
If memory serves me correctly, one of the biggest campaign issues of -- well, earlier this month -- was Medicare prescription drug prices. But Kevin Drum alerts us to the pragmatic post-election realities:
For some reason, this has been "Democrats Are In A Fix Over Medicare" weekend, with nearly identical stories in the Wall Street Journal, the Washington Post, and the LA Times explaining that Democratic promises to allow Medicare to negotiate prescription drug prices are shaping up to be trickier than anyone thought. Oddly, though, none of the pieces really explains what the problem is. They just repeat complaints from the pharmaceutical industry that Medicare is so big that "negotiation" is tantamount to price controls, and that's a bad thing.
And so it is. But there's a fairly simple solution to this, one that only the Wall Street Journal even bothers to mention:
[An] approach Democrats could try would be requiring drug makers to give Medicare beneficiaries their lowest price, as companies must for Medicaid, the state-federal health-insurance program for the poor and disabled.
This, of course, is common practice in the business world, where large buyers routinely negotiate "most favorable pricing" clauses into their contracts. It also addresses the most infuriating aspect of current pharmaceutical policy: the bulk of the companies and the bulk of the R&D in the pharmaceutical industry are done in America, but for some reason consumers in every other country in the world get lower-priced drugs than Americans.
I'm sure there has been no lack of K Street money rushing in to prove to Democrats how impractical these kinds of measures would be, but I believe it would be a serious mistake to think that the desire for change in this area is not deeply held and long term and capable of swaying the electorate. Have a look at Henry Farrell's discussion of the new Jacob Hacker The Great Risk Shift from yesterday -- people are feeling extraordinary anxiety when it comes to health care and health care risks and costs, and Medicare prescription drug prices are just the very tip of the problem, not some end-of-game goalposts that can be moved by gentle persuasion and quiet subterfuge. I don't think that simply telling people only three weeks later that "it can't be done" is going to satisfy much of anyone.
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Zelig.
Jane posts make me happy… even if they are about sad things.
Could be the Mott the Hoople reference…
If the Democrats need some help finding the legislative language for the “most favorable pricing” Medicare fix, they might try looking in the VA prescription drug benefit laws. I believe that the VA can and does negotiate with the drug makers, but the GOP refused to allow Medicare to do the same.
(For once, the vets didn’t get screwed. Go figure.)
Democrats could simply say deal with us or we (Fed Gov) raise your taxes and deal with Canada and India.
Good grief, if this country can’t do better and provide great healthcare to all at reasonable costs– we are truly in trouble as a nation.
Greatest nation, eh?
Health care is a right not a privilege.
dammit.
I am currently trying to establish a health care plan for my small business (total of 3 employees plus dependants). We’re too small to have any leverage or clout, so it’s going to be expensive.
Oh God! Here we go again. Just as my euphoria over the Dems win was peaking here they go again.
Dear elected Democrats,
You have 2 years to show the voter that your principles outweigh whatever K Street is dangling before you. And it really was about Iraq.
I want Bill back.
God forbid the government would require a supplier’s best price. Oh wait, isn’t that what GSA is for? Just sayin…
Although my music is freely available from my website, it’s been suggested that I offer a CD for the Holiday Season in case folks want to send them as gifts.
For more information:
http://teocawki.blogspot.com
“…desire for change” is deeply, deeply desired!!! Recently elected Demos; disappoint at your peril.
angie @ 5
You make it sound like the U.S. is the wealthiest nation on the planet and every other industrialized country can manage to bring down prescription drug prices to a halfway sane level. I mean, be a little reasonable here.
/snark
This is a capitalist country where free enterprise reigns- so I say “Do what Wal Mart does–bring in the suppliers and TELL em what they’re gonna get- they can always go peddle their pills elsewhere if they don’t wanna play ball.”
The most profitable investment any business can make is to buy a Congressman — preferably, a Republican.
The ROI payback from a GOP Corruption ‘R’ Us congresscritter is absolutely incredible!!!
Buy one today, before it’s too late!!!
oh, wait . . .
