Show Notes
Ralph speaks to Peter Maybarduk of Public Citizen about how the Trump Administration's drug pricing deals favor Big Pharma. Then, some advice for progressive candidates from Ralph and former NYC Public Advocate Mark Green.
Peter Maybarduk directs Public Citizen’s Global Access to Medicines Program, which helps partners worldwide make medicine available and affordable for all. He has provided technical and strategic assistance to government agencies and health organizations in dozens of countries, and sits on the governance board of the Medicines Patent Pool, a United Nations-backed organization that negotiates licenses among drugmakers to expand global availability of affordable generics.
Trump has several different drug pricing initiatives, but he’s hollowing them out himself by negotiating exemptions from his own drug pricing programs on behalf of the Big Pharma corporations. Trump has been signing a series of deals in the White House so far with 27 drug makers, and they get the PR from this, right? They come out and say, “We’ve got a new deal. We’re going to offer the best prices in the world.” But those deals are secret. Part of what we know now is the deals actually exempt the drug makers from any of the binding mandatory programs that Trump is trying to run. Peter Maybarduk
Almost every new drug relies on some kind of US-government funding at some stage. Sometimes it’s just in the research chain (in the literature, the publications) that link back to NIH research. Sometimes it’s all the way up through development…So there’s a lot to be said for public R&D, which already happens. There’s also: we could just manufacture more drugs publicly in the late stage...And generally, if you had, for example, a government-owned-contractor-operated model or a fully public model of production and the proper terms attached to it, you could fight rationing. You could ensure that there’s a basic supply of essential medicines available for people. It would help you fight during pandemics and not have to be reliant on pharma’s profit-maximizing decisions about who is going to get vaccines, for example, at what price and when. You could bring those things under public authority and make them accountable. There’s a lot of levers that we’re not yet using that we could use to make medicine affordable and available for all. Peter Maybarduk
Mark Green is a former Nader’s Raider, who ran Public Citizen’s Congress Watch for ten years and was elected New York City’s first Public Advocate. He’s a prolific author, and has collaborated with Ralph on Fake President: Decoding Trump’s Gaslighting, Corruption, and General B******t, and Wrecking America: How Trump’s Lawbreaking and Lies Betray All. As the GOP spends hundreds of millions on negative ads in the final month, here’s a suggested strategy and narrative for aggressive and progressive Democrats in close contests. First: yes, Assume Trump’s “on the ballot” (in his phrase), to tarnish your rival with his erratic extremism. And second: frame everything under the memorable banner of “Progress, not corruption.” [Trump] has pushed America to an inflection election when voters determine whether Trumpism survives Trump, or whether it becomes a pariah ideology like McCarthyism. Mark Green
News 10/16/26 * Our top story this week is the resounding reelection victory of United Auto Workers President Shawn Fain. As Jacobin reports, Fain won his first term in 2022, taking out the long-entrenched leadership clique at the union following internal democratic reforms, including direct election of union leadership. Under Fain, the UAW has again become a fighting union, winning “record agreements at the Big Three,” automakers following a successful stand-up strike, “delivering 25 percent wage increases, eliminating wage tiers, restoring cost-of-living adjustments, securing bonuses for retirees for the first time in decades, winning the right to strike over product commitments, and bringing electric vehicle batter
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