AARP – Selling to you AND advocating for you at the same time

Am I just slow on the uptake? How can you simultaneously be an advocate for someone, and also sell them something very expensive and important? If at some point in time, these two tasks conflict, will AARP drop out of the healthcare industry to ensure that its role as advocate does not get compromised? I think not, the conflict of interest simply boggles the mind. How can you write a whole article about this issue and not have CONFLICT OF INTEREST flashing in big bold letters!!

For example, if it is proven that single payer, universal healthcare was the most effective way to ensure that people 50-64 (before they hit medicare, which used to work very much like single payer healthcare without drug coverage until a really complex and crazy drug insurance was written on top of it) were insured and healthy, how would this affect the AARP? They are now in the business of selling you the health insurance that would be rendered less necessary by said policy, what would the AARP do? Somehow, I don’t see them saying “Yeah, we’ll close our multimillion dollar profit making business because it is the right thing to do”.

This is ridiculous!

AARP Says It Will Become Major Medicare Insurer While Remaining a Consumer Lobby – New York Times

AARP, the lobby for older Americans, announced Monday that it would become a major participant in the nation’s health insurance market, offering a health maintenance organization to Medicare recipients and several other products to people 50 to 64 years old.

The products for people under 65 include a managed care plan, known as a preferred provider organization, and a high-deductible insurance policy that could be used with a health savings account.

When the new coverage becomes available next year, AARP will be the largest provider of private insurance to Medicare recipients. In addition to the new H.M.O., AARP will continue providing prescription drug coverage and policies to supplement Medicare, known as Medigap coverage.

William D. Novelli, the chief executive of AARP, said, “In launching these initiatives, we are driven by our mission to create a healthier America.”

The group also said it would use its leverage to reshape the health insurance market. The organization has 38 million members, and Mr. Novelli said it hoped to have 50 million by 2011.

The new Medicare product will be marketed with UnitedHealth Group. Policies for people under 65 will carry the AARP name and will be marketed with Aetna.

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  • Melamine – The FDA Says the Right Things

    But can it follow up?

    FDA limits Chinese food additive imports – USATODAY.com

    The Food and Drug Administration is enforcing a new import alert that greatly expands its curtailment of some food ingredients imported from China, authorizing border inspectors to detain ingredients used in everything from noodles to breakfast bars.

    The new restriction is likely to cause delays in the delivery of raw ingredients for the production of many commonly used products.

    Inspectors are now allowed to detain vegetable-protein imports from
    China because they may contain the chemical melamine. Melamine, used in
    the manufacture of plastics, was found in the wheat gluten and rice
    protein concentrate that has led to the recall of 5,300 pet food
    products.

    Good, and about time. The FDA cites “control issues” in issuing this alert.

    Now for the products to reach U.S. foodmakers, the importers will have
    to prove to the FDA that they are safe. The ingredients restricted
    include wheat gluten, rice gluten, rice protein, rice protein
    concentrate, corn gluten, corn gluten meal, corn by-products, soy
    protein, soy gluten, mung-bean protein and amino acids.

    Excellent stuff, exactly what was needed, to put the onus on the manufacturer to prove safety. Here’s the FDA’s press release.

    The onus, of course, is on enforcement. Can the FDA identify every item on this list, and quarantine it until a certificate is produced? Can it subject a random number of these products to independent verification to avoid cheating? Does it have the resources? Does it have the inspectors? Stay tuned.

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    Endocrine Disrupting Chemicals – A new Resource

    Critical Windows of Development is a timeline of how the human body develops in the womb, with animal research showing when low-dose exposure to endocrine disrupting chemicals during development results in altered health outcomes.

    Critical Windows of Development

    This promises to be an easy to use database showing development timelines of infants, and the documented effects of endocrine disrupting chemicals at these timelines. The prime focus is bisphenol A and phthalates at this point in time. The Environmental Health News has more about the program here. It is not out for public consumption yet, so stay tuned…

  • |

    NC smoking bill extinguished?

