Category: Drugs

Why Yes, the NSA is a Tool of the Oligarchy, Why do You Ask?

Glenn Greenwald, Laura Poitras, and Ryan Devereaux take another dive in lake Snowden, and discover that the NSA intercepts every single mobile phone call made in the Bahamas:

The National Security Agency is secretly intercepting, recording, and archiving the audio of virtually every cell phone conversation on the island nation of the Bahamas.

According to documents provided by NSA whistleblower Edward Snowden, the surveillance is part of a top-secret system – code-named SOMALGET – that was implemented without the knowledge or consent of the Bahamian government. Instead, the agency appears to have used access legally obtained in cooperation with the U.S. Drug Enforcement Administration to open a backdoor to the country’s cellular telephone network, enabling it to covertly record and store the “full-take audio” of every mobile call made to, from and within the Bahamas – and to replay those calls for up to a month.

SOMALGET is part of a broader NSA program called MYSTIC, which The Intercept has learned is being used to secretly monitor the telecommunications systems of the Bahamas and several other countries, including Mexico, the Philippines, and Kenya. But while MYSTIC scrapes mobile networks for so-called “metadata” – information that reveals the time, source, and destination of calls – SOMALGET is a cutting-edge tool that enables the NSA to vacuum up and store the actual content of every conversation in an entire country.

………

In addition, the program is a serious – and perhaps illegal – abuse of the access to international phone networks that other countries willingly grant the United States for legitimate law-enforcement surveillance. If the NSA is using the Drug Enforcement Administration’s relationship to the Bahamas as a cover for secretly recording the entire country’s mobile phone calls, it could imperil the longstanding tradition of international law enforcement cooperation that the United States enjoys with its allies.

“It’s surprising, the short-sightedness of the government,” says Michael German, a fellow at New York University’s Brennan Center for Justice who spent 16 years as an FBI agent conducting undercover investigations. “That they couldn’t see how exploiting a lawful mechanism to such a degree that you might lose that justifiable access – that’s where the intelligence community is acting in a way that harms its long-term interests, and clearly the long-term national security interests of the United States.”

Once again, we see why intelligence agencies, particularly those in SIGINT, can never do decide woh to target, because they will take it all, damn the consequences.

When you let them run their own agendas, they are a clear and present danger to our national security interests.

One critique though, they buried the f%$#ing lede:

But the NSA documents don’t reflect a concerted focus on the money launderers and powerful financial institutions – including numerous Western banks – that underpin the black market for narcotics in the Bahamas. Instead, an internal NSA presentation from 2013 recounts with pride how analysts used SOMALGET to locate an individual who “arranged Mexico-to-United States marijuana shipments” through the U.S. Postal Service.

They captured every cell phone call in a jurisdiction known for money laundering by tax evaders, organized criminals, arms dealers, and other illegal activity, and they are only going after people who are mailing pot to people who are mailing baggies of pot back home.

Think about it for a moment.

Spend billions on these capabilities, and then choose not to go after transnational criminals and tax dodgers .

Your tax dollars at work.

Remember the that Miracle Hepatitis B Cure?

You knwo, the one that costs $1,000.00 a pill, Solvaldi?

Well, it turns out that, in addition to being priced at larcenous expensive, the evidence of its efficacy is simply not there:

The German agency performed this assessment based on a dossier submitted by the drug manufacturer (presumably Gilead).  The assessment found some reason to think the drug beneficial, but that the evidence was sparse, left many questions unanswered, and was inadequate to assess the drug for some important patient populations.  At this point, only a summary is available in English.  It includes links to further information in German.

………

Thus the assessment concluded that the drug company dossier included at best irrelevant data that it tried to pass off as important, and inexplicably left out other data that might have been relevant.

………

Summary

It is even bloodier money if the assumption that the drug is a “well-tolerated and effective cure,” which  Dr Huyler held, proves not to be true.  It is clear that most of the money that Gilead is now scooping up in the US is not to pay retrospectively for research and development or drug production. Instead, it seems likely to be supporting marketing, public relations, some investors’ profits, and huge executive compensation.  When the public realizes that the money may not be buying miracles, the outrage should increase.  


