Late Saturday Night Drifts

Some where in another world (Minneapolis to be precise), I did work for a managed pharmacy benefits plan that was owned by United Health Care but was sold off to SmithKline Beecham  (now GlaxoSmithKline).  This was during the “Hillarycare” debates.  I know a lot about this because one of our VPs was on her panel and one of the hearings was held there.  I honestly thought that the DOJ would call the merger thing off because it was an appalling example of a vertical monopoly.  That didn’t happen.

During the mid nineties,  Big Pharma wanted their hands on the ability to call the plan formularies for defined benefit plans and stack them with their drugs.   All of them were scrambling to buy managed drug plans from Insurance Companies at the time.  Managed pharmacy benefit plans basically meant a windfall for any drug listed on the formulary.    Big Pharma  had a plan and I was privy to the business deal which was to  just tweak some chemical formula enough to call something a new drug, get it subject to a new patent, stick it on a formulary, and watch the profits roll in.

Don’t even get me started on how erectile dysfunction drugs made their way to formularies.  The race for profits is frequently a race to a place with nonexistent ethics.  So, based on the short amount of time I witnessed that situation, I took my fees and ran to New Orleans.  I couldn’t say much then because I was at a level where I was silenced by the merger negotiations and the SEC.

So, why do I mention that now?  Because, this doesn’t surprise me at all. Drug development is a business model and any one who thinks otherwise is sadly mistaken and most likely sadly at the bottom of the food chain and uninformed. Important drugs are not discovered because there is basically no money in it and there will never be any corporate money invested in it.

Public Health is part and parcel of the Public Interest.  The parable of Erectile Dysfunction Drugs may have a different ending if this policy actually sees the light of day.  Fortunately, it’s not completely up to the whims of creationists who hate science.  This move recognizes that the profit motive doesn’t always drive the correct priorities for society.  It only drives the correct money flows for something in high demand at particular time.  Rich people with a flaccid penis and a fear of wrinkles are driving the market.  So, what about Public Health?

The Obama administration has become so concerned about the slowing pace of new drugs coming out of the pharmaceutical industry that officials have decided to start a billion-dollar government drug development center to help create medicines.

The new effort comes as many large drug makers, unable to find enough new drugs, are paring back research. Promising discoveries in illnesses like depression and Parkinson’s that once would have led to clinical trials are instead going unexplored because companies have neither the will nor the resources to undertake the effort.

The initial financing of the government’s new drug center is relatively small compared with the $45.8 billion that the industry estimates it invested in research in 2009. The cost of bringing a single drug to market can exceed $1 billion, according to some estimates, and drug companies have typically spent twice as much on marketing as on research, a business model that is increasingly suspect.

The National Institutes of Health has traditionally focused on basic research, such as describing the structure of proteins, leaving industry to create drugs using those compounds. But the drug industry’s research productivity has been declining for 15 years, “and it certainly doesn’t show any signs of turning upward,” said Dr. Francis S. Collins, director of the institutes.

There’s another idea worth considering.  There are many drugs that are in the public domain.  There are many folks on medicare and medicaid plans.  There are also veterans.  Why not have the government offer to help start up small firms around the country that will produce those drugs at a minimal cost and reasonable profit with big time orders from all these government plans?  The idea is just to save money on drugs going to those covered by public health programs and create manufacturing jobs in places that need them. Many old drugs are just as effective as their minimally tweaked but patented counterparts that are advertised and marketed into a high profit set up per the nifty Big Pharma Business model.   Why pay for maximum profits to a market filled with a few greedy oligopolies when you can promote some nice little business all over Main Streets of American instead and Public Health instead and stir up a few jobs in the process?

Let the competition for government contracts really begin!

So, it’s an Open Thread, but that’s an article and a policy worth some discussion.


Gaslighting America

Some people really do live in alternative realities.  A good deal of them are not confined to obscure blogs or city street blocks screaming things that people frankly know aren’t true.  However, if you manage to get yourself a show on Fox News and you get to repeat the lies day in and day out, people think some one may actually fact check you.  Critical masses of people can mistakenly believe the lies. Glenn Beck just keeps gaslighting America and a good number of people appear to be stupid enough to believe him.

I frankly can’t watch him.  He’s so obviously got issues that you wonder how he has managed to escape treatment for mental health problems.  I guess if you’re a gravy train, people will ride you no matter what. What really bothers me is that he actually does have an impact on some people.

