Showing posts with label Medicare. Show all posts
Showing posts with label Medicare. Show all posts

Friday, March 28, 2025

Federal Employees Play “DOGE” ball with Elon Musk's Cuts as President Trump Fulfils His Campaign Promises

As we close in on Trump’s first 100 days, he’s has cut through the Washington quagmire like General Sherman's march through Georgia. With Elon Musk leading the charge through “DOGE” (Department of Government Efficiency), over 200,000 federal employees in 18 agencies have had their employment come to an end, not to mention 75,000 who have accepted buyouts.

 That number includes 2,400 Veterans Administration employees, 1,700 workers from the consumer watchdog agency, Consumer Financial Protection Bureau,  2,000 from the Department of Energy, and 2000 from the Department of the Interior, including 800 from the Bureau of Land management.

The IRS has seen 6,000 employees terminated and 5,400 probationary workers from the Department of Defense with an estimated 70,000 who may be let go by the time it’s over. 700 workers at the Centers for Disease Control have fired along 388 employees from the Environmental Protection Agency.  

The Department of Homeland Security has seen a reduction of 400 individuals, of which half were from FEMA, the Federal Emergency Management Agency. The Small Business Administration has seen a reduction of 20% of its workforce.

 Lastly, 10,000 individuals from the U.S. Agency for International Development (USAID) have been placed on indefinite leave. The move is estimated to reduce government “bloat” and save billions in taxpayers dollars.

Meanwhile, some 530,000 immigrants have seen their temporary legal status revoked while some 27,000 illegal immigrants have been deported back to their country of origin as the Pentagon has announced the deployment of some 10,000 active duty and National Guard personnel to our southern border while so-called “sanctuary cities” are facing the possible loss of the  federal funding which keeps them afloat.

So, what do Americans think of the Trump-Musk blitz on the Status Quo? Are all the cuts and reductions justified or is this another example of government going too far? 48% of Americans surveyed by a Pew poll see illegal immigration as problem, so there’s presumably happy with President Trump’s handling of the problem.

As for the mass layoffs, 57% of those polled though the budget deficit was a serious issue, so the reduction in the federal work force would presumably be a good thing. While the layoffs have little or nothing to do with the corruption, 72% believe money in politics is problem. Perhaps Trump can take steps to reduce the control Wall Street has on Washington, such as overturing Citizens United, term limits, and honest to goodness campaign finance reform.

But for that to happen, we’d have to have a level of bipartisan cooperation that we haven’t seen in decades. The divisiveness in today’s politics borders on political turmoil or even a possible civil war. Maybe that’s why 56% of respondents are concerned about the failure of the two corporate owned parties to work together. 48% are worried about the failure of our political system itself and why not?

Afterall, given our “winner-take-all” system, the majority of voters have no representation. Only those whose side wins have any form of representation, while the losing side is out of luck, and when you consider that the largest percentage of voters are Independents, that means that no more than 28% or 29%  of voters (the respective size of the two parties by registration) can claim to have a voice in politics. Of course, when we consider that Washington serves Wall Street and gives Main Street lip service at best, a pretty good argument can be made that voters have little real representation at all.

One issue which has come to the forefront lately is the Trump-Musk duumvirate cutting social services like Welfare, food stamps, Social Security, and  Veteran’s benefits. Supposedly, these cuts will affect just the administrative staff of these agencies and have little impact on benefits. 47% of those polled said they were concerned about the financial solvency of the Social Security and Medicare while 67% are worried about the cost of healthcare.

Of course, cutting back the staff will certainly impact wait times. As anyone who’s applied for Social Security or Veteran benefits already knows, it can sometimes take weeks or months before they receive benefits, which can seem like an eternity when you’re needing the money.

Nevertheless, the reductions are designed to improved the financial stability of safety net programs like Medicare and Medicaid, so that they’ll be available for future generations. One change which will likely occur is changing the minimum age requirement to receive benefits to 70, which makes sense.  For instance, when Social Security was introduced by President Roosevelt in 1933, an applicant had to be at least 65 years of age. That was ten years beyond the average male life expectancy. Today the average life expectancy is 78 years old.