The Sovaldi case is a signal example of how our health care system is awash in marketing hype and public relations buzz that has swamped rational skeptical thinking about logic and evidence.  That marketing and PR is ever enriching managers while it will send the rest of us, health care professionals included, to the poor house.  And all the money we spend will not buy us the promised miracles and triumphs.

True health care reform would revisit the pact society once made with drug, biotechnology and device companies meant to promote reasonably priced innovation, but now promoting oligarchy; support transparency and honesty in clinical research; and challenge how health care managers can make millions or billions from unproven, and sometimes worthless or dangerous products.

It also turns out that the study was not double blind.

So the wonder drug may not be any more effective than existing drugs, and it costs a lot more.

I Want to be Sephardic

First, there is the food.

They got olive oil, we got schmaltz.

They sit on the spice road, and we got ……… schmaltz.

Over Passover, they get to eat rice and beans, legumes are known as kitniyot, which Ashkenazic rabbis have ruled could be made into something too close to flour, though this does not apply to things like chestnuts, whose flour is actually used to make pastries. (Go figure)

Well, Rabbis have now declared marijuana to be kitniyot, and hence forbidden on Pesach, so no 420 on 4/20:

It’s that time of the year again — Passover and 4/20, the unofficial marijuana celebration day. On the same day.

The celebration of all things green poses a particular problem for the chosen people. Namely, is smoking pot kosher for Passover?

Sorry to disappoint, but it seems not.

In 2007, Israel’s Green Leaf Party, which supports the legalization of marijuana, declared that cannabis is among the substances Jews are forbidden to consume during Passover.

“You shouldn’t smoke marijuana on the holiday, and if you have it in your house you should get rid of it,” Michelle Levine, a spokeswoman for the party, said at the time.

Why? Because hemp seeds are considered to be kitniyot.

While biblical law prohibits eating leavened foods, rabbis have since extended the rules to apply to foods like beans, corn and rice. Hemp seeds, found in marijuana, falls under that category. So voila, no Mary-Jane for you — if you’re Ashkenazi that is.

Sephardic Jews have traditionally been allowed to eat kitniyot during Passover, so when it comes to 4/20, they’re in the clear.

I’m seriously bumming, even if I have not indulged in over 20 years. (The joys of a pee in a cup career)

H/t my hairier brother, who posted this to Facebook.

Meanwhile in Annapolis………

The Maryland legislative session has ended and they passed bills hiking the minimum wate to $10.10 and decriminalizing marijuana:

By the time confetti fell in Annapolis on Monday night, state lawmakers had loosened marijuana laws, made Maryland the second state in the country to raise its minimum wage to $10.10 an hour and whittled their way through more than 2,600 bills considered during the 434th legislative session.

The two major votes on marijuana decriminalization and increasing the minimum wage closed out the annual 90-day frenzy of lawmaking. Measures to create stricter penalties for drivers who cause fatal accidents while texting and to revamp Maryland’s stalled medical marijuana program also received final passage.

Martin O’Malley will sign both bills into law, though he did issue a veto threat over a recreational marijuana legalization proposal.

As a Free Stater, I am happy.

In terms of both the Democratic 2016 primaries, and the Veepstakes to follow, the minimum wage bill is probably a bigger deal.

Another Way that Michelle Rhee is Destroying America

Do you know what improves performance on tests, particularly those that do not require much in the way original thought?

If you are thinking cramming data you might be right, but this is not how Michelle Rhee is using her jihad against to hurt our children.

Have you ever had a strong cup of coffee to get on the bubble for a test? How about amphetamines? The military has used them for years to maintain focus for fatigued soldiers

How about Ritalin?

Ritalin, like other stimulants will improve performance in the short term, so it is no surprise that aggressive testing incentivizes schools to put children on stimulants:

There has been a lot of public agonizing lately about the steep rise in diagnoses of ADHD over the last two decades. There is growing, and justifiable, worry that a lot of kids are being put on stimulant medications who don’t need them.

What there hasn’t been is a plausible theory about what’s driving this explosion of diagnoses — 40 percent over the last decade and more than 50 percent over 25 years. The CDC now estimates that 12 percent of school age kids, and as many as 20 percent of teenage boys have been diagnosed with ADHD.

