Category: Drugs

And yet Another Element of the US State Security Apparatus Goes Rogue

It appears that the DEA specifically targeted the Evo Morales government in Bolivia in what appears to be something very close to an attempted coup:

The United States has secretly indicted top officials connected to the government of Bolivian President Evo Morales for their alleged involvement in a cocaine trafficking scheme. The indictments, secured in a U.S. Drug Enforcement Administration sting called “Operation Naked King,” have not been previously reported.

Morales, a former leader of Bolivia’s coca growers union, has long been at loggerheads with the DEA. In 2008, Morales expelled the agency from the country and embarked on his own strategy of combatting drug trafficking, acknowledging the traditional uses of coca in Bolivian culture and working cooperatively with coca growers to regulate some legal activity and to promote alternative development elsewhere. Morales’ plan has been effective at reducing cultivation, according to the United Nations.

But that doesn’t mean the DEA accepted its eviction quietly. In fact, the agency went after members of Morales’ administration in an apparent effort to undermine his leadership.

The sealed indictments, revealed last week in a lawsuit filed by long-time DEA informant Carlos Toro, target Walter Álvarez, a top Bolivian air force official; the late Raul García, father of Vice President Álvaro García Linera; Faustino Giménez, an Argentine citizen and Bolivian resident who is said to be close to the vice president; and Katy Alcoreza, described as an intelligence agent for Morales. Toro said in the court document that he played an integral role in securing the indictments as part of the DEA’s undercover investigation into the alleged Bolivian cocaine trafficking ring, which the agency ran out of its office in Asuncion, Paraguay.

………

The U.S. government and the DEA made no secret of their displeasure when their longtime nemesis, Morales, was elected. “If radicals continue to hijack the indigenous movement, we could find ourselves faced with a narcostate that supports the uncontrolled cultivation of coca,” General James T. Hill, a U.S. army commander with the Southern Command, told the House Armed Services Committee in March 2004, referring to Morales’ movement.

“I don’t think there’s an attractive or viable future by becoming a narcostate,” John Walters, then the Bush administration’s drug czar, told The New York Times the next year, when it appeared Morales was on his way to victory.

Morales used the accusations to his political benefit. “They accuse me of everything,” Morales said at a campaign rally, according to the same Times article. “They say Evo is a drug trafficker, that Evo is a narcoterrorist. They don’t know how to defend their position, so they attack us.”

………

By 2014, the Times was writing about Bolivia’s renaissance:

Tucked away in the shadow of its more populous and more prosperous neighbors, tiny, impoverished Bolivia, once a perennial economic basket case, has suddenly become a different kind of exception — this time in a good way.

Its economy grew an estimated 6.5 percent last year, among the strongest rates in the region. Inflation has been kept in check. The budget is balanced, and once-crippling government debt has been slashed. And the country has a rainy-day fund of foreign reserves so large for its relatively small economy that it could be the envy of nearly every other country in the world. The Times article notes that extreme poverty under Morales has plummeted, despite — or, more likely, because of — his refusal to follow the path the U.S. has urged.

………

In the face of U.S. denunciations that Bolivia would become a narcostate under Morales, the country has instead managed to reduce coca leaf cultivation, especially over the past five years. According to the United Nations Office on Drugs and Crime, total production of dried coca leaf fell 11 percent from 2013 to 2014, and has fallen by an average of nearly 10 percent each year since 2011. Interdiction efforts targeting coca cultivation have also dropped precipitously since the DEA’s dismissal in 2008, though confiscations of cocaine continued to rise until 2013, when they dropped off significantly. In 2014, confiscations of processed cocaine hydrochloride returned to previous levels, though interdiction of coca leaves and cocaine base remained low.

“[Drug trafficking] must be fought — we are convinced of that — and we are doing so more effectively and more wisely,” Morales told Al Jazeera in a 2014 interview. “When the United States was in control of counternarcotics, the US governments used drug trafficking for purely geopolitical purposes …. The US uses drug trafficking and terrorism for political control …. We have nationalised the fight against drug trafficking.”

