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Tuesday, 31 January 2017

After meeting with pharma lobbyists, Trump drops promise to negotiate drug prices

After meeting with pharma lobbyists, Trump drops promise to negotiate drug prices

The new plan is tax cuts and deregulation.

A lot happened in the 2016 campaign, but one of the things Donald Trump did to win the election was shift to the left on a number of key issues — promising to avoid cuts in Social Security and Medicare benefits and adopting a longstanding Democratic pledge to let Medicare negotiate bulk discounts in the price it pays for prescription drugs.
Today, after a meeting with pharmaceutical industry lobbyists and executives, he abandoned that pledge, referring to an idea he supported as recently as three weeks ago as a form of “price fixing” that would hurt “smaller, younger companies.” Instead of getting tough, Trump’s new plan is that he’s “going to be lowering taxes” and “getting rid of regulations.”
New drugs are generally covered by patent monopolies, so drug companies have a lot of pricing power; other companies can’t produce the same drug without paying royalties, so there’s little competition. But most countries use their nationalized health care systems to negotiate a good deal on drug prices. Manufacturing pills is cheap, so it’s usually still profitable for a company to sell medicine at a pretty steep discount.
The United States doesn’t have a nationalized health care system, but we do have Medicare for senior citizens, and since the USA is a very large country, that’s still a huge potential bulk purchaser. But a 2003 law written by congressional Republicans and signed by George W. Bush prohibits the federal government from using that negotiating power.
As recently as January 11, President-elect Trump was promising to revisit this policy.
“Pharma has a lot of lobbies, a lot of lobbyists and a lot of power. And there’s very little bidding on drugs,” he said at a press conference at Trump Tower in Manhattan. “We’re the largest buyer of drugs in the world, and yet we don’t bid properly.”
Today he apparently changed his mind. According to Herb Jackson, the designated pool reporter for the day, Trump’s new policy on prescription drugs is that drug companies should get tax cuts and deregulation (emphasis added):
I'll oppose anything that makes it harder for smaller, younger companies to take the risk of bringing their product to a vibrantly competitive market. That includes price-fixing by the biggest dog in the market, Medicare, which is what's happening. But we can increase competition and bidding wars, big time.
So what I want, we have to get lower prices, we have to get even better innovation and I want you to move your companies back into the United States. And I want you to manufacture in the United States. We're going to be lowering taxes, we're going to be getting rid of regulations that are unnecessary.
Many people watching the chaotic rollout of Trump’s executive orders on immigration, his demands for investigations into phantom vote rigging, his mysterious ties to Russia, his financial conflicts of interest, and his bizarre lies about Inauguration Day crowd size have found themselves wondering why more Republicans don’t stand up to him.
This event with PhRMA lobbyists explains why. On most of the big public policy issues of the day, Trump is a very conventional Republican. And on those issues where he hasn’t been conventional, Republican Congress members and business executives feel confident they can turn him around. On some issues, they probably won’t. But on this issue, it seems like they did.
I should acknowledge that some reporters who cover this beat don’t agree with my read of these remarks. But Trump picked an HHS Secretary who’s opposed price negotiations, and other ideologically orthodox Republicans to run Medicare and Medicaid and his Office of Management and Budget. When congressional Democrats tried to get an amendment supporting price negotiation into the senate’s budget resolution, Trump didn’t lift a finger to stop them. It seems to me that Trump is now aligning his statements with the actual policy he is pursuing, namely to speed drug approvals at the FDA and not change anything about Medicare pricing.











