About Our Corrupt COVID Supply Chain

Matt Stoller's antitrust blog should be required reading for every American. Today's topic is the corrupt system behind COVID medical shortages. Here's an excerpt:

Today, corruption in these markets is so extreme that hospital executives themselves are often offered a cut of the fees from GPOs. In 2013, one analyst said that “many hospital executives who are part of the Premier alliance have learned to rely on that share back as an integral part of their annual compensation.” In other words, hospitals are buying supplies at inflated prices, and those suppliers use some of that extra money in direct bribes to hospital executives.

The legalization of kickbacks happened as a series of mergers in the 1990s consolidated power within the industry. In 1995, Premier Health Alliance, American Healthcare Systems, and SunHealth Alliance merged into the nation’s largest GPO, Premier. By 2017, the giants in the industry - Vizient, Premier, HealthTrust, and Intaler - came to manage $300 billion of hospital purchasing for 5000 health systems, or 90% of total medical supplies in the United States. These GPOs have deals with the three major distributors - McKesson, AmerisourceBergen and Cardinal Health - which precludes any smaller distributors from getting into the business. At this point, 90% of generic medicines are bought by just four firms.

And this consolidation and restructuring of hospital buying has ruined the American supply chain, and prevented the ability to rebuild it.

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SCOTUS: The Function of Free Speech is to Invite Dispute and Stir People to Anger

The next time someone tells you that you need to be silenced because your speech is offending them, mention this quote from the U.S. Supreme Court opinion of Terminiello v. Chicago (1949), reversing a disturbing-the-peace conviction of a hate-monger. Justice Douglas wrote the opinion, which included these gems:

The vitality of civil and political institutions in our society depends on free discussion. As Chief Justice Hughes wrote in De Jonge v. Oregon, 299 U.S. 353, 365, 260, it is only through free debate and free exchange of ideas that government remains responsive to the will of the people and peaceful change is effected. The right to speak freely and to promote diversity of ideas and programs is therefore one of the chief distinctions that sets us apart from totalitarian regimes.

Accordingly a function of free speech under our system of government is to invite dispute. It may indeed best serve its high purpose when it induces a condition of unrest, creates dissatisfaction with conditions as they are, or even stirs people to anger. Speech is often provocative and challenging. It may strike at prejudices and preconceptions and have profound unsettling effects as it presses for acceptance of an idea. That is why freedom of speech, though not absolute, Chaplinsky v. New Hampshire, supra, 315 U.S. at pages 571-572, 62 S.Ct. at page 769, is nevertheless protected against censorship or punishment, unless shown likely to produce a clear and present danger of a serious substantive evil that rises far above public inconvenience, annoyance, or unrest. See Bridges v. California, 314 U.S. 252, 262, 193, 159 A.L.R. 1346; Craig v. Harney, 331 U.S. 367, 373, 1253. There is no room under our Constitution for a more restrictive view. For the alternative would lead to standardization of ideas either by legislatures, courts, or dominant political or community groups.

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Looking for Science at Scientific American

Modern-day wisdom from the latest issue of Scientific American:

The Jedi are inappropriate mascots for social justice. Although they’re ostensibly heroes within the Star Wars universe, the Jedi are inappropriate symbols for justice work. They are a religious order of intergalactic police-monks, prone to (white) saviorism and toxically masculine approaches to conflict resolution (violent duels with phallic lightsabers, gaslighting by means of “Jedi mind tricks,” etc.). The Jedi are also an exclusionary cult, membership to which is partly predicated on the possession of heightened psychic and physical abilities (or “Force-sensitivity”). Strikingly, Force-wielding talents are narratively explained in Star Wars not merely in spiritual terms but also in ableist and eugenic ones . . .

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Iraq Veteran Mike Prysner Drops a Truth-Payload on George W. Bush

At a time when increasing numbers of Democrats are cozying up to George W. Bush in public, THIS is what needed to be said face-to-face to GWB. Thank, you, Iraq War veteran, Mike Prysner. The best 36 seconds of video I've seen in a long time.

[Added Sept 24]

Mike Prysner explains why he confronted George W. Bush. An instructive conversation. Essentially, sociopathic war criminals should not be normalized. They have no remorse and Bush and his friends can't wait to lie us into the next war to profit their rich defense -industry friends.

Continue ReadingIraq Veteran Mike Prysner Drops a Truth-Payload on George W. Bush