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Aug 30, 2023Liked by Robert B. Hubbell

Check this relationship map for details on the 10 drugs whose prices will be cut, and the multi-million dollar CEO salaries of the Big Pharma firm making these drugs. It's time to fix the system when execs make millions while millions of Americans suffer because they cannot afford the medication they need. https://thedemlabs.org/2023/08/29/medicare-price-negotiation-to-cut-10-medicare-drug-prices-biden/

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Negotiate on ALL drugs. Why just ten? Because the oligarchs who run this monstrosity called a health care system might whine and complain.

The only way to "fix the system" of healthcare is to nationalize it. It is more than immoral to make obscene profits off the illnesses of our citizens. It is inefficient. Most people can't afford most drugs. Millions of people seek healthcare in the ER - when their problem could have been solved months or years before with a paid for visit to a preventive GP.

Strip away the middle men who add a fortune to the cost of drugs and care. Fire the insurance companies that milk the system and don't encourage PREVENTION. Medicare For All. Now!

Profits in healthcare is the ultimate immorality. And ask yourself this. What is the incentive of drug companies or huge hospital conglomerates to PREVENT illness? Why would they want to break the business model that makes them rich?

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founding

It occurred to me yesterday that whether it be drug pricing or healthcare costs & access they demonstrate a failure of moral conscience in the US as we continue to put profits above every citizen’s well-being. Today's post highlightd how this failure of moral commitment to people can be seen in many aspects of our unregulated capitalism. It is a disgrace.

Let me also add that today’s post is, for me, is a bit of whiplash when yesterday we read what I described as a bit of exuberance as justice moved slowly & contentiously forward while today we read a heavy dose of reality. The unending terrorism of judicial and Congressional actions, rhetoric, along with the R inability to govern for the welfare of the environment and the well-being of every citizen demonstrates the disastrous impact of the extreme right working with speed to dismantle what they gaslight as “the administrative state.” To wit, anger can not be the driving aspect of our work ahead, nor can it be ignored. I am angry and fed up as I diligently work to find constructive outlets for my energy.

After posting an NPR report came to my attention that demonstrates how wide spread the impact of Republican extremism has and continues to reach. The report pertains to the cut backs in wetlands by the EPA and Army to comply with a SCOTUS decision earlier this year. Even this effort to comply with the courts decision was immediately called out by conservative groups as inadequate to meet their demands. We must stop this ridiculous attack on what the right wants to refer to as the "deep state" rather than acknowledge the government working for the betterment of all citizens. https://www.npr.org/2023/08/29/1196654382/epa-wetlands-waterways-supreme-court.

We must stop this assault on our democracy and federal institutions.

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Part of the business model that makes Pharma rich is government patent policy: Patents from government (e.g., NIH) and government-supported research have been made available essentially for free (I think the practice continues). The government could/should obtain considerable royalty income if it wanted to.

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It probably isn’t logistically possible, now, to negotiate prices on *all* or nearly all drugs. The federal government may not now have the resources (do you remember the slogan, “Starve the Beast”?).

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Spot on article. Thanks. $6 billion in ad expenditures. IT IS DISGUSTING! How many doses of insulin could that provide? Meds for ADHD? BP meds?

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It's $10b + billions more each year in stock buy-backs

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founding

HCR points out that US pharma companies spend more on executive compensation and shareholder benefits than on R&D.

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Yes, and she linked here https://oversightdemocrats.house.gov/sites/democrats.oversight.house.gov/files/DRUG%20PRICING%20REPORT%20WITH%20APPENDIX%20v3.pdf?utm_source=substack&utm_medium=email

Even a cursory scan of this report, charts and all, is maddening. Chairperson Maloney's comment in her opening letter kinda says it all "I would like to extend my heartfelt gratitude to the majority staff of the Oversight Committee for their dedication and persistence in pursuing this investigation, despite many challenges. Their diligent efforts..." Can't imagine what challenges the majority, at that time, faced. 🤔

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100% - R&D and just a fraction of that

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Pharmaceutical companies are owned by the Republicans who reduce their taxes and let them charge exorbitant prices.

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Umm everyone is getting money from them thanks to Citizens United

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Is it possible liberal politicians going back five decades see themselves as enablers of what Deepak describes?

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Our whole society has enabled this. We have lived in the fantasy that "free enterprise" would lead to health care solutions. But there is nothing free about it. It's not working well for Americans as a whole. It's working really well for the Sacklers, etc.

A few get really rich while most of us get sicker and poorer. Medicare FOR ALL. Now.

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The Democrats ought to go to the 18 "Biden Republicans" and tell them that the first six who vote with them on a discharge petition for a clean CR that's good till January 7, 2025 will not get a Democratic opponent next year. That way we put an end to Quiverin' Qevin's bullshit and poke the House Fwee-dumb Kawkuss in the eye with a sharp stick. It's time for the adults to send the kiddies to the kiddies' table.

