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Aug. 13 2009 - 2:05 pm | 64 views | 2 recommendations | 3 comments

‘Cold-eyed political realism’ and other euphemisms for lying

In pursuing his proposed overhaul of the health care system, President Obama has consistently presented himself as aloof from the legislative fray, merely offering broad principles. Prominent among them is the creation of a strong, government-run insurance plan to compete with private insurers and press for lower costs.

Behind the scenes, however, Mr. Obama and his advisers have been quite active, sometimes negotiating deals with a degree of cold-eyed political realism potentially at odds with the president’s rhetoric.

via Obama Injects Himself Into Health Talks, Despite Risks – NYTimes.com

Antibiotics

Image by rbrwr via Flickr

“Cold-eyed political realism.” That’s the New York Times, scraping the bottom of the euphemism barrel in a desperate attempt to avoid the word “lying.” It’s difficult to reconcile 2008 Obama hopeful rhetoric with the flood of terrible betrayals flowing from his lips these days, including the watering down of the public option and seemingly endless concessions to the private health care and pharmaceutical industries. However, America’s “Serious Media” is never too fatigued or ashamed to help President Obama deceive the populace. It’s not that he’s going back on his promises to voters, but rather he’s being shrewd, calculating, and pragmatic.

Back in 2007, Obama stated that “Congress exempted Medicare from being able to negotiate for the cheapest available price. And that was a profound mistake,” and that “unless we change that politics, we’re going to continue to see the waste that we’re seeing in the entitlement programs.” In 2008, the Obama campaign put out an ad in which Obama criticized the practices of the pharmaceutical industry, specifically the $2 million annual income of Billy Tauzin, the former congressman turned chief lobbyist for the pharmaceutical industry. In the ad, Obama is seen talking to a group of average folks. He says, “That’s an example of the same old game playing in Washington. You know I don’t want to learn how to play the game better, I want to put an end to the game playing.”

Instead of ending the game, Obama has changed his game plan. The pharmacuetical industry and President Obama have secretly agreed to precisely the sort of wide-ranging deal that both parties have been denying over the past week, reports Huffington Post, which claims to have obtained a memo detailing the agreement.

The memo states the White House has agreed to oppose any congressional efforts to use the government’s leverage to bargain for lower drug prices or import drugs from Canada, and also agreed not to pursue Medicare rebates or shift some drugs from Medicare Part B to Medicare Part D. In exchange, the Pharmaceutical Researchers and Manufacturers Association (PhRMA) agreed to cut $80 billion in projected costs to taxpayers and senior citizens over ten years, which is pocket change to the industry a Fortune 500 survey ranks as the most profitable business in the United States even if they end up having to pay the entire $80 billion price tag, which over an extended projection of ten years, is a big “if.” Projections that far into the future are fairly meaningless. For example, I predict in ten years I’ll be able to fly. Check back with me in a decade to see if that pans out.

No one should be surprised that a politician’s romantic, idealistic speeches turned out to be largely untrue. The real travesty here is that the media is acting as an accomplice to the American people’s misunderstanding of the real issues at play here, while the pharmaceutical industry continues to quietly bribe their public officials (drug makers donated $20 million to federal candidates in the 2008 election cycle.) Describing a backdoor deal between the White House and pharmaceutical industry as “cold-eyed political realism” is laughable, irresponsible doublespeak that should make any decent journalist hang their head in shame.

One of the issues the American people need to understand is that they fund most of the Research and Development for the pharmaceutical industry. While the real, gritty work of making medicine is done by scientists in government-funded university labs, paid for by citizens’ taxes, giant drug companies wait until they can swoop in and throw money into stockpiling certain chemicals and funding various trials at the very end of the process. In return, they own the exclusive patents to those medicines that they then sell back to the people at inflated prices. Since the drug companies have exclusivity rights, this means that cheaper generic drugs cannot legally be made for poor people, who cannot afford brand name prices. This process is sometimes deadly, as journalist Johann Hari reports:

The drug companies who owned the patent for AIDS drugs went to court to stop the post-Apartheid government of South Africa producing generic copies of it – which are just as effective – for $100 a year to save their dying citizens. They wanted them to pay the full $10,000 a year to buy the branded version – or nothing. In the poor world, the patenting system every day puts medicines beyond the reach of sick people.

Perhaps the drugs companies should adopt the New York Times strategy and call this some “cold-eyed realism.” It’s just business. Nothing personal.