Just ask an obscure 78 year old professor retired from CUNY, Frances Piven, who is receiving death threats because Beck’s decided that something she wrote 45 years ago has brought the “United States to its knees”.  It’s amazing to me what a really disturbed mind can self create.  Facts are abused out of necessity.  Beck seems to think if you just keep writing the same things and saying the same things over and over you can gaslight enough of the people enough of the time.  He manages to make a living and stay within the disturbed little bubble he’s created to rationalize his own failures.  He’s empowered by delusions and denial and paid very well for them.  Every thing that happens to Frances Piven as a result of his words is just one more symptom of poor little Beck.  It’s all about his suffering, his problems, his brilliance, and his deluded truth.

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What Next?

The more I read the news, the more I’m convinced that the powers that be are purposefully trying NOT to get it.  I don’t think they realize that the Great Recession was not just the normal little business adjustment that comes from a hiccup in markets.  It wasn’t just some short run misalignment of Aggregate Demand and Aggregate Supply.  There are serious systemic problems in the financial system and the way we do things.  Politicians in the United States are hellbent on repeating the same damned mistakes.  We’re seeing massive presidential appointments of the people that created the problems to positions that recommend future policy. Companies like General Electric have been part and parcel of our problem, and yet, who does the President want to ‘reboot’ jobs and competitiveness?

Signaling a shift to a new phase of the administration’s response to the nation’s economic woes, President Barack Obama will sign an executive order Friday establishing a new Council on Jobs and Competitiveness that will be led by General Electric CEO Jeffrey Immelt. The signing coincides with a visit to a GE branch in Schenectady, N.Y., the birthplace of the company.

The new panel will replace the President’s Economic Recovery Advisory Board, and will have a new mission: to find “new ways to promote growth by investing in American business to encourage hiring, to educate and train our workers to compete globally, and to attract the best jobs and businesses to the United States,” according to the White House.

You don’t promote competitiveness by hiring  the head of a monopoly that feeds on no bid contracts and promotion of military adventurism.  It’s like putting Count Dracula in charge of your blood banks.  Again and again, I see this President do something I would expect a mainstream Republican to do while the current crop of Republicans are hammering out which crazed creationist will lead the country back to the third century.  What fresh hell is this?

There’s people asking those questions over at Project Syndicate.  Brit economist and member of the House of Lords Robert Skidelsky who wrote the book ‘Life after Communism’ has written a new article.  It’s called ‘Life after Capitalism’. I guess I’m not the only one thinking that this current house of cards is about to collapse.  While the running dog congressional lackeys of multinational corporate interests here are trying to keep the mess afloat, a few folks realize that there are economies out there in the greater world about ready to clean our clock. They are not all doing it by selling their souls to multinational corporations, believe me.

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Friday Reads

Miniature Marshmallows and cup of Cocoa from Daily Painters of Michigan

Good Morning!

It seems that most of the country is getting some form of nasty precipitation again today.  We’ve had some rain and clouds that have made for a few dreary days and I’ve just about had enough of it.  I keep looking for some cheery news and all I can come up with are links about Republicans cutting budgets, Republicans attacking reproductive rights, and Republicans wanting to repeal Health Care Reform.   I guess some one in the country has some energy right now.  It just isn’t me.  I’ve been suffering from blurry brain all week.  I was on campus yesterday and the students and faculty still standing after Jindal’s hack and slash budget cuts don’t look cheery either.

So, let’s see if any of us can do some justice to headlines today. Right now, I’d just like to see something other than hacked off Republicans in the news.

So, let me start off with this odd couple bit of news from Politico:  Walmart joins FLOTUS health push.

In an unusual endorsement, Michelle Obama appeared with Walmart executives at a community center on Thursday as the discount giant announced long-term plans to encourage healthy eating, including cutting prices of fresh fruits and vegetables and working with suppliers to reduce the content of sugar, fat and sodium in the products on its shelves.

The first lady – whose signature cause is reducing childhood obesity and promoting nutrition and exercise, particularly among low-income families – praised Wal-Mart as a retail giant with “the potential to transform the marketplace and let Americans put healthier foods on their table.”

Their plans “show us that, yes, we can improve how we make and sell food in this country,” the first lady said. “It’s a huge victory for folks all across this country. It’s a victory for parents. It’s a victory for families. But most of all, it’s a victory for our children.”

As part of the program, Walmart plans to overhaul thousands of packaged food items by 2015 to reduce salt and sugar content as well as eliminate unhealthy ingredients such as trans-fats. In addition, the chain would help create a seal to be placed on packages which would help consumers identify healthy products.

