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The overwhelming majority of patients' groups opposing a Medicare Part B proposal to reduce drug expenditures got funding from the pharmaceutical industry, according to a new Public Citizen report.
The report, "Patients' Groups and Big Pharma," examined industry funding for 147 patients' groups publicly opposing the Medicare Part B proposal, documenting disclosures of funding and sponsorships from the drug and medical device industry to 110 of those groups (75 percent of the total).
The patients' groups voiced their opposition to the Medicare Part B reforms by signing either a letter to congressional leadership (organized by the Community Oncology Alliance) or a letter to the Centers for Medicare and Medicaid Services (organized by the Partnership to Improve Patient Care). An additional 241 groups, mostly associated with doctors or the pharmaceutical industry - both of which have a financial incentive for opposing the reforms - also signed letters.
Because the report's findings are based on voluntary disclosures that patients' groups and pharmaceutical companies provide, they likely underrepresent the proportion of patients' groups receiving pharmaceutical industry sponsorship. Total amounts of how much the groups receive from the industry are mostly unknown.
The Medicare Part B demonstration project, which Public Citizen supports along with numerous allied consumer and health groups, aims to remove incentives for needlessly prescribing high-priced medicines when equally effective and affordable alternatives are available.
Currently, physicians who administer a drug will be reimbursed for the average sales price plus six percent. The demonstration would test changing the reimbursement to the average sales price plus 2.5 percent and a flat dollar amount.
These findings come on the heels of a recent Public Citizen report revealing that members of the U.S. House of Representatives who oppose the reform received 82 percent more in campaign contributions from pharma than members who are not opposed.
"While it is certainly not the case that every patient group that takes industry money is a Big Pharma puppet, the fact that three-quarters of the patients' groups opposing these reforms receive industry money should make policymakers skeptical of these groups' independence," said Rick Claypool, a Public Citizen research director and author of the report.
"Today, we pay doctors more when they prescribe higher-priced medicines - and so they do, even when there are affordable equivalents," added Peter Maybarduk, director of Public Citizen's Access to Medicines program. "As a result, Americans pay more for health care. We struggle to pay medical bills and resort to dangerous pill-splitting, or even forego our treatments. The Medicare pilot program is an obvious, sensible reform to save money and thereby improve care. It is reasonable to ask whether pharma funding influences the position that some groups have taken."
Public Citizen is a nonprofit consumer advocacy organization that champions the public interest in the halls of power. We defend democracy, resist corporate power and work to ensure that government works for the people - not for big corporations. Founded in 1971, we now have 500,000 members and supporters throughout the country.(202) 588-1000
"Instead of trying to divide the country and undercut our legal system, congressional Republicans should respect the outcome of the special counsel's comprehensive investigation."
Democratic Rep. Jamie Raskin on Thursday warned his Republican colleagues against attempting to delegitimize the special counsel investigation that led to a federal indictment against President Donald Trump after many GOP lawmakers did just that, rallying around the former president and echoing his condemnation of the probe as a "witch hunt."
"Instead of trying to divide the country and undercut our legal system, congressional Republicans should respect the outcome of the special counsel's comprehensive investigation and the decisions of the citizens serving on the grand jury," said Raskin (D-Md.), the top Democrat on the House Oversight Committee.
"Dangerous rhetoric about a 'two-tiered system of justice'—discriminating against the rich no less—in order to prop up the twice-impeached former president not only undermines the Department of Justice but betrays the essential principle of justice that no one is above the commands of law, not even a former president or a self-proclaimed billionaire."
A number of prominent Republicans, including House Judiciary Committee Chair Jim Jordan (R-Ohio) and Rep. Matt Gaetz (R-Fla.), erupted in response to news of the indictment in the classified documents case, which makes Trump the first ex-president to face federal charges. Trump is widely seen as the frontrunner for the 2024 Republican presidential nomination.
Gaetz took to Twitter to decry the indictment as "an attempt to distract the American public" from "millions of dollars in bribes" that the Biden family, including the president himself and his son Hunter, has supposedly taken from "foreign nationals"—a claim that House Republicans have been pursuing for months without anything to show for it.
"This scheme won't succeed," Gaetz wrote late Thursday. "President Donald Trump will be back in the White House and Joe Biden will be Hunter's cellmate."
Jordan, who is currently seeking unredacted documents related to Special Counsel Jack Smith's investigation of Trump, said after news of the indictment broke that "it's a sad day for America."
"God bless President Trump," added Jordan, who was recently sued by the Manhattan district attorney for interfering in a separate investigation that produced a 34-count felony indictment against the former president.
Other Republicans, including Trump's 2024 rival Ron DeSantis, offered similarly outraged reactions to the classified documents indictment before even seeing it, alleging "weaponization" of the Justice Department against Trump and claiming the former president is the victim of a "two-tiered system of justice."