Another possible change is allowing individuals the option of allowing future recipients to invest a portion of their SSN payments themselves into something like an IRA account. Currently the federal government handles all that. Some people may prefer a more aggressive strategy. Of course, should their investments not live up to their expectations,  they could end up receiving a smaller social security check at an age when they need the money most and then what?

In a related area,  63% of those surveyed are concerned about the impact of inflation. It seems that every time we go out to eat or go to the grocery store, food prices have skyrocketed. From 2020 through 2024, food prices have jumped 24%. Egg prices are up 37.5%. thanks in large part to another round of Bird Flu. The average price for a dozen regular size eggs is $5.90. Drought and feed prices has resulted in a reduction of cattle for consumption to the lowest level in 70 years, resulting in 5% increase in the price of beef. Chicken has seen comparable increases in price.  

The price of coffee has increased 1.9%. Orange juice and other frozen juices have spiked 17.2%. The reason is primarily because of weather conditions. Brazil, which is responsible for 30% of our orange juice, has just face one of the worse harvest its had in decades thanks to flooding (due to hurricanes) in some regions and drought in others, as well as a citrus greening disease.  Analysts, reflecting the opinions of 41% of those polled, said climate change may be the culprit.  As a result, don’t expect to see prices go down anytime soon.

Rising prices and taxes coupled with stagnant or declining wages are fostering concerns about the poverty rate. 53% of those polled were worried about the declining middle class and the growing number of individuals slipping into poverty.  As of 2023, 11.5% or 37.9 million Americans were living at or below the national poverty level.

44% of those polled admitted being concerned about natural disasters, which are usually handled by FEMA.   Last year, in 2024, there were 27 weather or climate related disasters in the United States according to the National Centers for Environmental Information, with each exceeding $1 billion dollars in damage and a total of 588 deaths.

In 2024, there were 90 declared “major disasters” according to FEMA. That’s roughly a declared disaster every four days. 41% or 137 million individuals lived in an area affected by a natural disaster. Also in 2024, there was 64,897 wildfires reported. That’s up from 56,580 in 2023. 8,924,884 acres were destroyed compared to 2,693,910 acres in 2023.

California by far experienced the most damage, followed by Alaska, Mew Mexico, Texas, and Oregon (together, they accounted for 46% of all fires).  The cost in terms of private property and economic impact to the affected areas was between $ 250 and $275 billion dollars.

Aside from natural disasters, crime and violence is another area where America’s are concerned. 48% said they were worried about gun violence while 47% were the rise in violent crime. The District of Columbia, New Mexico, Louisiana, Mississippi, and Alabama had the highest number of gun related deaths.

The Department of Homeland Security reports that gang related violence is on the rise thanks to the expansion of ultra-violent gangs from South and Central America and the growth of the fentanyl market.

 Most of the violence is occurring in inner cities, which is sparking fear among city leaders that their city will turn into gang controlled “narco-cities”.  51% of respondents said the drug problem is our biggest concern. 50% said declining morals and values are a contributing factor.

Will Trump’s crusade help ease the concerns of Americans or will it backfire? According to an NBC News Poll conducted in March by the Hart Research Associates/Public Opinion Strategies, 46% of those surveyed thought DOGE was a good idea. 40% didn’t while 14% had no opinion. However, the numbers flipped when asked about Trump appointee, Elon Musk, who is leading DOGE. 51% disapproved the billionaire tech president. While just 39% actually approved.

However, in another poll conducted by Quinnipiac, 54% of their respondents said the DOGE was actually hurting the country. 60% disapproved of how DOGE dealt with federal employees while just 36% approved. The poll also indicated that 50% of those polled did not approved of how Trump handled the termination of the federal employees. 82% of Republicans thought Trump was doing a good job when it came to DOGE. 94% of Democrats disagreed.  

The polling results shouldn’t come as a great surprise. They go to show the extent of our divide. It’s also another case of “NIBY” or “Not in my back yard”. Many Americans appear to want to cut the size and scope of the federal government, but not if it adversely affects them.  

