Skip to main content

Why are the billionaires always laughing?

Because they know the corporate media will never call bullshit on their bullshit.

Why are the billionaires laughing?

It’s easy to laugh when the corporate press treats you as a glorious success instead of the epitome of a broken social order. Billionaires laugh because they know the corporate media prefers to fawn over them rather than hold them to account.

Today, we ask you to support our nonprofit, independent journalism because we are not impressed by billionaires flying into space, their corporations despoiling our health and planet, or their vast fortunes safely concealed in tax havens across the globe. We are not laughing.

We are hard at work producing journalism for the common good. With our Fall Campaign underway, please support this mission today. We cannot do it without you.

Support Our Work -- Join the small group of generous readers who donate, keeping Common Dreams free for millions of people each year. Every donation—large or small—helps us bring you the news that matters.

FDA chief speaks at a congressional hearing

Dr. Janet Woodcock, acting commissioner of the Food and Drug Administration, prepares to testify during a Senate Appropriations Subcommittee hearing on June 10, 2021.(Photo: Bill Clark/CQ-Roll Call, Inc. via Getty Images)

Watchdog Demands FDA Chief Resign Over 'Reckless' Approval of Biogen Alzheimer's Drug

"This is legitimately one of the most irresponsible and egregious decisions in the history of the FDA. It needs to be a nationwide scandal."

Jake Johnson

A leading consumer advocacy group on Wednesday demanded the immediate resignation or removal of the acting head of the Food and Drug Administration as well as other U.S. government officials involved in the recent approval of Biogen's aducanumab, a purported Alzheimer's treatment whose effectiveness has been widely questioned by independent experts.

"This decision is a disastrous blow to the agency's credibility, public health, and the financial sustainability of the Medicare program."
Dr. Michael Carome, Public Citizen

In a letter (pdf) to Health and Human Services Secretary Xavier Becerra, Public Citizen wrote that the FDA's decision to greenlight aducanumabwhich will be priced at a staggering $56,000 a year"ranks as one of the most irresponsible and egregious decisions in the history of the agency."

"The primary beneficiaries of the agency's action are Biogen and its shareholders, who undoubtedly are ecstatic about their soon-to-be-reaped windfall profits from sales of the company's exorbitantly priced but ineffective drug," reads the letter, authored by Public Citizen Health Research Group director Dr. Michael Carome. "The damage caused by the FDA's reckless approval of aducanumab to the agency's credibility as a science-based regulatory agency and to public health—and potentially to the financial sustainability of the Medicare program—cannot be overstated."

The FDA, currently led by Acting Commissioner Janet Woodcock, approved aducanumab last Monday despite the recommendation of the agency's independent advisory board, which refused to endorse the Alzheimer's treatment last year due to the lack of sufficient evidence demonstrating its effectiveness in slowing cognitive decline.

As Common Dreams reported last week, at least three members of the advisory panel have resigned in protest over the FDA's decision.

Dr. Aaron Kesselheim, a professor at Harvard Medical School, wrote in his resignation letter that the approval of aducanumab—which will be marketed under the brand name Aduhelm—was "probably the worst drug approval decision in recent U.S. history."

"At the last minute, the agency switched its review to the Accelerated Approval pathway based on the debatable premise that the drug's effect on brain amyloid was likely to help patients with Alzheimer's disease," Kesselheim added.

In its letter on Wednesday, Public Citizen suggested that "the unprecedented, inappropriately close collaboration between the FDA and Biogen in the analysis of data from the key clinical trials of the drug" influenced the agency's final decision.

The watchdog group first raised alarm about the FDA and Biogen's partnership last December, alleging in a statement that the government agency and the pharmaceutical giant "jointly relied on dubious analyses that over-emphasized the results of one phase 3 trial suggesting the drug may work at a high dose, but disregarded data from the other phase 3 trial showing no benefit of the drug at any dose."