House Speaker Kevin McCarthy (R-Calif.), for his part, signaled that the congressional GOP will attempt to retaliate.
"House Republicans will hold this brazen weaponization of power accountable," McCarthy tweeted.
As The New York Timesnoted Thursday, "members of Congress have no power to stop criminal charges, but they can attempt to interfere with prosecutors through their legislative powers, such as issuing subpoenas, demanding witness interviews or documents, restricting Justice Department funding and using the platform of their offices to attempt to publicly influence the case."
Trump is reportedly facing seven total counts in the classified documents case, including willful retention of national defense secrets, obstruction of justice, and conspiracy—charges that could carry years in prison.
The former president said he's been instructed to appear in court in Miami on Tuesday. ABC Newsreported that the federal indictment against Trump "is expected to be a 'speaking indictment' that will lay out chapter and verse the government's case to the public."
While the front-runner for the 2024 GOP nomination faces various legal issues, it is the first time a former U.S. president has faced federal charges.
Former President Donald Trump said Thursday night that he has been indicted in the special counsel investigation into his handling of classified documents, a development that sources familiar with the matter also confirmed to multiple media outlets.
While the Manhattan district attorney in April charged Trump with 34 felony counts involving alleged multiple hush money payments during the 2016 election cycle, the latest indictment marks the first time an ex-president has faced federal charges. Both CNN and The New York Times reported that he faces seven new criminal counts.
According toABC News, the charges "include willful retention of national defense information, conspiracy to obstruct justice, withholding a document or record, corruptly concealing a document or record, concealing a document in a federal investigation, scheme to conceal, and false statements and representations."
"Today is a historic day for accountability and upholding the principles upon which our democracy was founded. No one is above the law—not even an ex-president," said Lisa Gilbert, executive vice president for Public Citizen, in response to the news. "This fact should unite us, not divide us."
"The Justice Department has found what numerous legal scholars have found: sufficient evidence that Trump committed a federal crime in the handling of classified documents since he left office," added Gilbert. "Even Trump's own attorney general, Bill Barr, told CBS News that 'This would have gone nowhere had the president just returned the documents, but he jerked them around for a year and a half… There is no excuse for what he did here.'"
"What's left is for the courts to decide," she said, "as they would in any criminal case."
Trump, the front-runner for the 2024 Republican presidential nomination, announced the indictment in a series of posts on his Truth Social platform. After taking aim at President Joe Biden, who beat him in 2020 and is seeking reelection, Trump said that he has been summoned to appear at the federal courthouse in Miami on Tuesday afternoon.
The ex-president proclaimed his innocence and declared that "this is indeed a DARK DAY for the United States of America." He posted a four-minute video about what he called "A CONTINUATION OF THE GREATEST WITCH HUNT OF ALL TIME" and is already fundraising off of the development, urging supporters to "prove that YOU will NEVER surrender our country to the radical Left."
After Trump announced his 2024 campaign in November, U.S. Attorney General Merrick Garland appointed Jack Smith, a longtime federal prosecutor, as special counsel to oversee probes into the twice-impeached former president's role in the January 6, 2021 attack on the U.S. Capitol and his handling of classified documents.
Smith's appointment came after the Federal Bureau of Investigation executed a search warrant at Mar-a-Lago, Trump's Florida residence, last August. Later that month, the U.S. Department of Justice released a redacted affidavit which explained what prompted the raid, during which agents retrieved several boxes of materials.
Ahead of Trump's announcement Thursday, David Rothkopf argued in a piece for the Daily Beast that "my brothers and sisters in the media and the D.C. commentariat need to stop referring to the former president's theft of classified documents vital to our national security as merely 'the documents case.'"
Based on evidence that has already been made public we know that Trump did not mistakenly shift a classified document or two from the White House to Mar-a-Lago. He was briefed repeatedly on the proper handling of classified materials. He has even acknowledged, on tape, that he understood how such sensitive, easily weaponizable documents should be treated.
But he ignored the law. He ignored the advice he was repeatedly given. And, based on reporting to date, he stole scores of items that were not his, to which he had no right, which could put the lives of Americans and our national interests and those of our allies at risk.
Linking to the article, Noah Bookbinder, head of the watchdog group Citizens for Responsibility and Ethics in Washington, tweeted: "This is important. Donald Trump is likely to be charged soon not for mishandling documents, but for endangering America's national security. How we talk about this matters, and that is a more accurate and appropriate description."
"Carbon capture and storage is a scam, and as these documents show, the call is coming from inside the house," said one campaigner.
