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Mike Ferguson's Comment On Part D, With What He Should Have Said

by: huntsu

Sun Jan 14, 2007 at 09:18:33 PM EST



Here's Mike Ferguson's (R-NJ7) statement on the floor of the House on the new bill that will authorize the Medicare program to negotiate pharmaceutical prices in Part D.  We've added a few lines that were in the prepared speech we found in an unsecure folder on his website, but strangely were not delivered on the floor.

Mr. Speaker, unfortunately [for my huge contributors in the pharmaceutical industry] today we are hearing a lot from the proponents of H.R. 4 [but I will try to obfuscate and twist the facts so you get confused]. We are hearing a lot of misinformation and lot of rhetoric [as I speak now], and I think some of these things need to be corrected for the record [but they won't be corrected by me].

The biggest misconception is that the buying power of Medicare patients is currently unused [though it is being misused because it is being split up amongst hundreds of plans], and that somehow this new plan is the only way to leverage lower prices for prescription drugs [which it is, but ignore that fact]. In fact, prescription drug plans under Medicare part D right now are aggressively negotiating discounts [but not passing them along to the taxpayers, since they are trying to maximize profits]; they have been before part D [for themselves as they try to maximize their own profits], and they continue to do so very well since the program's inception [just one year ago] and they are going to continue to look to negotiate lower prices [so they can, again, maximize their profits on the backs of the taxpayers]. They have been negotiating [for their own benefit] and giving beneficiaries choices [that can change at any time even though the beneficiary is stuck with that plan for a year] and access to the newest breakthrough therapies [that the drug plan providers choose to offer].

huntsu :: Mike Ferguson's Comment On Part D, With What He Should Have Said
Through Medicare part D, in its current form, beneficiaries have access to over 4,000 prescription medications [if their particular plan offers them] at a much lower cost than previously estimated when we passed this legislation a few years ago [though the cost is still higher than the Veterans Administration which actually negotiates prices]. CMS has indicated that beneficiaries are saving an average of $1,200 annually on their drug costs [though they could be saving more if we cut out the profit-making middlemen and negotiated prices].

Program costs are an estimated 30 percent less in 2006 and 21 percent less over the next 10 years due in large part to competition and negotiating of lower drug costs [but don't ask me about how much more would be saved if the government was able to negotiated prices because I haven't asked since my political contributors don't want me to know].

Currently, Medicare prescription plans have the discretion [which means if it helps their profits they will and if it hurts their profits they won't] to use cost-containment tools. They can use formularies [but don't have to if it doesn't maximize their profits], and many of them do. Unlike Medicaid and the VA, Medicare beneficiaries actually have the power to choose which plan they want. If they see a plan with a formulary they like or don't like, they can choose or not choose that based on their own discretion [but are still stuck with it for a year, though the plan is allowed to change during that year]; but if Medicare or the government, as prescribed under this bill, under H.R. 4 and its required mandatory negotiations, it will have to impose a uniform restriction on medicines, patients will lose their choices, and they will be stuck in a one-size-fits-all plan [though that is what I want to think will happen, and not what is written in the bill]. They will be stuck with a restrictive national formulary and no choices whatsoever [except for all the drugs currently available along with lower co-pays, no donut hole where they lose coverage but have to pay premiums, and lower taxes since the government lays out less money for the program].

You have to be hiding under a rock [and I know how much fun that can be since I am usually there on all issues related to my contributor's business] recently if you have missed the numerous experts [paid by the same people who fund my campaigns] that are telling us [with their fingers crossed behind their backs] that this brand of negotiation will limit choice and will not save money. I urge a "no" vote on H.R. 4.


It's so nice when they tell the truth, even when they don't.
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.... and Rodney's Rant (4.00 / 1)
(cute huntsu....)
This is interesting too.  Still ROdney's making no real argument not to change policy, other than "pharma employs lots of people in my state and we'll lose jobs if you stop throwing money at this industry".  Well - we're going to lose jobs either way, Rod - I'll tell you that firsthand, because they don't want to do any manufacturing here anymore and the CEO of Roche stated that in a company meeting I attended before I left the company.

I have never seen so much smoke blown over this.  If there's no savings realized - then why does Rodney claim profits will be squeezed?  Where are the profits going then boys?  Having your argument both ways?  When the bill was presented to the floor - one of the sponsors stated - "if it's not going to do a damn thing - why are you afraid of it?"

For every argument there's a counter - so I'd also like to know about some of the smoke that was blown about the VA giving less choices and not covering some drugs.  Also - is there any deeper analysis than the CBO's report?  Let me know,  all info welcome and it makes for interesting debate fodder in '08.  Thanks!

