Free Market Medicine?

Dear Group,

In keeping with yesterday’s post of a locally placed, thinly disguised ad by an impressive group of pharmaceutical companies aimed at insuring their continued profits I encourage you to:

Click and read My Wife’s Expensive Cancer Drug, Doug Muder’s January 14, 2019 entry for his weekly email blog, the Weekly Sift. I have written of my own experience with our un-free market pharmaceutical pricing system in this country. Mr. Muder looks at it in greater depth through his personal experience with his wife’s cancer treatment. 

Keep to the high ground,

Jerry

P.S.  I encourage you, in the left hand column of The Weekly Sift webpage, to sign up to receive Doug Muder’s weekly email, delivered to your inbox. I find it a level-headed bird’s eye view of the latest national news. I look forward to reading it every Monday. 

Who is Speaking, Physician or Drug Company?

Dear Group,

Yesterday I posed this question:

Question: A paid opinion piece appeared in the Spokesman with McMorris Rodger’s name on it some time in the month of January, likely two to three weeks ago. The substance was a critique of a recently offered bill in the U.S. House that would regulate pharmaceutical pricing. The author insisted the bill was needless meddling in the operations of the free market. Can anyone put their finger on that piece and send me a link? 

Just one reader, Jim Wavada, emailed me with the ad that appears above. That tells me that most readers did not notice it or find it memorable (a good thing in my estimation). By word of mouth I had the impression the ad was BY McMorris Rodgers, not a plea to call her about an issue, So much for the accuracy of verbal impressions. This is an ad from a special interest group paying good money to raise fear and worry among Seniors over an unspecified “Risky HHS Medicare Plan.” 

So what is interesting about this ad? The “Alliance for Patient Access” claims it is “a national network of physicians dedicated to ensuring patient access to approved therapies and appropriate clinical care.” However, at the very bottom of the “About” page in fine print is this: Financial support of AfPA and IfPA is acknowledged here, Click that link and one finds an impressive list of pharmaceutical companies, the real money behind what is clearly a political/lobbying endeavor on behalf of drug companies, NOT independent physicians advocating for the benefit of patients. 

The Alliance for Patient Access Home Page shows twenty-six for official looking logos of organizations I, as a physician, have never heard of. The impression is one of physicians working together in a valiant effort to make sure the government doesn’t tamper with patients’ access to innovative medications. Only in the fine print do you find the logos represent “web pages.”

This ad, appearing in our local newspaper, likely cost something in the ballpark of $1500 to place. Even multiplied by tens or hundreds of other newspapers that money is still a pittance for drug companies to stir up angst among elderly readers and encourage them to call their Congresspeople. The Alliance for Patient Access is a cleverly disguised effort to push back against early efforts to rein in drug prices by promoting fear in the electorate.

In my estimation the Alliance for Patient Access fits right in with dark money non-profits like the Washington Policy Center and American Legislative Exchange Council, thinly disguised efforts to promote Republican/Libertarian policies.

Ads like these attempt to shape public opinion to suit the agenda of special interests. It behooves us to pay attention to the financial backing. They don’t make it easy.

Keep to the high ground,

Jerry

P.S. Other readers pointed me to “Liberals dare Trump to back their bills lowering drug prices“, an interesting article I had also missed. Thank you to those who brought my attention to it.

Question

Dear Group,

I am in transit and taking the day off. Back tomorrow.

Question: A paid opinion piece appeared in the Spokesman with McMorris Rodger’s name on it some time in the month of January, likely two to three weeks ago. The substance was a critique of a recently offered bill in the U.S. House that would regulate pharmaceutical pricing. The author insisted the bill was needless meddling in the operations of the free market. Can anyone put their finger on that piece and send me a link? It appeared in the Spokesman some time this January. Please “Reply” to this email if you recall it and can offer a link. Thanks. (I was unable to locate it using the Search function in the Spokesman. Perhaps Search does not include paid ads. I suspect, but do not know, that the piece was funded by a drug company.)

