Democratic hopefuls take aim at insurer and pharma profits

WASHINGTON — Sen. Bernie Sanders and other progressives seeking the Democratic presidential nomination are zeroing in on pharmaceutical and insurer profits, money they say would be better spent providing health care for everyone under “Medicare for All.”

Their idea: Health care dollars from government programs, employers and families that are going into the pockets of investors instead could be used to pay for services. If people want a health care system that will not bankrupt them, “the answer is to get rid of the profiteering of the drug companies and the insurance companies (and) move to Medicare for All,” Sanders said during the recent Democratic debates.

But research by The Associated Press suggests those dollars might not go so far. While there’s no single ledger for drugmakers and insurers, the AP found major companies had about $97 billion in profits last year. That wouldn’t even cover a couple of weeks in a health care system that costs $3.6 trillion a year.

“My view is that we are having a debate in fantasy world,” said Marc Goldwein, senior policy director with the nonpartisan Committee for a Responsible Federal Budget. “Insurer profits and excess drug costs are large in dollar terms but small relative to the size of national health expenditures.”

To be sure, Sanders and other Medicare for All advocates also acknowledge the need to raise taxes to pay for the plan. It would offer comprehensive medical care to every U.S. resident with no premiums or deductibles, and virtually no copays.

But Sanders’ legislation does not specify new revenues . Instead, the Vermont independent provides a separate list of “options” that include higher taxes on the wealthy, corporations and employers while promising the middle class will be better off.

In a statement, Sanders’ office said he believes that “guaranteeing health care for all Americans as a right requires ending the profit motive of the insurance industry.”

It added that Sanders “sees a role for pharmaceutical innovation, but opposes a rigged system that allows corporations to use their monopoly power to charge Americans … more for the exact same lifesaving drugs that can be purchased in Canada, the UK, France, Japan, and Germany.”

During the last round of Democratic debates, Sens. Elizabeth Warren of Massachusetts and Kamala Harris of California joined Sanders in training rhetorical fire on drugmakers and insurers. They had their own profit estimates.

“Insurance companies do not have a God-given right to make $23 billion in profits and suck it out of our health care system,” Warren said.

“Let’s talk about math,” Harris said. “Let’s talk about the fact that the pharmaceutical companies and the insurance companies last year alone profited $72 billion, and that is on the backs of American families.”

For its estimate, the AP reviewed the financial statements of the eight for-profit, publicly traded health insurers in the U.S. and found they made around $26 billion total last year. Their profit margins averaged a little more than 4%. The list included UnitedHealth, Anthem and Humana.

Some major insurers outside this group are non-profit and plow their earnings back.

A spokeswoman for America’s Health Insurance Plans, the main insurer trade group, said the vast majority of premiums go to health care. The group’s website cites an estimate that about 80 cents of every premium dollar goes for medical care, and only about 2 cents goes to profit. Other expenses included administration and taxes.

For drugmakers, the AP asked FactSet, a global financial data firm, to run the numbers for major pharmaceutical and biotechnology companies. FactSet focused on 19 companies that are part of the Standard & Poor’s 500 stock index. Its analysis found they made $71 billion on revenues of $385.5 billion last year, with an average profit margin of 18%. The list included Johnson & Johnson, Merck, Gilead, Amgen and Pfizer.

The Pharmaceutical Research and Manufacturers of America said such calculations are too simplistic and don’t convey the full picture.

Harvard University health care economist Amitabh Chandra said focusing on the profitability of major drugmakers misses a crucial part of the drug industry’s story. Many companies engaged in research and drug development don’t make money and are instead kept afloat by investors hoping for discoveries that will lead to big returns.

“It’s incomplete — it’s not the universe of all companies,” Chandra said. “It’s sort of like saying lottery winners are rich.”

He cautioned against health care remakes that just try to squeeze the profits.

“There have been some proposals that put 100% tax on pharma profits. That’s the equivalent of putting up a giant billboard that says ‘Don’t Make Drugs.’”

But Medicare for All proponents have found a simple, appealing argument for their proposal, said Tara O’Neill Hayes, a health policy expert with the American Action Forum, a centre-right think-tank . It skips over the complexities of a plan that would put 18% of the economy under government control.

“It is really easy, and it sells with the general public,” Hayes said. “People like to have an enemy, and they like to point to someone as the problem. We’ve known that for decades.”

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Trudeau cancels Caribbean trip amid pipeline protests

OTTAWA — Prime Minister Justin Trudeau is cancelling his planned trip to… Continue reading

Town of Ponoka facing lawsuit from pair of local residents

Ponoka town council members and administration have been served with a lawsuit… Continue reading

Trudeau confers with cabinet ministers as rail blockades continue

The Trudeau government has been criticized for not doing more to end the blockades

Minister reports ‘modest progress’ after blockade talks with First Nation

TYENDINAGA, Ont. — Hours of talks between the federal government and representatives… Continue reading

Red Deer County investing in fibre optics

County investing $7 million over two years to improve Internet connections

Fashion Fridays: Apple body types: What you need to know

Kim XO, helps to keep you looking good on Fashion Fridays on the Black Press Media Network

Your community calendar

Feb. 6 A Perogie Supper is being held Thursday, Feb. 6 from… Continue reading

Woman loses 50 pairs of shoes after boyfriend accidentally donates them to thrift store

Cassandra Converse can’t wait to go shoe shopping. Last month, Converse’s boyfriend… Continue reading

RDC Queens fall in double OT to MacEwan University Griffins

Griffins 4 Queens 3 (2OT) The RDC Queens managed to salvage a… Continue reading

Trump takes Daytona 500 warmup lap in presidential limousine

DAYTONA BEACH, Fla. — President Donald Trump gave an election-year embrace to… Continue reading

Canada expected to support heavy fuel ban in Arctic despite costs to northerners

The federal government is expected to support international measures that would reduce… Continue reading

Nurses’ unions warn national standards for coronavirus protection too low

OTTAWA — The Canadian Federation of Nurses Unions is warning that the… Continue reading

‘Sonic’ speeds to $57M debut; ‘Parasite’ sees big Oscar bump

NEW YORK — The redesigned “Sonic the Hedgehog” showed plenty of teeth… Continue reading

Justin Timberlake on ‘trauma’ of being pelted with bottles at SARS concert

TORONTO — Justin Timberlake is still haunted by being pelted with what… Continue reading

Most Read