    Laura Leslie has the scoop…

    Monday: Snuffed Out? — North Carolina Public Radio WUNC

    Looks like House Maj. Leader Hugh Holliman’s smoking ban may be in trouble. The first sign of trouble was that it didn’t come up for a floor vote in the few days following its 9-4 approval in J1 committee. Today, Holliman told NCNN’s Matt Willoughby he’s planning to pull the bill off the calendar when it comes up tomorrow.

    It’s only a matter of time, they can fight it all they want, the smoking bans will pass throughout the country in a a decade or less, that’s a bold prediction!

    Most critics say the legislation goes against private property rights in banning all workplace smoking, regardless of the context. But supporters point out the government has been regulating workplace safety on issues like asbestos for a long time, even on private property. Since secondhand smoke is an environmental toxin, they say, it should be regulated, too.

    As I mentioned in comments on an earlier post, property rights is a catchall rhetorical tool that can defend just about anything, good bad or neutral. So, I am not surprised it is being used here. The obvious counter argument that property rights do not give you the right to pollute is apparently lost on this debate. But this is not really about property rights, is it? It is about protecting the tobacco industry, good old plut-prot-principle!

  • |

    Monsanto Ashamed of Selling Bovine Growth Hormone

    Why else do they not want people to know that their product is being used? You would think that Monsanto with its millions in profits and its monopoly in bovine growth hormone, would let the free market decide whether people want their ice cream/milk rBGH free or not. Surely, wouldn’t Monsanto’s commanding market presence, and the simple fact that conventional milk supplied by hormone injected cows tends to be cheaper than rBGH free milk be a sufficient counterweight against a simple rBGH free label?

    The ice cream maker has joined a national campaign to block what critics say is an effort driven by Monsanto (MON), which markets recombinant bovine somatotropin, or rBST, also known as recombinant bovine growth hormone, or rBGH.The hormone, which was approved by the Food and Drug Administration to boost production in dairy cows in the early 1990s, was not approved in Canada, Japan or the European Union, largely out of concern it may be harmful to animals.A newly formed dairy producers’ group, backed by Monsanto, is pushing for labeling changes, saying hormone-free labels imply that the milk is safer than other milk, when they say it’s not.

    Ben & Jerry’s in fight over hormone labeling – USATODAY.com

    This is a classic strawman’s argument. I don’t know if there is sufficient evidence to show that hormone filled milk is harmful to humans, but there is sufficient evidence that it is harmful to cows. As always, I point to the Meatrix (Note, available on youtube as well, but embedding has been disabled…).

    Here’s a letter from the Oregon Physicians for Social Responsibility summarizing the harmful effects of rBGH.

    1. Increase in IGF-1 levels – possible link to cancer in humans
    2. Mastitis in Cows – Do you want your breasts infected and painfully inflamed? That’s what RBGH does to cows
    3. Antibiotics Resistance – To combat mastitis, the cows are pumped with antibiotics, which end up in the solid waste, and water runoff.
    4. 15 other side effects in cows, bad enough that Canada and the EU do not permit this growth hormone

    All right, the product is still legal here in the US and I absolutely respect Monsanto’s right to sell it, fight for it and conduct a vigorous product defense (including obligatory astroturf group rbstfacts). But stop trying to get the government to do your dirty work for you and “banning” companies from telling consumers that they did not use your product, it’s shameful and unnecessary.

    Consumers have a right to pay premium for a product that they think is superior for one reason or the other. It is anti-free market and protectionist to restrict information that will help these consumers decide.

    What next? We all know that cosmetics tested on animals are not more harmful to people than animal cruelty free cosmetics. Shouldn’t that label be banned as well?

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    FDA decides to breed super bugs

    Well, what else can you say about it. This is insanely moronic. Read this sierra club release about the overuse of antibiotics brought on by the overcrowding of animals in food production factories (aka “farms”). Read the whole article and see how much everyone will be endangered so that Intervet, Inc. can make money.

