Mr. Speaker, I come to the floor of the House tonight again to talk about the issue of prescription drugs and the prices that Americans pay compared to the prices that people pay in the rest of the industrialized world. I will have…
Mr. Speaker, I come to the floor of the House tonight again to talk about the issue of prescription drugs and the prices that Americans pay compared to the prices that people pay in the rest of the industrialized world. I will have colleagues joining me tonight from time to time from both sides of the political aisle. We have Republicans, we have Democrats, we have people who would consider themselves conservative and, hopefully, some who will be coming down who consider themselves to be liberals or progressives.
Because this is not an issue of right versus left. It is an issue of right versus wrong. Tomorrow night we hope to do another Special Order on a bipartisan basis to talk about this issue again, because I think this is the kind of issue that we need to talk about, that Members need to understand.
Mr. Speaker, I, in the past, have said that the fact that Americans pay so much more than the people in Canada or in Germany or Switzerland or France, I have always said that it is not so much shame on the pharmaceutical industry, it is shame on us. And it is really our responsibility. Our own FDA works for the Congress and not the other way around.
But, tonight, my tone is going to start to change because of some of the things that the pharmaceutical industry has been doing over the last several weeks.
President Reagan said, if you tell something that is not true but you do not know it is not true, that is a mistake. If you say something that is not true and you know it is not true, that is a lie. And in the last several weeks we have seen things that really do border on lies, because the people who are telling the stories know that they are not true. We are going to talk about that tonight.
I want to thank my colleague, the gentleman from Illinois (Mr. Emanuel), for joining me tonight in this Special Order. I know that he has had an incredibly long day and he can only stay for a few minutes, so I would like to yield to him so that he can talk about the issue and the problem and what we in Congress maybe can do to bring some parity and fairness in terms of the prices that our consumers are forced to pay for these life-saving drugs.
Mr. Speaker, we have plenty of examples. Before the gentleman goes, one of the issues that I briefly referenced in my opening remarks was that up until the last several days I have been very hesitant to criticize the pharmaceutical industry because in many respects they did not create this system; Congress did. They did not allow this system to perpetuate. It was the FDA and the Congress that did. But recently they have begun what I think is an unethical strategy to try and scare seniors, to scare consumers, to begin to get them to believe that the problems that would be created by this legislation are insurmountable.
And to the gentleman's credit, the gentleman has had the courage to fight back. Because they have started to run ads on radio, they started to do mailings to our seniors, they are making phone calls to our seniors, they are mailing to pro-life groups; and that is where I get back to this point. If you tell something that is not true and you know it is not true, that is a lie. And I think sometimes here in this city we have to call an untruth a lie. And to the gentleman's credit, and I want the gentleman to talk a little bit about what he has done in Chicago to begin to call things the way they really are and to counterattack. And I admire the gentleman for that. Perhaps the gentleman can talk a little bit about what has been happening in Chicago, in the gentleman's district, and what he is doing about it.
Mr. Speaker, I want to thank the gentleman. We have sort of suffered the slings and arrows of outrageous fortune over this issue, but it is worth it because this is a big issue. The gentleman mentioned they are desperate. They understand what we understand, that over the next 10 years this is a $630 billion issue. And that $630 billion is going to be paid by seniors, it is going to be paid by families, it is going to be paid by big businesses, it is going to be paid by small businesses; but that is $630 billion that Americans should not have to pay.
As we talked about with many of these drugs like Tamoxifen, the Americans already paid for the drug. We paid to develop the drug. And yet they sell it, here this box of drugs I bought in Munich, Germany, for $59.05. We rounded it off to $60. This drug sells here in Washington, D.C. for $360. That is outrageous. It is indefensible. And the reason that they have to resort to distortions, deceptions, and down right lies is because they cannot defend this chart. They cannot defend the fact that Cipro sells in Germany for $35 and $55 in the United States, that Coumadin sells for $21 in Germany and $89.95 in the United States. Glucophage, $21.95 in the United States, only $5 in Germany. Pravachol sells for $62.96 in Germany but $149.95 here, and the list goes on.