Suppose that will cause an increase in pedestrian deaths in Virginia?

Okay, so here’s some presidential political warm ups from NBC: First Thoughts: Are the political winds changing?

Are the political winds changing? … New NBC/WSJ poll has Obama approval at 53%… Also, 40% now label him a political moderate — which is maybe why we haven’t heard “Obama is a socialist” in a while… But is this bump for Obama a transition or a transitory moment?… Poll also shows a short honeymoon for the GOP… Handicapping 2012… And polling birthright citizenship.

Now, you know why we New Orleans folks put champagne in our orange juice!  It’s the only way we can handle the morning news!

Maybe this is why we haven’t heard “Obama is a socialist” in a while: We’ll take it one step further: These might have been Obama’s best six weeks since Fall 2008. Indeed, the bump in Obama’s approval was across the board — independents moved from 35% approval to 46%; Democrats went from 76% to 86%, and Republicans went from 11% to 15%. Perhaps the most surprising result in the poll? Try 40% labeling the president as a political moderate, compared with 45% who see him as a liberal and 11% who view him as a conservative. That moderate number is the highest for Obama in the NBC/WSJ poll, even higher than it was before his inauguration.

Some people appear to be very sloooowwwww learners.  Only took a little over two years for them to figure that one out.  Now how long do you think it will take them to figure out that the Democrats passed the Republican Health Care Reform proposed as Dolecare to fight Hillarycare?

Congresswoman Giffords is own her way to to a rehabilitation center in Houston and made a trip outside today. She appears to be responding to various stimuli and her doctors continue to be encouraged.  Gabby Giffords still has a long way to go but we’re pulling for her.   Her next steps will be to recover the use of her right side and the use of language.

Dr. Michael Lemole, the chief of neurology at University Medical Center in Tucson, said Giffords has made “fantastic advances,” but he warned “she has a long road ahead of her.” Giffords’ husband Mark Kelly said his wife has tried to speak, but the breathing tube in her windpipe has made it impossible. Giffords will be transferred Friday to the TIRR Memorial Hermann Institute for Rehabilitation and Research in Houston, one of the world’s leading facilities for brain injuries.

In the meantime, Kompassionate Konservative Kooks continue to call for Governor Jan Brewer to appoint a replacement for the Congresswoman who survived an assassination attempt less than 2 weeks ago.

In an article published on theloop21.com, John Wilson, a “regular contributor to Hip Hop Republican,” mused that Rep. Gabrielle Giffords (D-AZ) should resign her seat as she recuperates from her gunshot wounds. Citing media reports about Gifford’s medical condition, Wilson compared Giffords to the late Rep. Gladys Spellman (D-MD), who went into a coma while in office. He then asked, “Should constituents allow members to hold onto their seats like political Brett Favres with no concept of when it is time to go?” FrumForum, the conservative news site managed by former Bush administration official David Frum, promoted the article on its website this afternoon.

The Times of India reports on a survey which has grave implications for women, the spread of HIV and pregnancies.  A survey showed that nearly half of HIV infected women in 13 “high-prevalence” districts in Tamil  Nadu had no knowledge of contraceptives.  More than half of the women were also not aware of sexually transmitted infections.  A majority of HIV positive women had not shared their status with their children or any information about sex or sexually transmitted diseases.  The women also do not have property rights which exacerbates attempts to manage their treatments.

The National Federation for Wildlife reports that Pesticides Poison more than 200 Endangered Species in the U.S. They are also endangering people. As a result, activists are filing lawsuits to stop their use and recover damages.

According to the Center for Biological Diversity and Pesticide Action Network North America (PANNA), more than 300 pesticides are seriously harming 214 species of endangered and threatened animals protected under the federal Endangered Species Act. What’s worse is that the Environmental Protection Agency (EPA) fails to prohibit farmers from spraying these dangerous toxins in the regions that endangered species call home.

So PANNA and the Center for Biological Diversity are stepping up to the plate and actually taking legal action to help these struggling species. Today, the two groups filed a lawsuit against the EPA, claiming that the agency fails to conserve the hundreds of species offered federal protections under the Endangered Species Act. The groups aim to force the EPA to put measures in place that would prevent harmful pesticides from being sprayed in endangered and threatened species’ habitats.

That’s no small feat considering America’s massive chemical use. The EPA has registered more than 18,000 pesticides, with farmers spraying more than one billion pounds of the toxins on their fields every, single year. According to PANNA and the Center for Biological Diversity, more than 300 of these registered pesticides are posing huge health implications to people and 214 threatened and endangered species.

