Pay Or Die

It turns out that some of the Sackler family were pressing hard to get more people addicted to the opioids Purdue Pharma was selling, even as they were trying to avoid media coverage for their drug connections and donating to museums, which should now be removing the Sackler name from their halls.

But that’s only secondarily what this post is about. It turns out that manufacturers of insulin, which many people need to stay alive, have been gaming the system to make things more profitable for them and much more inconvenient for patients and doctors. But what’s human suffering compared to profit, hey Ray Sackler?

The exorbitant prices confound patients and doctors alike since insulin is nearly a century old now. The pricing is all the more infuriating when one considers that the discoverers of insulin sold the patent for $1 each to ensure that the medication would be affordable. Today the three main manufacturers of insulin are facing a lawsuit accusing them of deceptive pricing schemes, but it could be years before this yields any changes.

There are several reasons that insulin is so expensive. It is a biologic drug, meaning that it’s produced in living cells, which is a difficult manufacturing process. The bigger issue, however, is that companies tweak their formulations so they can get new patents, instead of working to create cheaper generic versions. This keeps insulin firmly in brand-name territory, with prices to match.

This is why we need a different healthcare system. I’m not well enough informed to know whether it’s single payer or Medicare for All, or something else. But this profiting off human suffering has to end.

Open thread.








Texas vs Azar : stay calm

The district Court decision in the trolling lawsuit Texas vs HHS is out. The district Court judge just decided to toss several centuries of precedent.

This decision will be slapped around on appeal.

Keep on signing up. This will get quickly stayed and the judge will get bench-slapped.

update 1one of the conservative legal minds behind King v Burwell<\i> has this comment

update 2








Jesus Wept…While The GOP Laughed

I hope I never have enough snark in me to snark at this:

A 7-year-old girl from Guatemala died of dehydration and shock after she was taken into Border Patrol custody last week for crossing from Mexico into the United States illegally with her father and a large group of migrants along a remote span of New Mexico desert, U.S. Customs and Border Protection said Thursday.

This child was in CBP custody for more than eight hours before she started seizing.  When someone finally checked her out, they found that

she “reportedly had not eaten or consumed water for several days.”…

…An initial diagnosis by physicians at El Paso’s Providence Hospital listed the cause of death as septic shock, fever and dehydration, CBP said.

The quoted official response centers on a lie:

“Border Patrol agents took every possible step to save the child’s life under the most trying of circumstances…”

If they had done so, of course, she and all the refugees in her group would have received water in less than one third of a day.

The warehousing and brutalization of refugees is being done in our name, by people and an infrastructure at the border that is at best ill-equipped and insufficient for the task, and at worse, deliberately engaged in a campaign of exemplary mistreatment designed to décourager les autres.

So children die. In the care and under the “protection” of the US government; our government.  As a result of a policy that uses neglect as a tool of border enforcement.

This policy, this explicit choice is Donald Trump’s. But it is far from his alone. The GOP controls Congress. It could have chosen not to be party to the misery and sorrows unto death.  It did not.

Every Republican in national office is complicit.  All of them share in this tragedy, and the others we’ve heard about and the (likely) many more we haven’t.  The moral stain on America as a whole ain’t fading anytime soon, and the reckoning won’t even be able to begin until the GOP as it is now constituted goes the way of the Confederate States of America.

Last thought: I note we are in the midst of the holiday season, the culmination of which, as conservatives hasten to remind us, is the day on which Christians remember the birth of the Prince of Peace. What Babies Would Jesus Starve?

Image: Albrecht Dürer, Christ as the Man of Sorrows, c. 1493.








Just a reminder of the stakes

Go vote early if your state allows you to do so.

Open thread








Work requirements working as intended

Arkansas has instituted Medicaid work requirements.  A subset of Medicaid beneficiaries have to report monthly online their work or work-search or community engagement activities.

September 5th was the end of the third reporting period.

They are working as their advocates have intended.

 

The work requirements are paper work and administrative hassle requirements.  They are roadblocks to coverage which is leading to a 50% attrition rate in a good, high employment economy.