We’ve become too dependent on the government. It’s a sense of entitlement. We’ve come to expect it as normal. We want everything but we don’t want to pay for it. Unfortunately, life doesn’t work that way. There’s a cost to everything. President Trump campaigned on what large numbers of Americans said they wanted, and in keeping with his promises, he is acting on them. But, as the American People are coming to realize, the consequences of having often doesn't match the anticipation wanting.

 

Thank you for reading "Another Opinion", the Op/Ed blog page for the "militant middle".  Here at "A/O" we truly value our readers. At A/O we seek the facts as they exist, not partisan talking points.  We hope you find our articles informative and engaging. Comments are welcome, provided they are not vulgar, insulting or demeaning.  Another Opinion is offered without charge and is directed toward all independent and free-thinking individuals. We ask, however, that you "like" us on whatever platform you found us on in order to keep our articles available for free to others. Lastly, in order to keep costs down, we depend on passive marketing, and therefore, depend on our readers to please forward our posts along. Below you will find links to the sources we used in writing this article. Thank you. 

 

Americans Continue to View Several Economic Issues as TopNational Problems


Here are all the federal agencies where workers are beingfired


NCEI: Billion Dollar Weather and Climate Disasters  


As Trump Works to cut FEMA, data shows there was a major disaster every four days in 2024


National Poverty In America Awareness Month: January 2025


Food Prices are on the rise again. What’s behind theincrease


Trump’s early immigration enforcement record, by the numbers


Poll: Voters like the idea of DOGE, but Elon Musk and hisearly results raise red flags

 

Voters frustrated with Elon Musk ‘s DOGE cuts, new pollfinds


How the Trump Administration Could Leave Families Hungary: Potential Cuts to SNAP in 2025 and Beyond



Saturday, January 15, 2022

Big Pharma: A Monopoly in Need of a Cure

 In last week's article we discussed some of the monopolies which dominate the American economy, and by extension, Congress, the Judiciary, and the Presidency.  While powerful, especially the financial sector, perhaps none are currently more powerful than Big Pharma. Just how big and powerful?

While we get to that in just a moment, but consider this. 70% of all Americans are dependant in some way, be it medicine or medical equipment, on what Big Pharma says we need. For the majority of that 70%, what they receive is critical to their overall health and even their very survival.

So, just who is "Big Pharma" anyway? Names such as Bayer, Pfizer, Moderna, or Johnson and Johnson are household names we're familiar with, particularly thanks to the Covid pandemic. However, many others are simply unknown except through their products which are extensively marketed.

 Starting in reverse order with the tenth largest and most influential global pharmaceutical company (all revenue is from 2020) is Sonfi, the French manufacturer of Zantac, Plavix, and Ambien, reported just over $41 billion dollars in revenue. Next is Pfizer, whose revenue was about $42 billion. Bristol Myers Squibb racked up $42.5 billion dollars. GlaxoSmithKline was seventh with $43.5 billion dollars.

In sixth place was Janssen, which is part of Johnson and Johnson. Their revenue in 2020 was $45.5 billion dollars. AbbVie, the maker of Humira, made $45.8 billion dollars. Merck earned a under $48 billion. Novartis, a Swiss producer of drugs such as Ritalin, earned its shareholders $48.6 billion dollars. Second place belongs to Roche Pharmaceuticals (a division of the Roche Group), manufacturer of Valium, and also a Swiss company. It's revenue for 2020 was a staggering $49.5 billion dollars.

Finally, the top earner in 2020 was a state owned Chinese company named Sinopharm, whose revenue was $50.4 billion dollars. Sinopharm is headquartered in Beijing China. It's official name is the China National Pharmaceutical Group Corporation, a holding company for China National Pharmaceutical Corporation, China National Pharmaceutical Industry Corporation, the China National Pharmaceutical  Foreign Trade Corporation, and the China National Medical Device Corporation.

 In 2009, Sinopharm merged with China National Biotec Group. You may be more familiar with their subsidiary---the Wuhan Institute of Biological Products. Sinopharm is known for R&D and the production vaccines, included the widely distributed BIBP vaccine which is being used in the treatment of Covid-19. Other leading companies which didn't make it into the top ten included AstraZeneca (12th), Eli Lilly (14th), Bayer (16th), or Novo Nordisk (17th).