Keep to the high ground,

Jerry

Emerge, Candidate Training

Dear Group,

Does the whole political process seem opaque to you, hopelessly complicated? Do you know someone you think might have the stuff it takes to make a real difference in an elected office? Have you ever toyed with the idea yourself, but you couldn’t imagine where to start? 

We have municipal elections coming up in August and November all over the State of Washington. It’s not too late (or too early) to start paying attention either as a voter or as a potential candidate. Candidacies don’t just happen the week before the election, it takes preparation and understanding of the process. 

I want to introduce you to a group with which I became acquainted at the Women’s March (these rallies offer great information and networking besides building enthusiasm). EmergeAmerica.org is a national organization offering interested Democratic women a manageable boot camp educational experience in the nuts and bolts of running for office. Best of all, Washington State already has an affiliate up and running, ww.www.EmergeWA.org. Click on that link and explore a bit. There are programs statewide with courses and real people engaged on this side of the mountains.  The full program starts in January and goes through May, for those that might want to apply for next year’s election cohort. Last year’s Emerge cohort included Jessa Lewis and Kay Murano, who both ran good races last year. It also included Tabitha Wolf, who has just filed to run for Spokane City Council in District 1 this year.

Interested in running for office in the municipal elections this fall? There is an intensive “boot camp.” This spring the east side boot camp is held at Reid Campus Center at Whitman College in Walla Walla the weekend of April 23rd to 26th. Here is an email quote from one of last year’s participants: “The bootcamp is intensive, and crams as much information as possible into a long weekend.  I learned a lot, and expect to learn that much more in the full program. Emerge does a good job of helping to build a strong network.  It’s treated as a sisterhood of sorts, and I see relationship building as an added advantage of the longer program in particular.” 

Curious? For more information contact Karen at karen@emergewa.org. or Alyson (my eastern WA contact with this organization and a recent graduate) at organizingbadass@gmail.com.

It’s time to get off the sidelines. Emerge offers a route through a major impediment: the perception that it’s all too complicated. It is time to take back our country, starting locally…

Keep to the high ground,

Jerry

Local Civics, Part I

Dear Group,

From Wikipedia: The Merriam-Webster dictionary defines civics as “the study of the rights and duties of citizens and of how government works.” The definition from dictionary.com is: “the study or science of the privileges and obligations of citizens.”

This year in August and November we, as citizens of communities in Washington State, will receive ballots asking us to vote on candidates for “municipal” elections. If you’re like I have been most of my life, you will be a little startled. “Who are these people?” If you’re diligent, you will go in search of information. You may be overcome by a sense of despair as you realize how hard it is to acquire clear and honest information about the candidates, there real values, who they are as people.

So we need to start now. For me, first that means getting a bird’s eye view of the electoral map of my particular registered voting location. I cannot do this for every town in Washington State, but I can offer insight into how you might gather information for your locality as I present my bird’s eye view from my perch in District 2 of the City of Spokane. 

Tool Number One: MyVote.wa.gov. Click. Read. Every time I go there I learn something new. This time ask yourself who your local elected officials are. Click “My Elected Officials,” scroll down and click “City/Town” and “Other.” For me in the City of Spokane, I see my officials are Mayor David Condon, City Council President Ben Stuckart, and District 2 Council people Lori Kinnear and Breean Beggs. Some several of these folks will be on the ballot I receive in August and November this year. Which ones?

I’m a little embarrassed to disclose the route I took to answer this question: I emailed and spoke with my City of Spokane, District 2, Council Members, both of whom were very helpful. Only later did it dawn on me the basic information must be in the City of Spokane City Charter–a document available to read on the City of Spokane website. Here it is: Section 5, Elected Officials. You can think of the Charter as the City version of the U.S. Constitution (writ small and in modern English). 

The very basic facts about the City elected offices:

1) The Mayor and City Council President are elected City-wide.

2) The six Council Members are elected by the voters of each of their Districts (see map). There are two Council Members per District. One of the two Council seats in each District is up for re-election every two years. 