………

Now comes a book that, finally, offers a data-based analysis that could begin to account for an increase on this scale. “The ADHD Explosion,“ by Stephen Hinshaw and Richard Scheffler, considers all kinds of factors that may contribute to the surge, from diagnosis by undertrained and harried pediatricians to pharmaceutical advertising. But the eye-opening insight from Hinshaw, a clinical psychologist, and Schleffler, a health economist, who are colleagues at University of California, Berkeley, is the correlation between educational policies and the prevalence of ADHD diagnoses.

Using Centers for Disease Control surveys, Hinshaw and Sheffler found that when rates of ADHD diagnoses are broken down by state, it turns out that there are dramatic discrepancies. Based on the most recent survey, from 2011, a child in Kentucky is three times as likely to be diagnosed with ADHD as a child in Nevada. And a child in Louisiana is five times as likely to take medication for ADHD as a child in Nevada.

And these states aren’t just outliers. The five states that have the highest rate of diagnoses — Kentucky, Arkansas, Louisiana, Indiana and North Carolina — are all over 10 percent of school age children. The five states with the lowest percent diagnosed — Nevada, New Jersey, Colorado, Utah and California — are all under 5 percent. The disparity is even greater for kids prescribed ADHD medication. The same five states are at the top of the list, all of them with over 8 percent of kids getting medication. The states at the bottom of the list for medication — Nevada, Hawaii, California, Alaska and New Jersey — are all under 3.1 percent.

………

What the team found was that high rates of ADHD diagnoses correlated closely with state laws that penalize schools when students fail. Nationally, this approach to education was enacted into law in 2001 with No Child Left Behind, which makes funding contingent on the number of students who pass standardized tests. In more recent years, similar testing-based strategies have been championed by education reformers such as Michelle Rhee. But many states passed these accountability laws as early as the 1980s, and within a few years of passage, ADHD diagnoses started going up in those states, the authors found, especially for kids near the poverty line.

ADHD diagnoses of public school students within 200 percent of the federal poverty level jumped 59 percent after accountability legislation passed, Hinshaw reports, compared with less than 10 percent for middle- and high-income children. They saw no comparable trend in private schools, which are not subject to legislation like this.

How do ADHD diagnoses help schools at risk of losing their funding? First, Hinshaw notes, for kids who do have ADHD, it should improve their performance in school, including their test scores. Second, it may help kids who are disruptive in class settle down, which could improve scores for the whole class. Finally, in many areas, the test scores of student with ADHD diagnoses aren’t counted. So even it if it doesn’t help the child, it might help the school.

The researchers missed the point that I made, that giving your kids uppers will help with their tests, even if they suffer from strokes or sudden heart failure at age 14, it’s no skin off of the nose of Michelle Rhee and her ilk, if they hit their numbers, they win, and if they don’t they convert the “failing” to hedge fund backed charter schools, and they still win because they have a future career as a well remunerated executive at an “educational foundation”.

The War on Drugs Goes from Dishonesty to Parody in Annapolis

The Annapolis police chief testified about the 37 people who died of marijuana overdoses on the first day of legalization in Colorado.

There is a small problem with this testimony, it never happened.  In fact the source of the story was the satirical website the Daily Current:

Testifying against bills proposed in Maryland to legalize and decriminalize marijuana, Annapolis Police Chief Michael Pristoop cited a hoax story that claimed 37 people died the first day marijuana was legalized in Colorado.

“The first day of legalization, that’s when Colorado experienced 37 deaths that day from overdose on marijuana,” Pristoop said in testimony at Tuesday’s Senate Judicial Proceedings Committee hearing. “I remember the first day it was decriminalized there were 37 deaths.”

But Sen. Jamie Raskin, D-Montgomery, who has proposed a bill that would legalize, regulate and tax the drug, immediately fact-checked Pristoop.

“Unless you have some other source for this, I’m afraid I’ve got to spoil the party here,” Raskin said. “Your assertion that 37 people died of a marijuana overdose in Colorado was a hoax on the DailyCurrant and the Comedy Central website.”

