Why Diabetics need to vote – by Deborah Levine

originally published in The Chattanooga Times Free Press

It’s amazing that Medicare recipients just gained a cap on insulin prices. It’s truly incredible considering the pharmaceutical industry lobbying efforts against any price controls or negotiations. Spearheaded by The Pharmaceutical Research and Manufacturers of America, often known as Pharma, those efforts have been ongoing for years. And in September 2021, it was reported byThe Hill, a media company based in Washington, D.C., that Pharma was launching a seven-figure ad campaign against the proposals moving through Congress to allow negotiation of drug  prices. 

Diabetes is a humongous profit center for Pharma, and politics and lobbying are crucial elements. By November 2021, Pharma had spent $263 million on lobbying, “deploying so many lobbyists – 1,600 – that they outnumber members of Congress 3 to 1”, said Sheila Krumholz, executive director of OpenSecrets and quoted in The Washington Post. And a Washington D.C. watchdog, Issue One, reports that a nonprofit producing ads denouncing price controls, Partnership to fight Chronic Diseases, had Pharma connections through its funding and personnel. They even shared an office at one time.  

While congress finally succeeded in addressing the needs of Medicare patients, Pharma wasnt about to allow price negotiations or caps for non-Medicare customers. 

These consumers are key to growing the industry and its profits. Drug companies made huge investments in TV ads that appeal directly to them.  About $6 billion each year—for a total of $17.8 billion—was spent on direct-to-consumer advertising from 2016 to 2018.

Direct-to-consumer advertising of drugs like this is not commonly done. In a 2021 NPR interview, it was made clear that only two countries on the planet, the United States and New Zealand, even permit advertising directly like this. No wonder the interview was called, “This is your brain on drug ads”. 

Almost half of these ads focused on chronic conditions requiring long-term prescriptions like arthritis, diabetes, and depression.The ads encourage patients to ask their doctors for specific medications, usually the expensive, brand-named drugs. For example, Eli Lilly & Co. spent $655 million to advertise its high-priced Type 2 diabetes drug Trulicity, according to the Government Accountability Office.

The advertising frenzy is connected to our high drug costs. Check out the U.S. Dept. of Health and Human Services’ report by the RAND Corporation which compared insulin prices between 33 high-income countries. Americas average manufacturer’s price for a vial of insulin ($98.70) was more than 10 times the average price in the other 32 countries combined. Given that the International Diabetes Federation (IDF) reports that America has the highest incidence of diabetes among developed countries, the term “cash cow” comes to mind.

You’d think that Republican senators in the Southeast, where diabetes is common, would eagerly protect their constituents and vote for insulin caps in the private sector. Didn’t happen! 

And the GOP, trying to dismiss any perception of Pharma influence, pointed to the Senate parliamentarian. Yes, the parliamentarian did rule that private insurance market limits were policy, and not appropriate for a reconciliation package. But it could’ve been overruled by only 10 Republican votes. Didn’t happen! Instead, Republicans forced a vote removing the private insurance market limit from the Act. 

Outrage at having to choose between buying medication and buying food was bluntly  expressed on Twitter. The GOP went out of their way to ensure that 7.4M Americans have to continue to pay outrageous prices for meds *they need to live* that cost pennies to make.”

Take heart folks, this isn’t over. It’s time to vote for representatives who care.  


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