In 2009, Hillary Clinton warned of Morales and the late Venezuelan President Hugo Chávez’s “fear mongering” in written testimony during her secretary of state confirmation hearings. Yet Morales’ fears, it turns out, weren’t rooted in mere paranoia. The DEA was, in fact, out to get him.

The revelation of Operation Naked King goes to show that Bolivian leaders’ paranoia was well justified, said Kathryn Ledebur, who runs the Andean Information Network based in Bolivia. “US authorities frequently dismiss Bolivian government denunciations about the DEA and US intervention as absurd speculation, but these revelations show what is common knowledge on the ground — there has long been an alarming lack of oversight of DEA operations in Latin America, including recurring mission creep and a violation of agreements with host countries,” she wrote in an email.

What is going on here is very simple: A coup attempt by the DEA, and they are trying to take this government down not because their policies are a failure, but because their policies are a success.

If other governments follow their example, bad things will happen:   the DEA will face a situation where their most important path to career advancement an visibility, f%$#ing around with other sovereign nations, will be curtailed.

At some point, lead to reductions in budget and manpower at the agency, so clearly Evo Morales must be overthrown, because, to quote Mel Brooks, “Holy underwear! Sheriff murdered! Innocent women and children blown to bits! We have to protect our phoney baloney jobs here, gentlemen! We must do something about this immediately! Immediately! Immediately! Harrumph! Harrumph! Harrumph!

This is not surprising.  After all, one of the first major foreign initiatives of the Obama administration was to tacitly support a coup against Manuel Zelaya in Honduras.

Haven’t we f%$#ed up Latin America enough since 1823?

So Not Surprised………

It turns out that drug sniffing dogs are little better than a coin flip, so they are yet another way that law enforcement manufactures probable cause for a search:

Police are now speaking out about a decision from the 7th U.S. Circuit Court of Appeals, which ruled that drug dogs signal for drugs nearly every time they are sent to sniff a vehicle or home. This decision shows that police dog searches are not legitimate and that they are just used as a pretense for officers to violate the rights of innocent people.

The case stemmed from a 2010 traffic stop in which 20 kilograms of cocaine were found in a vehicle after a search from a police dog named “Lex.”

The suspect ended up taking the case to court, and while his sentence was upheld, some very interesting points were uncovered during the investigation.

It was revealed that Lex, the drug dog in question, signaled for drugs 93% of the time, even when there were no drugs present. These findings show that dog sniffs are not accurate and are simply used as a tool to justify a full police search. The findings also indicated that Lex was incorrect roughly 40% of the time.

Lex’s overall accuracy rate … is not much better than a coin flip,” the ruling stated.

………

Last year, we reported on the high-profile case of Timothy Young. Young was pulled over for failure to use his turn signal when a police K-9 was said to have alerted to his vehicle. After police found no evidence of drugs in his car or on his person, he was then handcuffed and driven to a hospital an hour away. During this forced visit to the hospital, Young was x-rayed and sodomized in search of non-existent substances.

Still think if you do nothing wrong, you have nothing to fear? Ask Mr. Young that question…..

Live in obedient fear, citizen.

Why to Legalize Marijuana, Again

Last week, there was a huge bust of pot growers in Northern California.

It turns out that the primary motivation for the bust was not the growing of Marijuana, but the illegal taking of water required to grow Cannabis:

There were helicopters, SWAT teams, and nearly 100,000 marijuana plants yanked out of the ground, but last week’s massive raid in Northern California’s rugged Emerald Triangle was not your father’s pot bust. Carried out by county law enforcement with no help from the DEA, it targeted private landowners—and not just because they were growing pot, police say, but because they were illegally sucking some 500,000 gallons of water a day from a section of the nearby Eel river that is now stagnant and moss-ridden.

