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Nothing exemplifies the power of big money in Washington more than
the pharmaceutical industry, which spends more money on campaign
contributions and lobbying than any other industry. When Congress
reconvenes this fall, the American people will see whether their
elected leaders have the courage to stand up to all of that political
muscle and pass legislation that would significantly lower the price
of prescription drugs.
Right now, both political parties and their presidential candidates
are blanketing the airwaves with their plans to provide prescription
drug benefits to senior citizens. The Republican plan, which passed
the House, is primarily a poll-driven sham that would do little,
if anything, to address the very serious crisis facing millions
of seniors who are unable to afford their medicine. The Democratic
House plan, which provides a prescription drug benefit under Medicare,
is a more serious proposal but would still require many seniors
to pay a substantial amount for their drugs. Unfortunately, but
not too surprisingly, neither proposal addresses the most important
question: Why is it that the same prescription drugs in this country
cost far more than in any other country?
That is why, more than a year ago, I joined with Rep. Jo Anne Emerson
(R-Missouri) and Rep. Marion Berry (D-Arkansas) in introducing tripartisan
legislation that would allow U.S. prescription drug distributors
and pharmacists to re-import drugs from abroad at drastically lower
prices, so long as the drugs met rigid FDA safety standards. Pharmaceutical
manufacturers sell their products in many other countries for 30
to 50 percent less than in the United States. By eliminating the
federal law that gives these manufacturers a monopoly over prescription
drug imports, American consumers will be able to take advantage
of the lower prices abroad and the cost of prescription drugs will
plummet in the United States at no expense to the taxpayer. With
the savings from our legislation, Vice President Gore's plan to
pay 50 percent of Medicare beneficiaries out-of-pocket prescription
drug costs could actually pay for 80 percent of those costs at no
additional charge to taxpayers.
This summer, strong bipartisan majorities in the House and the
Senate voted to add legislation similar to our proposal in this
year's Agriculture Appropriations Bill. Despite the bill's strong
congressional support, however, the pharmaceutical industry is working
overtime to defeat or neutralize it when it comes before the Agricultural
Appropriations House-Senate conference committee this fall.
The drug companies have launched an all-out, multimillion-dollar
lobbying and advertising campaign to protect their lucrative monopoly.
Not surprisingly, there has been a deafening silence on this issue
from the Republican congressional leadership, whose party has received
more than $6 million from drug companies during this election cycle.
The White House, whose party has received $2.4 million from the
industry, also has showed a marked lack of enthusiasm for the bill.
In other words, despite the strong desire of the American people
to see lower prescription drug prices and the support of the vast
majority of Congress for serious legislation to accomplish that
goal, the pharmaceutical industry could win out because of the hold
it has over the leadership of both parties.
People may wonder how, in a supposed democracy, a single industry
can wield such incredible power. Let me tell you: The drug companies
constitute the most profitable industry in America--enjoying more
than $27 billion in profits last year. With those resources they
can spend unlimited amounts to defeat efforts to lower the cost
of prescription drugs.
The industry's lobbying efforts are unparalleled. Public Citizen
estimates that the drug companies have close to 300 paid lobbyists
on Capitol Hill--one for every two members of Congress. Last year
they budgeted $65 million for political advertising to prevent Congress
from passing meaningful prescription drug reform. As I write, they
are spending millions on deceitful television, radio and full-page
newspaper ads all across the country to defeat the re-importation
initiative.
But even with all this money, they cannot justify what I have seen
with my own eyes when I made two trips to Canada with my Vermont
constituents to purchase prescription drugs. Vermonters were able
to save thousands of dollars on the medicine they needed by going
over the border. One of the starkest examples was Tamoxifen, a widely
prescribed breast cancer drug, which sells for a 10th of the price
in Canada that it sells for in the United States.
The American people are entitled to lower prices for their prescription
drugs, but even more importantly, they deserve to know that the
political leadership of our nation cannot be bought. 
Bernie Sanders of Vermont is the only elected independent
in Congress. "Capitol Ideas" will appear regularly in In These
Times as a forum for progressive leaders to share their policy
ideas.
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