If you have 15 minutes to spare today, you may want to listen to NY Fed President Marco Del Negro speak to the European Economic Association in Glasgow on the Fed’s nonstandard monetary policy actions.  The mp3 is available for a listen or a download are at VOXEU.

Will your state be the first to seek bankruptcy? There are a number of deadbeat states in the country.  Illinois is one of the states in worst shape at the moment.  Lawmakers all over the country are finding ways for states to restructure or weasel out of their debt because it’s pretty much assumed the federal government will not bail them.  My guess is this is really a way for most of them to dodge their pension obligations to retirees. Yes, and there that small matter sits. Right there in the first paragraph.  Maybe I should be glad I didn’t take the defined benefit plan offered here in Louisiana and have managed to barely keep my principle above water in an account that’s now heavily invested in other countries.  Yes folks, I’m investing in the countries trying to pull their people out of poverty, not dump them into it.

Policy makers are working behind the scenes to come up with a way to let states declare bankruptcy and get out from under crushing debts, including the pensions they have promised to retired public workers.

Unlike cities, the states are barred from seeking protection in federal bankruptcy court. Any effort to change that status would have to clear high constitutional hurdles because the states are considered sovereign.

But proponents say some states are so burdened that the only feasible way out may be bankruptcy, giving Illinois, for example, the opportunity to do what General Motors did with the federal government’s aid.

Beyond their short-term budget gaps, some states have deep structural problems, like insolvent pension funds, that are diverting money from essential public services like education and health care. Some members of Congress fear that it is just a matter of time before a state seeks a bailout, say bankruptcy lawyers who have been consulted by Congressional aides.

Alas, in today’s new USA nothing is safe from the reapers of Wall Street.

Okays, so that wasn’t too rough of a read was it?

What’s on your reading and blogging list this morning?


Late Night Drifts

Yesterday was a full moon.  That could possibly explain what I  want to call attention to as the most bizarre right wing meme I’ve read in a long time.   This is from a Talk Radio Station that features Rush Limbaugh prominently on its banner so be forewarned: Michelle Obama’s ‘Get Moving’ Program Linked to Pedestrian Deaths. I swear  it’s not The Onion.

The Governors Highway Safety Association says pedestrian deaths increased in the first half of 2010 and the First Lady’s program to get Americans to be more active could be partly responsible.Governors Highway Safety Administration spokesman Jonathan Adkins told 630 WMAL that Michelle Obama is “trying to get us to walk to work and exercise a little bit more.  While that’s good, it also increases our exposure to risk.”

After four straight years of steady declines, pedestrian deaths were up during the first six months of 2010, the latest figures available to be studied.

Other factors include distracted drivers, distracted pedestrians and what Adkins calls “aggressive pedestrians.”

“People who are not crossing where they are supposed to.  They’re running in front of cars.  We’ve even had examples of pedestrians getting out on the interstate,” said Adkins.

Alcohol is also factor in increased pedestrian deaths.

“We’ve done a good job of getting people, after a night out of partying, to leave their keys behind.  But just because you are walking does not mean you are not at risk,” said Adkins.

Pedestrians are also increasingly distracted by iPods and smart phones.  It is not uncommon to see people crossing streets while fiddling with an electronic device and not watching where they are walking.  Hospital emergency rooms have reported an upsurge of people injured in a fall because they were distracted by electronics.

So, my first reaction to this was WHICH governor of WHAT state?  Well, the station is in Virginia which makes it Governor  Bob McDonnell. I think I’d worry about who he is appointing there to head up departments if that’s the best explanation they can find when the evidence appears to be folks distracted by their Idiot-pads and their Idiot-phones. Sheesh!  And I thought my Governor Jindal had the market on fruitcake theories with his war on bath salts!!!  Kate Sheppard had a fun response up on MOJO called “Michelle Obama Doesn’t Kill People, Cars Do!’

TBD has a good post in which the GHSA’s executive director, Barbara Harsha, explaining that she never said that at all. The group isn’t sure exactly what caused the uptick in deaths—and they certainly can’t pin it on Michelle Obama’s “Let’s Move” initiative.And as TBD’s Dave Jamieson aptly concludes, “If the ‘Let’s Move’ campaign is so effective that herds of inexperienced joggers are suddenly getting run over, then we need to put Mrs. Obama in charge of more nationwide initiatives, starting with the economic recovery.”

Oy. We women get blamed for everything these days!