The industry's hand appears stronger now than at any other time in recent
years, a result of its large donations to political parties and candidates and
millions of dollars spent on television advertising by industry-financed groups.
The money was spent overwhelmingly on behalf of Republicans, who now control
both houses of Congress.
Executives of the major drug manufacturers met last week at the Westfield
International Conference Center, near Dulles International Airport in Northern
Virginia, to plan ways to turn that influence into legislative victories.
The executives included Robert Essner, president of Wyeth; Peter R. Dolan,
chairman of
Bristol-Myers Squibb; Sidney Taurel,
chairman of Eli Lilly; and Raymond V. Gilmartin, chairman of
Merck. They discussed specific ways to
leverage their investment in this year's elections to advance their agenda on
Capitol Hill, participants said.
The meeting was described by an industry lobbyist as a "strategic planning
retreat" and "deep philosophical conversations about our message for 2003." A
pervasive theme was how to block proposals that could erode profits by limiting
drug prices or making it easier for people to buy low-cost generic versions of
brand-name medicines.
Drug industry executives who attended the conference, put on by the
industry's main lobbying arm, the Pharmaceutical Research and Manufacturers of
America, said they were delighted with the election results, yet cautious and
apprehensive, given the pressure that Republicans as well as Democrats face from
voters demanding lower drug prices.
"Sure, we will have more access," one executive said. "Our hand is stronger
because of the election results, but who knows how much stronger it really is."
Already, industry executives have been encouraged by a recent move to insert
a provision in the domestic security bill limiting the legal liability of
vaccine manufacturers like Eli Lilly. On Tuesday, several senators from both
parties said Republican leaders had promised to alter the provision next year,
so it would apply only to vaccines made in the future.
But today, aides to Representative Tom DeLay, the incoming House majority
leader, said Mr. DeLay had agreed only to consider such proposals. Aides to
several Republican senators troubled by the provision said they were confident
that the deal would stand.
Senator Byron L. Dorgan, Democrat of North Dakota, a frequent drug company
critic, said: "With the election, they certainly have more friends in Congress.
They should be feeling their oats these days."
The pharmaceutical industry topped the Fortune 500 list of the most
profitable industries, providing investors with an 18.5 percent return on
revenues last year. But many drug companies report sagging profits in 2002.
The industry's No. 1 goal is to shape legislation that both parties advocate
to provide prescription benefits to the 40 million elderly and disabled people
in the Medicare program. What the industry fears most is price controls or any
federal effort to establish a list of preferred drugs that leaves out other
medications.
Democrats want to give the government a large role in managing Medicare drug
benefits, while Republicans would rely more on competing private health plans,
insurance companies and pharmaceutical benefits managers.
The industry is also fighting legislation that would speed the approval and
marketing of generic drugs. The Senate passed such a bill in July, with support
from 49 Democrats and 28 Republicans, but it died in the House.
So far, most Republicans have backed the brand-name drug industry in its
battle with generic drug makers. But brand-name drug makers worry that the
pressure to limit drug spending, and the cost of Medicare drug benefits, will
lead more Republicans to promote the use of generic drugs.
The industry's agenda also includes these items:
¶Drug companies adamantly oppose legislation making it easier for consumers,
pharmacists and wholesalers to import drugs from Canada, where prices are
usually lower. Such imports could endanger public health, they say.
¶Drug makers oppose Congressional efforts to limit or discourage drug
advertising on television and in newspapers and magazines. Drug makers say such
advertisements convey useful information, but critics say they contribute to
explosive growth in drug spending.
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¶Many pharmaceutical companies want to limit damages in lawsuits filed by
people who say they have been injured by the use of certain drugs. Many drug
makers have been named as defendants in class action suits.
Representative Rob Portman of Ohio, part of the House Republican leadership
team, said, "There is a consensus now in Washington, not just in the House but
in the Senate and at the White House, that we need to provide seniors with a
prescription drug benefit under Medicare."
On Oct. 21, President Bush proposed a regulation to get generic drugs to the
market faster. Mr. Portman said, "It's possible we could see legislation there
as well," to codify the president's proposal, or something like it.
Over all, the pharmaceutical and health products industry gave about $20
million this year to House and Senate campaigns and national political parties,
with three-fourths of the money going to Republican candidates and party
committees, according to the nonpartisan Center for Responsive Politics. Top
donors included Eli Lilly, Bristol-Myers Squibb,
Pfizer and
GlaxoSmithKline.
While those contributions put the industry among the largest donors, the
totals actually understate its influence in Washington. In the last six years,
according to Public Citizen, the group founded by Ralph Nader, the industry has
spent close to $500 million on lobbying, including 600 lobbyists that includes
about two dozen former members of Congress.
The industry has directed much of its largess to lawmakers who control the
fate of legislation affecting prescription drugs. The chairman of the Senate
Finance Committee, Max Baucus, Democrat of Montana, received $114,000 in
contributions from executives of drug companies and manufacturers of health care
products and from industry political action committees through Oct. 21,
according to the Center for Responsive Politics. The panel's senior Republican,
Senator Charles E. Grassley of Iowa, who is soon to be chairman, took in about
$100,000.
In the House, the chairman of the Energy and Commerce Committee,
Representative Billy Tauzin, Republican of Louisiana, received about $100,000.
Representative John D. Dingell of Michigan, the panel's senior Democrat,
received a similar amount.
Through Oct. 21, the largest recipient of direct contributions from the
pharmaceuticals and health products industry close to $200,000 was
Representative Nancy L. Johnson, the Connecticut Republican who is chairwoman of
the Ways and Means Subcommittee on Health.
Mrs. Johnson, who won re-election by defeating Representative Jim Maloney, a
Democrat, also benefited from almost $700,000 that United Seniors spent on
television advertisements in Hartford in the last two months of the campaign,
according to the Wisconsin Advertising Project of the University of Wisconsin in
Madison.
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"A foolish faith in authority is the worst enemy of truth."
-- Albert Einstein, letter to a friend, 1901
"I know of no safe depository of the ultimate powers of the society but the people themselves, and if we think them not enlightened enough to exercise control with a wholesome discretion, the remedy is not to take it from them, but to inform their discretion by education."
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