In addition to raising concerns about effectiveness and safety of aducanumab for Alzheimer's patients, Public Citizen also warned Wednesday that the FDA's approval of the drug "threatens to bankrupt the Medicare program because of the drug's exorbitant price (not to mention the additional costs of serial MRI scans that will be needed to monitor for the drug's adverse effects on the brain)."

"Approving aducanumab despite the lack of evidence of effectiveness has raised false hope for millions of Alzheimer's disease patients and their families," Carome wrote.

Carome went on to urge Becerra to "take immediate action to mitigate the damage caused by the FDA's approval of aducanumab to the agency's credibility as a science-based regulatory agency and to public health."

Specifically, Carome called on Becerra to request the resignations of or, if necessary, seek to remove Woodcock, Center for Drug Evaluation and Research (CDER) Director Patrizia Cavazzoni, and CDER's Office of Neuroscience Director Billy Dunn, three officials responsible for aducanumab's approval.

"The sheer recklessness of the FDA's approval of aducanumab cannot be overstated," Carome said in a statement. "This decision is a disastrous blow to the agency's credibility, public health, and the financial sustainability of the Medicare program."

As law professors Nicholas Bagley and Rachel Sachs wrote for The Atlantic last week, the FDA's decision to approve aducanumab "could trigger hundreds of billions of dollars of new government spending, all without a vote in Congress or indeed any public debate over the drug's value."

Under current law, Medicare is prohibited from negotiating drug prices with manufacturers, meaning the federal government will pay Biogen's $56,000 annual per-patient price for the drug. Amid howls of outrage over the medication's price tag, Biogen CEO Michel Vounatsos insisted Monday that the cost is "fair" and promised not to raise it for four years.

Bagley and Sachs noted that "if even one-third of the estimated 6 million people with Alzheimer's in the United States receives the new treatment, [federal] healthcare spending could swell by $112 billion annually."

"To put that figure in perspective, in 2020, Medicare spent about $90 billion on prescription drugs for 46 million Americans through the Part D program, which covers prescription medication that you pick up at your local pharmacy," the pair wrote. "We could wind up spending more than that for Aduhelm alone."

Our work is licensed under Creative Commons (CC BY-NC-ND 3.0). Feel free to republish and share widely.

This is the world we live in. This is the world we cover.

Because of people like you, another world is possible. There are many battles to be won, but we will battle them together—all of us. Common Dreams is not your normal news site. We don't survive on clicks. We don't want advertising dollars. We want the world to be a better place. But we can't do it alone. It doesn't work that way. We need you. If you can help today—because every gift of every size matters—please do. Without Your Support We Simply Don't Exist.

Profits Before People: 'The Facebook Papers' Expose Tech Giant Greed

"This industry is rotten at its core," said one critic, "and the clearest proof of that is what it's doing to our children."

Jon Queally ·

New York Taxi Workers Stage Hunger Strike to Demand Medallion Debt Relief

"They are an essential industry here in New York City," said Rep. Alexandria Ocasio-Cortez, "and we need to make sure we're doing right by them."

Julia Conley ·

'It's Not Coming Out': Bernie Sanders Stands Firm on Medicare Expansion

"It's what the American people want and, after waiting over 50 years, what they are going to get."

Julia Conley ·

'When We Organize, We Win': Ocasio-Cortez Joins India Walton at Rally in Buffalo

The two progressives joined striking hospital workers on the picket line at Mercy Hospital after the early voting rally.

Julia Conley ·

Fatal Film Set Shooting Followed Outcry by Union Crew Members Over Safety Protocols

"When union members walk off a set about safety concerns, maybe 'hiring scabs' isn’t the solution you think it is."

Julia Conley ·

Support our work.

We are independent, non-profit, advertising-free and 100% reader supported.

Subscribe to our newsletter.

Quality journalism. Progressive values.
Direct to your inbox.

Subscribe to our Newsletter.

Common Dreams, Inc. Founded 1997. Registered 501(c3) Non-Profit | Privacy Policy
Common Dreams Logo