Our drug penal/enforcement industry is a waste of resources, and people like Michael Pristoop should find honest productive work.

Pushback on Drug Pricing

The AIDS Healthcare Foundation is lobbying to keep the $1000.00 a pill Sovaldi out of Medicaid formularies.

I wholeheartedly agree enough is enough:

In a series of letters to be sent to state Medicaid directors starting today, AIDS Healthcare Foundation (AHF) President Michael Weinstein will ask the state directors to block Gilead Sciences’ new $1,000-per-pill Hepatitis C drug Sovaldi (sofosbuvir) from inclusion on their respective state Medicaid and other drug formularies. The drug was approved by the F.D.A. on December 6, 2013 and Gilead immediately announced that it would price the drug at $84,000 for a twelve-week course of treatment—or $1,000 per tablet—making it one of the most expensive drugs ever marketed. Suggested treatment guidelines also require that Sovaldi be used with another drug, ribavirin (a nucleoside inhibitor), further adding to the cost of the prohibitively expensive course of treatment.

“When is enough, enough? At $1,000-per-pill, Sovaldi is priced 1,100% more than Gilead’s most expensive AIDS drug, Stribild, its four-in-one AIDS drug combination, which was priced at $80 per pill a year ago when it came to market,” said Michael Weinstein , President of AIDS Healthcare Foundation. “At that time, Stribild’s price was 35% more than Atripla, the company’s best selling combination HIV/AIDS treatment, and made Stribild the highest priced first-line combination AIDS therapy. Now, Gilead has set a new benchmark for unbridled greed with its outrageous price for Sovaldi—a price that some pharmacy industry sources suggest represents a retail markup of 279,000% over the cost of actually producing the drug.”

In his letter to state Medicaid directors, Weinstein wrote, “Gilead is charging a higher price for this drug even though the cost to produce it is small. According to industry reports, Gilead produces Sovaldi for approximately $1.00 per gram (with only 10 to 30 grams needed to successfully treat patients with Hepatitis C).1 This represents a retail markup of over 279,000%.

Enough is f%$#ing enough.

This sh%$ needs to stop.

Libertarians Owned by Colorado Marijuana Legalization

Over at Pruning Shears, Dan Fejes the incredibly conspicuous silence of Libertarians, and the Libertarian movement on pot legalization in Colorado:

For as long as I can remember the joke about libertarians is that they are Republicans who like to smoke pot. Those who identify as libertarian seem to go to great lengths to point out their ideological differences with Republicans (and conservatives more generally). They stress liberty above all and oppose anything – like, say, non-military government spending – they perceive as even peripherally infringing on it. In addition to heartily approving of the freedom to, say, die without insurance, libertarians have long denounced the drug war as a hateful incursion on peoples’ freedom.

Unfortunately, there aren’t many opportunities to tease out whether libertarians truly are independent gadflies or just slightly heterodox Republicans. To get a solid answer, we would need to see one of their favored policies enacted. Since their ideas (agree with them or not) aren’t really in the political mainstream, their commitment to them never really gets put to the test.

Happily, the decriminalization of marijuana in Colorado provides just one of those rare cases. Libertarians have long criticized the drug war, with leading voices such as Radley Balko and John Stossel weighing in against it, Matt Welch reporting on its hoped-for demise, and so on. (This isn’t meant to be a comprehensive survey. I pick up libertarian names from ambient political noise, so in this post I checked ones I was familiar with.)

………

We aren’t hearing that; what we are mostly hearing is crickets. If this really meant as much to libertarians as they’ve always claimed, they should be shouting the news from the rooftops – but that would not sit well with the GOP establishment. Or: They can either act as gadflies or as slightly heterodox Republicans. Most are choosing the latter. While that’s a little disappointing I can’t honestly say it’s surprising.

This is telling.

Not only are the “mainstream” Libertarians remarkably quiet about all this, but the Ron Paul “batsh%$ insane” wing is quiet as well.

Libertarians: Nothing more than a way for some people to feel good about pulling the lever for Republicans.

For F%$#’s Sake, Why?

It appears that France is more evil than I had been believed.

Some scientists in Bordeaux have found a way to block the euphoric effects of marijuana:

Leave it to science to find a way to harsh the mellow of marijuana.