After meeting with Big Pharma, Trump drops promise to lower drug prices

After meeting with Big Pharma, Trump drops 

promise to lower drug prices

Kenneth Lipp

President Trump reneged on his promise, one in line with a longstanding Democratic pledge, to cut the costs of prescription medication by allowing Medicare to negotiate bulk discounts.
Matthew Yglesias reports for Vox this morning that “after a meeting with pharmaceutical industry lobbyists and executives, he abandoned that pledge, referring to an idea he supported as recently as three weeks ago as a form of ‘price fixing’ that would hurt ‘smaller, younger companies.'”
“Instead of getting tough,” writes Yglesias, “Trump’s new plan is that he’s ‘going to be lowering taxes’ and ‘getting rid of regulations,'” the traditional GOP party line.
Countries with national health care systems have a lot of power to negotiate drug prices, as the government is the sole or primary customer and therefore in a position to make demands. The US does not have nationalized health care, but the large number of people covered under Medicare and Medicaid give the federal government similar negotiating power.
That negotiating power was hamstrung in 2003, however, when the GOP-led Congress passed a law prohibited the Department of Health and Human Services from wielding it.
According to the Committee for a Responsible Federal Budget, Trump’s promise to leverage the federal government’s negotiating power would still not have been sufficient:
“In order to generate substantial savings, any proposal would need to go beyond simply giving the HHS Secretary negotiating authority; either by also giving HHS the authority to discontinue coverage of drugs (which could violate Trump’s promise to not change Medicare benefits) or by legally requiring – rather than negotiating – lower prices.”
“You folks have done a tremendous job, but we have to get prices down,” Trump said at this morning’s meeting, according to a pooled press report of the meeting reported by the Indianapolis Star 
Companies represented at the meeting included Eli Lilly, Merck, Johnson & Johnson, Celgene, Amgen, and Novartis.
As Reuters reported, “Trump spooked investors in the pharmaceuticals and biotech sectors by saying on Jan. 11, before his inauguration, that drug companies were ‘getting away with murder’ on what they charged the government for medicine and that he would do something about it.
After the meeting, Eli Lilly stock rose $1.12 to $75.81.





New York Couple Married 70 Years Dies Hours Apart, Buried Together in Single Grave: ‘They Are Together Again Forever’

New York Couple Married 70 Years Dies Hours Apart, Buried Together in Single Grave: ‘They Are Together Again Forever’

William and Ruth Bauer
MARIE BAUER
They met and fell in love before World War II, then married in 1946 after Karl’s return from the war, where he served on the USS Euryale in the Pacific theater. Together they raised three children in their New Hyde Park, New York, home.
On January 27, they died within 10 hours of each other at the apartment they shared in an assisted living facility in Glen Clove, New York.
Ruth, 92, a retired librarian, died first at 8 a.m. William, 97, a World War II veteran and retired purchasing manager, died 10 hours later, though he was the more seriously ill of the two, says their daughter, Marie Bauer, 64.
“I think my dad was holding on because he didn’t want to leave her behind,” she tells PEOPLE. “My father was very, very protective —just very devoted to her. I think he was holding on because he just didn’t want her to be alone.”
A wake was held for the couple on Friday followed by funeral services Saturday.
William and Ruth Bauer
MARIE BAUER
“The wake helped give us back a sense of their whole lives rather than those last few years, which I think is a tremendous gift,” she says.
The couple was buried together in a single grave at the Long Island National Cemetery, a resting place for veterans, in Pinelawn, New York. Her nephew played Taps, says Marie says her nephew played Taps, a bugle call sounded at military funerals.
“The Navy Honor Guard presented us with a flag, which was very heartbreaking and very lovely,” she says. “It was a sad and very, very lovely day.”
While it’s difficult to lose your parents so close together, Marie says she finds comfort in knowing they are together.
“When my husband died it really cut short our dream of living a really long life and dying together,” she says. “And so seeing this for my folks is such a gift. They promised ’till death do us part and death parted them for about 10 hours — and they were together again forever.”