When pot is legal, it will no longer be grown in environmentally disastrous ways in national park land, because the growers won’t find it economically viable to do this.

Quote of the Day

The markets want money for cocaine and prostitutes. I am deadly serious.

Most people don’t realize that “the markets” are in reality 22-27 year old business school graduates, furiously concocting chaotic trading strategies on excel sheets and reporting to bosses perhaps 5 years senior to them. In addition, they generally possess the mentality and probably intelligence of junior cycle secondary school students. Without knowladge of these basic facts, nothing about the markets makes any sense—and with knowladge, everything does.

ObsessiveMathsFreak in the comments section of a post on the blog The Irish Economy

H/t Paul Krugman

Ignore Last Time, I Was a Junkie: Worst Presidential Campaign Slogan Ever

Rick Perry is now saying that the reason that he was so stupid in his 2012 run for President was because he was jacked up on pain pills:

Former Texas Gov. Rick Perry (R) offered a critical assessment of some of the problems with his last presidential run.

“I wasn’t healthy. You all know the health stories — it was what it was,” Perry said in front of reporters in Souix City, Iowa, according to an NPR report published on Tuesday. Perry has taken steps toward running for the White House again and is expected to formally jump into the race on June 4 in Dallas.

During a 2012 GOP debate in Rochester, Michigan, Perry struggled to name the three federal agencies he would cut if elected president.

“The third agency of government I would do away with —the Education, the uh, the Commerce, and let’s see. I can’t find the third one. I can’t,” Perry said during the debate. “Sorry, oops.”

Later in the cycle, aides to Perry said that the governor suffered from severe back pains and depended on painkillers to make it through the debates, which seemed to have affected his debate performances.

Seriously?  You are suggesting that unwise use of painkillers made you behave erratically, and it’s all better now?

This is the worst bit of stupidity by a Presidential candidate since ……… Ummmmm ……… Sorry, oops.

It’s 4/20

What is/was your favorite munchie food?

I no longer indulge in “Demon Weed”, but when I did, I favored ice cream sandwiches and Fig Newtons.

Of course, I stopped toking before I became even vaguely aware of Ben and Jerry’s, and the explosion of gourmet snacks was almost a decade away.

Our F%$#ed Up Drug Policy, Colorado Edition

Though sales of recreational marijuana are increasing swiftly, medical marijuana sales in Colorado fell during 2014, GreenWave Advisors calculated, along with the number of new medical cardholders, CNBC reported. Many medical users in the state have begun to purchase on the recreational side despite a lower tax rate.

………

“As long as Medpot is illegal on the federal level no one wants to register for a pot card for fear the feds now know who and where they are, knowing fully the feds could and would come bust them on a federal charge,” wrote Jeffrey Moab in a comment attached to the CNBC story. “People are willing to pay extra bucks to remain invisible to the feds.”

We need to take pot off the schedule 1 registry.

Headline of the Day

DEA Warns of Stoned Rabbits if Utah Passes Medical Marijuana.

The dead enders in the drug prohibition industry have become increasingly shrill as the rest of the population realizes that prison works to fight drug use like gasoline puts out fires.

The story gets even weirder:

Utah is considering a bill that would allow patients with certain debilitating conditions to be treated with edible forms of marijuana. If the bill passes, the state’s wildlife may “cultivate a taste” for the plant, lose their fear of humans, and basically be high all the time. That’s according to testimony presented to a Utah Senate panel (time stamp 58:00) last week by an agent of the Drug Enforcement Administration.

“I deal in facts. I deal in science,” said special agent Matt Fairbanks, who’s been working in the state for a decade. He is member of the “marijuana eradication” team in Utah. Some of his colleagues in Georgia recently achieved notoriety by raiding a retiree’s garden and seizing a number of okra plants

.(emphasis original)

Illegal pot growing does constitute an environmental issue, frequently the farms contribute to erosion, and apply various agricultural chemicals to excess, but stoned bunny rabbits?

