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 Private Insurers and Big PhRMA In almost the same breath on August 17, the White House effectively dropped a real public option (that likely never existed) while Obama was telling the Veterans of Foreign Wars (VFW) that the Pentagon will escalate the Afghanistan/Pakistan war into a long-term conflict that will assure "more difficult days ahead." He did so in defiance of international and Constitutional law, the lives and welfare of American forces, millions in both target countries, and lied at the same time saying: "This is not a war of choice. This is a war of necessity" in plain contradiction of the fact that in October 2001, US forces launched a long-planned premeditated attack against a non-belligerent country posing no threat to America.
Obama's Central Asia agenda matches his domestic arrogance against the rights and welfare of millions of Americans. Denying them real health care reform is one of many ways he defiles the public interest in deference to the corporate ones he serves. On financial matters, it's trillions for Wall Street. On "defense," it's imperial wars and handouts to weapons and munitions makers, and on public health it's promoting mass-innoculations of experimental, toxic vaccines and rejecting real health care reform - universal single-payer, the only real kind that all other Western nations provide. But not the richest country in the world more focused on corporate than public welfare. Simply put, the obstacle to real health reform is the insurance and drug lobby's stranglehold on Democrat and Republican administrations and Congress. Corporate lawyers draft new laws, sign-off on changes, and industry officials staff the FDA, CDC, and other related agencies, then return to high-paying jobs in the sectors they represent. Public welfare is unconsidered under a system favoring profits, so achieving real reform is near-nil. Whatever, if any legislation, passes, will make a dysfunctional system worse by rationing care, leaving growing millions uninsured, many others underinsured, while enriching insurers, drug companies, and large hospital chains. Predatory Drug Giants Called Big PhRMA with good reason, they wield inordinate power over policies affecting their industry. Poorly tested new drugs are fast-tracked and only withdrawn after hundreds, often thousands, are harmed. Yet no congressional committee ever investigated a process endangering millions of lives because lawmakers reap huge campaign contributions regularly in return for industry-friendly legislation and regulations. In January 1997, Rezulin got swift FDA approval to control blood sugar for patients with Type 2 (non-insulin-dependent) diabetes. It was only withdrawn in March 2000 after dozens of liver failure deaths were reported and many others found to be afflicted with serious, potentially life threatening damage. In May 1999, the FDA fast-tracked Vioxx (the anti-inflammatory NSAID) despite suspicions at the time that Merck knew of dangerous side effects and marketed the drug anyway. Evidence later emerged that the FDA knowingly approved, promoted, and refused to recall it after as many as 100,000 heart attacks were reported and thousands of deaths. Dr. Richard Horton, editor of The Lancet, said this after reading Wall Street Journal-published insider emails on how Merck hid damaging clinical trials evidence and sold the drug anyway: "In the case of Vioxx, the FDA was urged to mandate further safety testing after a 2001 analysis suggested a 'clear-cut excess number of myocardial infarctions.' It did not do so. This refusal to engage with an issue of grave clinical concern illustrates the agency's in-built paralysis, a predicament that has to be addressed through fundamental organizational reform.... The FDA acted out of ruthless, short-sighted, and irresponsible self-interest" to protect the interests of its own - and it happens regularly by approving dangerous drugs and only recalling them in cases too egregious to ignore. Even then only reluctantly to assure maximum industry profits. The agency also censors its own scientists as Dr. David Graham, associate director for science in the FDA's Office of Drug Safety, explained in summer 2005: "....the review and clearance process has been turned into a battleground, full of contention and intimidation because our managers, the people who fill out our performance evaluations, had created a system where it was taking a great risk to stand firm in our scientific beliefs." He essentially called the FDA a corrupted, industry-controlled tool placing bottom-line considerations over public health and welfare, then punishing whistleblowers who expose abuses. On September 30, 2004, Merck, not the FDA, voluntarily recalled Vioxx after facing growing numbers of lawsuits (burgeoning later to around 50,000), but admitted no fault or responsibility at the time. It was later learned that around 80% of Vioxx claimants were on Medicare or Medicaid. Government, not Merck, will pay 80% of settlement claims. Merck may later repay some or all of them. However, under a subsequent FDA preemption policy, no lawsuits may be filed in state courts pertaining to agency-approved drugs so winning them in federal ones, stacked mostly with hard-right Federalist Society-affiliated or approved judges, will prove far more challenging, expensive, and time