HEALTH ACCESS UPDATE
Friday, August 5th, 2005
BALLOT FIGHT OVER PRESCRIPTION DRUG COSTS HEATS UP
- Drug Companies Contribute Nearly $60 Million, on Track to Break National Record
- Prop 79 Website Launched: Deeper, Enforceable Discounts for Twice as Many Californians
On Monday, August 1st, the prescription drugs companies filed paperwork about their expenditures around two ballot measures, Propositions 78 & 79, that will appear on the November 2005 special election ballot. These newly-released figures show that the drug companies have contributed almost $60 million dollars to their efforts to defeat a consumer group-backed Prop 79 measure to provide enforceable discounts to millions of Californias, and to support their alternative version, Prop 78, that lacks enforcement and offers smaller discounts to fewer people.
In order for Prop 79 to become law, it needs to get a majority of votes and get more votes than the competing Prop 78.
In press accounts, the drug companies have said they will spend “whatever it takes.” Some drug companies, including Merck, GlaxoSmithKline, and Pfizer, gave over $8.5 million, which may be the single largest contributions in state ballot measure history. This level of campaign fundraising has backfired, attracting significant attention from the media around the country, from the Los Angeles Times to the New York Times.
While the consumer, senior and health group supporters of Prop. 79 do not have as much money, they have launched a website, which includes fact sheets, media clips, and the ability to join the campaign as an organization or an individual. Health advocates are invited to endorse the measure and to get involved in the campaign. THe website is at:
The drug companies have launched their own website on the ballot campaign, at:
BELOW are some basic facts on Proposition 79, also available as a printable fact sheet at the Health Access California website. Also available at the website is a chart comparing the basic differences between Prop 78 & 79, including who the supporters are, the enforcement (or lack thereof), the level of discounts, and the number of Californians eligible:
Prop 79: Deeper, Enforceable Discounts for Twice as Many Californians.
There are two prescription drug measures on the ballot: Proposition 78, sponsored by drug companies and Proposition 79, sponsored by consumer, senior and health organizations. The pharmaceutical industry has pledged to spend “whatever it takes” to defeat Prop. 79, launching what could be the most expensive initiative campaign in California history.Here’s why:
Prop. 79: Enforceable, Not Voluntary, Discounts By Drug Companies
Prop. 78 is completely voluntary for drug companies: they are free to choose whether or not to offer discounts. California has tried a voluntary drug discount plan before. The pharmaceutical industry refused to participate so the program dissolved in 2001. Prop. 79 has an enforcement mechanism. If a drug company refuses to provide discounts, the state can shift business away from that company and buy more from other drug companies that offer discounts.
Prop. 79: Discounts to Twice as Many Californians
Between 8 and 10 million Californians will be eligible for discounts under Prop. 79 – twice as many as under Prop. 78, including: Californians with catastrophic medical expenses who spend at least five percent of their income on medical expenses; The uninsured who earn up to 400 percent of the Federal Poverty Level ($64,360 for a family of three); Californians on Medicare for drug costs not fully covered by Medicare; Seniors, the chronically ill and others with inadequate drug coverage through private insurers or their employer.
Prop. 79: California Would Use Its Purchasing Power to Get The Best Price
Americans pay more for their prescriptions than consumers in many wealthy nations, in part because these other governments negotiate discounts from the drug industry on behalf of their citizens. California does something similar through Medi-Cal, negotiating discounts of 50 percent and more, saving taxpayers $5 billion in the last 10 years. Prop. 79 builds on this success, using the same mechanism to negotiate these discounts for eligible Californians. As a result, consumers will pay less out of their own pockets for prescriptions at the expense of the drug companies, not taxpayers. Under Prop. 79, eligible Californians would get a drug discount card to present to their pharmacist to receive discounts of up to 50 percent or more.
Prop 79: Would Save Patients, Taxpayers and Employers Money
By making affordable drugs more accessible to more people than Prop. 78, fewer people would fall onto Medi-Cal or other public programs, and need to use taxpayer-funded emergency rooms. Prop. 79 can reduce employers’ health premiums by authorizing a new purchasing pool to reduce drug prices for employer-paid coverage.
Prop. 79: Backed by Health, Senior and Consumer Advocacy Organizations
Dozens of health, senior and consumer advocacy groups representing thousands of Californians are supporting Proposition 79. These groups include: Health Access California, Consumers Union, California Association of Retired Americans, the League of Women Voters of California, and many others.