Archive for the ‘Healthcare’ Category.

Wal-mart to offer $4 generic drugs

Wal-mart announced today that it will begin a pilot program soon that will offer generic drugs to both the insured and uninsured for as little as $4 a month for a 30-day supply.

In doing so, it brings to bear its huge influence in the American economy and its legendary ability to wring cost and inefficiency out of its supply chain. While the chain says it will not pressure pharmaceutical companies (and that the lower cost comes solely from more efficient distribution), it wouldn’t surprise me if it does so if and when the program ends up being popular.

Additionally, competitors like CVS whose supply chains are not nearly so legendarily efficient will come under severe pressure to turn the screws on Big Pharma lest they start bleeding red ink.

It’s about time that American businesses step in where the federal government has so miserably failed, and start putting the reins on soaring healthcare costs. This will also be a much-needed reprieve for the millions of elderly and poor who must choose every month between food and their prescriptions.

HIV prevention pill shows promise

Researchers testing a promising new HIV prevention pill report early success, but caution that more studies are needed. The pill, which acts to block infection, lowered (but did not completely eliminate) the incidence of HIV transmission among test subjects as compared to a placebo group. More case studies are being planned around the world.

This is an obvious step forward, although the fact that the pill does not appear to block 100% of infections is still of concern. Nevertheless, anything that stops infections is a good thing, even while we strive to create a vaccine with 100% efficacy.

Democrats’ economic plan targets middle class

Finally, the Democrats are talking about what they will do if they come to power rather than what they won’t do. Sen. Clinton outlined the Democratic campaign agenda, called the American Dream Initiative, in a keynote speech for the Democratic Leadership Council. The key themes underlying the proposal are:

Every American should have the opportunity and responsibility to go to college and earn a degree, and to get the lifelong training they need.

Every worker should have the opportunity and responsibility to save for a secure retirement.

Every business should have the opportunity to grow and prosper in the strongest private economy on Earth, and the responsibility to equip workers with the same tools of success as management.

Every individual should have the opportunity and responsibility to start building wealth from day one, and the security and community that come from owning a home.

Every family should have the opportunity to afford health insurance for their children, and the responsibility to obtain it.

In order to expand opportunity for all Americans, we must demand a new ethic of responsibility from Washington: to put government’s priorities back in line with our values — and its books back in balance — by getting rid of wasteful corporate subsidies, unchecked bureaucracy, and narrow-interest loopholes; collecting taxes that are owed; clamping down on tens of billions of dollars in improper payments and no bid-contracts; and restoring commonsense budgeting principles like pay-as-you-go.

Proposals for obtaining these goals:

Education:

**Increase the number of college graduates by 1 million a year by 2015. Proposal includes $150 billion in block grants for states to ease sharply rising tuition costs, and will provide roughly $2000 per student.

**Simplify the tax code by consolidating various education tax breaks and credits into a single $3000 college tuition tax credit, which when combined with the state subsidy should make tuition nearly free at most typical four-year colleges.

**Make Pell grants available to part-time and adult education (25+ year old college) students.

Retirement

**Require every employer with more than 5 employees to provide a retirement plan (401k, etc.) that enrolls workers automatically, increases their contributions incrementally over time unless they opt out (many workers today don’t participate simply because they don’t know about the plan, or don’t know how to use it), and provides investment advice. Tax credits would be provided to employers to help them comply.

**Create a 50% match of up to $2000 per year match on retirement savings for working and middle-class families.

Economy/Jobs/Energy

**Create a smart energy policy that sets America on a road to eventual petroleum independence, which will further encourage the development of new jobs in blossoming industries like ethanol and wind power production.

**Create an energy fund that will provide research dollars to develop cutting edge energy efficient technologies, cellulosic ethanol (from plant waste), bio-diesel, plug-in hybrids and other high-mileage vehicles, etc. All of these areas are ripe for growth in the wake of high energy prices, and can create millions of new jobs and billions of dollars in exportable technology and industry.

Home Ownership

**Allow everyone who owns a home to claim the mortgage deduction even if they do not otherwise itemize deductions (as many working- and middle-class families do not).

**Create a $5000 down payment tax credit for families who need it.

**Increase FHA loan limit to 100% of an area’s median home price so that families in high-priced areas are not locked out of affordable FHA loans.

**Provide certain employers such as police, firefighters, teachers, etc. with a 50% tax credit for employee housing assistance programs, to better help these kinds of employees live in high-priced areas (an impossible feat for many of these essential workers in areas like New York and DC).