consuming. In addition, getting approvals for class-actions will be harder. Dr. John Abramson's Expose of Drug and Insurance Company Abuses In his book, "Overdosed America: The broken promise of American medicine," Dr. Abramson explains how drug and insurance giants controlled US health care after the Reagan administration transformed an essential need into a commodity as follows: -- by massively reducing federal funding for independent medical research and mediation trials; -- forcing researchers to be funded by the drug giants; -- corrupting the whole system for profit, including some medical journals accepting funding in return for publishing industry-friendly studies on new drugs, other products, and treatments; for example, a New England Journal of Medicine report claimed Vioxx was safer than earlier NSAIDs when no such evidence existed; as worrisome, doctors are trained to use medical journal data in treating patients; -- in 1991, 80% of clinical trials took place at universities with considerable private funding but some academic oversight; by 2000, universities conducted only 34% of trials; -- more than ever, drug companies design and control trials of their own products to hide unfavorable findings and promote positive ones; in addition, test results are private and unavailable to the public on the pretext they'll compromise proprietary secrets beneficial to competitors; as a result, peer review is impossible and dangerous drugs are made available for sale; and -- one study found that industry-run clinical trials are 5.3 times more likely to be positive than independent or public ones. Dr. Abramson's advice on drug usage:-- if possible, avoid new drugs that may or may not be safe; -- choose a generic alternative; they're cheaper and for drugs that have been around long enough for serious problems to emerge; -- whenever possible, choose an alternative treatment as all drugs have disturbing side effects, some very dangerous from prolonged use; and -- follow sound medical advice, not TV ads, articles, or non-expert opinions, and always use sound judgment since protecting human health is a personal responsibility, not to be taken lightly. Secret White House-Big PhRMA Deal Revealed In mid-August, it was learned that the White House and Big PhRMA secretly agreed to what both sides denied. According to a knowledgeable insider, the Obama administration won't use government leverage to bargain for lower prices, import them from Canada, demand Medicare rebates, or shift some drugs from Medicare Part B to Part D under which prices stay high most often. In return, PhRMA agreed to (but may not follow through on a promise to) cut up to but no more than $80 billion in projected costs over a ten year period, a small fraction of the extra billions it will reap if universally-mandated insurance coverage becomes law and drug coverage available under it. Martin Weiss' "20-Year Battle with Insurance Companies" In an August 17 commentary, financial expert and investor safety advocate Martin Weiss explained his own confrontations with insurers, starting in 1989 when he began rating them honestly. At the time, large insurers like Executive Life, Fidelity Bankers Life, First Capital Life, and others were over-invested with risky junk bonds. He rated First Capital Life a D- and felt he was generous. Days later, company lawyers and officials threatened to sue and "put me out of business....if I didn't give them a better rating." "Who the hell do you think you are," they asked. "All the established ratings agencies give us high grades." Weiss refused and cited the company's own financial statement for proof. An "ultimate threat" followed: "Weiss better shut the f... up or get a bodyguard," one official said. Instead, he "intensified" his warnings, and "within weeks, the company went belly up, still boasting high ratings from established agencies on the very day it failed. In fact, AM Best, the nation's leading insurance rating agency, didn't downgrade (the company) to a warning level until five days" after it went out of business along with two of its closest competitors, leaving their investors and policy holders high and dry. The moral to this horror story is simple. If investing in these companies was foolhardy, why would anyone buy their health insurance and entrust them with their lives!! Why should anyone HAVE to buy private insurance that sacrifices human health for profits at extortionist premiums!! Why should drug prices be sky high!! When will the public demand better from the bipartisan criminal class in Washington, and get activist enough for change!! Weiss calls insurers "denial machines" that spend substantial sums as follows: -- for computer programs and systems that deny and/or delay claims payments; -- hire doctors to poke holes in legitimate claims; and -- pay bonus premiums to employees denying the most claims and/or approving the lowest amounts of payments. "In sum, health insurers build massive machines designed" solely to deny and delay claims. The less they pay and longer they wait, the greater the bottom line profits and share prices. In 2008 alone, the National Association of Insurance Commissioners (NAIC) reported nearly 200,000 complaints against insurers, excluding states that don't keep records and millions of cheated policyholders who don't act.
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