Seriously?

I think that this “Reefer Madness” bullsh%$ needs to be called out.

I will note that the Utah senate panel went with sanity, as opposed to the, “Think of the poor bunnies,” claptrap, and passed the bill along to the state senate.

Portrait of the Candidate as a Young Pothead

It appears that Jeb Bush was a major stoner during his high school years:

In the fall of 1967, when a 14-year-old Texan named John Ellis Bush arrived on the bucolic campus of Phillips Academy in Andover, great expectations preceded him.

Jeb, as he was known, should have been an easy fit in that elite and ivied world. His much-accomplished father and his older brother had both gone to Andover; no one was surprised that Jeb had followed suit.

But this Bush almost ran aground in those first, formative prep school days. He bore little resemblance to his father, a star on many fronts at Andover, and might have been an even worse student than brother George. Classmates said he smoked a notable amount of pot — as many did — and sometimes bullied smaller students.

Resolutely apolitical despite his lineage, he refused to join the Progressive Andover Republicans club and often declined even to participate in informal bull sessions with classmates. In a tumultuous season in American life, he seemed to his peers strangely detached and indifferent.

(emphasis mine)

So Dubyah is the smart one?

That is a scary thought.

So Much for “Safe” Vaping

It turns out that E-Cigs are pumping outs lots of formaldehyde.

So much for safe smokes:

Vapor produced by electronic cigarettes can contain a surprisingly high concentration of formaldehyde — a known carcinogen — researchers reported Wednesday.

The findings, described in a letter published in the New England Journal of Medicine, intensify concern about the safety of electronic cigarettes, which have become increasingly popular.

………

He [David Peyton, one of the researchers] calls it “masked” formaldehyde because it’s in a slightly different form than regular formaldehyde — a form that could increase the likelihood it would get deposited in the lung. And the researchers didn’t just find a little of the toxicant.

“We found this form of formaldehyde at significantly higher concentrations than even regular cigarettes [contain] — between five[fold] and fifteenfold higher concentration of formaldehyde than in cigarettes,” Peyton says.

And formaldehyde is a known carcinogen.

“Long-term exposure is recognized as contributing to lung cancer,” says Peyton. “And so we would like to minimize contact (to the extent one can) especially to delicate tissues like the lungs.”

So, yes, FDA regulations is a good idea, and applying the same smoking bans to E-cigs as for the old fashioned cigarettes is an even better one.

My Nose Hair Was Vibrating Like a Hummingbird with Epilepsy

An odd thing happened today.

Some people came by to hand out cans of Red Bull as part of a promotion.

It’s not my bag, but I was really tired, and it was free.

First, it tastes f%$#ing awful, worse than Schlitz Dark.

Second, it is not the good kind of boost.

It makes Mountain Dew look like Château Lafite Rothschild.

Not good.

Not quite as bad as Moxie or Baijiu,  but man, it’s close.

The Handmaiden”s Tale is Alive and Well in Tennessee

Does being pregnant when you commit a crime make you guiltier than someone who is not pregnant? Vice reports that a group of reproductive rights organizations, led by the National Advocates for Pregnant Women, wrote to the Department of Justice recently to protest the sentence of Lacey Weld of Dandridge, Tennessee. Weld was picked up in an undercover sting at a methamphetamine manufacturing plant. As Kristen Gwynne of Vice writes, “despite her cooperation in the case and testimony against co-defendants, Weld (who pleaded guilty) was sentenced to more than 12 years in prison and five years of supervised release for her involvement in meth manufacturing.” Because of “enhanced sentencing” guidelines, six of those years were tacked on simply because Weld was pregnant at the time.

