Published in CommPRO.biz 2014.01.24

 

Big Pharma Has Congress 

by the Jugular

Andrew Witty, Glaxo Smith Kline CEO, announced last month (December 16) that Glaxo will stop paying doctors to promote their products and stop paying their sales representatives based on the number of prescriptions doctors write. It would be nice to think that this action results from an epiphany on Glaxo’s part. It’s more likely a duck-and-cover move triggered by a nasty bribery mess in China and an upcoming Affordable Care Act disclosure requirement.

It is, however, welcome. This, we hope, will trigger moves (don’t hold your breath) by other Pharma Monsters to fall in line. Pay-to-prescribe -along with Pharma advertising- make up two of the more egregious practices Pharma uses that drive healthcare costs sky high in the United States. The biggie by far is the hold they have on our Congress. Their “K” Street lobbyists lay bucks by the bushel on members of the Congress. In return, those sworn to work in our interest instead work for the drug companies.

By manipulating patent laws and exempting Pharma from anti-trust laws, drug companies have driven costs for their products beyond belief. A drug that costs a few hundred dollars to make, costs a desperate cancer patient close to a hundred grand for each dose. The patient goes bankrupt and the taxpayers pick up the tab. There is no other drug. The doctor says take it or die.

Pharma would have us believe that these drugs cost over a billion dollars to bring to market. A cruel and blatant lie; a study published in the British Medical Journal shows that the average $1.3 billion dollars the drug companies claim it costs, is actually about $90 thousand dollars. The rest is part BS and mostly marketing expenditures. Worse, most of their research funds go to tweaking existing drugs in an effort to stretch out patents on their best sellers.

We keep hearing about how much cheaper it is to buy drugs in places like Canada. Why is that? Because they have a single payer healthcare system that negotiates lower prices. In America, our Congress has forbidden Medicare to do anything like that. So a nation with fewer people than live in California can muscle the drug companies and we can’t. To make it worse the Congress has so limited fraud investigative funds that Medicare catches only a fraction of the bad guys. Like one doc in California who games the system by prescribing name-brand drugs to thousands of low income patients. Drugs’ costing as much as 30 times equally effective generic versions. There are thousands of these docs milking Medicare for Big Pharma and costing the taxpayers billions.

Big Pharma’s pill bill is killing us. Government controlled healthcare serves over half of Americans. With that kind of clout we can negotiate lower costs. Lower costs in drugs, lower costs in every aspect of our out-of-control healthcare sector. We spend more per-capita than any other nation on earth and yet our outcomes don’t even rank in the top 25%. We need to clean out the Congressional medicine chest.

"Am I wrong?"--"Am I Nuts?"--"What do you think?"--"Do you agree?"

Published in CommPRO.biz 2014.01.16

The Earnings Culture

Public companies are driven by the need to show earnings. The path they follow to that end determines their corporate culture. Horace Greeley, the dominant editor and publisher of the 19^th century, commented, “The darkest hour in any man's life is when he sits down to plan how to get money without earning it.” Problem is, some corporate leaders see any action to increase “earnings” as fully justified. Too many CEOs seek “earnings” by any means. They look at the fines and legal penalties incurred as -“oops”- no more than the cost of doing business.

Investors too often are not concerned how “earnings” are achieved. While the ethical business model is the proven best source of high earnings, some see the concern for employees, communities, vendors, and the environment that model requires as taking money out of their pocket. Some even see a focus on treating customers fair and square as a missed opportunity to increase profits.

We saw this in the run up to the current recession. The monster banks pushed the pipeline to produce more and more mortgages, ignore the details, don’t fret about income verification. Once in hand they threw together these shaky mortgages (“Crap” was the term they used), put a few good ones on top of the pile and sent them off to the rating agencies. The bankers were not hesitant to point out that as paying clients, the rating better be AAA.

These bundles of sure-to-fail “crap” were sold as if the triple A ratings were real. Adding insult to injury these banks placed bets that the “crap” they created and sold would fail. They bet against their own customers. They made money coming and going; money they called “earnings.” The shareholders loved it. J.P. Morgan Chase, Goldman Sachs and a handful of monster banks deliberately created financial products designed to fail.

