Everyone Wants to Reduce Drug Prices. So Why Can’t We Do It?

The pharmaceutical and health products industries spent $145 million on lobbying for the first half of 2017, according to the Center for Responsive Politics.

Drug makers gave $4.5 million to congressional campaigns in that period, including six-figure donations to House Speaker Paul Ryan; Representative Greg Walden, a Republican of Oregon who heads the House Energy and Commerce Committee; and Senator Orrin Hatch, Republican of Utah and chairman of the Senate Finance Committee, a Kaiser Health News analysis found.

The drug lobby has spent $28 million so far this year to air six ads depicting heroic researchers about 4,600 times on national TV, according to iSpot.tv, an ad tracker.

The industry hired the former F.B.I. director Louis Freeh to study the impact of importation. He concluded that it would “leave the safety of the U.S. prescription drug supply vulnerable to criminals seeking to harm patients.” Import proponents argue the Food and Drug Administration could easily ensure safety by licensing and inspecting Canadian suppliers.

.. Mr. Trump’s feud with congressional Republicans, especially the Senate majority leader, Mitch McConnell, means “you’re not going to get any strong direction or leadership out of the White House” on drug prices

The Donald Trump Gold Rush

But who’s laughing now? Upon exiting his job he apparently had his pick of posh lecture-circuit agents, one of whom told Mike Allen of Axios that Spicer scoffed at the suggestion that he might be worth only $20,000 to $30,000 per speech, which is what other former press secretaries made.

.. Ask Anthony Scaramucci. He was sent packing after just 10 profane and ignominious days as the White House communications director, and what do you suppose he did? Change his name and enter the political equivalent of witness protection? Retreat to a monastery for prayerful atonement until the shame dissipated?

.. For decades, it has been customary for the former attendants of presidents and presidential candidates to cash in. The Clintons were a money train with no shortage of passengers, and Bill and Hillary themselves never shrank from turning political pain into financial gain. She’ll mint fresh millions from her new book, “What Happened,” and from engagements to promote it.

.. They weren’t idealists in grateful thrall to some coherent vision or exalted principles that he was advancing. They were more or less flunkies for a bully whose top priorities have always been an immense fortune and immeasurable celebrity, though not necessarily in that order. Spicer and Scaramucci are paying their onetime boss the highest of compliments. They’re emulating him.

.. Mike Flynn ..  He’s weighed down by actual scandal, while Spicer and Scaramucci are weighed down only by their volitional debasement, and that’s apparently no drag at all.
.. The ethos of enrichment in this administration starts at the very top, with Trump and his family, for whom the presidency represents the ultimate branding opportunity.
.. This separates Trump from his predecessors, none of whom had or held onto the array of business interests that remain in his possession, managed by his flesh and blood. And he’s hardly shy about advertising that empire. He and members of his cabinet swan and sup at the Trump International Hotel in Washington whose earnings since his inauguration have handily exceeded expectations.
.. Of course the initiation fee to join Mar-a-Loco doubled shortly after his election, to $200,000
.. To judge by what has happened in only its first seven and a half months, the office’s degradations under Trump may well include its commercialization beyond anything seen before.
.. And the marketability of the Trump clan and those around them proves anew that visibility and notoriety are their own rewards, regardless of how they come about
.. No matter what people thought of him, they wanted to ogle him, and he’ll be merrily monetizing that for some time to come.

So will Spicer, who at least had the good sense to turn down an offer from “Dancing With the Stars,” which is more than Energy Secretary Rick Perry can say.

.. “His name ID is massive,” said the speaking agent who talked with Mike Allen, referring to Spicer. “He’s obsessed with that.”

.. Spicer bragged to Allen about how his White House press briefings had been nightly prime-time viewing in parts of Europe. “I’m one of the most popular guys in Ireland,” he crowed.

.. So what if he trashed his previous reputation as a reasonably straight shooter? Who cares if he spread the lies of a serial fabulist? That’s entertainment! And it’s lucrative.

I hope he goes on to make a tremendous amount of money,” Scaramucci told reporters as Spicer left the White House. What a poignant farewell. And what a perfect tell.

Inside Philip Morris’ campaign to subvert the global anti-smoking treaty

The object of these clandestine activities: the WHO’s Framework Convention on Tobacco Control, or FCTC, a treaty aimed at reducing smoking globally. Reuters has found that Philip Morris International is running a secretive campaign to block or weaken treaty provisions that save millions of lives by curbing tobacco use.

