Elizabeth Warren’s generic drugs plan: More placebo than cure

In theory, generic markets should be the Walmart of the health-care world, where everything is dirt cheap and readily available. In practice, the makers of branded drugs often display a malevolent ingenuity at keeping generic competition at bay. And even when they play fair, a number of factors, including tighter safety regulation and more complex formulas, often means that too few firms enter the market.

.. Lots of drugs, especially those used by only a smaller number of patients, have at best a handful of firms producing them. So if one company has production problems — or decides to withdraw from the market entirely — supply contracts dangerously, as prices shoot skyward.

..  you don’t get to be president by saying “The FDA is working on it.” No, you call for action! Specifically, Warren wants the federal government to get into the business of manufacturing drugs or contracting with third parties to do the production.

.. One can describe all sorts of reasons that state-owned firms ought to be better than the profit-grubbing variety. Freed from the incessant demands of greedy investors, state-directed firms can invest for the long term, pursuing innovation and social welfare rather than profit.

One can describe it easily enough; what’s hard is finding one of these creatures in the wild. Rather than providing a shining rebuke to free-market fundamentalists, state-owned enterprises (SOEs) often seem to have a secret mandate to prove their skeptics right about everything.

.. There are examples of well-run SOEs, but they’re suspiciously concentrated in one tiny patch of northern Europe where government institutions more generally outperform counterparts in the rest of the world. And even high-performing SOEs are vulnerable to a change in administration. PDVSA, Venezuela’s state-run oil company, used to be regarded as one of the best in its class. Then Hugo Chávez decided that he would rather use the company’s investment funds for social spending than for stodgy old petroleum extraction, and rather have the firm managed by cronies than professionals. Venezuela’s disastrous economic collapse can be traced directly to those decisions.

.. President Trump’s election has finally nullified the conservative shibboleth that Washington could be fixed if only we could get a businessman into the Oval Office to show all those government chair-warmers how a real organization does things. Unfortunately, the left is busy reviving its own shibboleth, the mirror image of the conservative mistake: that whenever markets frustrate us, the government can and should step in and do it better. Nationalize the health-care system, bring back public housing development … and if you don’t like the price or availability of various drugs, then have the feds become drug-makers, too.

.. This idea is particularly silly given that so many of the problems that make it harder for generic drug-makers to enter the market are created by government regulations in the first place. Unless the government enterprise bypasses the regulatory hurdles constraining supply, it will face much the same difficulties that private firms do.

And if the government is going to relax regulatory requirements, wouldn’t it make more sense to just retool the way the market works for everyone?

Well, yes, it would, if what you wanted to do was actually fix the problem. But that involves a lot of fiddly, boring, regulatory tweaks and can’t possibly happen fast enough to aid Warren’s run for president. It’s unsurprising that Warren has instead hit upon what I call a “Washington issue” — a proposal with little policy merit that nonetheless retains great political charm because it can be explained to voters in under two sentences. Which may be good enough for a presidential candidate. But it’s not nearly good enough for the country.

American Capitalism Isn’t Working.

Not so long ago, corporate leaders understood they had a stake in the country’s prosperity.

The October 1944 edition of Fortune magazine carried an article by a corporate executive that makes for amazing reading today. It was written by William B. Benton — a co-founder of the Benton & Bowles ad agency — and an editor’s note explained that Benton was speaking not just for himself but on behalf of a major corporate lobbying group. The article then laid out a vision for American prosperity after World War II.

At the time, almost nobody took postwar prosperity for granted. The world had just endured 15 years of depression and war. Many Americans were worried that the end of wartime production, combined with the return of job-seeking soldiers, would plunge the economy into a new slump.

.. Today victory is our purpose,” Benton wrote. “Tomorrow our goal will be jobs, peacetime production, high living standards and opportunity.” That goal, he wrote, depended on American businesses accepting “necessary and appropriate government regulation,” as well as labor unions. It depended on companies not earning their profits “at the expense of the welfare of the community.” It depended on rising wages.

.. These leftist-sounding ideas weren’t based on altruism. The Great Depression and the rise of European fascism had scared American executives. Many had come to believe that unrestrained capitalism was dangerous — to everyone. The headline on Benton’s article was, “The Economics of a Free Society.”

.. In the years that followed, corporate America largely followed this prescription. Not every executive did, of course, and management and labor still had bitter disputes. But most executives behaved as if they cared about their workers and communities. C.E.O.s accepted pay packages that today look like a pittance. Middle-class incomes rose fasterin the 1950s and 1960s than incomes at the top. Imagine that: declining income inequality.

And the economy — and American business — boomed during this period, just as Benton and his fellow chieftains had predicted.

Things began to change in the 1970s. Facing more global competition and higher energy prices, and with Great Depression memories fading, executives became more aggressive. They decided that their sole mission was maximizing shareholder value. They fought for deregulation, reduced taxes, union-free workplaces, lower wages and much, much higher pay for themselves. They justified it all with promises of a wonderful new economic boom. That boom never arrived.

.. Even when economic growth has been decent, as it is now, most of the bounty has flowed to the topMedian weekly earnings have grown a miserly 0.1 percent a year since 1979. The typical American family today has a lower net worth than the typical family did 20 years ago. Life expectancy, shockingly, has fallen this decade.

