Pluralistic: 18 Nov 2021


Today's links



A generic pill bottle spilling out a pile of pills on a black background; dancing atop one of the pills is Monopoly's Rich Uncle Pennybags; he has removed his face to reveal a grinning death's-head skull beneath it.

This is your Congress on drugs (permalink)

Back in 2014, a pair of political scientists published a study of 1,779 US "policy issues" over 20 years, concluding that elected officials make policy to benefit the richest ten percent of the country to the exclusion of the needs of everyone else.

https://www.cambridge.org/core/journals/perspectives-on-politics/article/testing-theories-of-american-politics-elites-interest-groups-and-average-citizens/62327F513959D0A304D4893B382B992B

This was true irrespective of whether there was mass pressure from citizen groups. In the USA, politicians make sure that richest ten percent get whatever they want and do nothing for the rest of us.

I find this study incredibly depressing and do my best to keep it out of my mind. After all, while this is true in nearly every case, we all know about instances in which policy supported the many and not the few. The formation of the FTC and EPA was not the product of a fallen civilization in possession of lost and unfathomnable technology.

So I soldier on, telling myself "This isn't the kind of fight we win, it's the kind of fight we fight" (as the epigraph from my 2019 collection Radicalized has it), but every now and then, well… Ugh.

The Democrats are set to kill pharma price controls in the Build Back Better plan.

https://khn.org/news/article/despite-restraints-democrats-drug-pricing-plan-could-still-aid-consumers/

Americans pay 300% more for their medicine than people outside of the USA. 95% of Democrats want Medicare to negotiate drug prices (that's right, the US government doesn't negotiate the price it pays for drugs) (seriously). 82% of independents support Medicare drug-price negotiations. 71% of Republicans support this, too.

It's not just Medicare. 84% of Americans support price-caps on drugs used to treat chronic illness (think: insulin):

https://www.rwjf.org/en/library/research/2021/11/healthcare-affordability–majority-of-adults-support-significant-changes-to-the-health-system.html

93% of Americans think that pharma companies will still be able to fund drug research with these measures in place (90% of Republicans agree). They're obviously right, because the bulk of critical pharma R&D is paid for by the US government, not pharma companies.

https://khn.org/news/article/public-opinion-prescription-drug-prices-democratic-plan/

And yet. The latest Build Back Better pharma proposal is basically a nothingburger in a my-eyes-glaze-over bun of bureaucratic nonsense. In the current proposal, Uncle Sucker will be allowed to choose up to ten drugs per year (or as few as zero drugs per year) to negotiate prices on. Not just any drugs: those ten (or zero) drugs must have been on the market for at least 13 years.

Then…nothing happens.

Until 2025, when the controls kick in. If the new Senate, Congress and presidential administration decide to make them stick. And since the Dems are not delivering any benefit to the American people until after the next presidential election, the politicians who supported this measure won't be able to campaign on its benefits to win re-election and ensure it actually takes effect.

Why is this bullshit the best we can get? Why were the incredibly popular, stronger versions of this measure not a slam dunk?

It's really uncomplicated. The pharma industry bribes key Democrats to block it.

For example, Kyrsten Sinema campaigned on drug-price controls. Then pharma gave her $100,000. Then she killed a House proposal that would have lowered the prices Medicare pays for 250 drugs. 94% of Arizona voters supported the measure. She killed it for the price of new Mercedes SUV.

Then there's Senator Bob Menendez, whose state (NJ) includes 13 of the 20 largest pharma manufacturers. And Rep Scott Peters, whose San Diego district is also heavy with pharma companies. Their constituents want lower drug prices. Their corporate donors don't.

You and the people you love might die because of this. The country will throw billions to the pharma industry as a result of it. The lobbying bill for Phrma, whose bribes account for those bodies and those billions? A mere $23m so far in 2021.

https://www.washingtonpost.com/business/2021/11/05/pharmaceutical-industry-drug-price-lobbying/

It's a goddamned steal.