Senate Democrats Block Committee Votes On 2 Trump Nominees

Senate Democrats Block Committee Votes On 2 Trump Nominees

ARNIE SEIPEL
Chris Campbell, Republican staff director for the Senate Finance Committee chairman, sets nameplates out for Democratic senators who boycotted the committee vote on Rep. Tom Price, R-Ga., nominee for HHS secretary and Steve Mnuchin, nominee for Treasury secretary.
Tom Williams/CQ-Roll Call In
Democrats on the Senate Finance Committee boycotted planned votes on Tuesday morning to advance the nominations of two Trump Cabinet nominees.
The committee was to begin voting at 10 a.m. on the nominations of Georgia Rep. Tom Price to lead the Department of Health and Human Services and Treasury Secretary-designate Steven Mnuchin. Committee rules require that at least one member of each party be present for a vote to proceed. If and when the committee does vote, their confirmations would still need the approval of the full Senate.
Price has been under a cloud of controversy for weeks over questions about whether he properly disclosed stock trading of a biomedical company, which says the congressman was able to purchase with a discount, according to the Wall Street Journal.
As for Mnuchin, he faces more questions about his role in the foreclosure crisis as the head of OneWest Bank. As NPR's Yuki Noguchi reported when Mnuchin testified before the committee earlier this month, he was grilled by Democrats "for his role as CEO of a company that took over IndyMac Bank, now known as OneWest, which failed because of its bad home loans and later pushed through many controversial foreclosures, ultimately yielding massive profits for Mnuchin."
The Columbus Dispatch reported over the weekend that Mnuchin "flatly denied in testimony before the Senate Finance Committee that OneWest used 'robo-signing' on mortgage documents. But records show the bank utilized the questionable practice in Ohio."
Ohio Democrat Sherrod Brown said, "We are not going to this committee today because we want the committee to regroup, get the information, have these two nominees come back in front of the committee, clarify what they lied about — I would hope they would apologize for that — and then give us the information that we all need for our states."
Senate Finance Committee chairman Orrin Hatch, R-Utah, opened the committee meeting by saying he was "really disappointed" by the Democrats' decision to boycott. "These two nominees are going to go through regardless," Hatch said. "Let's not treat people like this. I think some of this is because they just don't like the president."
Other Senate committees moved ahead on votes to approve Trump's nominees to lead the departments of Energy, Interior and Education, as well as Attorney General-designate Jeff Sessions.
Hatch said he couldn't remember Republicans treating nominees from Democratic presidents this way. In response to that and other such assertions from the GOP, many Democrats are raising the fact that Republicans refused to hold hearings last year on President Barack Obama's nominee for the Supreme Court, Merrick Garland. President Trump is set to announce his pick to fill that seat Tuesday night.
Democrats are under increasing pressure from their party's voters to obstruct the Trump administration however they can. At a demonstration led by House Minority Leader Nancy Pelosi and Senate Minority Leader Chuck Schumer last night in front of the Supreme Court to protest President Trump's executive order on immigration and refugees, some demonstrators said they wanted Democrats in Congress to block every Trump nominee, though they have limited power to do so.
In a statement on the delay, Sen. Ron Wyden, the top Democrat on the Finance Committee, said, "Until questions are answered, Democrats believe the committee should not move forward with either nomination."

How Trump’s Rush to Enact an Immigration Ban Unleashed Global Chaos

How Trump’s Rush to Enact an Immigration Ban Unleashed Global Chaos

Gen. John F. Kelly, the secretary of Homeland Security, this month. He was still getting his first full briefing on the executive order when President Trump signed it. 
CreditAl Drago/The New York Times