.. Philip Morris International says there is nothing improper about its executives engaging with government officials. “As a company in a highly regulated industry, speaking with governments is part of our everyday business,” Tony Snyder, vice president of communications, said in a statement in response to Reuters’ findings. “The fact that Reuters has seen internal emails discussing our engagement with governments does not make those interactions inappropriate.”

.. Between 2007 and 2014, more than 53 million people in 88 countries stopped smoking because those nations imposed stringent anti-smoking measures recommended by the WHO, according to their December 2016 study. Because of the treaty, an estimated 22 million smoking-related deaths will be averted, the researchers found.

.. “The tobacco industry continues to be the most important barrier in implementation of the Convention.”

.. There has been only a slight 1.9 percent decline in global cigarette sales since the treaty took effect in 2005, and more people smoked daily in 2015 than a decade earlier, studies show. The Thomson Reuters Global Tobacco Index, which tracks tobacco stocks, has risen more than 100 percent in the past decade, largely due to price increases.

“Some people think that with tobacco, you’ve won the battle,” said former Finnish Health Minister Pekka Puska, who chaired an FCTC committee last year. “No way,” he said. “The tobacco industry is more powerful than ever.”

With 600 corporate affairs executives, according to a November 2015 internal email, Philip Morris has one of the world’s biggest corporate lobbying arms. That army, and $7 billion-plus in annual net profit, gives Philip Morris the resources to overwhelm the FCTC.

.. Leading the operation was executive Chris Koddermann. Formerly a lawyer and lobbyist in Canada, Koddermann joined Philip Morris in 2010. He is now a director of regulatory affairs in Lausanne. The PowerPoint describes the ideal corporate affairs executive as someone who is able to “play the political game.” Koddermann previously worked for federal and provincial cabinet ministers in Canada, according to his LinkedIn profile.

.. In Moscow, one proposal initially called for carving out tobacco from trade pacts. International trade treaties often include provisions, such as the protection of trademarks, that Philip Morris has used to challenge anti-smoking measures. If tobacco were taken out of the treaties, as suggested by the proposal, Philip Morris could be deprived of many such legal arguments.

The Quiet American

Paul Manafort made a career out of stealthily reinventing the world’s nastiest tyrants as noble defenders of freedom. Getting Donald Trump elected will be a cinch.

Mar-a-Lago, Donald Trump’s palace, is impressive by the standards of Palm Beach—less so when judged against the abodes of the world’s autocrats. It doesn’t, for instance, quite compare with Mezhyhirya, the gilded estate of deposed Ukrainian President Victor Yanukovych. Trump may have 33 bathrooms and three bomb shelters, but his mansion lacks a herd of ostrich, a galleon parked in a pond, and a set of golden golf clubs. Yet the two properties are linked, not just in ostentatious spirit, but by the presence of one man. Trump and Yanukovych have shared the same political brain, an operative named Paul Manafort.

.. “Manafort is a person who doesn’t necessarily show himself. There’s nothing egotistical about him,”

.. The late Washington Post columnist Mary McGrorydescribed him as having a “smooth, noncommittal manner, ” though she also noted his “aggrieved brown eyes.” Despite his decades of amassing influence in Washington and other global capitals, he’s never been the subject of a full magazine profile.

.. As Roger Stone has boasted about their now-disbanded firm: “Black, Manafort, Stone, and Kelly, lined up most of the dictators of the world we could find. … Dictators are in the eye of the beholder.” Manafort had a special gift for changing how dictators are beheld by American eyes. He would recast them as noble heroes—venerated by Washington think tanks, deluged with money from Congress.

.. he remade Ukrainian politics and helped shift the country into Vladimir Putin’s sphere of influence.It

.. The genesis of Donald Trump’s relationship with Paul Manafort begins with Roy Cohn. That Roy Cohn: Joe McCarthy’s heavy-lidded henchman, lawyer to the Genovese family.

.. It was Roy Cohn who introduced Stone and Manafort to Trump.

.. Dirty tricks came naturally to Stone. He assumed a pseudonym and made contributions on behalf of the Young Socialist Alliance to one of Nixon’s potential challengers. He hired spies to infiltrate the McGovern campaign.

.. Manafort had a very different mentor. He studied under the future secretary of state, James A. Baker III, who wielded his knife with the discipline of a Marine and the polish of a Princetonian.

.. “Paul modeled himself after Baker,”

.. Despite his Yankee stock, Manafort ran Reagan’s Southern operation, the racially tinged appeal that infamously began in Philadelphia, Mississippi, the hamlet where civil rights activists were murdered in 1964.