As the NAPW’s letter states, giving a person an extra-long sentence because of her pregnancy status constitutes “separate and unequal treatment of pregnant women.” The justification offered by the judge in Weld’s case is that Weld is extra guilty because she put her “unborn” child at a “a substantial risk of harm.” But Weld was not convicted of smoking meth. “According to the press release, the DOJ justifies the enhanced penalty in part because Ms. Weld apparently used methamphetamine while pregnant,” writes NAPW in its letter. “Drug use (rather than possession), however, is not a crime under either Tennessee or federal law—and as the press release admits, Ms. Weld was convicted of manufacturing, not possession of, methamphetamine.” Tennessee law allows enhanced sentencing if the victim is especially vulnerable, but Weld was not convicted of victimizing her son. Those six extra years were for a crime that isn’t a crime in Tennessee at all.

This is contemptible.

Why to Make Pot Legal, Part Gazillion

Growing marijuana is illegal, so the growers tend not to be particularly solicitous of EPA regulations, and as a result the Fisher may be placed on the endangered species list:

A rare west coast mammal is up for Endangered Species protection thanks to the threat posed by California’s illegal marijuana industry.

The fisher, a carnivorous cousin of the weasel found in the old-growth forests in California, Oregon and Washington is already rare, its numbers reduced by fur trappers and loggers going back to the 1800s, as well as by urban development. Only two naturally occurring wild populations exist, according to the Center for Biological Diversity: one is in the southern Sierra, and the other is in southern Oregon and Northern California. A third was reintroduced into Washington’s Olympic National Park in 2008. But the motivation for the new level of protection, according to U.S. Fish and Wildlife Service officials, comes from the use of rat poison on marijuana plantations. Of 58 carcasses tested by one 2012 study, nearly 80 percent tested positive for traces of rodenticide.

“It is an illegal activity so it’s not like we know a lot yet,” explained Paul Henson, state supervisor for the FWS in Oregon. “But we know it’s fairly widespread within the range of the fisher, because that’s also where a certain amount of the illegal cultivation occurring on public lands.”

Make pot legal now.

Finally!

The FTC is suing brand name drug makers over their payments to generic drug manufacturers to delay their production:

For the first time since the U.S. Supreme Court ruled last year that so-called pay-to-delay deals may be subject to greater antitrust scrutiny, the U.S. Federal Trade Commission has filed a lawsuit charging drug makers with violating anti-trust laws and hurting consumers in their collective pocketbooks.

Specifically, the agency charged several drug makers – including AbbVie ; Abbott Laboratories , which spun off AbbVie, and Teva Pharmaceuticals – for striking deals that delayed the availability of the widely promoted AndroGel testosterone replacement therapy, a $1 billion seller.

“We believe the defendants’ anticompetitive conduct has forced consumers to overpay hundreds of millions of dollars for this medication,” FTC chairwoman Edith Ramirez told the media in a briefing, in which she noted the agency hopes to force the drug makers to disgorge “their ill-gotten gains.”

In these deals, a brand-name drug maker settles with a generic rival in exchange for ending patent litigation and launching a copycat medicine at a future date. The pharmaceutical industry contends the deals are not only legal, but actually allow drugs to reach consumers faster than if litigation continued.

Also known as reverse payment settlements, the deals emerged as an unintended consequence of the Hatch-Waxman Act that was designed to accelerate access to lower-cost generics. An FTC report in 2012 found there 40 potential pay-to-deals, up from 28 the year before.

The Supreme Court ruling, which reviewed a lawsuit brought by the FTC against Actavis, was a boost to the agency, because it supported the contention that pay-to-delay deals may violate antitrust laws and, effectively, allowed the FTC to pursue lawsuits against drug makers.

………

In its lawsuit, the FTC charges that AbbVie, Abbott and Bevins Healthcare filed “sham” patent litigation against potential generic rivals, including Teva, and then entered into an allegedly illegal patent settlement in order to thwart competition.

I’ve said it before (like the post just before this one):  Our current model of capitalism is a harmful and corrupt system that resembles nothing more than the book Lord of the Flies.