The pharmaceutical industry’s old song and dance is that they need to charge exorbitant fees for drugs in order to fund Research and Development, but a study by Dr Marcia Angell, the former editor of the New England Journal of Medicine, says that only 14 percent of their budgets go on developing drugs, usually at the uncreative final part of the drug-trail. The rest goes on marketing and profits.

What we have here is an industry that uses taxpayer money to create life-saving products — which the industry claims to own exclusively — that they then sell back to taxpayers at inflated prices, while the taxpayers’ President quietly makes backdoor deals with the industry to make sure healthcare reform can’t possibly threaten the whole rotten process. Meanwhile, the President doesn’t have to worry that any of his sunny words about “hope” and “change” in healthcare reform will come back and bite him on the ass because a complacent media, desperately and pathetically longing for insider access to circles of the Serious and Powerful, will act as apologists for this blatant betrayal and call the President’s lies “cold-eyed realism.”

Thank God for the mainstream media, or President Obama would really look bad right now.


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  1. collapse expand

    No, Thank God for real journalists like you and a few others that are NOT complacent.

    Being the only one of my card-carrying democrat friends that has actually spent some time digging and reading about the whole financial meltdown & bailout as well as what has *actually* changed starting with the Dems takeover of congress in 2006, i now frequently find us in arguements about how ‘if we don’t vote for the democrat, then the republican will get the vote and we’re screwed’ (can you believe that??). I try to keep explaining that we’re screwed with either corrupt donkey or corrupt elephant, but alas even the facts i present fall on deaf ears.

    Thanks for providing more ammo to maybe wake up the few still rational Dems who are reading enough to start coming down from the “Obama High”.

    As for the $80 billion over 10 years. That is such an obscenity; i’m aghast at the levels the BS is reaching. I used to work for a generic pharma, and for all their talk about adherence to Code of Fed Regs, they were the craftiest bastards about cutting corners around even the most seemingly inscrutable controls. Who in Effing Gods name actually believes that holds any water whatsoever???

    Christ i need to start learning Finnish.

  2. collapse expand

    I tried to post this a couple of days ago to no avail…

    Allison, a couple of quick things:

    First, if you ever want to see and smell a well-planted story, look no further than a lightly sourced HuffPo post regarding a memo of unknown provenance supplied by a lobbyist. To be fair, there have been some other awesome plants (from a spin perspective); check out the WSJ story referenced in the HuffPo piece. That’s first-rate work.

    Ask yourself — Why would a health industry lobbyist be so uncharacteristically open about a process that has always been hidden in shadow? Why would a lobbyist leak memos and be quoted on the record, when the usual path is to work behind the scenes?

    Why? Because the revelation of deal-making will potentially anger both the extreme left and the extreme right, helping to potentially kill a deal. Big Pharma doesn’t want any reform, period. And any reform that happens they want to hobble or maim. And they’re hoping folks like yourself will help stoke the flames. They know you’ll oppose any plan without a strong universal component; the right-wingers will label any plan with a public option as “socialist.” You’ll carry the pitchfork, Glenn Beck will light the torches.

    Second, among the many things that went wrong in 1993 was the complete and utter inability of the Dems to recognize and secure the alliances needed to get ANY plan through Congress. Do you think anyone in the country has the political capital to work without a deal and single-handedly push through a trillion dollar program at the tail end of a recession?

    Also…the American people fund most of the R&D for all kinds of industries, not just for Big Pharma. Much of that research started at universities, then was continued by the private sector. Consider that we’re writing this to each other because of tens of billions paid to DARPA, MIT, Bell Labs, Stanford, etc…. I don’t think you’ll find many people ready to give up their laptop and broadband in the name of public interest.

    And believe me, I’m no drug-company stooge. What they did in India and Sub-Saharan Africa during the 90s was morally bankrupt, if not borderline criminal. But your info about South Africa is about eight years out of date. Most major drug companies agreed to provide free or low-cost anti-retrovirals in 2001. Check out the AVERT site.

  3. collapse expand

    We should have seen this coming-Now I’m not sure if universal healthcare was anything more then campaign rhetoric and a promise to Kennedy in exchange for his support against HRC. Does anyone recall the Harry and Louise ads that Obama ran against Hillary?
    http://krugman.blogs.nytimes.com/2008/02/01/obama-does-harry-and-louise-again/
    This is what Paul Krugman said at the time:
    “The Obama campaign sends out an ugly mailer. Sorry, but this is just destructive — like the Obama plan, the Clinton plan offers subsidies to lower-income families. And BO himself has conceded that he might have to penalize people who don’t buy insurance until they need care. So this is just poisoning the well for health care reform. The politics of hope, indeed.”

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