

Northwest Federation of Community Organizations
Oregonians For Health Security
© 2004, Oregon Action
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Last Updated May 10, 2004
All people should have access to the prescription drugs they need without having to choose between their health and the other basic necessities of life — food, housing and child care. The cost of prescription drugs in health plans is going up at a dramatic rate up to about 20% last year. This is driving double- digit increases in health insurance premiums. And those who need prescription drugs but have no health insurance are increasingly forced to choose between the drugs that they need to live and paying the rent or eating.
Fighting Medicare Deform
Medicare was based on the conviction that government can solve problems that people cannot tackle on their own. Three out of four seniors did not have hospital insurance when Congress established Medicare in 1965. Seniors were sinking into poverty and this was considered a national disgrace. Since 1965, millions of seniors and their families have benefited from this program. And it has been cost effective – less than 5% of the Medicare budget is spent on administrative costs, 95% pays for healthcare delivered by private doctors and hospitals.
Fast forward 40 years to today when prescription drugs have become the fastest growing part of both healthcare costs and healthcare usage. Medicare pays to visit the doctor, but not for the prescription drugs that will keep you healthy. Seniors find themselves forced to choose between food and medicine. The drug companies are making record profits and the U.S. pays more for prescriptions than any other country. What should be done?
Not what was done. Congressional leaders used every trick in the book to pass the Medicare Modernization Act. Everyone who voted for it should be ashamed. CEOs and shareholders are the beneficiaries, not seniors. The Boston Globe published a must-read article on the politics behind this bill.
Not only does this bill prohibit Medicare from bargaining for lower drug prices for seniors, it has no cost controls at all. So the recently announced 17.4% Medicare premium increase is likely to be just the beginning. According to the Boston Globe, drug companies will rake in an additional $139 billion in new profits thanks to Congress’ generosity.
Oregon Action is committed to seeing this legislation repealed and replaced with prescription drug coverage that serves the greater good. We want our tax dollars to pay for medicine, not for CEO bonuses.
Rx Reform in OregonLocally, Oregon Action was a leader in winning a Drug Purchasing Pool bill that will go into effect in January, 2005. People 55 or older who are at or below 185% of the federal poverty line are eligible to enroll in the purchasing pool and pay less for their prescriptions. The Purchasing Pool allows the state of Oregon to bargain for lower drug prices. For more information, see www.oregoniansforhealthsecurity.org.
Victory
Prescription drug reform is Oregon Action's priority statewide issue. We worked hard for the passage of a prescription drug bulk-purchasing pool. Despite strong opposition from the pharmaceutical lobby, SB 875 was passed. This bill creates a statewide purchasing pool for all state, county, local and school government agencies and for seniors 55 and over at 185% of poverty and below. This means the campaign is only half-over since we believe the pool must be open to employers and other consumers.
Governor Ted Kulongoski with OA leaders Tom Morgan, Rose Spears and Joe Mahoney at a recent press conference where Governor Kulongoski announced his support for a regional bulk-purchasing pool. |
Oregon should join together with Washington, Montana and Idaho in a regional prescription drug purchasing-pool so state health programs, independent pharmacies and regional clinics, hospitals and HMO's can bargain for the same bulk discounts that huge chains such as Walmart and Rite-Aid enjoy. Not only will this bring the cost of health care down for Oregonians; it will help local small businesses such as independent pharmacies to compete on price as well as service. |
| OA recently released the report, The Best Medicine at the Best Price, detailing how the state could save as much as $30 million a year on prescription drugs by purchasing though a pool. Individuals and businesses, if allowed to participate, could boost the savings an additional $40 million. |
OA leaders Taneisha White, Tom Morgan and Evelyn Richardson tell the press that Oregon can save $30 to $70 million per year on prescriptions with a prescription drug bulk-purchasing pool.No meaningful prescription drug reform can happen unless the people elected to office believe in it. That's why Oregon Action endorsed a slate of Health Care Reform Candidates.in the November elections. Two-thirds of our endorsed candidates won their elections.
In July, we hosted a Health Care Candidate Forum and invited all the candidates for state and federal office who are running in the Portland Metro area to attend and speak to their proposal to address three elements of health care reform: containing costs, expanding access and enhancing quality.
Evelyn Richardson of the Portland Chapter chaired the Candidate Forum. Here she is welcoming everyone and reviewing the three points that the candidates should address.
At least 300 people attended the Health Care Candidate Forum, demonstrating to candidates that voters want to know where they stand on health care reform. For more info and photos from the forum, click here.
In June, Oregon Action released The Impact of Prescription Drug Prices on Seniors, a report detailing the disproportionate effect of the prescription drug crisis on seniors. For example, although in 1998 seniors made up only 13 percent of the population, they accounted for 42 cents of every dollar spent on prescription drugs, and 34 percent of all prescriptions dispensed.
In this photo, Portland President Rose Spears, Rx Reform Committee leader Idella Mims and intern Franky give a thumbs up to toast the successful press conference.
Earlier this summer, OA members Karen Jenkins and Joe Mahoney traveled to Mexico wtih the Oregonians for Health Security in a prescription drug purchasing trip, taking advantage of the immense difference in drug prices between the United States and Mexico.
Many Americans travel to both Mexico and Canada where drugs are much less expensive than here. Here is just one example of the savings from the Mexico trip: Oxsoralen Ultra, the cost for 100 pills in the United States = $700.00, but in Mexico it costs $60.
Oregon Action will again work to pass a prescription drug bulk-purchasing pool in the 2003 legislature. Our Northwest Federation partners are also working in Idaho, Washington and Montana so that our statewide bargaining power is combined into a regional purchasing bloc. We will also continue working with our national partner, US Action to win prescription drug benefits for Medicare.
As a member of US Action, Oregon Action is working for a unified national program to promote quality, affordable health care for all Americans. Currently, the Administration and Congress are looking at ways to address the high cost of prescription drugs. Oregon Action urges Congress to go beyond band-aid solutions such as discount cards and really address the high cost of prescriptions by passing H.R. 1400, the Prescription Drug Fairness to Seniors Act, usually called the Allen Bill.
We oppose the bait and switch reform bills passed by the House and Senate. They lack an cost control mechanism, a reflection of the undue influence of the drug lobby. Under these bills, many people in Oregon will actually pay more than if Congress did nothing. Now that is the real Medicare Bait and Switch. Please read our report, with USAction, laying out the problems with the bill and detailing the hundreds of thousands who will be worse off than if Congress did nothing.
Paying for Prescription Drug Reform
The Bush tax cut passed in 2001 has many provisions affecting wealthy Americans that have not yet been implemented. The additional tax cuts proposed this year go even farther. The unimplemented tax cuts will cost as much as creating a prescription drug reform benefit - a reform promised by both candidates in the 2000 election. These cuts, together with additional defense spending, are being used by President Bush as an excuse to renege on his campaign promise to pass a prescription drug benefit for all seniors. The choice is clear, tax cuts for the wealthy or prescription drugs for seniors.
In the News:
In My Opinion by Joe Mahoney -- regarding discount drug plans
Oregon Considered, March 28, 2001
Oregon Action member Joe Mahoney speaks in support of the prescription drug bulk-purchasing pool. You can listen to the story by clicking here. Oregon Action will continue to push for the bulk-purchasing pool in the next legislative session.
Research
US Action, through its members like Oregon Action, has released reports on the prescription drug crisis.
The Northwest Federation of Community Organizations and Oregon Action have released the following report together.