WASHINGTON — As President Trump signed a sweeping executive order on Friday, shutting the borders to refugees and others from seven largely Muslim countries, the secretary of homeland security was on a White House conference call getting his first full briefing on the global shift in policy.
Gen. John F. Kelly, the secretary of homeland security, had dialed in from a Coast Guard plane as he headed back to Washington from Miami. Along with other top officials, he needed guidance from the White House, which had not asked his department for a legal review of the order.
Halfway into the briefing, someone on the call looked up at a television in his office. “The president is signing the executive order that we’re discussing,” the official said, stunned.
The global confusion that has since erupted is the story of a White House that rushed to enact, with little regard for basic governing, a core campaign promise that Mr. Trump made to his most fervent supporters. In his first week in office, Mr. Trump signed other executive actions with little or no legal review, but his order barring refugees has had the most explosive implications.
Passengers were barred from flights to the United States, customs and border control officials got instructions at 3 a.m. Saturday and some arrived at their posts later that morning still not knowing how to carry out the president’s orders.
“The details of it were not thought through,” said Stephen Heifetz, who served in the Justice and Homeland Security Departments, as well as the C.I.A., under the previous three presidents. “It is not surprising there was mass confusion, and I expect the confusion and chaos will continue for some time.”
Stephen K. Bannon, the chief White House strategist, oversaw the writing of the order, which was done by a small White House team, including Stephen Miller, Mr. Trump’s policy chief. But it was first imagined more than a year ago, when Mr. Trump, then a candidate for the Republican nomination, reacted to terrorist attacks in San Bernardino, Calif., by calling for a “total and complete shutdown of Muslims entering the United States.”
In the months that followed, Mr. Trump’s campaign tried to back away from the proposal, which was seen by Democrats as over-the-top campaign rhetoric that would never be reality. Mr. Trump offered few details as the campaign progressed, and as president-elect he promised to protect the country from terrorists with only vague promises of “extreme vetting.”
But Mr. Bannon, who believes in highly restrictive immigration policies and saw barring refugees as vital to shoring up Mr. Trump’s political base, was determined to make it happen. He and a small group made up of the president’s closest advisers began working on the order during the transition so that Mr. Trump could sign it soon after taking office.
A senior administration official said that the order was drafted in cooperation with some immigration experts on Capitol Hill and members of the “beachhead teams” — small groups of political appointees sent by the new White House to be liaisons and begin work at the agencies.
James Jay Carafano, a vice president of the conservative Heritage Foundation and a member of Mr. Trump’s transition team, said that little of that work was shared with career officials at the Homeland Security Department, the State Department or other agencies.
There was “a firewall between the old administration and the incoming one,” Mr. Carafano said.
One reason, he said, is that when the Trump transition team asked pointed questions suggesting new policies to the career officials, those questions were swiftly leaked to the news media, generating negative stories. So the Trump team began to limit the information they discussed with officials from the previous administration.
“Why share it with them?” Mr. Carafano said.
R. Gil Kerlikowske, who served as commissioner of Customs and Border Protection under former President Barack Obama, said that his staff had little communication with Mr. Trump’s transition team, who made no mention of a bar on entry for people from certain countries.
White House officials in the meantime insisted to reporters at a briefing that Mr. Trump’s advisers had been in contact with officials at the State and Homeland Security Departments for “many weeks.”
One official added, “Everyone who needed to know was informed.”
But that apparently did not include members of the president’s own cabinet.
Jim Mattis, the new secretary of defense, did not see a final version of the order until Friday morning, only hours before Mr. Trump arrived to sign it at the Pentagon.
Mr. Mattis, according to administration officials familiar with the deliberations, was not consulted by the White House during the preparation of the order and was not given an opportunity to provide input while the order was being drafted. Last summer, Mr. Mattis sharply criticized Mr. Trump’s proposed ban on Muslim immigration as a move that was “causing us great damage right now, and it’s sending shock waves through the international system.”
Customs and Border Protection officers were also caught unaware.
They contacted several airlines late Friday that were likely to be carrying passengers from the seven countries and “instructed the airlines to offload any passport holders from those countries,” said a state government official who has been briefed on the agency’s actions.
It was not until 3 a.m. on Saturday that customs and border officials received limited written instructions about what to do at airports and border crossings. They also struggled with how to exercise the waiver authority that was included in the executive order, which allowed the homeland security secretary to let some individuals under the ban enter the country case by case.
One customs officer, who declined to be quoted by name, said he was given a limited briefing about what to do as he went to his post on Saturday morning, but even managers seemed unclear. People at the agency were blindsided, he said, and are still trying to figure things out, even as people are being stopped from coming into the United States.
“If the secretary doesn’t know anything, how could we possibly know anything at this level?” the officer said, referring to Mr. Kelly.
At the Citizenship and Immigration Service, staff members were told that the agency should stop work on any application filed by a person from any of the countries listed in the ban. Employees were told that applicants should be interviewed, but that their cases for citizenship, green cards or other immigration documents should be put on pause, pending further guidance.
The timing of the executive order and the lack of advance warning had homeland security officials “flying by the seat of their pants,” to try to put policies in place, one official said.
By Saturday, as the order stranded travelers around the world and its full impact became clear, Reince Priebus, the chief of staff, became increasingly upset about how the program had been rolled out and communicated to the public.
By Sunday morning, Mr. Priebus had to defend the immigration ban on NBC’s “Meet the Press,” where he insisted that the executive order was rolled out smoothly. He also backpedaled on the policy and said that the executive order’s restrictions on entry to the United States would not apply to legal permanent residents “going forward.”
As White House officials also insisted on Sunday that the order had gone through the usual process of scrutiny and approval by the Office of Legal Counsel, the continuing confusion forced Mr. Kelly to clarify the waiver situation. He issued a statement making clear that lawful permanent residents — those who hold valid green cards — would be granted a waiver to enter the United States unless information suggested that they were a security threat.
But senior White House officials insisted on Sunday night that the executive order would remain in force despite the change, and that they were proud of taking actions that they said would help protect Americans against threats from potential terrorists.
That assertion is likely to do little to calm the public furor, which showed no signs of waning at the beginning of Mr. Trump’s second full week in the Oval Office.
Mr. Carafano said he believed that the substance of Mr. Trump’s executive order was neither radical nor unreasonable. But he said that Mr. Trump’s team could have delayed signing the order until they had better prepared the bureaucracy to carry it out.
He also said the president and his team had not done a good job of communicating to the public the purpose of the executive order.
“If there is a criticism of the administration, and I think there is, I think they have done a rotten job of telling their story,” he said. “It is not like they did not know they were going to do this. To not have a cadre of people out there defending the administration — I mean, really guys, they should have done this.”




Pharrell Williams and Helen Lasichanh welcome 'happy and healthy' triplets

Pharrell Williams and Helen Lasichanh welcome 'happy and healthy' triplets
Ree Hines

"Happy" singer Pharrell Williams has a few reasons to feel absolutely gleeful — he and wife Helen Lasichanh recently welcomed triplets!


Singer Pharrell Williams and Helen Lasichanh in West Hollywood in September.

The whole family, including the duo's 8-year-old son, Rocket, is said to be doing well and getting to know their three new bundles of joy.
"The family is happy and healthy," a rep for "The Voice" coach told TODAY.





