Speaker Nancy Pelosi has a prescription for high drug prices, but this is one case where the cure is worse than the disease.
Her plan would let the federal government set the prices that Medicare and private health plans pay for drugs. Which means that a marketplace now regulated by competition and consumer choice would be ruled by government price controls, and that would not be a positive change for patients, our country, or our future.
If Congress wants to tackle the issue of affordability, it should at least reform a system that currently enriches Pharmacy Benefit Managers (PBMs) at the expense of the patients Pelosi claims she wants to help.
PBMs and insurers currently pad their own bottom lines with rebates from drug manufacturers — some as high as 30 percent of the retail prices patients pay for their prescriptions. The Trump administration proposed earlier this year to help seniors on Medicare, and end this abuse, by making these middlemen pass-along the savings to patients.
PBMs and advocates funded by insurance interests pushed back on this idea, and you won’t find it in Pelosi’s bill. Her proposal does nothing to require PBMs and insurers to give up this cash cow and put these rebates in the pockets of patients who need them.
Instead, Pelosi focused on measures like price controls that threaten what’s working best about our system —namely, the innovations that improve the lives of patients and actually lower medical costs for the country overall.
We don’t have to guess what will happen if Pelosi’s plan passes. In countries where governments control drug prices, they also effectively control consumer options and access.
A recent Wall Street Journal editorial noted the effect that price controls have had on access to new treatments in other countries: In the U.S., 89 percent of new medicines introduced between 2011 and 2018 are available to consumers. Compare that to 62 percent in Germany, 60 percent in the U.K., 50 percent in Japan and 48 percent in France.
Granted, the difference between an older treatment and a newer treatment is sometimes a matter of degree. Anewer treatment, for instance, may not necessarily be more effective for everyone, but it may create fewer side effects. We understand that this is nosmall concern for patients experiencing bad side effects. Would you want to tell those patients to suck it up for the cause of saving money?
In some instances, the treatments that other countries have delayed offering their citizens are game-changers — like the immunotherapy treatment that saved former President Carter’s life after he was diagnosed with melanoma that had spread to his brain. Carter was lucky that the immunotherapy treatment was available in the U.S. at his time of need; in some countries, the same treatment wasn’t made available until many months later. People withadvanced cancer may not have months to wait on these kinds of groundbreaking treatments.
Under Pelosi’s plan, that’s what we can expect — restricted or delayed access to medical breakthroughs. The good news, by her way of thinking, is that the price will be right. The bad news is that, fora lot of people, it won’t matter.
Equally concerning is the impact on the future development of breakthrough treatments. History has consistently proven that government price controls will discourage innovation and investment in pharmaceutical research,to the detriment of patients and our economy.
Destroying jobs while driving-up costs
More than 4 million U.S. jobs are supported by the biopharmaceutical industry. In Alabama alone, the industry and its supply chain support 14,300 jobs and $4 billion in annual economic output. According to some estimates, Pelosi’s plan could cost Alabama 2,500 of those jobs and $720 million of that annual economic output.
And here’s the kicker: What Pelosi and others are proposing would not bring down the costs of healthcare in the U.S. In fact, it would do the opposite.
Despite what you hear in political talking points, prescription drugs account for just 10 – 15 percent of total healthcare spending in the U.S. The bulk of healthcare spending is on other things, like hospitalizations, procedures and doctor visits.
What politicians don’t like to acknowledge is that medications play a key role in keeping those other costs in check.
A 2017 report from the American Legislative Exchange Council, “Price-Fixing Prescription Drugs Will Cost Us in Cures,” cited national research on the positive financial impact of the Medicare Part D drug program. Among other things:
• Hospitalizations decreased 8 percent when patients had prescription drug coverage.
• Prescription drug coverage resulted in $4 trillion in cost savings, by lowering healthcare utilization over time.
So, the plan is to stifle an industry whose products not only help people, but drive down health costs? This makes no sense.
The proven solution
As the ALEC report concluded: “Free-market incentives for the discovery of more life-saving medications are what the U.S. needs to bring down the cost of both prescription drugs and the cost of healthcare over the long term.”
There are, of course, many valid concerns about health costs. The advent of the Affordable Care Act has driven up the costs of premiums and allowed insurers to shift more costs to patients. When real people talk about high drug costs, that’s what they’re usually talking about: the ever-higher copays and deductibles that are increasingly a reality affecting us all in the U.S. marketplace.
That’s a problem largely created by government mandates, and it’s worth solving. Pelosi should focus on solutions that truly help patients — such as reining-in PBMs’ abuse of the rebate system. Instead, Pelosi’s plan is fixated on government controls that will ultimately reduce competition, choice and life-saving innovation — and will cost us, in every sense of the word.
