third world countries. Oh! Yes if you need a doctor you get help right away. There are plenty of doctors and medical help available. The problem is that it all comes with a price. The HMO system is a misarable failure in providing help to those who most need it.

They make the cost to us so high, that sometimes you have to go without just so you can eat and have a roof over your head. We have a new prescription coverage program, we did better without it then now. In fact before some of our medications were free and now we have a co-pay for most of our medications. We were getting our diabetic supplies free and now they just added a 20% co-pay.

I am going to keep track here of all the ways that we have been taken by the HMO’s and the Pharmaceutical companies.

Categories: Formularies · HMO's · Medical Care · Pharmaceutical Companies · Prescription Coverage