3) The Mayor and City Council President positions are up for re-election this year (2019) and every four years along with the three City Council members who hold seat number 1 in their respective Districts. This year that’s Mike Fagan (District 1-NE Spokane-who cannot run again since he’s served two terms), Lori Kinnear (District 2-South Hill plus), and Karen Stratton (District 3-NW Spokane). 

4) All eight of these seats are for four year terms and each seat is term limited to two terms! (That was news to me.) Of course, having served two terms as a Council person, one might run for the first of what could be two terms as Mayor or City Counsel President. 

5) The three Municipal Court Judges are also City of Spokane elected officials. Like the other eight they serve four year terms. They do not appear on the 2019 ballot. Instead, they will appear in 2021 and each four years thereafter along with the Council Members occupying seat number 2 of their respective Districts. The Municipal Court Judges are elected City-wide.

Spend a few minutes today to orient yourself in your electoral map. One hint: I found it easier to get to the City Charter of the City of Spokane by googling it than navigating the City of Spokane website. You might find the same thing for the city or town in which you live. 

Keep to the high ground,

Jerry

CMR’s “Waste of time”

Dear Group,

We’re being lulled. McMorris Rodgers’ justification for voting against bills (since passed by the House and waiting on McConnell’s desk), bills that would end Trump’s shutdown, should be met with knee-slapping, howling derision. 

Her justification from her website for voting against H.J.Res 1: 

For bills to reach the president’s desk in a divided government, both parties must work together to responsibly govern. It’s time to make deals. Unfortunately, Democrats signaled through this legislation that they would rather waste time on bills the Senate won’t consider and the president won’t sign. Speaker Pelosi pledged this Congress will be ‘bipartisan and unifying.’ She should stick to her word and come to the table to negotiate.

Wow. Think about that statement for a moment. How many dozens of times during the Obama administration did she vote to repeal the Affordable Care Act? Never once did the repeal she voted for stand a chance of being signed into law, yet she voted for repeal time and time again. Were those votes a “waste of time?” She applies “waste of time” at her convenience. Is it a “waste of time” to reopen the government? Is it a waste of time to vote to pass bills already passed by the Senate in the previous (115th Congress), bills McConnell now refuses to bring to the floor in a blatant display of partisanship? 

Is she enjoying the Trump shutdown? Apparently. It hasn’t curtailed her travel or kept her in D.C. to work on a solution. She was among the honored guests at the MLK Day Annual Commemorative Celebration at the Holy Temple of God in Christ at 806 W. Indiana Ave. Sunday afternoon during MLK weekend. 

She and most (but not all) of her Republican cohort is content to sit by and watch the country slowly unravel as their petulant child of a President holds the country hostage hoping to get his way. 

It keeps appearing in the news that Republican Congresspeople are receiving high volumes of calls, texts, emails and tweets in support of the shutdown. The zealots are activated. We need to Republican Congresspeople aware there is a cost to their complicity. Contact the folks who are supposed to represent you. Encourage those who want the country to function again and register your disapproval with those who sit by, conveniently dismissing actions by Congress to end Trump’s grandstand. Here are the numbers:

CMR:

Spokane Office       (509) 353-2374

Colville Office         (509) 684-3481

Walla Walla Office  (509) 529-9358

D.C. Office              (202) 225-2006

Sen. Patty Murray (D-WA)

D.C. Office          (202) 224-2621

Spokane Office  (509) 624-9515

Yakima Office     (509) 453-7462

Sen. Maria Cantwell (D-WA)

D.C. Office          (202) 224-3441

Spokane Office  (509) 353-2507

Richland Office  (509) 946-8106

Sen. Mike Crapo (R-ID)

D.C.  202-224-6142

North ID,  208–664-5490

Sen. James Risch (R-ID)

D.C. 202-224-2752

Coeur d’Alene  208-667-6130

Rep. Russ Fulcher (new R, ID)

(202) 225-6611 

Then call Call/Email Senate Majority Leader Mitch McConnell and ask him to bring the House-passed bills to the Senate floor for a vote. He needs to let the Senate do its job. Phone: (202) 224-2541. 