A French research team has discovered a natural chemical brake that can tamp down the effects of THC, the main intoxicant in marijuana. They believe it could lead to ways to protect against memory loss, torpor and other side-effects better known as being stoned.

“We have this built-in negative feedback mechanism, a brake” on cannabis intoxication, said University of Bordeaux neurobiologist Dr. Pier Vincenzo Piazza, principal author of a study published Thursday in the journal Science.

The researchers were investigating the role of neurosteroids in addiction. These are a class of hormones produced in the brain, and they have been implicated in regulating mood and cognitive activities.

After getting rats and mice high on the active ingredients of cocaine, morphine, nicotine, alcohol and marijuana, the researchers measured the increase in pregnenolone, a precursor to all steroid hormones that was thought to be otherwise inactive.

Getting mice stoned is not as easy as you think. They tend to Bogart that joint.

But more seriously, marijuana is not physiologically addictive, so why are harshing our buzz?

What the f%$# is wrong with you guys?

A joke in a related vein after the break:


Dr. Calvin Rickson, a scientist from Ohio State University, has invented a bra that keeps women’s breasts from jiggling and prevents the nipples from pushing through the fabric when cold weather sets in.

At a news conference, after announcing the invention, a large group of men took Dr. Rickson outside and beat the sh%$ out of him.

Because It is too Expensive, and the Side Effects are too Extreme

Over at “Even the Liberal” New Republic, Eric Sasson finds a new drug that reduces the chance of HIV transmission by nearly 99%.

He is perplexed ans surprised that there has been little in the way of publicity or action regarding the now FDA approved drug, Truvada.

The answer to this question is simple. In addition to nasty , potentially lethal blood chemistry changes, osteoporosis, liver problems, hepatitis B infections getting worse, Neausea, vomiting, diarrhea, headache, dizziness, joint pain, trouble sleeping, and back pain, this drug has an extremely high price, to the tune of over $1200 a month.

This is yet another example of how an over broad IP regime.

The retail price, set by the manufacturer by virtue of their monopoly rights under patent, is preventing it from having a meaningful impact on the AIDS epidemic

The solution here is to make patents, particularly those for drugs, less expansive (also, end evergreening), along with an aggressive regime of compulsory licensing.

Vacation in Uruguay

The final legislative hurdle has been cleared, and Uruguay legalized growing and selling marijuana:

The world’s most far-reaching cannabis law has been passed by the Uruguayan parliament, opening the way for the state to regulate the production, distribution, sale and consumption of the planet’s favourite illegal drug.

The law, effective from next year, will: allow registered users to buy up to 40g of marijuana a month from a chemist’s; registered growers to keep up to six plants; and cannabis clubs to have up to 45 members and cultivate as many as 99 plants.

A government-run cannabis institute will set the price – initially likely to be close to the current black market rate of $1 a gramme – and monitor the impact of the programme, which aims to bring the industry under state control and push illegal traffickers out of business.

Julio Bango, one of the politicians who helped draft the bill, said it would probably be four months until the first harvest of legal cannabis, by which time the government would have a licensing system in place. “We know this has generated an international debate and we hope it brings another element to discussions about a model [the war on drugs] that has totally failed and that has generated the opposite results from what it set out to achieve.”

I think that I’m getting old though, because if I went to Uruguay, I’d be excited about visiting the wreck of the Graf Spee.

And the White House is on the Wrong Side of the Drug War Internationally

We have a leaked document from UN negotiations on how to deal with illegal drugs, and the United States has decided to advocate for the Military-Prison-Industrial complex instead of sanity:

Major international divisions over the global “war on drugs” have been revealed in a leaked draft of a UN document setting out the organisation’s long-term strategy for combating illicit narcotics.

The draft, written in September and seen by the Observer, shows there are serious and entrenched divisions over the longstanding US-led policy promoting prohibition as an exclusive solution to the problem.

Instead, a number of countries are pushing for the “war on drugs” to be seen in a different light, which places greater emphasis on treating drug consumption as a public health problem, rather than a criminal justice matter.

It is rare for such a document to leak. Normally only the final agreed version is published once all differences between UN member states have been removed.

