In case you thought conservatives were done with the "death panel" smear, here's the Wall Street Journal editorial page this morning. (1) wsj.com/articles/the-a…
The subject of the editorial is the outrage over a new Alzheimer's drug that will cost $56,000 with scant evidence of benefit.

Editorial sneers about "experts" making that case. Also takes a swipe at Sen. Ron Wyden, who has spoken out against the drug. (2)
Wyden has spent his career as an advocate for seniors & their health care, going back to 1970s when he was with Oregon's chapter of the Gray Panthers.

Also his mother had Alzheimer's, a fact he's cited repeatedly when making the case to help patients & their families. (3)
Just to be clear, many of the experts objecting treat Alzheimer's patients and quite a few of them (like Wyden) have loved ones who suffer/suffered with it.

They are angry because they don't believe the drug works, given evidence from the trials. (4)
Among the many worries: By approving this drug and then paying the $56,000 that Biogen wants from it, the federal government could actually steer future research away from more promising treatments. (5)
The cost could make it harder to finance programs for services like home care, which Alzheimer's patients, families need desperately.

Biden infrastructure package would spend $400B on home care. Guess who's opposed?

Yup, the WSJ opinion page. (6) wsj.com/articles/the-s…
More on the Alzheimer's drug here, in an article that I certainly hope is more nuanced and rooted in fact than what the @WSJopinion published. (7) huffpost.com/entry/fda-aduh…
Reminder: The @WSJ news staff is top notch, some of the best journalists out there. Especially on health care! They have nothing to do with the opinion page. (8)

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More from @CitizenCohn

27 Apr
@JHWeissmann ...although I really think it depends on the issue. With a lot of these, you can dial it down, one way or another, and still get serious benefits.
@JHWeissmann And then you build on later. Make paid leave longer, expand child care to more kids or make it more generous, add dental now and visual later, etc.
Read 4 tweets
24 Apr
Lots of chatter about what Biden will say on health care, and lots of anxiety too. I tried to sort out what it means, what's happening etc.

As always, hard to be sure. Depends a bit on who you ask. Etc.

huffpost.com/entry/biden-he…
On the policy side, I think there's a lot of common ground among Democrats -- more than it might seem. And I'm including the White House in that.

At the same time, some of these ideas are difficult political lifts.
For more background reading, start with the latest @JStein_WaPo article that I reference in mine: washingtonpost.com/us-policy/2021…
Read 12 tweets
11 Apr
Why are Michigan's COVID numbers so scary?

What is Gov. Whitmer doing and what is she *not* doing? And why?

Here’s an article on that -- and a thread (1)

huffpost.com/entry/michigan…
It’s not just the caseload numbers that are spiking. It’s also the hospitalizations.

Facilities are filling up, delaying elective procedures, etc.

Via @KristenShamus @HealthBridgeMI (2)

freep.com/story/news/loc…

freep.com/story/news/202…
You may have seen this desperate tweet from @umich surgery chairman @jdimick1 (3)

Read 17 tweets
18 Mar
Via @danpfeiffer newsletter, a reminder about politics of 2009 and role conservative Democrats played in setting political boundaries (1) messagebox.substack.com/p/what-really-…
It's such a huge difference.

Per this chart I made this week, of Senate seats that changed parties 2009 to 2021, Dems had more than a dozen in R-states. Survival strategy for most was to create distance from party & liberal-sounding policies. (2) citizencohn.substack.com/p/one-reason-2…
Here's what Phil Schiliro, who was director of legislative strategy at the White House under Obama, told me for @HuffPost article on this. (Similar quotes in my book on the ACA.)

huffpost.com/entry/biden-co…

(3)
Read 5 tweets
18 Mar
Latest from @adamcancryn on the internal Biden administration debate over an FDA commissioner, and concerns that Janet Woodcock is too close/sympathetic to pharmaceutical industry.

This passage, about Rep. Eshoo, caught my eye (1) politico.com/news/2021/03/1…
In 2009, when E&C Committee was writing its version of what became the the Affordable Care Act, Eshoo pushed to give biologics a longer "exclusivity" period.

Chairman Henry Waxman, who thought it was a giveaway to industry, opposed that strongly. Eshoo prevailed. (2)
As legislation moved through Congress, Waxman kept fighting to reduce that period. So did Obama, who agreed w/Waxman and was really worked up about it.

But industry was too powerful, ultimately got its way. I cover this in my book. (3) read.macmillan.com/lp/ten-year-wa…

(3)
Read 5 tweets
16 Mar
Agree with this. The political environment was in 2009 was very different.

Nobody was talking about ending the filibuster, a bunch of conservative Ds were firm no's on using reconciliation.

It was a 60-vote world and that was a huge constraint on both the stimulus & ACA.
And yes, that's a very big theme of my new book

latimes.com/business/story…
Read 4 tweets

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