The Price Is Right for Somebody

 

And the Lord said unto Cain, Where is Abel thy brother? And he said, I know not: Am I my brother’s keeper?”
— Genesis 4:9, from the King James Version of the Bible.

Imagine a television game show in which the announcer calls four contestants from the studio audience to the foot of the stage, a stage that is a mock up of a pharmacy, with a counter behind which stands the host, looking like a pharmacist in a white smock. The host directs everyone’s attention to one side of the stage, where an assistant – also in a white smock – presents a year’s worth of a popular prescription drug, let’s say insulin. The host then asks the four contestants to guess the price of the insulin without going over the amount, and the contestant with the closest guess gets to come up on stage for the opportunity to win prizes.


A skeletal figure surveying three doctors around a cauldron, Wellcome V0010898
A lithograph promoting James Morison’s alternative medicines, showing a skeletal figure surveying three doctors around a cauldron in a parody of Macbeth and the three witches. From the Wellcome Collection gallery, London, England.

The remaining contestants try again on the next round, and some of them go home empty handed. Almost all the studio audience in attendance go home without even having been invited to participate. The few winners in each episode get to take home expensive prizes such as the year’s worth of insulin, valued at thousands of dollars, but the majority of those attending a taping of the game show go home with nothing or with a cheap consolation prize, such as a bottle of gummy vitamins. This game show analogy is not far off how Americans seem to prefer having their health care system operate, particularly drug pricing.

If you’re lucky, if you win the lottery (another gamed system Americans seem to prefer over taxing the rich), then you’re good as gold. The majority, however, may run into problems and tough choices, such as paying the rent or buying insulin; paying utility bills or buying any of the number of the life preserving medications people depend on, particularly as they get older. Prescription drugs are every bit as crucial to survival for some people as food and shelter, and yet Americans seem to prefer to let the drug industry operate like any other capitalist endeavor. Profits for drug manufacturers are more important than a decent life for an unfortunate number of citizens who can’t afford the high prices those manufacturers demand simply because they can, and the people principally to blame for this awful situation are some cretins in Congress.

“Someday Never Comes”, by Creedence Clearwater Revival from their 1972 album Mardi Gras.

Who are the people responsible for putting those cretins in Congress and in positions where they can run cover for the drug companies? Why, they are in large part the same people who struggle to buy overpriced prescription drugs. Why do they do this to themselves? Ah, that is the question bedeviling America’s sickness today. The unfortunate part is that while some voters are caught up in Congressional posturing and not paying attention to substance, there are many voters who don’t share their ignorant love of machismo and capitalist lotteries and yet are forced to share the results of the bad policies ensuing from all that greed and childishness. They have to scramble for the scraps left over from the game, while a few wealthy grifters laugh at how they have duped enough voters to go along with their rigged game to keep it going, dangling prizes before the willing saps. Instead of gambling on a rigged capitalist lottery, sensible adults take measures, even – horrors! – socialist measures, to ensure decent results everyday for everybody when it comes to matters of survival like food, shelter, education, and medical care, including drugs.
— Ed.