The divisions highlighted in the draft are potentially important. The document will form the basis of a joint “high-level” statement on drugs to be published in the spring, setting out the UN’s thinking. This will then pave the way for a general assembly review, an event that occurs every 10 years, and, in 2016, will confirm the UN’s position for the next decade. “The idea that there is a global consensus on drugs policy is fake,” said Damon Barrett, deputy director of the charity Harm Reduction International. “The differences have been there for a long time, but you rarely get to see them. It all gets whittled down to the lowest common denominator, when all you see is agreement. But it’s interesting to see now what they are arguing about.”

The current review, taking place in Vienna at the UN Commission on Narcotic Drugs, comes after South American countries threw down the gauntlet to the US at this year’s Organization of American States summit meeting, when they argued that alternatives to prohibition must be considered.

 The problem here is that the “war on drugs” has been demagogued in the United States for decades, and when juxtaposed with the aggressive lobbying of private prisons and the US Military (which gets a cut of the border protection action) have made it next to impossible.

Or at least it is impossible for politicians unwilling to take a political risk to do the right thing.

Toronto Has Officially Jumped the Shark

You know that it’s true, because Florida, home of the hanging chad and governor Batboy, is now looking down on Canada’s largest city:

A north Florida sheriff has filed drug charges against a local mayor, saying Bradford County “isn’t Toronto.”

Hampton Mayor Barry Layne Moore was arrested Monday afternoon in Polk County on a Bradford County warrant.

Bradford County Sheriff Gordon Smith appeared to draw a comparison between Moore and Toronto Mayor Rob Ford, who has admitted to smoking crack cocaine while he was in a drunken stupor.

Authorities say Moore faces charges of possessing and selling Oxycodone.

Congratulations Toronto, you are now the butt of jokes from Floridians.

Your fall is complete.

Yes, the Administrators at My Alma Mater are Complete Prats

At UMass, the administration has banned electronic music parties because concerns about XTC use:

The University of Massachusetts Amherst (UMASS) has banned all Electronic Dance Music events from its campus, in response to a surge in MDMA use in the United States.

MDMA, or ‘Molly’ as the drug is referred to in the US is being categorised as a health and safety risk to students and EDM is seen by College administrators as the reason for its rise in popularity.

In a campus wide email the UMASS interim Vice Chancellor, Enku Gelaye said, “We have grown even more concerned about the ongoing reports of overdoses…The Molly taking culture at these shows is real and now exceedingly dangerous to the health and safety of concert attendees.”

The response from students at UMASS has been strong, with a number of petitions being set up and a flash mob started outside the students’ union in protest. Many feel the majority are being punished for the actions of the few.

When I was at the school, I got a good education, audited a thoroughly corrupt athletic department, and dealt with an administration that was a miasma of incompetence and hypocrisy in their attempts to eliminate the “Zoo Mass” reputation of the institution.

Let me repeat something to tweak the administration and the search engines:  Zoo Mass, Zoomass.

I am seriously considering adding it to my metadata.

Please note that nothing here should be construed as an endorsement of Electronic Dance Music.

Why the US Healthcare System Sucks Wet Farts from Dead Pigeons,

How many of you have an Albuterol inhaler for Asthma?

It’s great, isn’t it?

The drug is out of patent, so it’s cheap, and it works.

It’s not like a big pharma would lobby to get the FDA to ban the cheap inhalers because of their miniscule use of CFCs, and then wrap new propellants in a patent web and jack up the price, right?

Oh, silly me, that IS what they did:

The arsenal of medicines in the Hayeses’ kitchen helps explain why. Pulmicort, a steroid inhaler, generally retails for over $175 in the United States, while pharmacists in Britain buy the identical product for about $20 and dispense it free of charge to asthma patients. Albuterol, one of the oldest asthma medicines, typically costs $50 to $100 per inhaler in the United States, but it was less than $15 a decade ago, before it was repatented.

“The one that really blew my mind was the nasal spray,” said Robin Levi, Hannah and Abby’s mother, referring to her $80 co-payment for Rhinocort Aqua, a prescription drug that was selling for more than $250 a month in Oakland pharmacies last year but costs under $7 in Europe, where it is available over the counter.