Honest politicians are the ones that once ya buy em- STAY bought.
When this does come to the floor, Big Pharma will inevitably respond with a barrage really slick non-stop ads touting their take on the issue.
Same thing happened w/ the Insurance Industry back w/ the Health Care Reform debacle.
I so hope the point is loudly and publicly made this time: How can an industry that claims to need such a large amount of our money afford to buy such expensive ads and air time?
Obviously they’ve got more than enough of our money!
The hidden agenda in not allowing Medicare to negotiate drug prices: put Medicare at a disadvantage so it can’t compete with the private companies. Thus, more seniors move from Medicare coverage to private coverage. Just one small step to the elimination Medicare.
It’s disgusting. Their policies are so unpopular with the public that they must resort to such clandestine tactics.
punaise–your business is the same size as ours. One thought for you that has helped us: we have outsourced our “human resources” services (e.g., payroll, benefits, etc.) to an outside firm. They “aggregate” healthcare coverage for all their little (and big) clients and can negotiate better deals…(And the fact that they take care of payroll and all the related paperwork is a good thing too…)
I didn’t write about this yesterday since I hadn’t read the book and didn’t know if it would be OT, but Mr. Rev. works at our denom. hq and his job is helping congregational employees by running the pension and insurance plans. All of our church employees lost their group health insurance in 1998. BCBS dropped us. It has taken him until this year to put together an insurance plan to pick us up since no insurer would. It seems that church workers (clergy, administrators, religious ed. directors) are a bad risk.
The new plan is essentially a self-insured one with a secondary catastrophic plan for, well, catastrophic and expensive illnesses. For the last 8 years, many of my colleagues could get no insurance. This plan will cost probably more than those who had insurance were paying, thus many of my colleagues have not opted in. It’s amazing how good church people aren’t so good about wanting to contribute enough money so that their employees have basic benefits. So this, like plans before it may last a while, but it may not.
The future for us all is tenuous when it comes to health care. Many employers have found they could not afford to fund it. Many employees are feeling the crunch as the percentage they have to pay keeps creeping up. Meanwhile, the drug company executives are in fat city. It makes me crazy. This has got to change and we know the repigs won’t do anything to change it so our newly elected majority had better.
I know what Wal Mart would do:
“OK- ya might think about running them fucked up ads of yers sayin that unless we pay you whatever the fuck you want- america will get no new drugs…Well everytime ya run one a them ads- the price we’re willin ta pay goes DOWN!!
Is it impolitic to say to the Democrats, “Look motherfuckers, you got elected to clean up the cesspool. We don’t expect it overnight, but if you’re planning to break out the beach towels and tanning lotion out to catch a few rays, by the light of the silvery moon paid for by lobbyists, then be prepared to lose your ass in ‘08″?
Nothing pisses me off than more Business as usual in DC, and converting K Street from a republican to a Democratic cash machine is not much of an improvement. Look where their interests lie (net neutrality, protecting Big Pharma, Bankruptcy legislation reform) and then look at what matters to most of America. Unfortunately, most of America has no “voice” in the Capitol that seems to mean much until every other November happens along.
Time to take the message of reform home to these incoming folks. For the first time in American History the vehicle of the Intenet gives ordinary Americans more than a passive bienniel voice in governing the Republic.
Say it loud: “Shut down K street, or lose your job”, happened once, can happen again. Motherfuckers.
A “most favorable pricing” clause seems reasonable to me. I believe (but am not certain–does anyone know?) that such rules are already in effect for doctor fees and hospital fees. One of the things they drilled into me at my orientation here (Baylor College of Medicine) is that “the government always gets the best deal”. That’s why so-called “professional courtesy” can get you into so much trouble. If you see one of your co-workers for free, you can get nailed for providing a service for a lower charge (in this case, for free) than you bill the governement for. Any Medicare lawyers in the crowd?
martha @ 17
good point - I’ll look into that. I already outsource payroll.
More backsliding.