As an aside, Moderna is a pharmaceutical and biotechnology company focusing on RNA therapeutics and vaccines dealing with the immune system. It's only commercial product to date is the Moderna Covid 19 vaccine.

In the U.S., the deepest pockets belong to six companies, Eli Lilly with a market value of $98 billion, GlaxoSmithKline with $103 billion, Merck has a market value of $164 billion, Pfizer $212 billion dollars, Novartis at $273 billion, and Johnson and Johnson with a market value of $274 billion. 

It's worth noting the Big Pharma doesn't spend the majority of its substantial profits on developing on medication or devices. In fact, marketing receives 19 times more funding than development, all to provide you, the customer, with that nice warm and fuzzy feeling you get watching one of those homey  "one of us" commercials on TV, radio, in print, or social media because they care.

Going further, the top 14 U.S. pharmaceutical companies spent a combine $31 million dollars just on lobbying Congress in the first quarter of 2021. Pfizer alone spent $3.7 million.  The trade association, Pharmaceutical Research and Manufacturing spent 8.6 million on Congress for that same quarter.

That doesn't include the millions they spend on wooing doctors, pharmacists, dentists, optometrists, hospitals, nursing homes or rehab centers, nor does it include money spent on medical associations, professional medical unions, colleges, seminars, or trade shows hawking their latest wonder drug or medical devise. After all, where did you think all those "samples" or other medical items (include anatomical displays and posters) you see at the doctor's office come from? 

Lastly, they spend millions yearly cultivating what they call "thought leaders" in the medical and pharmaceutical field. Thought leaders are individuals who widely respected locally, regionally and nationally that are used to promote various drugs or devises to other professionals in the medical industry. This is often the reason physicians recommend one pill or product over another. These "thought leaders" are usually very well compensated for their endorsement with trips to fancy getaways for "seminars" (all expenses paid), honorariums, and other very nice perks.

In 2020, 2/3 of Congress cashed a check from Big Pharma. The majority of money, 7.1 million, went to Republicans while Democrats received 6.6 million, but that's still just part of the story. Big Pharma spent $263 million dollars in 2021 lobbying Congress. Every member of Congress had a minimum of three lobbyists from Big Pharma knocking on their door. What were they trying to buy?

Big Pharma abhors the idea of the Federal Government passing legislation capping prescription prices (and who can blame them with a captive market of 70%?). They equally hate the notion of allowing individuals to shop around for their prescriptions in places like Canada or Mexico (where they often cite a lack of quality or oversight) and elsewhere.

The truth of the matter is that the quality of these drugs, if bought from reputable companies, are the same or better than here in the U.S.. The main difference is that the price of drugs are four times more expensive in the U.S. as they are elsewhere, and that's just the way Big Pharma likes it.

Lobbyists for Big Pharma don't always focus on every legislator. Often, they'll concentrate on key committee members who have the clout to either push through a piece of legislation (which they wrote), or just as importantly, has the ability to keep other pieces of legislation they oppose tied up in committee. This is thanks to Congress's rigid hierarchy, but also to the extensive and always up-to-date research they compile of not just every legislator, but also their key staffers.  They often know beforehand who they can count on and who they can't.

The top influence buyers are Starkey Hearing Technologies, which gave around $564,000 to members of Congress; the majority of which went to Republicans. However, Masimo Corporation (maker of medical devises) gave all of its $533,714 to Democrats. Pfizer split its $487,000 equally between the two parties. RAAS Nutritionals gave all its $400,000 to Democrats.

Other donors included Abbotts Labs which donated slightly more of its $284,000 to the GOP. Johnson and Johnson did just the opposite with its $275,000. Eli Lilly gave most of its $214,000 to Democrats too, as did the remaining top 20 donors.

The top Big Pharma lobbyist for 2021 was the trade association, Pharmaceutical Research and Manufacturers, Inc which gave $22,903.000 (mainly to Democrats), dwarfing the other four leading lobbying organizations, whose donations hovered between $7 and 9 million each.

Big Pharma has fought to keep the conversion of name brand drugs (like Bystolic, which is used for controlling difficult to maintain blood pressure) from becoming generic because that would substantially lower prices and effectively remove that drug from their inventory, which affects their bottom line.