As wildfires continued to cause air pollution problems across eastern North America on Thursday, The Narwhalrevealed it obtained documents showing that fossil fuel giant Suncor "provided input on the first draft" of the Canadian government's forthcoming Carbon Management Strategy and a company executive sat on an "obscure" advisory panel.
Highlighting the "important reporting" from The Narwhal's Carl Meyer, Torrance Coste—national campaign director at the Wilderness Committee, a Canadian nonprofit—tweeted that "carbon capture and storage is a scam, and as these documents show, the call is coming from inside the house."
Meyer, an investigative reporter at the nonprofit Canadian media outlet, shared details from a February 2022 briefing note prepared for Natural Resources Canada Deputy Minister John Hannaford—whom Prime Minister Justin Trudeau has just named as clerk of the Privy Council and secretary to the Cabinet, a promotion set to take effect later this month.
The briefing note was developed for a meeting with Jacquie Moore—then Suncor's vice president of external relations and now its top lawyer—and lobbyist Daniel Goodwin that "served as Hannaford's introduction to some Suncor 'key initiatives,' including the company's membership in the 'Oilsands Pathways to Net Zero alliance,' the former name of the Pathways Alliance, which was then a fledgling organization in the oilpatch," Meyer reported.
"The alliance wants to soak up at least $10 billion in public funding to build a mammoth, unprecedented system that would capture carbon from oilsands operations in Alberta and pipe it to an underground reservoir in the province's east," the journalist noted.
\u201cSuncor recently announced it will be cutting 1500+ jobs to ensure profitability. There's no incentive for them to create a climate strategy that limits their own production. All this will likely mean is that our climate strategy will be weaker for their involvement.\u201d— Phillip Meintzer (he/him) (@Phillip Meintzer (he/him)) 1686247028
While serving as Suncor's vice president of regional development, Chris Grant was chosen to be on a "thought leaders' senior reference group" for the government plan—previously known as the Carbon Capture, Utilization, and Storage (CCUS) Strategy—according to the briefing note. Grant has since retired from the Calgary-based energy company.
Although Grant, Suncor, and the Pathways Alliance did not respond to requests for comment, Natural Resources Canada spokesperson Michael MacDonald told The Narwhal that "Suncor's input had no impact whatsoever on the timelines for the development of the strategy," the company was "one of nearly 1,500 organizations and individuals" who weighed in, and "input was solicited from all interested Canadians" online from July 2021 to November 2022.
MacDonald also said that members of the 13-person advisory board, including Grant, "were asked to bring their expertise and experiences to the table as individuals, not as representatives of their respective organizations."
The board included a University of Alberta professor, a clean energy consultant, a Shell Canada manager, the NRG COSIA Carbon XPrize executive director, CEOs of CarbonCure and Svante, president of Wolf Carbon, and vice presidents at BMO's Impact Investment Fund, Carbon Engineering, Cement Association of Canada, International CCS Knowledge Center, and Scotiabank.
"As the entire country burns, one has to wonder: should fossil fuel companies be weighing in on our national climate change policy?"
Meyer reported that the panel—convened by Drew Leyburne, Natural Resources Canada's assistant deputy minister for energy efficiency and technology—met three times between April and July 2021, then corresponded over email the following year. One member said they served as "a sounding board," providing "casual, nonbinding, nonconsensus advice."
The government spokesperson did not say when the plan will be released but said that "it was determined that a more holistic view of carbon management solutions was necessary in this space," given that CCUS "technology is not, on its own, a silver bullet to combat climate change," but it is "one component of an overarching strategy" that will also include nature-based solutions such as tree-planting and wetland restoration along with other technologies like direct air capture.
Some global campaigners and experts have long argued that CCUS is "a false solution" that has become "a dangerous distraction driven by the same big polluters who created the climate emergency," as Common Dreams has reported. Critics have also warned that industries promote "nature-based solutions" so they can "keep burning fossil fuels, mine more of the planet, and increase industrial meat and dairy production."
\u201cas the entire country burns, one has to wonder: should fossil fuel companies be weighing in on our national climate change policy? \n\nhttps://t.co/JCdTLKXxwb\u201d— Michelle Cyca (@Michelle Cyca) 1686235428
The reporting on the Canadian government's evolving carbon plan came as smoke from Canadian wildfires—intensified by global heating largely driven by fossil fuels—disrupted travel and outdoor activities across the U.S. East Coast as officials warned millions of people to stay indoors due to poor air quality.
Fatima Syed, Meyer's colleague at The Narwhal, tweeted that "this story is bonkers when you consider wildfires."
Emma McIntosh, another reporter at the outlet, similarly said that his "scoop feels like a bad joke when you read it under a layer of wildfire smoke: Suncor, a massive oil company, helped the federal government write its climate change strategy. Which is now a year late."