    FDA Rules Override Warnings About Drug – washingtonpost.com

    The government is on track to approve a new antibiotic to treat a pneumonia-like disease in cattle, despite warnings from health groups and a majority of the agency’s own expert advisers that the decision will be dangerous for people. The drug, called cefquinome, belongs to a class of highly potent antibiotics that are among medicine’s last defenses against several serious human infections. No drug from that class has been approved in the United States for use in animals.

    Note, a powerful and potent antibiotic that works well, but is not used much because it’s the last line of defense. But the drug company that manufactures this product cares little about long term efficacy. Their only goal is to maximize short term shareholder value. I don’t blame them, I blame the government for not doing its job, that is, to balance these short term and long term goals and protect the people that pay them a lot of money for this protection.

    The wording of “Guidance for Industry #152” was crafted within the FDA after a long struggle. In the end, the agency adopted language that, for drugs like cefquinome, is more deferential to pharmaceutical companies than is recommended by the World Health Organization.

    Cefquinome’s seemingly inexorable march to market shows how a few words in an obscure regulatory document can sway the government’s approach to protecting public health.

    There’s a reason this present U.S government works in secrecy, so these “obscure” (I am sorry, but nothing that directly affects human health can be called obscure) rule changes will not hit the public eye before it’s too late. Apparently, the FDA can now only consider resistance to food borne diseases in considering an application. That’s like saying that a hospital will only treat victims of food borne diseases, so if you catch the cold, we won’t treat you! This is the Food and Drug Adminstration (all food and all drugs), not the food borne disease protection council.

    This drug is absolutely unnecessary for the following reasons:

    1. The disease it treats (respiratory distress in cows) is brought about by insane levels of animal overcrowding
    2. There are currently a dozen antibiotics for this particular problem, none of which are considered susceptible to resistance
    3. The FDA has previous history with similar public health threats with fluoroquinolones
    4. This drug is considered a last resort drug for antibiotic resistant strains of diseases in cancer patients – So strains resistant to this drug will evolve shortly after the antibiotic is overexposed . This is a death sentence for a lot of very vulnerable people.
    5. A similar drug used in Europe for the last 10 years has resulted in an increase in resistant strains of bacteria.

    This is what you get when you vote for an ideology that hates government. You get a government that hates itself and is busy pawning parts of itself off to its cronies.

  • The Carrboro Citizen on the Smoking Ban

    The Carrboro Citizen is a new local paper (less than a month old at this point in time!). It has a well written summary of the current state of North Carolina’s anti smoking bill.

    The Carrboro Citizen

    The fierce behind-the-scenes battle continues over legislation to protect people from deadly second-hand smoke at workplaces, restaurants and bars. Despite his best efforts, House Majority Leader Hugh Holliman has been unable to convince a majority of House members to support his comprehensive plan to protect the public health.

    The opposition has coalesced around a soundbite in this case masquerading as a philosophy, that somehow protecting workers on their jobs is an infringement of private-property rights. Holliman points out that he owns a small business that complies with all sorts of government regulations, including fire safety inspections every year.

    The regulations are designed to protect the health and safety of workers, just like Holliman’s ban on smoking in the workplace. No one is arguing that businesses should be able to refuse the fire inspections and let people who object find other jobs, but that’s what the smoking ban opponents are saying.

    Yes, seems obvious to me, but as I may have mentioned before, property rights is just the catchall excuse here, following the money trail leads to the tobacco industry and to various other entrenched interests represented (as the article points out) by the National Association of Tobacco Outlets! Chris Fitzsimon who wrote this article makes the same point.

    Here’s a nugget tucked away in the middle of the article:

    The latest version of Holliman’s proposal would ban smoking at all restaurants and most bars that serve food, exempting only establishments that function almost entirely as bars and only admit customers above age 21. The bill would not affect smoking at workplaces, but would overturn the 1993 law that prohibits local governments from passing their own anti-smoking regulations.

    This means that private “clubs” like the dead mule (a smoke filled horror that I frequent!) would be exempt. On the other hand, the Chapel Hill and Carrboro local governments could act anyway to ban smoking in these clubs, which to me is a compromise I could live with!

    The Citizen is off to a good start. I have only seen their website (and blogs), looking forward to picking up a copy of the paper version.