Gotta love his Chavez comment as well - right?  They call him moderate because he votes for Stem Cell Research - but he's a Dittohead at heart.

Mr. Speaker, I rise in strong opposition to this legislation, which I would suggest, is simply a politically motivated effort by the Some to punish a vital, particularly American industry.

  Coming from a State that celebrates thousands of discoveries by pharmaceutical researchers for treatments and cures for debilitating illnesses such as heart disease, juvenile and adult diabetes, Alzheimer's, Parkinson's, and HIV that really affect the lives of millions of men, women, and children, I am very supportive of an industry that directly employs over 70,000 of our State's residents and nearly half a million Americans nationwide.

  This legislation makes not only drug manufacturers, but also may I add, our local pharmacists and their drug dispensing fees, subject to government price controls, endangering the very research and development that makes my State the ``Medicine Chest'' of the world.

  This proposal will drive jobs out of my State and our Nation to Europe, the Pacific Rim to India and China. Instead of protecting American ingenuity, this proposal will stifle innovation and be a death knell for profound medical research advances that were unthinkable a decade ago and which we now stand on threshold of achieving.

  And, what is far more important, my colleagues, the Medicare Drug benefit is working. Nearly 20 million seniors who previously had no coverage at all now have access to comprehensive prescription drug coverage. The average senior is saving $1,200 a year on their prescriptions and 9 milion low-income seniors pay nothing for drug coverage. Half a million seniors who never had coverage in New Jersey now have it.

  For the past year, we have heard politically inspired promises from my Democratic colleagues that they would introduce legislation to close the Medicare ``donut hole'' for the few seniors who fall into it. To achieve this goal I have heard over and over again from my colleagues on the other side that the Veterans Administration system should serve as a national model for lowering prices. However, as most know, the VA decides which drugs patients receive. Patients do not have a choice and neither do their physicians.

  I would then ask my colleagues to point to the provision in this legislation that sets aside funds to fill the donut hole for those seniors. However, no one can show me this provision because no such provision exists. Filling the donut hole carries a price tag of at least $450 billion and this bill will not produce anywhere close to that kind of savings.

  Actuarial experts from both the Congressional Budget Office and outside, independent groups have stated that there is no ability to negotiate lower prices without the government approving and rejecting which drugs a physician can prescribe a patient.

  Like Hugo Chavez in Venezuela, the new majority heads in the direction of nationalizing drug companies, establishing price controls, devaluing patents, and disemboweling critical research and development.

  Mr. Speaker, the best way to foster innovation, keep prices low and ensure seniors have access and choices for their medicines is through competition. Competition works.

  Mr. Speaker, I urge a ``no'' vote on this bill.



"Preferred" prescriptions and plan revisions (0.00 / 0)
Unfortunately pharmaceutical companies will find an angle in order to push back on those trying to obtain better prices.  It was reported in the press last week that in order for a company to agree to provide lower prices, it will require a guarantee that the medicines are bought in large quantity.  So certain medicines would be identified as "preferred" for a given illness.  The program would try to pressure patients into taking the "preferred" drug.  The problem is that just because a program labels a medciation as "preferred," that does not mean it is a harmless choice to the patient.  Different medicines have vastly different side effects, and the fact that one medicine is promoted as "preferred" has no relation to whether it is the right medicine for a particular patient.  NJ Plus, the NJ state employees' plan, has this kind of "preferred" system.  Patients have to pay a higher price for the non-"Preferred" plan and the patients don't even get to vote or express their opinion about the various medications. 

If the repubes (0.00 / 0)
didn't cut funding for Veterans benefits maybe the VA would offer a broader spectrum in their formulary. They fail to mention that all the plans in Medicare Part D have limited formularies. That's what we call managed care. We have the best helath care in the world, if you can afford it.

Restore democracy and the Constitution for which it stands.

If the repubes (0.00 / 0)
didn't cut funding for Veterans benefits maybe the VA would offer a broader spectrum in their formulary. They fail to mention that all the plans in Medicare Part D have limited formularies. That's what we call managed care. We have the best health care in the world, if you can afford it.

Restore democracy and the Constitution for which it stands.

Of course he voted "NO!" (0.00 / 0)
As a paid "prostitute" of the pharmaceutical industry, how else could he vote?  But, now we have "evidence" to present to the senior citizens of his district the next time he runs, and tries to tout his "goodness."  It will become harder and harder for him to "spin" himself as one of the "good guys."  Few believed his lies last time, and with his votes against this bill, the lobbying bill, and the stem cell research bill (for starters), he hasn't a chance in hell to win another election among the sophisticated electorate of District 7.

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