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Copyright 2000 Star Tribune  
Star Tribune (Minneapolis, MN)

August 27, 2000, Sunday, Metro Edition

SECTION: NEWS; Pg. 1A

LENGTH: 1964 words

HEADLINE: Drug firms flex their political muscles;
Industry has many weapons this election year, including strong ties with Lieberman.

BYLINE: Greg Gordon; Kristin Gustafson; Staff Writers

DATELINE: Washington, D.C.

BODY:
Sen. Joseph Lieberman has flown on Pfizer Inc.'s corporate jet, spoken before the pharmaceutical industry's trade association and accepted more than $161,000 in campaign donations from prescription drug makers since 1993.

      While Lieberman, D-Conn., hasn't always sided with the drug makers, congressional watchdogs say their relationship with Al Gore's vice presidential pick could be just one more weapon as the industry prepares to fight an expected election-year firestorm over soaring drug prices and calls to expand Medicare drug coverage.

      Lieberman's presence on the ticket "could make it more difficult for the Gore campaign to make anti-pharmaceutical industry themes a centerpiece of the presidential campaign," said the Pink Sheet, an industry trade journal.

      The pharmaceutical industry _ one of the nation's most profitable _ has been deploying a multiweapon arsenal to protect its franchises. They have:

      - Hired nearly 300 lobbyists on drug pricing issues, including former Minnesota Republican Rep. Vin Weber and several other ex-members of Congress for whom doors open on Capitol Hill.

      - Spent more than $11 million in "hard" and unregulated "soft" political donations since Jan. 1, 1999 _ $8 million to Republicans and $3.3 million to Democrats, according to the Campaign Study Group.

      - Underwritten lavish events at both national political conventions, including co-sponsorship by Merck & Co. and Bristol-Myers Squibb Co. of a Mardi Gras-style gala on Paramount Studios sets at the Democrats' extravaganza in Los Angeles.

      - Bankrolled tens of millions of dollars in TV and radio ads in which Citizens for Better Medicare, a nonprofit group financed almost entirely by the pharmaceutical industry, has attacked President Clinton's and Gore's proposals for a government-run prescription drug program.

      Steve Weissman, a legislative representative for the consumer group Public Citizen, calls the pharmaceutical lobby "an elephant among chickens" that overwhelms opposition from smaller advocacy groups.

      "You have every poll showing that most people would like the prescription drug benefit," he said. "They are concerned about this. And yet we don't have it."

.

Patent victories

      As evidence of the drug lobby's effectiveness, critics cite pharmaceutical companies' success at winning patent extensions that prevent competition from cheaper generic drugs. In July, Sen. John Ashcroft, R-Mo., signed onto legislation that would boost Schering-Plough Corp.'s bid for a five-year patent extension for its blockbuster allergy drug Claritin. The same month, the company plunked $50,000 into a joint soft money account set up by Ashcroft and the National Republican Senatorial Committee to aid his reelection bid.

      Public Citizen reported recently that Sen. Orrin Hatch, R-Utah, the chairman of the Senate Judiciary Committee that handles most patent legislation, is Congress' leading recipient of drug industry money. Besides the $125,215 sent to his Senate campaign since Jan. 1, 1999, pharmaceutical company PACs and executives gave his aborted presidential campaign $88,000.

      Judith Bello, executive vice president of the Pharmaceutical Research and Manufacturers of America, the industry's trade association, declined to discuss specifics of its lobbying over Medicare drug benefits.

      She said lobbyists for the group and some of its more than 40 member companies meet almost daily at the association's Washington offices.

      "Our role is to try to make it as balanced a debate as possible," she said. "It's an election year, and politics affects rhetoric."

      This year's political climate is probably the most hostile yet facing the drug makers, who have been confronted with a major regulatory threat about every 10 years since the late 1950s, said Stephen Schondelmeyer, director of the Prime Institute at the University of Minnesota's College of Pharmacy.

      "It's like a wave that's coming in from the ocean on this 10-year cycle," Schondelmeyer said. "The waves are getting bigger."

      Trade association spokeswoman Jackie Cottrell said House Democrats, believing the issue can help them regain the majority they lost in 1994, "have made us public enemy No. 1."

      Cottrell said most congressional districts have no pharmaceutical facility, so it's easy to portray a drug maker as a "nameless, faceless, big corporate giant that makes a lot of money" rather than as the company that developed a treatment or cure for a disease.

      Reciting the industry's mantra, Bello and Cottrell said foreign price controls have forced drug manufacturers to charge U.S. consumers more so they can finance research and development, which led to FDA approval of 370 drugs during the 1990s.

      But Schondelmeyer said there are reasons for the growing clamor, most notably that 80 million to 90 million Americans lack prescription drug coverage, others' lack adequate coverage and thus many people can't afford the medicine they need.

      In addition, he said, corporations are entering the debate because they are facing average annual increases of 15 to 25 percent in their prescription drug costs. General Motors Corp., U.S. West and other companies have joined a coalition seeking to contain the surging use of pricey new drugs peddled in industry ads when older, cheaper drugs are equally effective.

      The surges in prices and use have boosted U.S. expenditures on prescription drugs from 7 percent of the nation's health care budget in the early 1990s to 10 percent, or $101 billion, last year. If more people are covered, the figure will rise further, as it did for 34 Minnesota companies that belong to the Buyers Health Care Action Group. The comprehensive drug benefits that they provide to 140,000 employees and family members account for 15 percent of health care costs, said Steve Wetzell, the group's executive director.

