Staying in Bed with Big Pharma

Some free market this is. From Robert Reich at Salon:

Last week, after being reported in the Los Angeles Times, the White House confirmed it has promised Big Pharma that any healthcare legislation will bar the government from using its huge purchasing power to negotiate lower drug prices. That's basically the same deal George W. Bush struck in getting the Medicare drug benefit, and it's proven a bonanza for the drug industry. A continuation will be an even larger bonanza, given all the boomers who will be enrolling in Medicare over the next decade. And it will be a gold mine if the deal extends to Medicaid, which will be expanded under most versions of the healthcare bills now emerging from Congress, and to any public option that might be included.

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I don't want to be puritanical about all this. Politics is a rough game in which means and ends often get mixed and melded. Perhaps the White House deal with Big Pharma is a necessary step to get anything resembling universal health insurance. But if that's the case, our democracy is in terrible shape. How soon until big industries and their Washington lobbyists have become so politically powerful that secret White House-industry deals like this are prerequisites to any important legislation? When will it become standard practice that such deals come with hundreds of millions of dollars of industry-sponsored TV advertising designed to persuade the public that the legislation is in the public's interest? (Any Democrats and progressives who might be reading this should ask themselves how they'll feel when a Republican White House cuts such deals to advance its own legislative priorities.)

We're on a precarious road -- and wherever it leads, it's not toward democracy.

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Garrison Keillor on Healthcare and Civility

Via Salon. Here's an excerpt:

In the past two weeks, I've attended two benefit concerts to raise money for musicians to pay their medical bills, and that is just ridiculous. Why should anyone, least of all a valuable contributing member of society, have to pass the hat to pay the doctor? But there I was, watching one of America's few true-blue cowboy singers hoist himself on crutches onto the stage to sing "The Old Chisholm Trail" as we put our twenties in the pot to pay for his pelvis, broken when a horse threw him. A cowboy singer can only afford the $10,000 deductible health plan and that means that he must sell Old Paint or become a charity case.

Meanwhile, a friend visiting London forgets to look to the right while crossing the street and gets whacked by a taxi and is scooped up and taken to the hospital with a broken leg where -- wait for it -- nobody ever asks him for an insurance card, they just go about doing what needs to be done. A civilized people, whatever you may think of the beer, that they treat a fallen American the same as if he were one of them.

Health insurance is the business that Congress is taking up this summer with the help of hundreds of high-paid lobbyists, many of them former congressmen or congressional staffers, all of them arguing for schemes that will be good for the pharmaceutical industry and the insurance companies and not necessarily good for the cowboy or the careless pedestrian. Reports the size of Sears catalogs will be circulated, and smart men and women smelling of citrus and sandalwood will argue persuasively and extensively for all points of view.

Our representatives will face pages and pages of statistics, acres of numerals, and even as they wander in the great fog of data and expertise, they will be at least as confused as the rest of us. Somehow out of this dance hall and sausage mill will come legislation that must stand the light of day, a miracle if it should happen, and then we shall see if the common good was served or if we have been sold down the river into the hands of cheats and scoundrels.

I think we've already been sold down the river...I only wish Obama and this congress could have served the six months previous to this in a way that would leave me at least a little surprised at what this healthcare reform is becoming. File healthcare under Tepid Democratic Hackery.

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