Opinion | State Sen. Will Barfoot should be highly commended
State Senator Will Barfoot should be highly commended, for sponsoring Senate Bill 105, in which military families, require school districts, operating magnet schools, to accept enrollment applications, for military children, where families have received transfer orders, to Alabama military installations.
Additionally, Sen. Barfoot (R) Pike Road is sponsoring Senate Bill 106, called the School Choice and Student Opportunity Act, formation of charter schools, on or near military installations, with focus on serving military dependents, authorized. Tenure for certificated teachers temporarily serving in charter schools are preserved.
Lt. Gov. Will Ainsworth, recently correctly stated that his goal is to “make Alabama the most military-friendly state, in the country.”
Over one year ago, former President and Commander of Air University, Lt. Gen. Anthony Cotton, advised the public, that 56 percent of students attending the Air War College, were not bringing their families; due to a poorly performing local school system, that was under intervention, and take over status. Mandatory, federal laws, state that adequate, and sufficient education must be provided, to kids of military families, by the Local Education Agency, which is, the Montgomery Public School System.
Gov. Kay Ivey drafted, an outstanding tentative education initiative package, of ideas, by reaching out to Lt. Gen. Cotton, to ask the families at Maxwell-Gunter Air Force Base, to provide their list of wanted items. The Governor’s directives to her staff, were very clear; provide the families at Maxwell-Gunter Air Force Base, with everything, they put, on their list.
The governor also ensured, former Secretary of Defense James Mattis, and former Chairman of the Joint Chiefs of Staff Gen. Joseph Dunford were notified. Emergency education funding was requested. Additionally, the acting Secretary of the Air Force Matthew Donovan, and the Chief of Staff Air Force Gen. David Goldfein were contacted.
Through Gov. Ivey reaching out to Lt. Gen. Cotton, the education committees were formed; with successful results. Currently, the military children at Maxwell-Gunter, are attending schools out of district, in counties such as Elmore, Autauga, and Pike Road City Schools, regardless if they live on base, or off base. Families living at the family camp; within recreational vehicles, may enroll their kids, in the on-base school. Faculty, professors and instructor kids, may enroll out of district.
It is critical that SB-105, and SB 106 pass, successfully, through the House and Senate. Additionally, Gov. Ivey, Lt. Gov Ainsworth and Sen. Barfoot, are exactly right; on their current direction, and their proper and correct road, being travelled, due to the following reasons.
Today, the Montgomery Public School system, is still under intervention, and this education system, is not moving forward. Other military bases in Alabama, are facing similar situations, in which the Local Education Agencies, are not providing, adequate and sufficient education, outside the military base gates.
The on-base Maxwell-Gunter Elementary and Middle School, and its principal Mr. Paul Hernandez, have been deemed, Top-Notch School, and Top Principal, over recent years according to the Department of Defense Education Activity Americas.
I taught at Maxwell-Gunter, for two years, and I never had to send, one student to the office. The Parent Teacher Association at Maxwell-Gunter, is the best on the planet. I thought the parents were teachers. They are in the schools, from sun up, to sun down, helping to mold, and shape our next generation of airmen, wingmen, astronauts, scientists, doctors and future Air Force Academy cadets.
Many military parents, in private, are very concerned, their kids have the options, and opportunities to attend the very best schools, not the worst schools. Parents do not want their kids in unsafe environments, nor in class rooms, where the students are cursing at the teachers daily.
Over the years our Air Force Secretaries, Colonels and Generals, have spoiled us, by providing, the best of everything. Education is taken very seriously, within our military services. Our Air Force, and our Space Force, can’t remain number one, throughout the world, without the best education, top training, most effective hardware, and fastest software systems.
At this juncture, the only adequate, safe and sufficient schools, that I see in Montgomery, are a few of the magnet schools, private schools, or home schooling. A new Military Magnet school on the military base, or near the base, would be awesome.
I would also highly suggest, that the appropriate standards, of the Military Magnet schools, be set at the same high standards, and the current top cultures, of the Department of Defense Education Activity for K-12. Due to their proven excellence in education, and their top-notch academic advancements. Many students at Maxwell-Gunter, are highly performing, and virtually mastering, robotics in grades, 6 through 8.
Therefore, we should commend, Gov. Ivey, Lt. Gov. Ainsworth, and Sen. Barfoot; and support them in their efforts, in making our state the most military friendly in the nation. Their initiatives, will provide, much needed assistance, not only for Maxwell-Gunter Air Force Base, but for all military installations in Alabama. Our ultimate goal is to attract military families to our Great State, and retain the current military families—not run them away.
This one, we must get right. Other states would Love to have our military families. Our state leaders are making sure, that we do everything, in our power to keep them. We can’t let other states, out work us, nor out hustle us, through their better education and training systems.