………

Unlike other countries, where the government directly or indirectly sets an allowed national wholesale price for each drug, the United States leaves prices to market competition among pharmaceutical companies, including generic drug makers. But competition is often a mirage in today’s health care arena — a surprising number of lifesaving drugs are made by only one manufacturer — and businesses often successfully blunt market forces.

Asthma inhalers, for example, are protected by strings of patents — for pumps, delivery systems and production processes — that are hard to skirt to make generic alternatives, even when the medicines they contain are old, as they almost all are.

………

But in the United States, even people with insurance coverage struggle. Lisa Solod, 57, a freelance writer in Georgia, uses her inhaler once a day, instead of twice, as usually prescribed, since her insurance does not cover her asthma medicines. John Aravosis, 49, a political blogger in Washington, buys a few Advair inhalers at $45 each during vacations in Paris, since his insurance caps prescription coverage at $1,500 per year. Sharon Bondroff, 68, an antiques dealer in Maine on Medicare, scrounges samples of Advair from local doctors. Ms. Bondroff remembers a time, not so long ago, when inhalers “were really cheap.” The sticker shock for asthma patients began several years back when the federal government announced that it would require manufacturers of spray products to remove chlorofluorocarbon propellants because they harmed the environment. That meant new inhaler designs. And new patents. And skyrocketing prices.

“That decision bumped out the generics,” said Dr. Peter Norman, a pharmaceutical consultant based in Britain who specializes in respiratory drugs. “Suddenly sales of the branded products went right back up, and since then it has not been a very competitive market.”

The chlorofluorocarbon ban even eliminated Primatene Mist inhalers, a cheap over-the-counter spray of epinephrine that had many unpleasant side effects but was at least an effective remedy for those who could not afford prescription treatments.

………

A result is that there are no generic asthma inhalers available in the United States. But they are available in Europe, where health regulators have been more flexible about mixing drugs and devices and where courts have been quicker to overturn drug patent protection.

“The high prices in the U.S. are because the F.D.A. has set the bar so high that there is no clear pathway for generics,” said Lisa Urquhart of EvaluatePharma, a consulting firm based in London that provides drug and biotech analysis. “I’m sure the brands are thrilled.”

………

And here is the money quote:

This year the price of Advair dropped 10 percent in France, but in pharmacies in the Bronx, it has doubled in the last two years.

For what it is worth this is not technically a failure of the free market.

These companies’ profit margins are being directly supported by the state. That is the nature of patents and other exclusive licenses that we grant, particularly in the drug industry.

Then we allow for these exclusive licenses to be extended ad infinitum through evergreening.

The problem is that we as a society allow people to patent nothing at all, and sometimes we grant exclusive right to people who didn’t invent anything at all, as in the case of colchicine, where exclusivity was granted for a study of the drug which consisted primarily of a survey of the historical literature.

The price of colcicine went from $0.09 a pill to $5.00 a pill.

Every Time Something New Comes Out, the NSA Spying Scandal Gets Worse

First, we have Glenn Greenwald saying that the administration lied, and that Congress was never given sufficient information to evaluate surveillance programs:

Members of Congress have been repeatedly thwarted when attempting to learn basic information about the National Security Agency (NSA) and the secret FISA court which authorizes its activities, documents provided by two House members demonstrate.

From the beginning of the NSA controversy, the agency’s defenders have insisted that Congress is aware of the disclosed programs and exercises robust supervision over them. “These programs are subject to congressional oversight and congressional reauthorization and congressional debate,” President Obama said the day after the first story on NSA bulk collection of phone records was published in this space. “And if there are members of Congress who feel differently, then they should speak up.”

But members of Congress, including those in Obama’s party, have flatly denied knowing about them. On MSNBC on Wednesday night, Sen. Richard Blumenthal (D-Ct) was asked by host Chris Hayes: “How much are you learning about what the government that you are charged with overseeing and holding accountable is doing from the newspaper and how much of this do you know?” The Senator’s reply:

The revelations about the magnitude, the scope and scale of these surveillances, the metadata and the invasive actions surveillance of social media Web sites were indeed revelations to me.”

