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Tag Archives: FDA

The image of the business model, personified in the “corporate citizen” which is fostered by the private sector and aided by their like-minded buddies in the courts, the media and the legislatures throughout our history, have masked over their significant disparities and flaws while demonizing government.  Have they succeeded in deluding the voter?

Who’ll be my role-model
Now that my role-model is
Gone Gone
He ducked back down the alley
With some roly-poly little bat-faced girl
All along along
There were incidents and accidents
There were hints and allegations – Paul Simon, You Can Call Me Al

Whenever I hear a would-be politician use business models as an acceptable way to run government I shudder at the prospect because I haven’t bought in to that false comparison and the alleged efficiency factor that businesses are more capable than their government counterparts.  I’m encouraged in this view by University of Denver political scientist Seth Masket who wrote on his blog:

Businesses exist to turn a profit. They provide goods and services to others only insofar as it is profitable to do so, and they will set prices in a way that ends up prohibiting a significant sector of the population from obtaining those goods and services. And that, of course, is fine, because they’re businesses. Governments, conversely, provide public goods and services — things that we have determined are people’s right to possess. This is inherently an unprofitable enterprise. Apple would not last long if it had to provide every American with an iPad.

I’m also always surprised to hear people tout the efficiency of the private sector. There’s a great deal of inefficiency in the private sector, of course. How many CEOs end up hiring dim, unqualified brothers-in-law or grandkids who are taking time off college? And that’s just not considered a big deal as long as it doesn’t noticeably hurt the bottom line.   SOURCE

Matt Yglesias also supports this thinking, noting that if governments were run like businesses then older workers would be laid off and health insurance benefits for workers and their families would be reduced or eliminated in order to more efficiently turn a profit for shareholders, unlike a state that “is fundamentally an ethical enterprise aimed at promoting human welfare.”   Though Yglesias’ comments refer to the expectations of our founding fathers, in today’s political environment the “ethical enterprise” notion associated with government may raise some eyebrows.

And for those who insist on equating federal and state budgets with household budgets, L.Randall Wray at the Roosevelt Institute will debunk that notion for you.

But there is another reason we need to be concerned about politicians like Mitt Romney who want to run government like a business.  The reason, recently illustrated in an article by data scientist Cathy O’Neil, is that they have no soul and no heart.  In her article entitled How Big Pharma Cooks Data –The Case of Vioxx and Heart Disease we see the type of profit motive-thinking of CEOs and their top executives that literally put more energy into making money for investors than seriously benefitting the public they claim to serve.

You can read the details in Ms. O’Neil’s account for yourself, and I encourage you to do so, but the bottom line here is that deceptive practices and out-right lies were perpetrated at Merck to conceal the flaws with Vioxx, a big seller for the company, in order to boost their bottom line to the fatal detriment of many of Merck’s customers.

Vioxx was a non-steroidal, anti-inflammatory drug aimed at alleviating acute or chronic conditions where pain and inflammation are present from such things as rheumatoid arthritis, Osteoarthritis and metastatic bone pain, to name just a few.  Though there are over-the-counter medications like Aleve, Ibuprofin and even aspirin that work equally well (and are much lower in costs), Vioxx was not supposed to have the unfortunate side effects of gastro-intestinal problems that the over-the-counter aids were diagnosed to have.

What it turns out that Vioxx did contribute to however were cardiac, vascular and thoracic events (CVT) that led to death for many users.  Merck, who rushed their product through the clinical trials required by the FDA in record time, was aware before it went on the market that there were problems associated with CVT issues but went out of their way to conceal this.  O’Neil also addresses the FDA’s failure to adequately oversee the process that allowed Vioxx to enter and stay on the market for 5 years.

In a practice familiar to many Americans who saw the Ford Pinto back in the 1960‘s and 70‘s use a cost benefit/analysis method to determine it was cheaper to keep their flawed design than it was to pay out lawsuit awards to the families of victims who were killed by this design flaw, Merck apparently took the same approach and weighed profits over punitive fees.  O’Neil’s article points out that even though Merck lost “one of the largest [lawsuits] resulting in a $5 billion settlement … [it] was essentially a victory for Merck, considering they made a profit of $10 billion on the drug while it was being sold.”