It’s a lot of fun to negotiate with a company for whom you represent 40-50% of their revenue stream.
punaise @ 22
Punaise, what do you do? Email me at (my fdl handle) (at) Mindspring (dot) com
Right on Jo Fish. Business as usual is not an option.
A friend just bought a long-sought replacement for a lost family heirloom on E-bay. She sent a note to the seller mentioning how while she was glad to have finally found this item, she didn’t know how the seller could have parted with it.
The seller replied that she was distressed to have parted with this family treasure, but she had to sell it in order to buy medications that weren’t covered by medicare….
Jacqrat @ 25
what do I do? I sit around the office all day “refreshing comments”… :~)
(will email you in a moment)
rwcole @ 14
Simon Cameron, twice a Senator in the Land of the Free: “An honest politician is one who, when he is bought, will stay bought.”
punaise @
6
I found out today that you can go through Costco as a small business and the rates are very good considering what you would pay as an individual.
Biggest problem for the dems with this issue is getting credit for it- if the only thing that happens is that the govt. saves money- that will never provide political benefit…they need to make sure that the end user sees some benefit.
punaise @ 28
Hey, that’s my job too!
“(For once, the vets didn’t get screwed. Go figure.) “
They’ll fix that when they figure out how to do so………
As someone who works for a research hospital, I can see both sides of the Pharms argument. But, there needs to be an acceptable middle ground.
I remember so well that after Jimmy Carter was elected in 1976, and many public interest lawyers and advocates were appointed to high positions, the progressive community relaxed. “We won. Our people will do the right thing.” Well, sometimes they did and sometimes they didn’t.
Progressives must, like the Right, demand that their goals be achieved, and must be willing to hold Democrats accountable.
Good post, Jane.
Meanwhile, on the election front, don’t know whether folks saw this. As the Columbus Dispatch reports, Pryce’s margin of “victory” has been cut from 3,536 votes to a paltry 1,054 votes, and here’s how:
I discussed in a recent prior thread the importance of provisional ballots.
And the battle is not over:
May- yeah I knew that was a total lift- but I didn’t know who I was lifting it FROM- thanks.
Mary McCurnin @ 30
no kidding! another thing to look into - thanks.
“Hey, Doc, can you rotate my tires while I’m here?”
Sam Clemens (a.k.a. Mark Twain): “I think I can say, and say with pride, that we have some legislators that bring higher prices than any in the world.”
Peterr @
3
My mother, as a widow of an active duty officer, was eligible for VA benefits. They were terrific! If we ordered from the VA by mail, there was no charge; if we ordered from her regular pharmacy, we only had to pay 20% of the price. There certainly must be some way Medicare could do something similar!
Slightly, but only slightly, OT.
Mitt Romney is looking like being a challenger for the GOoPer nomination in 2008. One of the big cards he’s bringing to the table is universal health coverage in Massachussetts. When a conservative Repug is running on health care financing credentials, you know forsure it’s an idea whose time has come. Maybe even past time …
Why in the world would we want to nominate a candidate (Hillary) who is associated with failure to get health care reform done?
As far as the Medicare Part D goes, that abortion would best be repealed as part of any sort of comprehensive reforms. In the mean time, a best-offered price requirement makes some sense. As an alternative, the Democrats could pare down the number of available programs and then allow the programs to negotiate on their own behalf.
Part of the problem with Medicare Part D (beyond the amazing doughnut hole, and requiring the program to pay whatever price BigPharma offers) is the number of available programs. It’s truly mind-boggling. I have had to assist my mother-in-law in picking her provider, and I’m eternally grateful that my parents are covered by Kaiser Permanente, which makes the process transparent for them (and does away with the amazing doughnut hole, besides.)
BC
“[An] approach Democrats could try would be requiring drug makers to give Medicare beneficiaries their lowest price, as companies must for Medicaid, the state-federal health-insurance program for the poor and disabled.”
I worked for a state Medicaid program for many years and here’s a problem with that suggestion: while the Medicaid programs do get the lowest prices (through rebates from the manufacturers), for those beneficiaries who get their health care through contracted managed care plans, those prescriptions are NOT eligible for rebates. So the contracted managed care plans have to save money by “managing” care (formularies, limitations, etc.)
