Yesterday, Wednesday, I woke up, shaved, and drove to work. My EZ
Pass still worked.
Barack Obama is our President-Elect.
Please note the possessive — “our” — because he will shortly be
the new President of the United States. The whole United States.
Red states and blue states. He’s our president regardless of
political affiliation or policy position. It also means he’s
obligated to listen to the opinions of all Americans — not just
those who agree with his agenda.
Here are a few things he should keep in mind as he contemplates
health-care reform.
First, drug importation is still an unsafe, unsound idea.
Contaminated heparin from China killed nearly 100 people earlier
this year. And barely a month ago, customs officers in Brussels
seized over 2 million counterfeit anti-malaria drugs coming from
India — Europe’s largest ever counterfeit drugs seizure. The
World Health Organization estimates that fake drugs now account
for 10 percent of all drugs on the world market.
The FDA is insufficiently funded to monitor all of the sites
where imported drugs are produced. Th
e Government Accountability Office reported that the FDA inspects
less than 10 percent of overseas facilities each year. At that
rate, each of these sites is inspected only once every 13 years.
That’s a lot of time to produce and ship substandard medicines.
This is why it is terribly risky to legalize the importation of
foreign drugs.
Second, Part D is still a resounding success and the
non-interference clause, which prevents the federal government
from meddling with drug prices, should stand. The projected cost
of Part D to taxpayers over the next decade has dropped $117
billion since last summer — from $915 billion to $798 billion.
An overwhelming 87 percent of Part D enrollees are happy with the
program, according to a recent Harris Interactive poll. This
because Part D was structured to allow private insurers to
compete without government interference — and today enrollees
have a wider choice of drugs, better services, and lower premiums
than anyone ever expected.
The Department of Veterans Affairs stands in stark contrast. Its
prescription drug formulary contains less than 65 percent the
nation’s 300 most-popular prescription drugs. The most popular
Part D plan, by contrast, covers over 90 percent of them. Even
the nonpartisan Congressional Budget Office has concluded that in
order to save money through direct price negotiations, Medicare
would have to limit access to drugs.
Third, the drug pipeline is not as dry as many argue.
Seven-hundred and fifty novel approaches to beating cancer are
currently under development, and over 277 medicines to overcome
heart attacks and strokes are undergoing testing. Considering
that just 25 years ago, the only treatment for a heart attack was
bed rest, drugs that can stop a heart attack represent an
enormous leap forward. Just a few short years from now, it’s
likely that doctors will brandish an arsenal of new medicines to
fight hypertension and cholesterol.
Unfortunately, pharmaceutical innovation remains misunderstood.
Even though patent protections provide the incentives needed to
continue producing these life-saving therapies, many in
Washington seem intent on eroding patent protections as a means
of reducing drug prices.
Finally, Americans still cannot buy health insurance
competitively across state lines. This is something a McCain
administration would have pushed for, but that ship has sailed.
Expanding access to private insurance by eliminating state
boundary laws would increase competition among providers, driving
down costs and improving services.
It’s now Thursday — which means the weekend is within sight.
Let’s take that opportunity to sit back and reflect on all the
work we need to do — together — to reform American health care
for all of us and with all of us as partners.
That’s change we can all support.
jean| 11.6.08 @ 7:40AM
America doesn't want National Health Care. England and other countries have it and it doesn't work. SCHIP should be reigned in, and increased.Too many program for uninsured children already exist.
Stephanie| 11.6.08 @ 1:34PM
Health care in America is out of control. Voters this week made their decision to vote for Obama because he stated that health insurance is a "right" of every American citizen. We are a Prozac nation with access to antidepressants as easy as a phone call to request it from your general practitioner. With Obama's radical views openly supporting the socialism of this great country, it stands to reason that the majority of our population in their prozac utopia lacks the ability to worry that this country could be the next Cuba; but we will have free healthcare!
ruth| 11.6.08 @ 1:52PM
My husband has had two organ transplants. He is alive and well now and working 60 hours a week. We had good insurance, something we always paid even when we could not afford much else. Under this National Health Care plan it is doubtful that he would have gotten the second transplant and would have died at 55 years old. Many people who could have healthcare have chosen not to. They spend on cars, trips, etc. I obviously have an interest in keeping the good healthcare that has kept my husband alive. Having access to good healthcare is one of the things that makes this country great.
Richard| 11.6.08 @ 7:25PM
The term Universal Health Care should be replaced with the term Population Control.
DJ| 11.6.08 @ 8:32PM
You didn't know government makes everything cheaper!!
I havn't been to a doctor in 20 years but now obama's going to make me pay for everyone else to go!
DJO| 11.7.08 @ 12:04AM
If you think prescription drugs are expensive....wait til they're free.
KRR| 11.9.08 @ 10:43PM
The comments on this page show a lack of understanding. I suggest educating yourselves on the facts. We have the worst health insurance system of all the leading industrialized countries. A good place to start your education is http://content.healthaffairs.org/index.dtl.