Just as a matter of information, in working with Gov. Ivey, in an unofficial capacity over the years. A lot of top Department of Defense officials, and top Air Force and Space Force leaders, along with local Air Force leadership, such as Lt. Gen. Cotton, and 42nd ABW Commander Col. Patrick Carley; have been very gracious, in supporting Maxwell-Gunter families, and our regional communities, to ensure that we continue to have the best education, and training systems.
Our top Department of Defense, civilian and military leaders; and our Secretary of the Air Force Barbara Barrett, Chief of Staff Air Force Gen. David Goldfein, and Chief of Space Operations Gen. Jay Raymond, have always, had our Six, and we have always, had their Six. There is absolutely, no doubt about that!
Glenn Henry is retired from the U.S. Air Force. He has been a high school teacher and university adjunct professor. He has earned numerous IT Cisco certifications. He is a Certified Professional Ethical Hacker. He lives in Montgomery with his wife Teresa.
Opinion | The workforce superhighway—stay clear of malfunction junction
As you merge onto the Workforce Superhighway in search of that dream career, don’t venture into dead ends or get lost at malfunction junction. Instead, look for signs directing you to AlabamaWorks!
There are several ways to enter the workforce superhighway and get on the right path. On-ramps include the Alabama Department of Labor’s Career Center System with offices placed strategically in 50 locations, or via one of Alabama’s Community Colleges that are conveniently located across the state. Many will enter the workforce highway via one of the seven regional workforce councils representing Alabama’s seven workforce regions. While others will enter through one of Alabama’s existing employers through work-based learning initiatives, such as the Alabama Office of Apprenticeship.
The great news is that there are thousands of job openings in all sectors of Alabama’s economy including aviation, forestry, chemical, automotive, bio-medical and information technology. Alabama companies are paying premium wages for employees with a positive attitude, good work ethic and the appropriate skill sets. AlabamaWorks! provides a roadmap to these great jobs and it’s just two clicks away. (www.alabamaworks.com)
Remember when career resource programs were siloed, loaded with government acronyms and frankly, not user friendly? In those days, to the unexperienced eye, all workforce roads led to nowhere. Even harder to understand were the state and federal programs which were designed to help, and yet always seemed to be just out of reach. It was as if one road led to another road, which led to another, and eventually people careened off the highway at malfunction junction.
To help untangle the malfunction junction, Gov. Kay Ivey announced her Success Plus plan mandating that Alabama’s workforce programs work together to help citizens find credentials of value that will lead to a self-sustaining career. The goal: 500,000 additional credentialed workers in the workforce by 2025. To succeed, workforce agencies are working towards becoming more user friendly, untying the complicated knots and cross-training staff on multiple programs. Therefore, when a citizen enters from any on-ramp on to the workforce highway, they will find that there are no detours or road blocks. Rather, they will find friendly and helpful workforce professionals ready to assist.
Credentials may be earned as a student completes their K-12 education, during college or as an apprentice. The credential may also be an occupational license or industry recognized certification needed as a job requirement, or to advance to the next level. There are thousands of potential credentials available, and they can be stacked, sequenced and aligned in a progression of increasing skill to assist Alabamians as they travel the workforce superhighway.
Now that you are successfully navigating the superhighway, how do you know what a credential of value is and if it is legitimate? Gov. Ivey has appointed a group of professionals though the Alabama Committee on Credentialing and Career Pathways (ACCCP) to make sure the credentials available in Alabama are truly of value. When you successfully attain your credential of value, then what? You want to make sure your credential is added to the Alabama College and Career Exploration Tool (ACCET) being created for you to market your workforce profile online where employers are looking for employees with credentials. The ACCET is a digital resume that helps you find employers and employers find you. The ACCET is currently under development and will be available in the fall of 2020.
The workforce superhighway has many intersections and AlabamaWorks! is the ever-evolving road map. This one-stop online workforce resource will turn malfunction junction into a distant memory. Happy motoring and stop by anytime, www.alabamaworks.com is open 24-7.
Ed Castile, Deputy Secretary of Commerce
Workforce Development Division, Director of AIDT
Opinion | The New Way Forward Act is an assault on our borders
A clear warning of how far to the extreme left the Democratic Party has moved is the recently introduced New Way Forward Act. This immigration bill would totally uproot the rule of law, provide amnesty for illegals here, and import dangerous criminals into the United States. By allowing foreign citizens who committed serious felonies to stay in our country, all Americans would be at risk. And by granting new rights to illegal aliens, the New Way Forward Act would prevent our immigration officials from detaining most illegal immigrants. Shockingly, over forty of my Democrat colleagues in the House have cosponsored this legislation.