We know the names of the executives, lobbyists and politicians who took pennies that cost us billions while we died in our droves. We won't forget. Someday, there has to be a reckoning.

I mean, doesn't there?



The Harvard crest with a pair of crossed silver spoons beneath it.

Harvard is full of rich, white low-achievers (permalink)

Harvard is a very, very selective school. Only 3.43% of applicants get in. But that's not the whole story. Writing in The Guardian, Tayo Bero says that 43% of the white student body was admitted on criteria other than merit.

https://www.theguardian.com/commentisfree/2021/nov/17/harvard-university-students-smart-iq

Those 43% are ALDCs: athletes, legacies, dean's interest list (children of major donors) or children (of Harvard faculty). Three quarters of ALDCs do not have the grades to be admitted to Harvard on their own merit.

70% of Harvard legacies are white. 16% of ALDCs are Black, Asian or Hispanic.

As Bero writes, you don't need Varsity Blues-style bribery to get your underachieving white kids into a top university. There's a huge affirmative action program in place to get those ALDCs into super-competitive schools, rather than better-qualified brown and poor kids.



This day in history (permalink)

#20yrsago Fans have an accent https://groups.google.com/g/rec.arts.sf.fandom/c/q84niLJ1Ces/m/N86jJnyVWh4J?hl=en&pli=1

#20yrsago Douglas Adams' widow rescues unpublished Hitchhikers' novel from hard-drivehttp://news.bbc.co.uk/2/hi/entertainment/1663306.stm

#15yrsago UK regulator: Dragon Sausages MUST contain dragon! https://web.archive.org/web/20061211183555/http://www.timesonline.co.uk/article/0,,2-2458696,00.html

#10yrsago More absurdity in the trial of G20 hacker, Byron Sonne https://web.archive.org/web/20111120183057/http://toronto.openfile.ca/toronto/text/lies-and-videotape-byron-sonne-trial-continues

#10yrsago Tumblr users give Congress an earful about SOPA https://staff.tumblr.com/post/12930076128/a-historic-thing

#5yrsago Tax Inspectors Without Borders: poor countries send each other ninja tax collectors to nail looting multinationals https://taxjustice.net/2016/11/17/tax-inspectors-without-borders-us-president-trump-tax-justice-november-2016-podcast/

#5yrsago Nimona: a YA graphic novel that raises serious, unanswerable moral quandries with snappy dialog and slapstick https://memex.craphound.com/2016/11/18/nimona-a-ya-graphic-novel-that-raises-serious-unanswerable-moral-quandries-with-snappy-dialog-and-slapstick/

#1yrago Telehealth chickenizes docs https://pluralistic.net/2020/11/18/always-get-their-rationalisation/#telehealth

#1yrago The Mounties lied about social surveillance https://pluralistic.net/2020/11/18/always-get-their-rationalisation/#rcmp



Colophon (permalink)

Today's top sources: Metafilter (https://www.metafilter.com/).

Currently writing:

  • Spill, a Little Brother short story about pipeline protests. Yesterday's progress: 253 words (31173 words total)

  • Picks and Shovels, a Martin Hench noir thriller about the heroic era of the PC. Yesterday's progress: 505 words (39872 words total).

  • A Little Brother short story about remote invigilation. PLANNING

  • A nonfiction book about excessive buyer-power in the arts, co-written with Rebecca Giblin, "The Shakedown." FINAL EDITS

  • A post-GND utopian novel, "The Lost Cause." FINISHED

  • A cyberpunk noir thriller novel, "Red Team Blues." FINISHED

Currently reading: Analogia by George Dyson.

Latest podcast: The Unimaginable (https://craphound.com/news/2021/11/15/the-unimaginable/)

Upcoming appearances:

Recent appearances:

Latest book:

Upcoming books:

  • The Shakedown, with Rebecca Giblin, nonfiction/business/politics, Beacon Press 2022

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