The More We Know About Pot, the Better it Looks

Note that I do not know the extent of the statistics, but the fact that states with legal marijuana have a 25% lower opioid overdose rate bears further investigation:

States that allow legal use of medical marijuana have lower rates of fatal overdoses from prescription medications.

A new study published in JAMA Internal Medicine found the 13 states where medical marijuana is legal had 24.8 percent fewer annual opioid overdose mortality rates.

The results indicate alternative treatments may be safer for patients suffering from chronic pain, researchers said.

About 60 percent of all deaths from opioid overdoses happen in patients who have legitimate prescriptions, and the number of patients who are prescribed opioids for non-cancer pain has nearly doubled over the last decade.

Deaths were nearly 20 percent lower in the first year after a state legalized medical marijuana and 33.7 percent lower five years later.

Clearly, the answer to this is to tighten restrictions on opioids, and we need to ditch all those medical marijuana programs.

Our drug policies are wasteful, destructive, and stupid.

The Answer is Price Controls, Not Generics

The New York Times has a story showing how consolidation in the generic drug market led to skyrocketing prices:

The first sign of trouble came when Dr. Barry Lindenberg, a cardiologist, received a three-page insurance form in January, demanding he get preapproval to prescribe one of the oldest known heart medicines.

His patient had been on the drug, digoxin, for many years. A mainstay of treating older patients with rapid rhythm disturbances, it was first described in the medical literature in 1785. Millions of Americans still use it every day, and many had long paid just pennies a pill.

“I wrote on the form: ‘ARE YOU KIDDING ME?’ ” said Dr. Lindenberg, who practices in Schenectady, N.Y.

What the cardiologist did not know then was that the price of generic digoxin was rapidly rising. The three companies selling the drug in the United States had increased the price they charge pharmacies, at least nearly doubling it since late last year, according to EvaluatePharma, a London-based consulting firm.

………

Large price increases in the United States for vital medicines for the young, such as vaccines, have been mirrored by similar rises in some of the most basic treatments for older patients, like digoxin. Though there are many newer types of drugs to treat heart disease, for some patients there are no effective substitutes; digoxin is on the World Health Organization’s list of essential medicines.

………

But increasingly, experts say, the costs of some generic drugs are going the other way. The prices paid by pharmacies for some generic versions of Fiorinal with codeine (for migraines) and Synthroid (a thyroid medicine) as well as the generic steroid prednisolone have all more than doubled since last year, EvaluatePharma found. In January, the National Community Pharmacists Association called for a congressional hearing on generic drug prices, complaining that those for many essential medicines grew as much as “600, 1,000 percent or more” in recent years. The price jumps especially affected smaller pharmacies, which do not have the clout of big chains to bargain for discounts.

Digoxin provides a telling case study. There was no drug shortage, according to the Food and Drug Administration, that might explain the increase. There was no new patent or new formulation. Digoxin is not hard to make. What had changed most were the financial rewards of selling an ancient, lifesaving drug and company strategies intended to reap the benefits.

Though generic medicines are far cheaper to bring to market than brand-name drugs because they involve little research and development, they also are priced lower because generics typically face intense competition. But Dr. Aaron Kesselheim, a professor of health economics at the Harvard School of Public Health, noted, “Studies show it is not until you have four or five generics in the market that the prices really are down.”

By late 2013, a number of generic manufacturers had largely stopped producing and distributing digoxin, then a cheap medicine whose use had declined, leaving only two companies dominant in the market. Both businesses — the Lannett Company and Global Pharmaceuticals, a division of Impax Laboratories — are small companies whose bottom line can rise and fall on the sales of a single drug.

It’s very simple.

The drug companies, or for that matter most companies, competition is not a good, but it is cross that they have to bear.

If you have 5 products, and one has a highly competitive market, you are inclined to leave the market and move to more lucrative one.  It’s Econ 101.