When they were caught off guard by the collapse of their whole scheme, they turned to the taxpayers for help. While necessary, the bailout was designed by Bush Secretary of the Treasury, Hank Paulson, former CEO of a monster bank. He gave his mates the needed money but failed to attach any conditions. We the taxpayers continue to provide interest free funds to these banks believing that they will lend it to small businesses and create jobs.

Wrong! They are back to gambling with our money, this time boosting prices on basic commodities that folks strapped for cash have enough trouble paying for. As long as the banks’ “earnings” look good, the stock market booms. We are hard pressed to see these “earnings” passing the standard Horace Greeley set. The bank CEOs’ plans are obviously designed to get money without earning it. They set the culture and drove it down through the ranks. The people paid mightily these last five years for the sins of these arrogant banksters. They, however, are above the law. At least the Attorney General of the United States says they are.

Published CommPRO.biz 2014.01.06

Who Cares What You Think?

We like to kick off the New Year responding to the remark we have heard so often over the decades that we have been writing opinion pieces: “Who cares what you think?” Good question. Our response is always the same: “Hopefully, no one.” 

A friend owned the only newspaper and radio station in a small town. He ran editorials in the paper and personally voiced them on his station. His newspaper would take one side of an issue and he would dispense the opposite on the radio; he wrote both. He believed a good opinion writer should be able to see both sides of an issue, or they shouldn’t be writing opinion. 

While we make every effort to look at both sides, we are not sure we can follow that ideal in every issue we address. We do not write to convince anyone to take up our position. We do the research; often we will have as many as fifty pages of research for a five-hundred-word OP-ED. Ethics rarely has two acceptable sides. On the other hand, it isn’t always a simple matter of right and wrong either. Like it or not, Situational Ethics are called for at times; the situation can change the ethical call. There are times when one has to think about the impact of hard-line adherence to what seems the right thing at the moment. Or as our friend Saul Alinsky once defined truth, “You don’t have to cross the street to tell someone how ugly they are.”  

So if we don’t write to change your mind, or help you make up your mind, and if we don’t expect people to care what we think, why do we write? We write because the ethical issues we raise seem important to us and we hope you will think about them. We want you to sort through the facts. We want you to search the internet, to read and find a position. If you toss a brick at your computer every time one of our OP-EDs turns up, that’s OK. At least you are thinking about the issues. 

Beware those who dispense opinion for other reasons.  Beware the manipulators.

Published In CommPRO,biz 2013.12.10

 

The Banksters Walk Free

In a breathtakingly clueless comment last month (2013.11.12 SIFMA) at an industry conference, Lloyd Blankfein, Goldman Sachs CEO, is reported to have expressed regret that they were part of the problem leading up to the recession. Not regret that his company’s actions helped to crash the world economy ruining thousands, putting millions out of work and causing unimaginable suffering. He expressed no regret for that at all. He just wishes they hadn’t engaged in “trading practices” that created an image problem for his firm.

Blankfein is reported to have told the conferees, “I wish the organization hadn't done complex CDOs circa '06 and '07." A CDO (collateralized debt obligation) is a fancy name for bundling up a bunch of mortgages and such and hustling them as investments. Goldman sold them to pension plans, banks and the like. After all, what could go wrong? Housing always goes up; even if the mortgage holders fail to make their payments, the property will cover the loss, right? We all know the answer to that now. It seems that Goldman Sachs knew the answer back then. They knew their CDOs were full of “Crap” (their terminology), and at the same time they were hawking them, Goldman was betting they would fail. Worse, when they failed the American taxpayers paid off on that bet. And all Lloyd Blankfein sees in this is a PR problem? 

The SEC saw fraud and brought civil charges against Goldman. The agency settled for a paltry $500 million, with no admission of guilt. For Goldman Sachs that’s pocket change. According to some reports they cleared well north of $10 billion double-dealing CDOs. Poor Lloyd, Goldman Sachs took a public relations hit while their actions destroyed the lives of millions. If there was any justice Blankfein and a flock of other money-changers like him would be in jail. Considering the suffering their fraudulent actions brought down on millions around the world, they should face prosecution. 