We have long known that many on the far left have the goal of global open borders. They do not appreciate that to keep our country prosperous and strong we must have real, enforceable borders. Put another way, our country won’t be any different from the rest of the world if we eliminate our borders and let whoever wants here to enter.
Simply put, the New Way Forward Act aims to decriminalize illegal immigration altogether. It would turn us into a sanctuary nation where anyone who desires entry can come in almost unchallenged. It grants new rights to illegal border crossers that would effectively shut down our already overworked immigration courts. For example, those detained for illegally entering would be entitled to an initial custody hearing within 48 hours, and detainees would be entitled to a new bond hearing every 60 days. This is designed by the bill’s authors to be impossible!
The bill also includes provisions to block local law enforcement from performing immigration enforcement activities. Why would we not want our law enforcement to actually enforce our laws? Isn’t that what they are for? This explains a lot of what some of my more liberal colleagues in Washington think about law and order.
Perhaps most shockingly, the New Way Forward Act removes certain felonies from consideration when considering whether detainees should be allowed entry to our country. Why would we want to protect convicted felons from being deported? This legislation would roll out a welcome mat for them. The bill would even repeal laws that make illegal entry into the United States a crime. Can you imagine the chaos this would bring?
This bill has one goal – open borders. That’s why Acting Homeland Security Secretary Chad Wolf says this bill would “gut the rule of law” in the country.
I have been to our southern border. I’ve seen firsthand the challenges facing our border patrol agents. Without question, gutting our immigration laws would make their jobs tougher. It would erode American safety and incentivize illegal immigration. Yet Democrats overwhelmingly support sanctuary city laws that allow jurisdictions to refuse to enforce our immigration laws. These sanctuary jurisdictions go further by stonewalling federal officials seeking to enforce our immigration laws. But it gets even worse. States like California have passed laws to grant driver licenses to illegal immigrants. Shockingly, these laws could even automatically register illegal immigrants granted driver licenses the right to vote in elections!
Last week I signed on as an original cosponsor of the Stop Greenlighting Driver Licenses for Illegal Immigrants Act. The premise of this bill is simple: if you are a sanctuary city blocking the enforcement of our federal immigration laws, you should be blocked from receiving federal money. This bill would prevent states that issue driver licenses to illegal aliens from receiving important federal grants.
Unfortunately, common sense is something lacking in Washington. I’m proud to be able to serve you by bringing Alabama values to the swamp. I’ll continue working with President Trump to fight bills like the New Way Forward Act and to ensure our immigration policies serve and protect you, the American people.
Opinion | We cannot allow Alabama to fall behind our neighbors
As the Birmingham region enters a new decade, it is more important than ever in our increasingly connected world that Alabama’s largest city be equipped with modern wireless infrastructure that provides connectivity that powers opportunities for businesses and residents alike.
That is why the Birmingham Business Alliance (BBA) supports standardization of small cell deployment statewide – enhancing connectivity today as well as supporting 5G and technologies of the future.
Connectivity is a key issue in creating and sustaining a 21st century economy and workforce, connecting both urban and rural areas to enhanced broadband opportunities. Ongoing advancements in wireless broadband technologies are necessary to keep pace with consumer demand and are crucial to our state’s continued economic success. Without the ability to economically deploy the latest in wireless broadband infrastructure, we put at risk our ability to effectively compete in a digital economy.
The BBA has long supported increased access to broadband technology across the Birmingham region and the state of Alabama through our annual state and federal legislative agendas. Our support is reflected in our 2020 state legislative agenda, which lists this issue as a priority and specifically supports streamlining and standardizing the permitting process for small cell wireless equipment and services, allowing wireless companies limited access to public Rights of Way for the deployment of small cells and establishing permit fee limitations for localities.
We join with key community organizations like the Decatur-Morgan County Chamber of Commerce and the Mobile Area Chamber of Commerce in supporting statewide legislation that simply standardizes the permitting process for small cell wireless equipment and services, including broadband; allows entities providing wireless services, subject to existing applicable constitutional provisions, access to Rights of Way for the deployment of small cell equipment; and establishes permit fee guidelines for localities, allowing them to recover reasonable compensation while still encouraging broadband investment.
Small cell deployment is one way to ensure Birmingham and Alabama’s wireless infrastructure remains competitive, allowing both businesses and residents to thrive. More than half of U.S. states have already passed legislation that welcomes investment and removes barriers to deploying wireless infrastructure.
This new decade and the ones after it will require us to be connected to ensure the best for the Birmingham region’s businesses and its residents. Supporting small cell deployment is key as we look towards the future, continually making sure that, as the world becomes more and more connected, we in Birmingham and in Alabama do the same.
We encourage state legislators to support this effort so we as a region and as a state can stay competitive in an ever-changing world.
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