It also f%$#s the rest of us.

We need a dose of government interference in this market.

The Depressing Thing is that this is a Close as a Googler will Ever get to Being as Cool as John Belushi.

You know the story, a man, a femme fatale, injected heroine, and death:

Police have arrested a 26-year-old high-priced call girl from Georgia who is suspected of injecting heroin into a Santa Cruz tech executive on his yacht and then fleeing when he overdosed

Alix Catherine Tichelman and 51-year-old Forrest Timothy Hayes found each other online and had met a few times before their Nov. 26 encounter on Hayes’ 50-foot yacht, Escape, at the Santa Cruz Small Craft Harbor, said Santa Cruz Deputy Police Chief Steve Clark.

Tichelman provided heroin for Hayes, a Google executive, while they were inside the yacht, police said. A surveillance video from the boat shows that Hayes was “suffering medical complications” and lost consciousness, Clark said. She made no effort to help him, and instead gathered her belongings and even gulped a glass of wine before she drew a window blind and left, the video shows.

I am the worst person on the internet today, but the parallels to the death of John Belushi are striking.

Our Broken Healthcare System: Vaccine Edition

Not it appears that vaccine prices are the latest case of looting by corporate medicine:

There is little that Dr. Lindsay Irvin has not done for the children’s vaccines in her office refrigerator: She remortgaged her home to afford their rising prices. She packed them in ice chests and moved them when her office flooded this year. She pays a company to monitor the fridge in case the temperature rises.

“The security company can call me any time of the day or night so I can go save my vaccines,” said Dr. Irvin, a pediatrician. Those in the refrigerator recently cost $70,000, she said — “more than I paid for four years of medical school.”

Vaccination prices have gone from single digits to sometimes triple digits in the last two decades, creating dilemmas for doctors and their patients as well as straining public health budgets. Here in San Antonio and elsewhere, some doctors have stopped offering immunizations because they say they cannot afford to buy these potentially lifesaving preventive treatments that insurers often reimburse poorly, sometimes even at a loss.

Childhood immunizations are so vital to public health that the Affordable Care Act mandates their coverage at no out-of-pocket cost and they are generally required for school entry. Once a loss leader for manufacturers, because they are often more expensive to produce than conventional drugs, vaccines now can be very profitable.

Old vaccines have been reformulated with higher costs. New ones have entered the market at once-unthinkable prices. Together, since 1986, they have pushed up the average cost to fully vaccinate a child with private insurance to the age of 18 to $2,192 from $100, according to data from the Centers for Disease Control and Prevention. Even with deep discounts, the costs for the federal government, which buys half of all vaccines for the nation’s children, have increased 15-fold during that period. The most expensive shot for young children in Dr. Irvin’s refrigerator is Prevnar 13, which prevents diseases caused by pneumococcal bacteria, from ear infections to pneumonia.

And Prevnar started expensive, and the cost has gone up from there, and it had to nothing to do with the cost of the product:

The value of that “school mandate” is also apparent in the pricing. When Singapore’s national vaccine advisory group evaluated Prevnar 7 for mandated use, its price was about $80, said Karen Tyo, a researcher from Brandeis University, who was advising the government. After the government included it in the required national schedule, “the price jumped immediately” to about $120, she said. “Nothing had changed,” she noted. “It didn’t make any sense.”

………

The Swiss Agency for Therapeutic Products pays $101, a price that has not changed over time. In Britain, the small private health care market sells prefilled syringes of Prevnar 13 for an average of $82 at pharmacies; the National Health Service pays even less, experts say. Prefilled syringes cost an average of $136 in the United States, and even the C.D.C. — which buys vaccines for the Medicaid program at a discount — pays $112.84.

If the US government grants a monopoly in the form of patents, perhaps compulsory licensing, something allowed for in all of international IP agreements.

It might be a good for the US government to take advantage of this.

Simply paying for price gouging is not working.