I’ve got lots more about Medicaid that I’ll save for another post — my point here is that the Medicare drug program is totally private. You don’t get a drug benefit directly from Medicare, you have to sign up with an insurance company. So making those companies eligible for the rebate program (or however it might be implemented) would be a significant change from current Medicaid policy.
I work in pharma R&D and I have a deal for you: If you guys consider tort reform so the most egregious, extortionist class action lawsuits don’t happen anymore (for example, the phen-fen disaster where the company was forced to pay out $18 billion dollars to people who claimed they were injured but where the company couldn’t audit the claim) then I think we should negotiate on prescription drugs.
Think about it. $18,000,000,000.00 going unexamined into the pockets of lawyers and your neighbors who jumped on the bandwagon but were never injured. WHAT could we POSSIBLY do with $18,000,000,000.00? Hmmmmm, I wonder…
What’s the fuss? Drug prices have been established by the VA and for Medicaid. Unless they’re going to be lower yet, plug them in and get on with it.
Health Care system the French way:
http://www.medicalnewstoday.co.....ewsid=9994
OT but it’s my day for EPUs
The 4 general recommendations I have heard of discussed as likely to come out of the Iraq Study Group are these:
1) Accelerate training of Iraqi forces
2) In country redeployment of US forces to super bases
3) Initiate a reconciliation process between Sunnis, Shias, and Kurds
4) A regional conference, including Syria and Iran, to discuss security
What is noticeably missing from this list is an announcement that the US will withdraw from Iraq and the setting up of a timetable for such a withdrawal. No timetable was put in place after the December 15, 2005 elections and it took Iraqi politicians 175 days to come up with the weak, ineffective excuse of a government that we now see. Even with the pressure of a timetable, the Iraqi government may do nothing. In its absence, that becomes a certainty.
I have previously pointed out all the deficiencies of the Iraq army. Much the same could be said of the police. Both are shells and totally dependent on the presence of US forces. Training extra bodies will have no effect on what are organizational and institutional failures. We also do not have sufficient trainers with the requisite language and cultural skills able and qualified to teach Iraqi troops. And such embedding will put these troops in significantly greater danger because they will lack back up. They may be targeted by insurgents for killing or capture for propaganda purposes or for assassination by insurgent “plants” among the Iraqi troops.
Having
permanentsuper bases in Iraq has always been a goal of the neocons. The question I have is what purpose would they serve. Even with forces deployed throughout the country, we have not been able to stave off the country falling into civil war. How would removal to a few bases change this dynamic? Our ability to insert ground troops would be severely restricted. It’s true that we could more conveniently inject air power from in country bases but this convenience is offset by the problem of resupply which would be considerably less convenient and more expensive. In addition, air operations could still be carried out from Kuwait and ships and bases in the Gulf without the supply issues.As I said earlier today, reconciliation talks are a way to address sectarian differences. They are not a way to end a civil war. We are well past the point of “Can’t we all just get along”. A civil war where neither side has the military power to achieve a clear victory needs serious one on one negotiations. Neither the Sunnis or the Shias have so far shown any interest in these.
As for regional talks, we have nothing to offer, except the specter of chaos. We should expect little more than lip service from our allies and abuse from our enemies. I doubt that any country in the region is going to be willing to get seriously involved. You never mess with a whirlwind, unless you are the whirlwind.
They just repeat complaints from the pharmaceutical industry that Medicare is so big that “negotiation” is tantamount to price controls, and that’s a bad thing.
Nixon installed price controls when inflation got out of hand, and he was a Republican, so what’s the problem?
Costco Small Business Health and Dental Insurance
Quality Health Insurance at Competitive Prices
they also sell caskets and funeral services, so if things don’t work out…
Nice caskets to- the kind you’d be proud ta be seen in.
portia.vz @
41
I might consider something like that when big pharma starts spending less on advertising than they do on R&D.
Jo Fish 20 — good rant.