Surprisingly, only a few of these modern day money-changers have faced prosecution over the last few decades. A bunch of minor league hustlers were jailed in the 1980s and early 1990s over the Savings & Loan crisis, alongside closing down close to 800 S&Ls with assets in the $400 billion dollar neighborhood. Since then not much has happened to the banksters, mostly because our Justice Department has some illusion that these crooks are too-big-to-jail. In case after case the DOJ has allowed blatant criminal behavior on the part of big league banksters to go unpunished because they believe that jailing the top guys at these banks might rock the boat and cause problems in our economy. 

That shows an unimaginable lack of business knowhow. Nobody is irreplaceable, that’s especially true when it comes to replacing corporate leaders engaged in illegal activities. There are good people, honest people in most organizations ready to move up and do the right thing. If not, there are topnotch folks ready to come in and put them on the straight and narrow. Folks who understand that the ethical business model is not only the right path; it is the surest path to profitability.

Published In CommPRO,biz 2013.11.26

 

Ignoring the Obvious

We are five years into a worldwide recession. And while the United States is very sluggishly gaining ground, much of the rest of the world is sliding further into the abyss. Germany has parlayed a heavily subsidized manufacturing sector into the best of a bad lot. The rest of the Euro block is gasping for air. Yet many in Europe and in the United States seem determined to defy history in dealing with this downturn.

The only folks in America who are doing well are at the top; up and running on the no-strings-attached-taxpayer-funded bailouts. The stock market is soaring, the too-big-to-fail banks that triggered the recession, the super rich, big business, they’re all singing happy days are here again. Meanwhile, the middle class, small business, and the poor are left struggling. The solution, we are told, is austerity, a focus on our nation’s deficit. This plan from the folks who created the deficit with the first wars in our history that we made no effort to pay for as they were fought, and a tax cut.

The economic cancer we gave Europe has ravaged the continent. Especially those who have entered the job market in the five years since its onset. Youth in some European nations face 50% unemployment, and even those who are working are grotesquely underemployed. They are in a way a lost generation. Many who have advanced degrees, masters, even doctorates, are lucky to find menial work. Many are in their late twenties, some in their thirties; robbed of their future, their hopes for career and family lost.

History teaches a very different lesson. Every single economic downturn since the modern economic age dawned with the industrial revolution has been overcome by government intervention. Let’s look at recent history. America went into WW2 deep in debt. The debt had increased by the war’s end in spite of astronomical wartime taxes. Then we spent on the GI bill, educating returning veterans and subsidizing their home ownership. We rebuilt our former enemies’ homelands and hardly took a breath before the war in Korea. After he got us out of that war President Eisenhower went on a spending spree building our interstate highway system. At the time he made it out to be needed in case we had to move a lot of troops around in a hurry, but it was really a way to boost the economy. High end tax rates for the very rich soared to 90%. And America boomed.

In contrast we are allowing our roads and infrastructure to decay. Education is the last thing on our minds; we are forgoing the future, following a path of proven failure. Those few who are benefitting from this folly will find that it can’t go on forever, it is unsustainable. As our roads and bridges break down, as the economy decays, they too will find their positions in decline. They’ll discover – perhaps too late – that the ethically and morally wanting path they have chosen, is economically wanting for them as well.

Published 2013.11.12 CommPRO.biz

Let The Seller Beware!

Cohn & Wolfe, a division of international communications giant WPP, just released From Transparency to Full Disclosure, a study they commissioned to find marketplace hot buttons. They polled 3,000 consumers in Great Britain, China and the United States on what opens their wallet. Price and quality were the overall winners with honesty (AKA ethics) coming in third place, except in China where quality and honesty beat out price. 