.. Manafort and Stone pioneered a new style of firm, what K Street would come to call a double-breasted operation. One wing of the shop managed campaigns, electing a generation of Republicans, from Phil Gramm to Arlen Spector. The other wing lobbied the officials they helped to victory on behalf of its corporate clients.

.. he began with his rote protestations of friendship. “Nobody likes Indians as much as Donald Trump.” He then proceeded to worry that the tribes would prove unable to fend off gangsters. “There is no way Indians are going to protect themselves from the mob … It will be the biggest scandal ever, the biggest since Al Capone … An Indian chief is going to tell Joey Killer to please get off his reservation? It’s unbelievable to me.”

.. Trump poured money into a shell group called the New York Institute for Law and Society. The group existed solely to publish ads smearing his potential Indian competition. Under dark photos of needles and other junkie paraphernalia, the group asserted, “The St. Regis Mohawk Indian record of criminal activity is well documented.” (It wasn’t.) “Are these the new neighbors we want?”

.. Later, they lured Lee Atwater, the evil genius who would devise the Willie Horton gambit for George H.W. Bush.

.. Black would later boast that the firm had schemed to gain cartel-like control of the 1988 Republican presidential primary. They managed all of the major campaigns.

  1. Atwater took Bush;
  2. Black ran Dole;
  3. Stone handled Jack Kemp.

A congressional staffer joked to a reporter from Time, “Why have primaries for the nomination? Why not have the candidates go over to Black, Manafort and Stone and argue it out?

.. He took on clients and causes that even most of his colleagues on K Street considered outside the usual bounds. Black, Manafort, and Stone hired alumni of the Department of Housing and Urban Development then used those connections to win $43 million in “moderate rehabilitation funds” for a renovation project in Upper Deerfield, New Jersey.

..  Local officials had no interest in the grants, as they considered the shamble of cinder blocks long past the point of repair.

.. Two years later, rents doubled without any sign of improvement. Conditions remained, in Mary McGrory’s words, “strictly Third World.” It was such an outrageous scam that congressmen flocked to make a spectacle of it. Manafort calmly took his flaying. “You might call it influence-peddling. I call it lobbying,” he explained in one hearing. “That’s a definitional debate.”

 .. Strangely, the HUD scandal proved a marketing boon for the firm. An aide to Mobutu Sese Seko told the journalist Art Levine, “That only shows how important they are!”
.. Indeed, Manafort enticed the African dictator to hire the firm. Many of the world’s dictators eventually became his clients. “Name a dictator and Black, Manafort will name the account,
.. The client list included
  1. Philippine strongman Ferdinand Marcos (with a $900,000 yearly contract) and the despots of the
  2. Dominican Republic,
  3. Nigeria,
  4. Kenya,
  5. Equatorial Guinea, and
  6. Somalia.
When the Center for Public Integrity detailed the firm’s work, it titled the report “The Torturers’ Lobby.”
.. Indeed, the firm was an all-purpose image-buffing operation. As the Washington Post has reported, Manafort could book his clients on 60 Minutes or Nightline—and coach them to make their best pitch. He lobbied Congress for foreign aid that flowed to his clients’ coffers.
.. Manafort understood the mindset of the dictator wasn’t so different from his corporate clients
.. Despite his client’s Maoist background, Manafort reinvented him as a freedom fighter. He knew all the tricks for manipulating right-wing opinion. Savimbi was sent to a seminar at the American Enterprise Institute, hosted by the anticommunist stalwart Jeanne Kirkpatrick, a reception thrown by the Heritage Foundation, and another confab at Freedom House. (Kirkpatrick introduced Savimbi, who conscripted soldiers, burned enemies, and indiscriminately laid land mines, as a “linguist, philosopher, poet, politician, warrior … one of the few authentic heroes of our time.”)

.. His lobbying helped convince Congress to send Savimbi hundreds of millions in covert aid. Indeed, every time Angola stood on the precipice of peace talks, Manafort, Black worked to generate a fresh round of arms—shipments that many experts believe extended the conflict.
.. “So the war lasted another two more years and claimed a few thousand more lives! So what? What counts to a Washington lobbyist is the ability to deliver a tangible victory and spruce up his client’s image.”
.. Like Henry Kissinger, Manafort can claim that he merely “consults” with foreign governments, relieving him of the legal burden of announcing his benefactors.