Keep to the high ground,

Jerry

What Underlies Trump’s “Compromise” Offer

Dear Group,

Always remember the Republican’s biggest fear: that brown people become citizens and able to vote. Trump, one hopes, jumped the gun by activating the nativist base to get elected. He thought this base would be all he needed to push his anti-immigration crusade over the top and exclude for the long term the threat of brown people becoming citizens and voting against Republicans. His nativist base (and the greater Republican Party) is now doubly invested. They have taken ownership of the full-on, anti-immigrant brand, anti-refugee, anti-legal immigration (except Norwegians), and anti-DREAMER, the latter a group for which many have sympathy. For many seeking refuge and many who have lived among us, contributed to society, and paid taxes for years (but are not yet citizens) the Republican Party is now an adversary. The result: the Republicans are ever more dug in and ever more determined never to offer citizenship for the DREAMERs or any brown people. Lacking compassion…or decency…, the Republicans use their threats to deport the DREAMERs as a bargaining chip. “We won’t kick them out of the country, at least for a few years, if you….” or “We might offer the DREAMERs some sort of complicated ‘legal status’, if you…” This is hostage taking. 

Listen and read carefully every time you hear a Republican offer anything that might help the DREAMERs. You will never see in their proposals an offer of a functioning pathway to citizenship. The DREAMERs came to this country through no fault of their own as children and have lived here as tax-paying citizens for years. Breitbart, Ann Coulter, and the Republican base are already screaming “Amnesty!” at Trump’s Saturday offer of the best compromise he can muster: a promise not to go forward deporting the DREAMERs for three years. “Amnesty” for the screaming Trumpian base is somehow construed as an issue of “fairness,” that somehow letting the DREAMERs out of bondage is “unfair” to those who, as adults, came legally. (How very Old Testament of them. . Apparently, the “sins of the fathers [Exodus 20:5],” their parents bringing the DREAMERs to the U.S. illegally [often by overstaying a visa], are to be visited on the children,,,and the children punished…with deportation from the only country they have known.) 

Last summer McMorris Rodgers helped craft a bill within her own Party (of which she was then a supposed “leader”) to strike an immigration bargain. It failed spectacularly, 121 Yea to 301 Nay with 112 of her fellow Republicans voting “Nay.” Her bill offered a select group of DREAMERs “permanent legal status,” She seemed surprised at her mini-townhall at Greenbluff when I asked her to clearly state the bill offered no path to citizenship. She’s in a tough spot. She’d like to groom her sympathetic mom brand, but her base might turn on her if she offers any long term help to the hostages her Party so delights in threatening with deportation. [For more on CMR and her bill read CMR’s Immigration Duplicity.]

The DREAMERs deserve a path to citizenship. They will not be offered one until the Presidency and the Congress are out of the hands of Republicans. Until then Republicans will use the DREAMER’s issue to rile their nativist base. 

Trump’s Saturday “compromise” offer to get his border wall funding was dead before it was all out of his mouth. A three year lull in his and his Party’s effort to deport the DREAMERs, keeping them from one day voting against Republicans, this lull offered as a “compromise,” is an insult to our intelligence. Furthermore, for all his pandering to them he can’t even get his base to dampen their desperate xenophobia. 

Keep to the high ground,

Jerry

P.S. Remember Republican hand-wringing in the early years of Obama’s presidency, the Jeb Bush and other relative centrists talking about wooing the hispanic vote? One wing of the Republican Party worried out loud that demographic trends would make white men a minority and corrode their support? The other wing of the Party decided to buck those trends by demonizing and excluding immigrants. That wing won. Trump’s election, riding in on the votes of racist, anti-immigrant wing of the Republican Party, marked a takeover from Republicans who at least mouthed words suggesting unity and compromise. Trump flipped the switch to the most rabid, denigrating, partisan politics we’ve seen in our lifetimes. This has long brewed on the right. The question of our time is whether Trump and the Stephen Millers of his Party flipped the switch before enough groundwork was laid. Can they leverage their success into a durable power grab?