Tort reform—a total crocka shit..
“Ya can’t sue me even if I kill ya”?
THAT kind of Tort Reform?
or the kind that limits claims to ACTUAL damages which means the actual expected earnings of the dead guy?
Seems ta me when ya fuckin kill someone- ya oughta take some responsibility!!! The gooper way!
Here’s Kennedy’s message:
much more here:
http://kennedy.senate.gov/news.....103eeb700f
DO NOT CAVE Dems!
And JoFish, this is priceless!
Mary McCurnin @ 48
I can agree to spending less on advertizing, like on the television, but not necessarily to the doctors, clinics, and hospitals. The stuff that they put on tv is only to get patients to ask their doctors for stuff and is not necessary.
Unless the penalty for fuckin up exceeds the financial benefits of fuckin up- the fuckin up will continue- the reason for punitive damages.
rwcole @
47
Overnight Shipping is available! (When it absolutely, positively, HAS to be there…)
Bargain Countertenor @
39
BC, I feel like I can’t speak against her, because of the many people here in semi-rural Ohio who have told me they want her to be President. Health care is the reason they bring up most often. That, and “she’s a fighter.” It was very surprising to me. I had no idea she was liked so much in this area.
Some health care statistics. Read the article, it is very enlightening. Below is a snippet from the article.
http://www.huppi.com/kangaroo/L-healthcare.htm
rwcole @ 53
Class-action suits are a necessary vehicle to enforce such damages - and one of the targets of the so-called “tort reformers”.
Does the govt negotiate with casket makers? We’ve been usin quite a few of the things- and I read that we’re paying $2,500 a pop or so..
Better deal at Costco?
What Mary McCurnin (48) said.
There is NO f*cking reason why my kids should know the brand name of a proton pump inhibitor, let alone ask me, “Mom, when can I take the Purple Pill?”
The only reason my kids know about this med is the blatently abusive amount of advertising its manufacturer has pasted all over broadcast and print, everywhere. The damage this particular advertising campaign has done is immense; it’s not just the expense, but the persistent message that one need only ask for the Purple Pill and everything will be fine — and that is absolutely the last message we should be sending to children, let alone adults.
I’m ready to call for sanctioning of drug advertisements just as cigarette and alcohol advertising were sanctioned; if it requires a script, it’s controlled and it should be subject to similar advertising limitations.
iowa christine @ 52
Ah, but the stuff on television works. The biggest coup of all was the push for Nexium, which is no better than it’s now-generic counterpart. TV ads convince people (including doctors) that newer (and more expensive) must be better. And people always want the newest drugs. Have you EVER asked a doctor for an older but cheaper medicine for your illness?
Is there such a thing as a frivolous class action? It seems to my ignorant ass that the only ones who benefit in some of these cases are the attorneys. Getting a free rental at blockbuster doesn’t mean shit to me. Not sayin they are all like that, but that is the perception.
my minor suggestion, get Dr. Peter Rost to comment, as there isn’t likely to be anyone that could sum it up for you in a few sentences the way he can.
iowa christine @ 52
We don’t really need dinner from Olive Garden bought for all three ER shifts either, but that’s what drug reps are doing these days. Time was we’d settle for a nice pen. Not now!
Margot @ 63
Bring extra breadsticks, will ya?
The infamous “R and D” expenditures of the major drug companies are primarily spent finding replacement drugs for those items who are about to lose their patent protection- so they invent something that does about the same thing- and patent THAT- then they use their Dine with a Doctor network (mostly good lookin women) to sell docs on the new patent medicine.
Well WHERE- then, you might ask, does the REAL research take place for REAL new drugs attacking diseases for which there is currently no treatment…?
Universities- that’s where- paid for by- You guessed it- the federal govt… and who benefits financially from that research?
You guessed it- the drug companies..
Great work if you can get it.
Twisted Martini @ 61
Not sure if this is directed at me in particular, but since I brought up the subject: There are frivolous suits of all kinds, and there will always be, until we have a “loser pays” system. That is what is fairly common in labor arbitration contract clauses, and it works well to limit cases to real issues (i.e., those in which a party has a reasonable chance of success). Nuisance suits are avoided with such a system.