The transparency part comes from consumers’ interest in the values adhered to by the companies they do business with. They want the goods they buy created and sold by folks striving to do as they would do, folks who put their customers, workers, vendors, their communities and the environment ahead of profits. They worry most about the food they buy, that it is what it’s claimed to be and that it is produced with the buyers’ safety and health foremost.

You know what they hate most? A cover-up. They understand that we all goof-up now and then, but they expect us to fess-up immediately and do right by those who may have been misled or injured as a result of the error. What’s more, they have a clear view of where the buck stops, it stops at the top. The Cohn & Wolfe study found that “84% of UK and US consumers and 90% of Chinese consumers believe that if you are the leader of a company you cannot claim ignorance about something bad happening in your business, showing that there are no excuses for today’s leader.” They summed it up succinctly: “CEO = Chief Ethics Officer.” A point missed by the leaders of too many corporate entities of late.

The results of this study read like “Basic Communications 101.” Isn’t this what we’ve been telling our leaders or our clients?” Isn’t this what has been shown as the most profitable business model? Isn’t this what attracts and builds the most talented team in communications or any business? Of course it is. It’s the kind of team we all want surrounding us. The kind of team we all want to be a part of. If you are a leader, if you are the Chief Executive Officer (AKA Chief Ethics Officer), what are you waiting for? If your CEO doesn’t understand how interchangeable that title needs to be, what are you waiting for?

It all comes down to “Why would you work for, or do business with a crook?” While that quote sounds like Will Rogers, it isn’t and it doesn’t matter who said it, it’s a simple truth; one that only a few shortsighted business leaders choose to ignore. Actually people expect more than someone who just walks a line between lawful and criminal. We expect the businesses we trust with our hard earned cash to do right by us, to do the right thing. When they misrepresent their offerings, or dance around the truth, they betray us. And usually we simply never do business with them again — never.

Published 2013.10.31 CommPRO.biz

Do No Harm

The Hippocratic Oath is a widely edited set of guidelines credited to a long-ago Greek medical practitioner. It is estimated that 98% of medical students swear some form of oath, as do a large percentage of dental graduates. These oaths are focused on ethics and are often condensed into, “Do no harm.” Recent reports of predatory lending practices by doctors and dentists give us a picture of the other two percent.

Patients who lack insurance and those who need or want procedures not covered by their insurer, are being herded into various medical credit cards that are little more than tools created to ripoff the unwary by the monster banks and their lackeys. Wells Fargo and Citibank seem directly involved while others hide in the shadows providing the funds for the smaller credit card issuers. It’s the same set of scams and scammers that created the sub-prime mortgage disaster and more recently the on-going payday loan racket. They seem to be betting on the Justice Department giving them another get-out-of-jail-free card no matter how or who they ripoff.

The unwary –Who doesn’t trust their doctor or dentist?– sign up for these cards right in the doctor’s or dentist’s office. They are told that they will pay no interest if the card is paid off in three or four easy payments. What the docs don’t say is that you will be slapped with interest charges –close to 30% in some cases– if you don’t pay up before the end of the interest free period.

Let’s say you owe $1,000, about average for extensive dental work or plastic surgery. And let’s say you haven’t been able to make any payments over the four month interest free period. In most cases you’ll owe interest from the first month on the entire $1,000, plus the compound interest for the additional three months. You’ll be in hock for a lot more when the fourth month comes around. You can see that this is not going to end well when you start adding on late payments etc.

One of the independent card companies specializing in healthcare credit cards is said to have between five and ten million card holders. In addition to the medical practitioners who swear to do no harm, there are medical device hustlers, selling everything from power scooters and chairs, to hearing aides. These people aren’t even restrained by a “Do no harm” oath. Although, when bucks are at stake some doctors and dentists don’t seem able to recall that phrase.

These practices are beyond unethical, beyond immoral. Doctors and dentists who lead people into these scams may not be breaking any laws, but they are certainly –or should be– on shaky ground with state licensing agencies. A few suspensions would slow down this racket A couple revocations for the worst cases might stop it dead in its tracks. It’s a shame when a few scammers can cast a shadow over a largely principled group of professionals pledged to do no harm.