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It's been that time for a while TC. Another option would be for the 317 who voted for the FRA to discharge McCarthy, elect a moderate Republican like Don Bacon Speaker, and pass the 12 Senate appropriations bills as they stand. That would effectively defang the Crazy Caucus and take a step toward the regular order of business in the House.

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Thank you, Dave!

As you know, that is exactly the mission of Feathers of Hope, an organized network of ordinary citizens who've been advocating for this since January.

Everyone is encouraged to pitch in and help this happen by contacting select Representatives and as many media outlets as we can think of.

Learn more here: https://FeathersOfHope.net or JerryWeiss.Substack.com

.

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founding

Nope. No free rides. We need to contest every seat. All 435.

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There's 18 of them. Let six slip by for one cycle and defeat the other 12, Democrats still retake the House next year.

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I believe that is illegal. Something Trump would try. There's no shortcuts in politics.

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Exactly why do you feel that's illegal? It's totally legal for Representatives to negotiate across the the aisle. It used to be called compromise.

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That wouldn't help at all. They would be primaried.

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How sad is it that the decision to cap the prices of a handful of drugs has to be counted as one of the "historic" achievements of President Biden on behalf of the American people.

Because "historic" it is. No administration so far has dared to stand up to Big Pharma and to the other big players in the health sector. Having lived in the US for 12 years and comparing the US to other parts of the developed world I am tempted to say that the health sector in the US is part of the organized crime, dedicated to the fleecing of America. Just one example: giving birth in Germany costs about 2.200 to 3.300 $, with complications like a cesarean it might run up to 4,400 $ (everything up to the last penny covered by the health insurance, of course). Costs in the US are different from state to state, but it starts at 5 times as much.

So why aren't lawmakers – on both sides of the aisle – all over it, demanding a change? Easy to answer – 'Citizens United' and the impossibility to pass a meaningful campaign finance reform.

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I think you're right. Biden has chosen to stand with the 99%, and he's going all in.

If only he'd take the same approach to the climate disaster!

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I wish a substantial portion of the 99% would get a clue and understand that Biden is valiantly paddling against the current, fighting an up hill battle, while dragging the dead weight of the likes of the UnFreedom caucus, dodging slings and arrows of Fox-Not-The-News and their ilk; all in the cause of making life better for the vast majority of the citizens of the USA.

If only those he seeks to help would open their eyes and vote blue.

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*I* wish that “progressive” Democrats would appreciate Biden and support him, rather than act as (inadvertent, mindless) adjuncts to Congressional Republicans.

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Joyce Vance has pointed out that the main problem with removal is that U.S. courts don't allow cameras but Georgia courts do. Still, I don't know if even that is a big issue, considering that Kenneth Chesebro (or however he spells it) will go first, and in Georgia state court. Willis can try Chesebro this year and that will implicate everyone charged in the Fake Electors conspiracy whether they're there or not. And we can all watch it on live TV.

Judge Ho, meanwhile, proves that there really is a "deep state" in the U.S. and it's called The Federalist Society.

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And another thing: I am not a lawyer but AS I UNDERSTAND IT, in order to prove Count 1, the racketeering charge, against Chesebro, Willis has to prove that the conspiracy engaged in at least two racketeering acts. Chesebro, according to the indictment, was involved in one only. So she'll have to prove at least one (and probably more than one, for safety's sake) such "predicate" act in which Chesebro played no part. Which ones? And will the people accused of them be entitled to be in court and question witnesses against them? It'll be interesting to see...

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Deep State----yes. Scary to think how long that has been part of our culture.

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It's not even that deep

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How many Democrats voted to confirm Judge Ho? Who were they?

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I have been worrying about the rumors that Georgian partisans will remove DA Fani Willis.

Now I have to worry about (yet another!) threatened government shut down with the UnFreedom bozos demanding removal of Jack Smith in order to prevent the shut down?

I truly feel that I have entered the twilight zone. That I have somehow managed to crawl out of a worm hole and landed in some alternative universe. I seem to have become Cassandra, living in a society where the minds of almost half the people have been eaten by some sort of MAGAt and turned to mush.

Stop the world, I want to get off!

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Rome is burning, oh wait it’s Hawaii or California. Our youth are being killed in senseless, school shootings. Our roads are crumbling. Our storms are getting stronger as the earth heats up. Still the inept Republicans in charge of our House sit fiddling and focusing on ridiculous and fruitless hearings and plans to impeach President Biden. We all need to get busy now to oust the clowns who are so effectively ruining our country.

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We live in a world of contradictions. Those Governor’s who attack the Federal Government and want total states right can’t wait to declare emergencies and ask for FEMA help. Millions of voters will benefit from the pending pharmaceutical negotiations with Medicare especially seniors who are the major consumer of these drugs and the Republicans want to defund the Medicare programs. Millions of students will benefit from the recent revised student loan program which especially benefits those students who were taken advantage of my higher education institutions and the Republicans are against these programs. Trump has been indicted by grand juries made up of voters while the Republicans threaten to impeach Biden with no evidence at all. Finally major destructive weather conditions threaten large parts of this country who are already suffering from extreme heat and humidity and Republicans deny climate change. How many more examples do voters need to see and experience before they question why voting for a Republican makes no sense at all?