Saudi prince buys airplane seats to transport 80 falcons

Saudi Prince buys Airplane seats to transport 80 Falcons

DUBAI: In an unusual sight, a Saudi prince is claimed to have bought tickets of a passenger jet for his 80 falcons, according to media reports.



A picture posted on the Reddit has gone viral which shows a flock of blindfolded falcons seated on a plane around the cabin among passengers, each bird seemingly tied securely down to the seats.


Reddit user lensoo posted it online, writing: "My captain friend sent me this photo. Saudi prince bought ticket for his 80 hawks," the Khaleej Times reported.


Transportation of falcons, the national bird of the UAE, is not a rare practice in the Middle East.
Falcons can get their own forest green passports to fly in the UAE. That passport allows them to travel to Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, Pakistan, Morocco, and Syria.

A Flydubai spokesman said falcons must have their own seat, with a cloth placed underneath them to prevent accidents.



Etihad Airways also allows falcons on board.
Qatar Airways' website also states that a maximum of six falcons can be brought on economy class.




Ellen DeGeneres hits back at Trump by explaining Finding Dory plot

Ellen DeGeneres hits back at Trump by explaining Finding Dory plot

The talkshow host has criticised the president’s ban on entrants to the US from seven Muslim-majority countries by highlighting the inclusivity of the first movie to screen at Trump’s White House
 Barack Obama presents Ellen DeGeneres with the Presidential Medal of Freedom, 22 November 2016. Photograph: Saul Loeb/AFP/Getty Images
Ellen DeGeneres has commented on presidential policy via film plot summary. The talkshow host voiced the lead in Finding Dory, Disney’s hit animation about a forgetful fish, which was Donald Trump’s choice of the first film to screen at the White House on Sunday.
On her chatshow on Monday, DeGeneres took aim at Trump’s ban on entry into the US by citizens from seven Muslim-majority countries by pointing out the ironies of such a position, given the message the movie preaches.
Dory, she explained, is Australian, and on a mission to locate her parents, who are in America. “I don’t know what religion they are, but her dad sounds a little Jewish. It doesn’t matter,” said DeGeneres, before explaining that Dory and friends, once in America, are apparently barred from re-entry by a large wall.
“They all have to get over the wall and you won’t believe it, but that wall has almost no effect in keeping them out,” said DeGeneres.
After crossing the divide, Dory enlists fellow creatures in her search, “animals that don’t even need her. Animals that don’t have anything in common with her. They help her, even though they’re completely different colours. Because that’s what you do when you see someone in need – you help them.”
Dory, concludes DeGeneres, cannot be thwarted by physical barriers, nor by discrimination.
On Sunday, DeGeneres’s co-star in the movie, Albert Brooks, also highlighted the odd dissonance of Trump’s choice.




Fmr. President George H.W. Bush Gets Special Super Bowl Invite

Fmr. President George H.W. Bush Gets Special Super Bowl Invite
By  


Former U.S. President George H.W. Bush has been asked by the National Football League to be this year’s honorary coin flipper during Super Bowl LI between the New England Patriots and the Atlanta Falcons in Houston, Texas, FOX Business has learned.
The NFL asked the 41st President to flip the Super Bowl coin during the pregame ceremony on Sunday but he has not officially accepted nor declined the offer due to his recent health struggles, sources tell FOX Business.
Bush was released from the hospital on Monday after being treated for pneumonia. The 92-year-old was rushed to Houston Methodist General on January 14th for shortness of breath and underwent a procedure to remove a blockage from his lung.
During last year’s championship match-up in which the Denver Broncos beat the Carolina Panthers 24 to 10, four-time Super Bowl champion and legendary quarterback Joe Montana was the honorary coin flipper. In 2015, former NFL greats Kenny Easley and Tedy Bruschi performed the coin toss.
This is not the first time the former president has been asked to be part of the pregame tradition. In 2002 for Super Bowl XXXVI between the New England Patriots and the St. Louis Rams, Bush became the first sitting president to participate in a Super Bowl coin toss in person. Former President Ronald Reagan participated in a coin toss via remote satellite from the White House in 1985.
A spokesman for George H.W. Bush declined FOX Business’ request for comment, as did the NFL.  
In an update on Tuesday, Jim McGrath of Begala-McGrath, released a statement on Bush’s health; “President George H.W. Bush was discharged today from Houston Methodist Hospital after being treated for pneumonia. He is thankful for the many prayers and kind messages he received during his stay, as well as the world-class care that both his doctors and nurses provided.” 



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