Therefore, pharmaceutical companies make minor changes in their drug patients (in what's called "evergreening") to extend their control over various drugs and keep prices artificially high. "Evergreening" is something some member of Congress would like to see, but not so Big Pharma.

Speaking of generics, it's worth noting the very little new drugs are actually developed in-house by some of the major drug makers. Using a 2017 annual report, STAT, which analyses the biomedical, pharmaceutical, and medical industry, looked at 62 new products belonging to Pfizer and Johnson and Johnson (44 for Pfizer and 18 for J&J).  Out of the 44 new products, only 10 were developed by Pfizer and two of Johnson and Johnson's 18. 

In looking at the drug market in general, 81% of all new developments came from outside sources. Typically one of the big pharmaceutical companies will acquire the rights to the new drug and sit on it without ever developing it for the market or, alternatively, will "lease" out the patent for research purposes.

At this point you are probably wondering who is suppose to keep Big Pharma in check. Well, the answer is (at least theoretically) the Food and Drug Administration (FDA). But all is not as it seems. The role of the FDA is to monitor the pharmaceutical and medical industry while verifying its claims, help regulate prices, and approving any new drugs brought to the public market. Additionally, the FDA is partially funded by this same industry through user and other fees.

However, with decades of cutbacks in funding, the FDA has now come to rely on those it regulates for its operational budget. Big Pharma provides 75% of the FDA's funding of its drug review budget. In effect, since the drug and other companies control the purse strings, the FDA has become all but impotent.

Should the FDA attempt to push back or exert to much control, all the drug companies has to do is reduce, delay, or stop introducing anything which generates a fee in order to have an impact.  As a result, in December of 2021, the House Committee on Oversight and Reform released a very revealing report about the clout of Big Pharma and its influence over the FDA.

For instance, the prices of the top leading 12 drugs used by Medicare recipients increased 250% simply by using various market strategies to avoid conversions to generics to minimize competition as well as "hiding" real profits and extending their monopoly over these drugs by decades. Furthermore, these same 12 drugs are now priced at over 500 times what they were when they were first introduced to the market.   

The same report also discovered that the top 14 drug companies spent $577 billion dollars on stock buybacks and dividends over the last previous five years, which was $56 billion more than was spent on research and development. These same 14 companies also received millions in taxpayer based grants and subsidies designed for the development of new drugs, not to mention huge tax breaks.  

So, what does this mean for you and me? It means simply that the medical industry, like any other industry, is largely confined to a few very wealthy and influential corporations whose first loyalty is its officers and shareholders. It also means that the care of the patient is often secondary to the profit made from some pill or device. A cured patient is a lost customer. Lower prices are lost profits.

Big Pharma will continue to peddle its influence in the halls of Washington, and closer to home in state legislatures while it has a pill for every ill to sell to us, real or imagined. Professional medical associations are often motivated by the bottom line to move patients through like an assembly line.

The more patients seen the greater the billable hours and drugs or whatever else sold. Meanwhile insurance companies second guess doctors in order to minimize costs, overriding recommendations even to the point of harm to the patient.

Western medicine, unlike in the East, is focused mainly on the treatment of symptoms and outcomes, whereas in Eastern medicine the focus is on prevention first. Medical professionals in the West tend to ignore natural or homeopathic cures, which may take a little longer, has fewer (if any) side effects, preferring what some call "controlled poisons" whose potential side effects can be worse than the illness.  Sadly, we can say the same about Big Pharma, whose profit over patient side effects are killing America.  The ancients saw healing as a gift from the gods. Today it's big business and profit.

If you want to know more, please take a look at the links below. If you enjoyed the article, please consider passing along to others and don't forget to subscribe. It's free! Lastly please be sure to "like" us on Facebook or whatever platform you use to read A/O. It helps with the algorithms and keeps our articles in circulation.

 

Pharma 50: The 50 largest pharmaceutical companies in theworld


STAT: Do large pharma companies provide drug developmentinnovation? Our analysis says no


Pharma campaign Cash Delivered with Surgical Precision


The Biopharmaceutical Industry Provides 75% Of The FDA's Drug Review Budget


OpenSecrets: Pharmaceutical and Medical Products