The gentleman said the total price for the 10 most commonly prescribed drugs, $373.30 in Munich, Germany. That same group of drugs, same quantities, made in the same FDA-approved facilities sells for $1,039.65 here in the United States. That is indefensible. They do not want to argue this chart. They do not want to argue these numbers, so they resorted to the only thing that is left, and that is to try to scare seniors, try to deceive Members of Congress and somehow distort this whole issue so that it is about safety, it is about abortion, it is about all other kinds of issues; but that is not what it is about.
It is about money. It is about real money. Because they believe that $630 billion belongs to them. We believe that $630 billion belongs to Americans.
Mr. Speaker, I yield to the gentleman from Michigan (Mr. Hoekstra).
That must be for 100 tablets. Does it say?
That is what we are talking about.
Mr. Speaker, I want to give our friend from Illinois a few minutes because I know he has to leave.
Mr. Speaker, I thank the gentleman; and hopefully tonight we are going to have another bipartisan opportunity to come together, Republicans, Democrats, Independents, conservatives, liberals, and talk about this.
Let me just share, I have a lot of heroes. We all have heroes, but I want to talk about one in particular. Her name is Kate Stahl. Kate Stahl is 84 years old. She is a very active member of the Senior Federation back in Minnesota, and she was quoted in a recent copy of U.S. News and World Report, and the quote is, I would like nothing better than to be thrown in jail.
She is a self-described drug runner. She helps people find affordable medications, in Canada principally, but she will also look other places. She goes on-line. She helps them buy drugs. She takes them up to Winnipeg to buy drugs. Kate Stahl is not a common criminal. She is an American hero.
One of the statistics I have come across and one of the reasons I fight so aggressively on this issue, there was a study done recently by the Kaiser Foundation, and I checked this out because I spoke to the community pharmacists a few months ago. The study said that 29 percent of seniors say that they have had prescriptions that have gone unfilled because they could not afford them.
So when I spoke to the community pharmacists a couple of months ago, I asked them the question, have you ever had the experience where a senior comes in, or it does not even have to be a senior, it can be a mother or father comes in with a prescription, hands it to you and you tell them how much the prescription is going to cost and they take a deep breath and they drop their head and they say, well, maybe I will be back tomorrow and they never come back? Shame on us. Shame on us.
These drugs are available today in other industrialized countries for a fraction of what we pay, but they have something we do not have. They have parallel marketing or parallel trading in Europe, and they allow the pharmacists to literally shop where they can get the best price, whether it is for Coumadin or Synthroid or whatever it happens to be, and, as a result, they have affordable drugs.
It really is time for us to open up markets, because markets work. Again quoting Ronald Reagan, ``Markets are more powerful than armies.'' We have to open up markets. We have to have some competition. And if we do that, we will have more affordable prescription drugs, not just for seniors but for moms and dads, families, and for small businesses.
Mr. Speaker, I yield back to my friend from Michigan because he has been a champion of small businesses, and particularly a champion for small businesses. He has seen what is happening to manufacturing and one of the reasons for the cost of health care. Perhaps he wants to talk a little about why this does matter whether you are a senior citizen or a manager of a small manufacturing plant.
Reclaiming my time, Mr. Speaker, the gentleman is absolutely correct. I have been astonished at the response by some of the people here in Washington. We all claim to be very concerned with the fact that we have lost over 2 million manufacturing jobs in the last 4 years; and some people are saying, well, the answer is more government programs; and some people say, well, the answer is tax cuts. But here is an idea that if we are right, and I think we are, and I think the evidence supports this, that we can save at least $630 billion.
Now, if you want to allow Americans to keep and spend $630 billion of their money, here is a good place to start; and it does not cost the Federal Treasury a dime. It just begins to equalize, so no longer will American consumers and American taxpayers be subsidizing the health care cost of the rest of the world.
And I just want to come back to one point, because people do not realize, and the gentleman from Illinois (Mr. Emanuel) started talking about this, we subsidize the pharmaceutical industry in three separate ways. First of all, we subsidize them in the tax codes because they get very generous tax benefits for what they do on research and so forth. They get to write off at least 50 percent. In many cases, they get a dollar-per-dollar tax reduction in the form of tax credits.