.

Candidates weigh in

      With public opinion polls ranking the issue near the top of voters' concerns, both Gore and his Republican rival, Texas Gov. George W. Bush, have pledged to act on competing plans to expand coverage for the elderly.

      Congressional candidates also are jumping on the theme. Minnesota Democratic senatorial candidate Mark Dayton is sponsoring "RX Express" bus trips to Canada, where seniors can buy drugs at big savings. Rep. Gil Gutknecht, R-Minn., spent a week of Congress' August recess on a seven-city "prescription drug tour" of his district.

      The industry's strategy has been to line up support from Bush and congressional Republicans for a plan that passed the House with support from a lone Democrat: Minnesota Rep. Collin Peterson. It offers subsidies to encourage private health insurers to provide low-cost drug coverage to seniors. The bill's chief sponsor, GOP Rep. Bill Thomas of California, the chairman of the Ways and Means Committee's health subcommittee, has received $160,665 in drug industry donations since 1993, the most among House members.

      Clinton has vowed to veto the House measure, saying that a government-run program providing drug coverage for the nation's 39 million Medicare enrollees would have the bargaining clout needed to hold down prices.

      Schondelmeyer contended that the industry favors the GOP privatization plan because it would "segment the market," or limit the leverage of any one buyer _ a tactic pharmaceutical companies have used for years. Drug companies have been so successful with this approach, Schondelmeyer said, that few people beyond pharmacists can keep a handle on drug prices.

      With the Medicare legislation mired in partisan gridlock, the House and Senate have passed different versions of bipartisan legislation that would allow pharmacists to "reimport" drugs exported to Canada, Mexico and other foreign countries, where they are sold at a small fraction of U.S. retail prices.

      Schondelmeyer said such legislation may pass but predicted that industry-backed amendments would minimize or delay the impact.

.

Lobbying lineup

      The drug industry has assembled a formidable lineup of lobbyists to try to block the "reimportation" bills and influence the Medicare debate.

      The trade association paid $120,000 during the last six months of 1999 to Weber and his colleagues in the firm of Clark and Weinstock, including Mitch Bainwol, a former chief of staff to the Senate Republican Conference who helped shape the GOP plan; Ed Kutler, who was an aide to former Speaker Newt Gingrich, and former Democratic Rep. Vic Fazio of California.

      Pfizer, based in Lieberman's home state of Connecticut, has employed former Democratic Sen. Dennis DiConcini of Arizona and former GOP Rep. Norman Lent of New York as well as Orrin Hatch's son, Scott Hatch. Merck has employed former Democratic Rep. Tom Downey of New York, a close adviser to Gore.

      In the face of such a powerful industry lobby, Schondelmeyer said he believes a solution to the prescription drug problem for elderly Americans is still two to three years away.

      But, he said, he hopes Congress first will reform campaign finance laws to reduce the industry's influence. Then, he said, whatever drug program is adopted "will be less influenced and better public policy."

.

.

The drug lobby

.

The consumer watchdog group Public Citizen recently reported that in 1999 nearly 300 registered lobbyists represented the pharmaceutical industry. Many of them are former members of Congress, congressional aides or executive branch officials. Here are some of the figures representing the industry's trade group and a few drug makers:

<PRE>.

Lobbying firm and representatives         Clients

.

Clark & Weinstock

Former Rep. Vin Weber, R-Minn.;           Pharmaceutical Research and

Ed Kutler, assistant to former            Manufacturers of America (PhRMA);

House Speaker Newt Gingrich, R-Ga.;       Schering-Plough Corp.

Mitch Bainwol, former chief of staff,

House Republican Conference

.

Podesta.com

Anthony Podesta, former aide              PhRMA, Novartis, Genetech, Eli-Lilly

to Sen. Edward Kennedy, D-Mass.,

brother of White House chief of staff

John Podesta

.

Greenberg-Traurig

Howard Cohen, former GOP counsel,         PhRMA, Merck & Co., Amgen

House Commerce Committee

.

Steelman Health Strategies

Deborah Steelman, former official,        PhRMA, Wyeth-Ayerst, Johnson &

Office of Management and Budget in        Bristol-Myers Squibb,

Johnson, Bush administrations             Pfizer

.

Lent & Scrivner

Former Rep. Norman Lent, R-N.Y.           Pfizer

.

Parry & Romani

Former Sen. Dennis Deconcini, D-Ariz.;    Pfizer

Tom Parry, former aide to Sen.

Orrin Hatch, R-Utah;

Scott Hatch, Sen. Hatch's son

.

Canfield & Associates

Roger Blauwet, former tax counsel,        Merck

Sen. Max Baucus, D-Mont.

Daniel Crane, former legislative

director, Rep. John LaFalce, D-N.Y.

</PRE>.

Sources: Star Tribune research, Public Citizen.

.

.

Rx for campaigns?

     Prescription drug makers have poured more than $11 million into national Republican and Democratic campaign committees and congressional campaigns since Jan. 1, 1999, most of it going to the GOP. Here is a summary:

<PRE>.

             Individual      Political    Unregulated    Totals

              donations       action      "soft money"

            to candidates    committee     donations

             and parties     donations

Republicans    $977,079      $2,349,558    $4,715,172    $8,041,809

Democrats      $596,503      $ 839,606    $1,871,735    $3,307,844

</PRE>.

Source: Campaign Study Group analysis of reports to Federal Election Commission.

     

GRAPHIC: CHART; PHOTO

LOAD-DATE: August 28, 2000




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