It is this kind of practice that gives corporations its bad reputation.  It is also this kind of practice that gives greater credence for some kind of oversight by state and federal governments to protect a naive, trusting public.  However, it must be an oversight that is not run by crony capitalists in government who are later hired by the industries they regulated and where many later re-enter government to once again effect policy and legislation that is beneficial to their former employers.  This is what is known as Washington’s K Street revolving door. 

I believe free markets are basically a sound approach to addressing our economic needs.  But like any system in the wrong hands there are actions that can be taken merely for the sake of personal gain while having serious consequences for innocent people.  It’s the nature of the business beast as political scientist Masket points out since “businesses exist to turn a profit.”

Let’s hope that enough voters get wise to the specious arguments made by politicians who demonize government while ignoring the deadly flaws in business practices and their government connections that seem to becoming more the rule than the exception.

“Aristotle would say America no longer serves the public good, its government being held hostage by an oligarchy on the verge of becoming a tyranny, by far the worst form of organization or constitution or government.”  - Evaggelos Vallianatos, from his essay, Delusions of the Corporate State

RELATED ARTICLE:

Everything You Need to Know About Wall Street, in One Brief Tale (Matt Taibbi, Common Dreams blog)

Is Modern Capitalism Sustainable?


One of the things that Republicans seem to be good at these days are creating negative images from terms that elicit negative responses from susceptible people.  The goal here has been to distort reality and get people to vote against their own self-interests.  

 

One of the more successful wordsmiths who ply this trade is conservative consultant Frank Luntz.  According to observor, Luntz “is a paid operative of the GOP … [that] conducts focus groups and polls voters to gauge their reaction to carefully scripted, GOP friendly talking points. … The problem with these propagandistic talking points … is that where objective facts are inconsistent with the prescribed talking point, the facts are ignored”.   Luntz is known to have famously coined the term “death tax” to substitute when discussing the estate tax; a tax that only affects the top wealthy tier in this country but is conveyed by the right as a tax on all of our children when we die.

Another popular term that gets bandied about frequently by so-called “small government” types as in this recent post by conservative columnist, Thomas Sowell is the “nanny state” – those government efforts to inform the American people of habits and products that are detrimental to their general welfare.  In his column, Sowell goes after those who attribute poor eating habits of the poor, obesity and the serious and costly medical issues this condition manifests.

The political left has turned obesity among low-income individuals into an argument that low-income people cannot afford nutritious food, and so have to resort to burgers and fries, pizzas and the like, which are more fattening and less healthful.

Burgers, pizzas and the like cost more than food that you can buy at a store and cook yourself. If you can afford junk food, you can certainly afford healthier food.



I would challenge his presumption that you can find certified organic, grass-fed beef or pork or free-range chicken that hadn’t been raised with antibiotics injected into them at crowded, unsanitary animal factories as cheap as what takes up most space at supermarkets.  I would like to know what market he found this at so I could save some money myself; provided there were enough of them within a short driving distance to prevent high fuel bills.  Of course demand would be a big factor in bringing healthy organic food prices down but we need to create a “joy” in cooking to stimulate that kind of demand, something Sowelll finds issue with after reading Mark Bittman in an article in The New York Times on Sept. 25.

Mark Bittman showed that you can cook a meal for four at half the cost of a meal from a burger restaurant. So far, so good. But then Mr. Bittman says that the problem is “to get people to see cooking as a joy.”  For this, he says, “we need action both cultural and political.” In other words, the nanny state to the rescue!

Since when are adult human beings supposed to do only those things that are a joy? I don’t find any particular joy in putting on my shoes. But I do it rather than go barefoot. I don’t always find it a joy to drive a car, especially in bad weather, but I have to get from here to there.

An arrogant elite’s condescension toward the people — treating them as children who have to be jollied along — is one of the poisonous problems of our time. It is at the heart of the nanny state and the promotion of a debilitating dependency that wins votes for politicians while weakening a society

Yes, you will suffer the fires of hell for doing the wrong things but who am I to suggest something that conflicts with your self determination?

Is the Christian Church a nanny state?