Healthcare

**Encourage the movement of records from paper to electronic form, with strict provisions in place to protect consumer privacy. This information-sharing would greatly increase efficiency and lower the cost of providing healthcare services.

**Allow small businesses to pool their workforces together to be able to negotiate for better and cheaper health insurance than individual small employers could obtain by themselves.

**Provide universal children’s health care by reauthorizing and increasing funds for the State Children’s Health Insurance Program, and by providing incentives to employers to cover the dependents of employees in their health plans.

**Promote healthier living (thus preventing expensive future health problems) by taking junk food out of schools, and by providing resources to community-based programs that encourage exercise, nutrition, healthy living, and the like.

**Create a National Center for Cures that targets and coordinates research dollars for finding cures to diseases like cancer, AIDS, and Alzheimer’s.

**Encourage further development of stem cell research.

**Strengthen Medicare by allowing the US Department of Health and Human Services to negotiate lower prices on behalf of Medicare beneficiaries.

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Overall it is a good and ambitious plan, and focuses on proposals in which both liberals and moderates in the Democratic Party can agree. My only “nitpick” is that I would like to see this plan condensed down to a few essential points that can be used in sound bytes and commercials over and over again to hammer the points home, just like the Republicans’ 1994 Contract with America. Democrats should also be prepared to provide greater detail as to how these provisions will be paid for at the same time that we attempt to return to “pay as you go” budgets.

Bush: I love diplomacy! The GOP has a plan for you!

President Bush had plenty to say today at a news conference in Chicago.

Negotiations with North Korea: “[I will not] get caught in the trap of sitting alone with North Korea at the table.”

Well, at least he’s learning from the last disaster where he “sat alone” with Iraq.

2006 election: “You win elections by believing something”…You win elections by having a plan to protect the American people from terrorist attack. You win elections by having a philosophy that has actually produced results — economic growth, for example — or kind of changing the school systems for the better, or providing prescription drug coverage for elders.”

Let’s set the record straight, please. While it’s true that strong economic growth was officially recorded by economists for the last quarter, you sure wouldn’t know it if you ask the average person on the street. Sky-high gas prices, higher food prices, cost of housing through the roof, health care cost doubling in the last five years, industrial commodities sharply higher, the list goes on. Unfortunately none or almost none of these items factor into economists’ reading of the consumer price index of inflation. I guess the CPI applies to someone who lives in a cave, but it doesn’t apply to the rest of us. So maybe we had strong economic growth for business, but it certainly hasn’t trickled down to the rest of us. We’re also borrowing from tomorrow’s growth to fund today’s growth with the massive federal and trade deficits the nation is running.

Changing the school system for the better? No Child Left Behind is almost universally panned by teachers for mandating unnecessary federal intrusion at the local level (what happened to being a small-government Republican?) at the same time that only small amounts of federal money are forthcoming to fund the mandates. Schools are subjected to arbitrary standards that may be impossible to meet based on the location, majority ethnicities, and wealth of the school district in question; yet those districts who fail to meet those arbitrary standards are threatened with a cut off of funds when they are likely to need the funds most. NCLB is NOT an improvement to the educational system.

Prescription drugs for elders? Please don’t insult our senior citizens. The tangled maze of bureaucracy presented by the drug program has made it extremely unpopular, especially when you compare the effort involved with the relatively small return. Many seniors who need the help have turned away from the program in favor of state programs and/or just going without prescriptions they need (trust me on this one, my parents are in that group.) On top of all that, a conservative Mr. Bush mandated the federal program without setting aside a dime to pay for it.

Yep, Mr. Bush likes to pretend to be a Democrat in implementing “Great Society” programs, but pays for them like a Republican. Spend and Borrow.

As for making the nation safer: I don’t feel safer yet after three years of this master plan in Iraq to keep us safe from attack. And…this announcement about a New York terrorist plot stopped in its early stages was really just a coincidence with the President making his “case” about national security–right? (In fairness, kudos to the FBI and the Department of Homeland Security for stopping this plot, but the timing of the announcement seems a little fishy.) By the way, where’s the outrage for the Daily News reporting prematurely on an ongoing investigation?

Missile Defense vs. Korean Missiles: “”Yes, I think we had a reasonable chance of shooting it down. At least that’s what the military commanders told me.”

That sounds SO confident, Mr. Bush…especially when the entire world knows that we can’t shoot down anything worth a damn based on recent tests. It’s the perfect tone for this lame (duck) president and his GOP’s “plans.”