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http://www.publicintegrity.org/rx/report.aspx?aid=823#

Spending on Lobbying Thrives

Drug and health products industries invest $182 million

to influence legislation

By M. Asif Ismail

Data analysis by Helena Bengtsson

WASHINGTON, April 1, 2007 - Manufacturers of pharmaceuticals, medical

devices and other health products spent nearly $182 million on federal

lobbying from January 2005 through June 2006, a Center for Public Integrity

study of disclosure records shows.

Of that total, drug companies and their trade groups spent most of it, or

$155 million, lobbying on a variety of issues ranging from protecting

lucrative drug patents to keeping lower-priced Canadian drugs from being

imported to the United States Drug interests employed about 1,100 lobbyists

to do their bidding in each of the past two years.

Many of the bills targeted by lobbyists for drug interests last year were

largely the result of public concerns over high drug prices and safety

issues. Drug companies " have been facing an increasingly furious Congress

and an increasingly disgruntled public, " said Amy Allina, program director

at the National Women's Health Network, a women's health advocacy group.

The drug industry trade group Pharmaceutical Research and Manufacturers of

America (PhRMA) spent more than $18 million on lobbying last year, more than

any single drug company and the most the group spent in one year since 1998,

the earliest year of this analysis. In all, PhRMA has spent $104 million

since 1998.

Among drug manufacturers, Pfizer, the world's largest drug firm, spent the

most on lobbying last year - $12 million - bringing its total to more than

$62 million since 1998. Merck spent about $48 million and Eli Lilly,

Bristol-Myers and GlaxoKline each spent around $40 million in the same

period.

One effort by lawmakers that drew heavy drug industry lobbying was to undo a

provision of the Medicare Prescription Drug, Improvement and Modernization

Act of 2003. The legislation, which was passed after a huge lobbying blitz,

guarantees that the nation's seniors and the disabled who receive Medicare

are eligible for some form of prescription drug benefit starting in January

2006.

The law, often cited as a poster child for the industry's influence in

Washington, bars the federal government from negotiating on prices of drugs

supplied through Medicare. Many other bulk purchasers, including private

insurers and federal departments such as the Veterans Health Administration,

negotiate with companies for discounts.

A House bill sponsored in 2005 by Oregon Democrat Wu would have

allowed the Secretary of Health and Human Services to negotiate for lower

prices for Medicare prescription drugs. A spokeswoman for Wu said the bill

never made it out of committee. All similar bills met the same fate.

This session, the new Democratic House passed the Medicare Prescription Drug

Price Negotiation Act, which requires price negotiation, and the Senate is

considering a companion bill. But the White House has issued a statement

that President Bush would veto any push to require drug price negotiations

in the Medicare program.

Nearly all major drug companies lobbied heavily to influence how the

Medicare prescription drug program would be set up and administered.

The drug industry also lobbied aggressively to stall legislation that would

have allowed drugs to be imported from other countries and sold in the

United States. For years seniors, health activists and even state government

officials have been demanding laws that make it easier to import drugs from

Canada and other countries, where prices are significantly lower.

At least half a dozen measures supporting such a move were introduced in the

House and the Senate during the last Congress, but none prevailed. According

to a bill introduced by Sen. Kennedy, D-Mass., in January 2005,

allowing " open pharmaceutical markets " could save American consumers at

least $38 billion each year.

Other issues the industry lobbied heavily, among others, include:

a.. FDA reform: Drug safety has been a big issue on Capitol Hill, especially

since two popular painkillers were recalled in 2004 and 2005 due to safety

concerns. Several bills that would strengthen the Food and Drug

Administration's ability to monitor safety of marketed products were

unveiled in the last Congress. The industry is opposed to any legislation

that would give the FDA more oversight.

b.. Trade and patent: The industry lobbied the United States government to

press other countries to guarantee drug companies strong patent protection

through trade deals. It also campaigned against " foreign price control, "

saying that foreign governments sometimes keep their drug prices

artificially low.

c.. Project Bioshield: In 2004, Congress passed a landmark law to counter

bioterrorism that would invest $5.6 billion to stockpile vaccines and other

medications against bioterror. After the bill was passed, drug firms lobbied

for what the Wall Street Journal called " more goodies " attached to the

program, including the chance to extend patent rights on medications " that

have nothing to do with homeland security. "

Lobbying on these and other issues was led by PhRMA, headed by former

Congressman Tauzin. The group has an annual budget of more than $200

million.

Tauzin, who joined PhRMA as its president and CEO in January 2005,

registered to lobby for the first time last year. The former chairman of the

House Committee on Energy and Commerce, which regulates the pharmaceutical

industry, was not allowed under the Ethics Reform Act of 1989 to lobby his

former congressional colleagues for one year.

Mimi Kneuer, Tauzin's former chief of staff, is also a PhRMA lobbyist.

The Center's latest study showed that the manufacturers of pharmaceuticals,

medical devices and other health products have spent at least $855 million

on lobbying from 1998, through June last year. Most of it, or $733 million,

was spent by the drug manufacturers and their trade groups.

According to the Center for Responsive Politics, the pharmaceutical/health

products sector gave nearly $107 million in federal campaign contributions.

More than 70 percent of the contributions were made by individuals and

Political Action Committees from the pharmaceutical industry.

Twenty top drug companies (including their subsidiaries) and two industry

trade groups spent a total of $605 million on lobbying during the study

period. These groups spent at least another $50 million in the second half

of 2006. (According to IMS Health, which compiles drug industry data, these

20 firms had nearly 77 percent share of the $253 billion United States

prescription drug market in 2005.)

National Women's Health Network's Allina said her organization and other

groups that lobby against the industry are at huge disadvantage against such

money and muscle power. " We are certainly dramatically outspent by them, "

she said. " You look at the number of lobbyists - we are up against an army. "

Regards,

Do not follow where the path may lead;

go instead where there is no path and

leave a trail.

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