Big Pharma has this notion that they somehow deserve the massive profits that they make. Sort of like the oil dudes. Sure there are scientists who work hard to make medicines. But they also work hard to create vanity drugs (vi*gra, botox,etc) and have failed to improve on the strains of antibiotics that are needed now. We may die from a staph infection that used to be curable but we will look nice and young in our coffin from Costco. All of the healthcare industry needs to be reformed for the good of the American population.
The infamous “R and D” expenditures of the major drug companies…
they were heavily “R”, but since the election are trending more “D”.
Goopers would love ta have ya think that the issue is nuisance suits- or frivolous suits–
Of course that’s bullshit- cause by definition- such suits get thrown out or lose…
The one’s the drug companies are worried about are the WINNING suits- where the company kills a few dozen people and gets NAILED for it.
Margot @ 63
Which ER is this? I’m obviously working in the wrong place.
Mary McCurnin @ 67
Vanity drugs bring in a lot more money. You can charge a lot more for something that people want than you can for something they need. A cure for cancer will win you a lot of prestige, but if you’re after money, you’re better off “curing” baldness or cellulite.
good thing we in Illinois have a Senator of such moral righteousness as Barack Obama, he surely can’t be bought by big pharma or any other interest group! >snark
OT
Tweety reporting on reporting. Is it or isn’t it a civil war?
How about reporting ON the civil war that is obviously ongoing?
If it wasn’t David Schuster, who I think does a great job, I’d be so tired of the press reporting about the press.
“Have you EVER asked a doctor for an older but cheaper medicine for your illness?”
Yep, sure have…. especially since inhalers cost me $25 after insurance. And with my current insurance policy, generic drugs cost me nothing.
“We don’t really need dinner from Olive Garden bought for all three ER shifts either, but that’s what drug reps are doing these days. Time was we’d settle for a nice pen. Not now!”
True, to a point. Do you realize how overworked the ER staff is?? I’d willingly give them dinner to a 5 star resturant if it’d help their moral!!! Now, the round trip holiday for a ‘conference’ at some resort for ‘education’, I’d agree is a bit much. Here at UIHC, we don’t get those ‘perks’. We’re still at the pens and post-it notes!!
If its Hillary/Joe-Bama vs Attila the Hun/Ivan the Terrible I am guaranteed to stay home or vote 3rd, 4th or 5th party in 08. There is no way one can triangulate and equivocate on issues like the war, torture, and Habeas Corpus and get my support, ever.
As for Willard taking credit for the MA HC plan that isn’t in place yet, the plan he wanted lost the debate. He will NOT get credit for anything if we in MA have anything to do with it. BlueMassGroup has some good ones on him today. That’s the place to watch for the reality, not the myth.
Just heard a good one on CNN. Some guy said, “Anyone who doesn’t think it is a civil war is suffering from the luxury of distance.”
Right on.
oldtree 62 — linky?
Shez @ 75
Michael Ware ; ) He loves that line, and I’m watching Hardball! LOL
iowa christine @ 73,
I was one of the staff until about 4 years ago, and yes, those meals were very welcome. But even more welcome would have been medicine I can afford. Or health insurance that didn’t rise, yearly, way more than ever my piddling raise did.
Or more money per hour, or a good pension plan like policemen have. I’d have taken any of those in a minute over a damn Olive Garden dinner, that’s getting off real cheap.
Speaking for myself, the Democrats have a 24 month window. I have been voting for well over thirty-five years. Always the straight Demo ticket. If the Democratic party fails me between now and 2008… Well…
when dealing with the government, the claim that using their buying power is tantamount to price controll is obsurd
they have to compete for government dollars period.
the government gets drugs at retail prices and the government gets to use generic drugs at competitive prices as well
I’m halfway through my second close reading of Dr. John Abramson’s book “Overdo$ed America.” It is a depressing and infuriating must-read.