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When you have low lifes like Laura Ingraham deliberately lying on FOX and even editing Biden’s words to make people believe he is doing something that he isn’t, what do we expect?

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Excellent newsletter on all counts, Robert. And thank you very much for including coverage of climate change issues and for encouraging us to make climate change a priority by asking people to make candidates' views on addressing this urgent happening an important part of their voting decisions.

I just subscribed to Jessica Craven's Chop Wood Carry Water. I first learned of her and her work in your newsletter. I am so glad to have it. I really like her sense of humor and her hopeful approach, her emphasis on climate, and her inclusion of actions we can take on various issues in addition to climate. Thank you for leading me to her.

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🤗

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Re: Groundwater. All that persistent red from the Texas Panhandle into Nebraska is the "high plains" where the a majority of beef cattle in this country have lived out their final months in feedlots drinking up to 13 gallons of water a day, and eating grain raised with irrigation. About 10 years ago, when I was still working as a commodity analyst in the livestock industry, I suggested to the head of the brokerage company I worked for that I do a "white paper" on groundwater depletion, and how that was going to eventually force a shift in cattle feeding out of the high plains. I was instantly shut down, because clearly climate change was not real, and their business clients did not want to hear about it.

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Hello, Robin, and thank you for the anecdote about your experience while working for the brokerage company. Marc Reisner, author of “Cadillac Desert,” wrote about the overdrawing of the Oglala Aquifer decades ago. Groundwater depletion is a serious problem that has been pushed “underground” (apologies for the pun) in mainstream media far too long. I think the major challenge in educating people about the serious nature of this challenge -- as with global warming -- is making connections between a “worldwide” phenomenon and what’s happening or not happening in our own neighborhoods and lives. If we don’t make those connections, it is too easy to give in to despondency; throw up our hands; and give up trying to fashion a sustainable future for humanity in harmony with the Web of Life.

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I think what makes us so vulnerable to politicians manipulating right wing voters is the ignorance of the voters in the workings of the law and the willingness of those politicians, many (maybe most) of whom hold JD degrees, to distort the law for the sake of confusing the voters they know won't understand. Weakness in law school instruction, and no candid self-examination by law school administration, is a problem that is going completely unaddressed. A weak link is at the law school level that is creating problems in the public's respect for the rule of law.

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Another weak link is the great number of citizens who do not concern themselves with any of what we discuss.

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I will not forget this remark by civil rights attorney Benjamin Crump. "We have to be willing to fight for our children's future until hell freezes over, and then we got to be ready to fight on the ice."

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Crump is amazing. He seems to have become the go-to lawyer for civil rights (in the broadest sense) cases.

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On climate change, the Farm Bill is very important and should prompt a revolution in methods. Regenerative methods that restore the life in the soils increase carbon sequestration and water cycling - a significant way to address the climate and water emergencies that Robert mentioned. For a popular explanation of regenerative agriculture, see the movie Kiss the Ground. For a deeper dive, search Soil Food Web and experts like John Kempf, David C Johnson, Gabe Brown, Ray Archuleta, and Wes Jackson’s Land Institute. Biodiversity for a Livable Climate (bio4climate.org) is another excellent resource.

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Thank you, President Biden !!! ⬇️

🌀“We’re providing everything he could possibly need. We’re in constant contact,” Biden told reporters

https://thehill.com/homenews/administration/4177744-biden-desantis-hurricane-idalia-constant-contact/

Safe wishes for all my Florida peeps !💙

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Thank you for the link, Kathy. And yes, thank you, President Biden!!! Again.

About The Hill article, in its reference to President Biden and Gov. DeSantis, interesting how it states, "But the two have set aside politics in the past ..."

I'd suggest the statement could be stronger, and more to the point of who Joe Biden is, and frankly, who DeSantis is not, as in: "Yet again, Biden sets aside politics, demonstrating leadership, providing resources and on-the-ground readiness, and compassion for ALL Americans, coming to the aid of All who govern them."

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For some interesting work on climate change, try watching “Kiss the Ground” on Netflix. I learned a lot about the importance of soil restoration and how we can all help.

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I wonder if DeSantis will seek Federal support for the hurricane that hits today? Let's see if he continues to object to the "woke" administration in Washington and their ability to funnel money and other resources to repair a damaged countryside.

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Think he already has. Biden has pledged support

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founding

Yes. He will gladly ( or grudgingly) accept a great deal of Federal assistance. But will he publicly thank Biden or the Federal government for the much needed help? Or will he change his stance on climate and the warm water of the Gulf having increased the strength of the storm?

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Wait a week and he'll resume throwing knives at Biden

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You think that long?

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