So, once again, we see that the Obama administration makes bald faced lies about it’s data collection of American citizens.

But it is not merely that members of Congress are unaware of the very existence of these programs, let alone their capabilities. Beyond that, members who seek out basic information – including about NSA programs they are required to vote on and FISA court (FISC) rulings on the legality of those programs – find that they are unable to obtain it.

At the bottom of the article, he notes that Alan Grayson was threatened with sanctions by the House Intelligence Committee for reprinting slides that the Guardian had put up on the web.

And by the way, that whole bit about them not spying on us? They are lying about that too, and not only are they lying to the American public, they are lying to judges and defense counsels as well:

A secretive U.S. Drug Enforcement Administration unit is funneling information from intelligence intercepts, wiretaps, informants and a massive database of telephone records to authorities across the nation to help them launch criminal investigations of Americans.

Although these cases rarely involve national security issues, documents reviewed by Reuters show that law enforcement agents have been directed to conceal how such investigations truly begin – not only from defense lawyers but also sometimes from prosecutors and judges.

The undated documents show that federal agents are trained to “recreate” the investigative trail to effectively cover up where the information originated, a practice that some experts say violates a defendant’s Constitutional right to a fair trial. If defendants don’t know how an investigation began, they cannot know to ask to review potential sources of exculpatory evidence – information that could reveal entrapment, mistakes or biased witnesses.

“I have never heard of anything like this at all,” said Nancy Gertner, a Harvard Law School professor who served as a federal judge from 1994 to 2011. Gertner and other legal experts said the program sounds more troubling than recent disclosures that the National Security Agency has been collecting domestic phone records. The NSA effort is geared toward stopping terrorists; the DEA program targets common criminals, primarily drug dealers.

“It is one thing to create special rules for national security,” Gertner said. “Ordinary crime is entirely different. It sounds like they are phonying up investigations.”

THE SPECIAL OPERATIONS DIVISION

The unit of the DEA that distributes the information is called the Special Operations Division, or SOD. Two dozen partner agencies comprise the unit, including the FBI, CIA, NSA, Internal Revenue Service and the Department of Homeland Security. It was created in 1994 to combat Latin American drug cartels and has grown from several dozen employees to several hundred.

Today, much of the SOD’s work is classified, and officials asked that its precise location in Virginia not be revealed. The documents reviewed by Reuters are marked “Law Enforcement Sensitive,” a government categorization that is meant to keep them confidential.

“Remember that the utilization of SOD cannot be revealed or discussed in any investigative function,” a document presented to agents reads. The document specifically directs agents to omit the SOD’s involvement from investigative reports, affidavits, discussions with prosecutors and courtroom testimony. Agents are instructed to then use “normal investigative techniques to recreate the information provided by SOD.”

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A dozen current or former federal agents interviewed by Reuters confirmed they had used parallel construction during their careers. Most defended the practice; some said they understood why those outside law enforcement might be concerned.

“It’s just like laundering money – you work it backwards to make it clean,” said Finn Selander, a DEA agent from 1991 to 2008 and now a member of a group called Law Enforcement Against Prohibition, which advocates legalizing and regulating narcotics.

Some defense lawyers and former prosecutors said that using “parallel construction” may be legal to establish probable cause for an arrest. But they said employing the practice as a means of disguising how an investigation began may violate pretrial discovery rules by burying evidence that could prove useful to criminal defendants.

………

One current federal prosecutor learned how agents were using SOD tips after a drug agent misled him, the prosecutor told Reuters. In a Florida drug case he was handling, the prosecutor said, a DEA agent told him the investigation of a U.S. citizen began with a tip from an informant. When the prosecutor pressed for more information, he said, a DEA supervisor intervened and revealed that the tip had actually come through the SOD and from an NSA intercept.

“I was pissed,” the prosecutor said. “Lying about where the information came from is a bad start if you’re trying to comply with the law because it can lead to all kinds of problems with discovery and candor to the court.” The prosecutor never filed charges in the case because he lost confidence in the investigation, he said.

So, “It’s only metadata,” it’s a lie. “We don’t knowingly use the NSA to spy on Americans,” it’s a lie.

You see a pattern?