U.S. health care expenditures are well on their way to 20% of GDP, with quality-of-outcomes measures near the bottom ranks of industrialized nations.
The Rx industry net profits, for example, are more than THREE TIMES those of the rest of Fortune 500 industry combined. They are selling us overpriced shit that is largely ineffective. The Medicare Rx Plan is one of the largest transer of wealth programs ever enacted, engineered by the Rx lobby.
Read the book. You’ll probably have to go on blood pressure meds afterward.
_
Margot, I do understand your point!! I’m going in circles with UIHC about poinsettia decorations around here. I really, really like breathing without an inhaler.
Unfortunately, the pharms don’t pay your salary and the perk was from the pharm, not the hospital. What you’re talking about in pay/benefits is a very, very worthwhile topic that needs serious discussion and may have a link to big pharm practices.
The problem with our justice system is it is an adversarial one. Most of the time ‘justice’ does not figure into things. Pooling of case information between all interested parties, like in Britain, would bring us closer to fairness. Of course this will not happen.
It most certainly WON’T be fine with me if the Democrats do NOT take this issue of prescription drug prices and ivestigate just WHY my heart medicines have increased EVERY three months, and WHY there is a doughnut hole, which is now costing me lots more each month! IMHO, they can forget about negotiating for imports…someone must force AMERICAN companies to stop bleeding Medicare patients. Medicare Part D is the most despicable example of this Administration’s constant legislation that gives money to the greedy rich, after snatching it from the middle-class poor.
What I don’t understand is why the US stubbornly refuses to use “best practices” statistics from all over the developed world, and then develop policies based on them.
We know that European and Scandinavian countries have the best health care outcomes at a lower percentage of GDP. Why don’t we use their models?
Same for national universal pension systems.
Same for auto insurance
Same for life insurance
Banking
Transportation systems
On, and on…
harriett @ 86
According to Abramson’s book, the average Medicare beneficiary’s Rx cost is gonna escalate ~26% in 2007.
_
harriett @ 86
IMHO, they can forget about negotiating for imports
That’s not going to happen. For a drug to be legally sold here (USA), it has to be 1) FDA approved and 2) manufactured at an FDA approved site in the USA
26 fucking %????????
Have them no shame?
Nope.
Cozumel @ 89
Not true. For example, 90% of FDA approved flu vaccine comes from the UK. Moreover, major U.S. Pharma Corporations have moved their manufacturing ops overseas to capitalize on the labor cost savings. The FDA has become a captive of corporate interests under Bush.
Read Abramson’s book.
_
There are many things OUR government cannot provide to the America people. We have wars to fight. Either directly or by proxy. Just what’s the matter with you!? Are you stupid? Don’t you get it?
BobbyG @ 91
I suppose so for the flu vaccine (FDA approved). I’m not exactly sure how that FDA oversight works but there must be some. I’m from the Pharm industry ; )
Jane, Peter Rost has posted at huffingtonpost. There are 27 articles by him in the archives there.
I am not pissed of at Bush and the Republicans really. I expect what it is they do. No. It’s not the GOP who are the recipients of my wrath.
iowa christine, I’m sorry, I get so angry! Forgive me.
The solution offered by the Wall Street Journal of using the Medicaid pricing strategy is a solid idea that should be seriously considered. Maybe we could put pressure on our reps to consider that option?
Maybe it’s time to consider another action like the rubber stamp project from last year. Maybe if we got everybody to send their used pill bottles to a central collection point we could send a team around to Congressional staff offices and dump off a huge pile of used pill bottles with the message that we want Medicare D reform handled properly.
Cozumel @ 93
British health authorities had to notify the clueless FDA that they were shutting down the UK flu vaccine plant for serious mfg problems.
Read Abramson’s book. One scary read.
_
White House says Iraq in ‘new phase’
Obviously everyone would agree things are not proceeding well enough or fast enough,” National Security Adviser Stephen Hadley told reporters aboard Air Force One as Bush flew eastward.
http://news.yahoo.com/s/ap/200.....pr_wh/bush