So, from this we are to assume that “nannyism” has only adverse affects that promote a “debilitating dependency” while “weakening” members of society.  I wonder what people like C.S. Lewis, Theodore Roosevelt, Liz Cheney, and yes, even Michele Bachman would have to say about this?

When C.S. Lewis was a child he lived in Belfast, Northern Ireland, and had an Irish nanny named Lizzie Endicott who told him wonderful bedtime stories about giants and leprechauns. Lizzie and her stories probably inspired the nurse in Prince Caspian who told the prince tales about Old Narnia.

Dick Cheney’s daughter, Liz leaves her small children with a nanny, so she can work on her father’s memoir either at her house or at her parents.

Mame was the family nanny for Theodore & Edith Roosevelt.  Theodore D. Roosevelt, Jr., the President’s eldest son, was an American political and business leader and a Medal of Honor recipient who fought in both of the 20th century’s world wars

Kermit, the second child of T.R. and Edith, was awarded the Military Cross for service in WWII, Founder of the Roosevelt Steamship Company and the United States Lines and was noted for being a great writer, linguist, naturalist, and avid reader.

As a teenager in Anoka, Minn., Michele Bachman was a nanny for a young girl named Gretchen Carlson. Today, Carlson, a Stanford honors graduate who studied at Oxford, is a host of “Fox & Friends,” the morning show on the Fox News Channel.

Maria Von Trapp was a nanny before she married the Commander Georg Ludwig von Trapp and fled Austria with him and their kids when the Nazis invaded Austria.

Boston Beer Chairman Jim Koch uses nannies for his daughters, ages 8 and 10.

There are also those fictional nannies that don’t fit the negative stereo type portrayed by Mr. Sowell, like Mary Poppins and Nanny McPhee.  All of these characters, real or imagined, connote positive images in their role as nannies.  Yet the anti-government crowd on the right would have you believe that educating less-than-fully developed, uninformed people, encouraging good habits and punishing bad behavior are inherently evil.  It further presumes that individuals can always make sound decisions on their own without any influence from others or that poor judgements are never made by undue influence of people with an agenda or who are short of a full deck themselves.

The dark side of nanny Mary Poppins

One isn’t necessarily left with the impression that these characters coddle their charges to the point they cannot fully develop self-serving skills  In fact the goal of most nannies, unlike the beliefs of people like Milton Friedman, Ronald Reagan and Thomas Sowell, is not to replace parents but to nurture their young charges in ways that correct poor self-serving behaviors to ones that enable critical thinking and make the best available choices.  Education is essential to a healthy, productive society but somehow if that education is seen to be connected with the state, as Sowell does, then it only serves to undermine our health and prosperity.  How weird.

Is it “nannyism” that protects us from diseased food imported from abroad or salmonella from contaminated turkey or tainted peanut butter here within our own borders?   Could some of the deaths that resulted from such outbreaks have been prevented if federal agency budgets were not cut by the anti-government forces now dominating the U.S. House of Representatives, giving those agencies less man-power to monitor and hopefully prevent such outbreaks?

 

Some parents who hire nannies have done so because they have chosen to engage in productive activities that keeps them from fulfilling aspects of their role as a parent.  Sometimes that choice is one that we benefit from when public service is their choice that keeps them separated from their children for great periods of time.  Any nanny that totally spoils a child and fails to enhance strong characteristics does so at the risk of being terminated or has been asked to perform in a low, menial way by the parents themselves.

Would Sowell also argue that any behavior that suits our own taste, like having non-consentual sex with a minor, be ignored by the state?  One might argue that this is an apples to oranges comparison but then I would say that so is his comparison of putting on his shoes or driving a car to that of educating people about the need to cook their own food.  All acts may not be a joy but they can make life much more pleasant and rewarding, feelings that align with our personal self-interests (provided of course that some of those cars we are driving are hybrid or electric-powered).

Many of the efforts of the maligned “nanny state” that Sowell attacks are often nothing more than factual information that encourage voluntary reaction to them.  And in those cases where some are fined or even imprisoned for violating them to prevent further injury to ourselves and others, is this not the same action employed by the state now to prevent drunk driving and other traffic offenses like speeding?

I dare say though that those who don’t follow the helpful advice on eating better will not suffer any consequences from the state but could well shorten their own life from such “self-determination”.

 



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