Secondly, we subsidize them in the amount we spend on research. This year, and I am proud of this fact, we will spend about $27 billion in taxpayers' dollars through the NIH, the National Science Foundation, actually through the Defense Department. We spend an awful lot of money on research which ultimately benefits the pharmaceutical industry. With the drug tax laws, for example, we spent almost $.5 billion taxpayer dollars developing Paxil. Then we licensed that
drug to a pharmaceutical company and they went out and sold $9 billion worth of Paxil to the market. Even though we took it all the way through phase 2 trials at taxpayer expense, they have sold $9 billion and they paid us a royalty of $35 million.
Finally, we subsidize the pharmaceutical companies in the prices we pay. As the gentleman said, I think we ought to subsidize the people in sub-Saharan Africa, but I think the time has come to say we will no longer continue to subsidize the starving Swiss.
And we should do something about it.
Mr. Speaker, we have been joined by our friend, the gentleman from Vermont, someone who has been in these trenches fighting this battle I think for even longer than I have.
Mr. Speaker, I yield to the gentleman from Vermont.
Well, if the gentleman will yield back, that is the question I asked my colleagues and that is how I got involved in this debate. I always tell people I feel like the little boy who came in and asked his mother a question, and his mother was busy. She said go ask your dad. And he said, well, I did not want to know that much about it.
The more I have learned about this, the more pernicious this thing is. But what really got me involved was several years ago on behalf of my pork producers, when the price of hogs dropped from about 37 cents a pound down to about 9 cents a pound, 8 cents a pound, my hog producers started calling me saying, Congressman, can you not do something about this? I said, I do not know what I can do. They said, at least can you stop the Canadian hogs from coming into the American market making our situation even worse, making the supply and demand thing even worse? Can you do something about the Canadian hogs, at least stop them?
So I called the Secretary of Agriculture and I called the Secretary of Commerce and I got essentially the same answer. They said, well, that is called NAFTA. It is called free trade. All of a sudden a light bulb went on above my head. I said, wait a minute, we have free trade when it comes to pork bellies and blueberries, but we do not have free trade when it comes to Tamoxifen? The one area where Americans could save billions.
Billions. And that is when I began to move. As Winston Churchill once said, ``The difference between a fan and a fanatic is, a fanatic is one who cannot change their mind and will not change the subject.'' I have become a fanatic on this, and we will not step down.
Mr. Speaker, coming back to the abortion piece, if anybody knows what the rules are on the drug RU-486, it is the drug companies that make it. We talk about Canada and Mexico, we do not even mention Mexico in our legislation because we only talk about industrialized countries. We mention only the G-8 countries, countries that we know have very sophisticated methods of regulating the drugs. But let us come back to RU-486. That is what they are going after with some of the pro-lifers with that mailer. Here is what they know.
Exactly. It is all funded by the pharmaceutical companies. We know that, and we will be able to prove that within the next 72 hours.
But let me come back to this point. They know the rules. You cannot get the abortion drug RU-486 with a prescription in the United States. You can only get it administered by a doctor in a hospital or in the doctor's office. In other words, he or she cannot write you a prescription and you get it filled at the pharmacy.
The pharmaceutical industry knows that, and that is why this is such a bald-faced lie. In fact, they do not even go so far as to say you cannot even get it legally in Canada or Mexico. It is outlawed completely in those countries. Only the FDA has allowed the abortion drug.
I do not think they should, but whichever side of the story you are on, stick to the facts. And if anybody knows the facts, it is the companies that produce it. It is not laughable. It is sad. I used to think of them as an ethical industry. No more. It is unethical. What they are doing is dishonest, and they deserve all of the spite that the consumers are beginning to heap upon their shoulders.
Mr. Speaker, I yield to the gentleman from Vermont (Mr. Sanders).
Mr. Speaker, we have had a very lively discussion. This is an important debate. Ultimately, it is about hundreds of billions of dollars that Americans pay and will be forced to pay if we do not do something about it. There is nothing in it for any of us except the satisfaction of doing what we believe is honestly right.
I will close with the words of the American philosopher and country western singer Tom Petty, ``We won't back down.''