.. Elizabeth Warren, the Massachusetts senator, is now rolling out a platform for her almost-certain presidential campaign, and it includes an answer to this question. It is a fascinating one, because it differs from the usual Democratic agenda of progressive taxes and bigger social programs (which Warren also supports). Her idea is the most intriguing policy ideato come out of the early 2020 campaign.

Warren wants an economy in which companies again invest in their workers and communities. Yet she doesn’t believe it can happen organically, as it did in the 1940s, because financial markets will punish well-meaning executives who stop trying to maximize short-term profits. “They can’t go back,” she told me recently. “You have to do it with a rule.”

.. require corporate boards to take into account the interests of customers, employees and communities. To make sure that happens, 40 percent of a company’s board seats would be elected by employees. Germany uses a version of this “shared-governance” model, mostly successfully. Even in today’s hypercompetitive economy, German corporations earn nice profits with a philosophy that looks more like William Benton’s than Gordon Gekko’s.

.. Is Warren’s plan the best way to rein in corporate greed? I’m not yet sure. I want to see politicians and experts hash out her idea and others — much as they hashed out health care policy in the 2008 campaign.

.. But I do know this: American capitalism isn’t working right now. If Benton and his fellow postwar executives returned with the same ideas today, they would be branded as socialists. In truth, they were the capitalists who cared enough about the system to save it. The same goes for the new reformers.

Iowa Democrats Say They Want Generational Change

A Wall Street Journal survey of Iowa Democratic county leaders also found support for a contender with appeal to ethnically diverse voters

Democratic leaders in Iowa, the starting line for the party’s wide-open 2020 presidential contest, are hungry for a young standard-bearer who will usher in generational change, which is erecting a potential roadblock for the three best-known prospective contenders for the nomination.

.. Of the 76 Democratic county party leaders who responded to the survey, 43 said they would prefer a young candidate. They said they want a fresh face and expressed interest in potential candidates who haven’t run for president before. They yearn for a nominee with the energizing charisma of President Barack Obama to counter President Donald Trump’s rowdy base. Most said gender wouldn’t be a determining factor.

.. Those are hurdles that could trip up three of the best-known potential candidates, former Vice President

  • Joe Biden, and Sens.
  • Bernie Sanders of Vermont and
  • Elizabeth Warren of Massachusetts,

each of whom will be at least 70 years old when Iowa Democrats caucus in February 2020.

“They’re all too old,” said Chris Henning, the 71-year-old Democratic chairwoman in Greene County. “It’s not white bread America any more, we’ve got to get with the program.”

.. “We have to look for the Barack Obama scenario for the party,” said Bryce Smith, the 26-year-old Democratic chairman in Dallas County, a booming Des Moines suburb that is the fifth-fastest growing county in the nation, with a 32% population increase from 2010 to 2017. “I can’t see how my generation, 18- to 34-year-olds, can get excited about a 70-year-old candidate ever again.”
.. He said he is intrigued by Texas Rep. Beto O’Rourke, who narrowly lost a Senate race to Republican Ted Cruz. “Beto, he sounds and talks like he’d be Barack Kennedy,” Mr. Smith said, suggesting that Mr. O’Rourke had charisma akin to Mr. Obama or the Kennedys.
.. New Jersey Sen. Cory Booker
.. When Ms. Harris, 54 years old, appeared recently in Cedar Rapids, “I got calls from people in counties 100 miles away” hoping to attend
.. The clamor for a generational change may take its harshest toll on the 77-year-old Mr. Sanders if he decides to run again.
..Ms. Warren, who will turn 70 in June, declined to run for president in 2016 despite a high-profile effort to draft her into the race. The delay may wind up hurting her chances in 2020.

.. Some said they might make an exception for Mr. Biden, a 76-year-old who was still in demand as a campaign surrogate during this year’s midterms. One person defined “young” as “less than mid-70s.”

FOX NEWS FIRST: Warren’s DNA reveal backfires, angers Dems; Missing Saudi activist’s kin wants independent probe

Democrats are not thrilled that Sen. Elizabeth Warren has released DNA tests to prove her Native American ancestry and fear the controversy throws the party off-message before the midterm elections

THE LEAD STORY – DEMS ON WARPATH OVER WARREN’S DNA TEST: U.S. Sen. Elizabeth Warren, D-Mass., might have believed that releasing DNA test results that apparently prove her Native American heritage would show up President Trump and other Republican critics and put the controversy to rest. However, it has only breathed new life into the story and angered fellow Democrats who fear a blue wave may not happen in next month’s midterm elections … President Obama’s former campaign manager, Jim Messina, on Monday sharply criticized Warren, saying she was throwing the Democratic Party off-message just weeks before November’s critical midterm elections. “Argue the substance all you want, but why 22 days before a crucial election where we MUST win house and senate to save America, why did @SenWarren have to do her announcement now?,” Messina tweeted. “”Why can’t Dems ever stay focused???”

Meanwhile, the Cherokee Nation dismissed Warren’s DNA test, saying, it “is useless to determine tribal citizenship.” Warren, considered a likely 2020 presidential contender, is an overwhelming favorite to win re-election in Massachusetts in November.