For Profit Privatization of U.S. Healthcare a Primary Driver of Collapse

mauldineconomics |  We spend too much on healthcare relative to the health it buys us. As long as that is the case, no reform plan will work.

Did Obamacare cause this? No. It goes way back. Here’s another graphic showing the changes over time. 

You can see that the United States began diverging from other developed countries back in the 1980s. The gap has only grown wider since then.

Stranger yet, we spend all this extra money yet still leave millions of low-income citizens with little or no access to healthcare. Kaiser Family Foundation says some 2.5 million working Americans make too much to qualify for Medicaid, but not enough to receive Obamacare tax credits.

Clinton Tries, Obama Spies, Media Lies, Susan Rice Fries...,

NationalReview |  Her interest was not in national security but to advance the political interests of the Democratic party. 

The thing to bear in mind is that the White House does not do investigations. Not criminal investigations, not intelligence investigations. 

Remember that. 

Why is that so important in the context of explosive revelations that Susan Rice, President Obama’s national-security adviser, confidant, and chief dissembler, called for the “unmasking” of Trump campaign and transition officials whose identities and communications were captured in the collection of U.S. intelligence on foreign targets? 

Because we’ve been told for weeks that any unmasking of people in Trump’s circle that may have occurred had two innocent explanations: (1) the FBI’s investigation of Russian meddling in the election and (2) the need to know, for purposes of understanding the communications of foreign intelligence targets, the identities of Americans incidentally intercepted or mentioned. The unmasking, Obama apologists insist, had nothing to do with targeting Trump or his people. 

That won’t wash.

Mainstream Media Caught Red-Handed Trying to Ignore Rice Scandal

fmshooter |  Yesterday, it was reported that Susan Rice, a national security advisor and close confidant of former President Obama, had requested that President Trump’s transition team be “unmasked” as it pertained to “incidental” surveillance on the President-elect and the team.  Bloomberg covered the story, but only after it was broken by “fake news” journalist Mike Cernovich, who himself had been attacked a week earlier on a CBS’s “60 Minutes” segment on “fake news”:

There was no mention of Susan Rice in any article whatsoever on their front page.  Brower wasn’t lying – CNN voluntarily chose to completely ignore the story, focusing instead on a nearly week-old story about hypoxia in F/A-18 jets.

I did a little poking around – was CNN alone in ignoring this story?  How was the rest of the media world responding?  I documented the evidence, taking screenshots of a lot of media websites’ home pages.  Starting with NBC and MSNBC, who unsurprisingly both followed the same trail of ignorance as CNN:

They also ignored the story last night.  But that shouldn’t be a surprise, as Susan Rice’s husband is employed by ABC news as an executive producer.  It also shouldn’t be surprising that ABC waited until this morning to run the Rice story, but only so they could run a story of Rice denying her involvement, and completely omit the original scoop itself:

Corn and Matthews Deploy Racist/Sexist Farce Fields for Susan Rice...,

wikipedia |  Rice was born in Washington, D.C.,^[4] to Emmett J. Rice (1919–2011), Cornell University economics professor and the second black governor of the Federal Reserve System,^[4] and education policy scholar Lois Fitt Dickson, currently at the Brookings Institution.^[5] Her maternal grandparents were Jamaican.^[6] Her parents divorced when Rice was ten years of age.^[7]

Rice was a three-sport athlete, student council president, and valedictorian at National Cathedral School in Washington, D.C., a private girls' day school.^[8] She played point guard in basketball and directed the offense, acquiring the nickname Spo, short for "Sportin'".^[8]

Rice said that her parents taught her to "never use race as an excuse or advantage" and as a young girl she "dreamed of becoming the first U.S. senator from the District of Columbia".^[4] She also held "lingering fears" that her accomplishments would be diminished by people who attributed them to affirmative action.^[4] After her father's death in 2011, she said, "He believed segregation had constrained him from being all he could be. The psychological hangover of that took him decades to overcome. His most fervent wish was that we not have that psychological baggage."^[9]

Why Was Susan Rice Hunting Down Trump Instead of Terrorists?

BI | Erik Prince, the Blackwater founder who reportedly met with a Russian close to President Vladimir Putin to create a communication back-channel between then-President-elect Donald Trump and Russia, blasted the intelligence community in a statement Tuesday. 

Prince attended a secret meeting in the Seychelles islands days before Trump's inauguration to discuss establishing the back-channel, The Washington Post reported Monday. 

In his statement Tuesday, Prince didn't deny attending the meeting, but still attempted to cast doubt on its supposed purpose. 

"If the politically fabricated delusion of President-elect Trump and President Putin's coordination was true, why would anyone need to meet me anyway?" Prince said in the statement, which was sent to Business Insider. 

In a statement that was included in the Post's story on Monday, a spokesman for Prince said the Seychelles meeting "had nothing to do with President Trump." 

"Why is the so-called under-resourced intelligence community messing around with surveillance of American citizens when they should be hunting terrorists?" the spokesman said. 

Susan Rice Goes DC Dindu...,

thehill |  Former national security adviser Susan Rice on Tuesday categorically denied that the Obama administration inappropriately spied on President Trump or members of his transition team.

“The allegation is that somehow, Obama administration officials utilized intelligence for political purposes,” Rice told MSNBC’s Andrea Mitchell. “That’s absolutely false.”

Rice had requested that at least one Trump transition team member be “unmasked,” Bloomberg View reported Monday, leading to claims that the Obama White House had intended to use that intelligence to damage Trump’s transition.

“The notion, which some people are trying to suggest, that by asking for the identity of the American person is the same is leaking it — that’s completely false,” Rice said. “There is no equivalence between so-called unmasking and leaking.”

Rice also flatly denied exposing Trump’s own former national security adviser, Michael Flynn, who was forced to resign in February after media reports revealed that he misled Vice President Pence about the contents of his discussions with the Russian ambassador.

“I leaked nothing to nobody,” she said.

thedailycaller |  Former President Barack Obama’s national security adviser Susan Rice ordered U.S. spy agencies to produce “detailed spreadsheets” of legal phone calls involving Donald Trump and his aides when he was running for president, according to former U.S. Attorney Joseph diGenova.

“What was produced by the intelligence community at the request of Ms. Rice were detailed spreadsheets of intercepted phone calls with unmasked Trump associates in perfectly legal conversations with individuals,” diGenova told The Daily Caller News Foundation Investigative Group Monday.

“The overheard conversations involved no illegal activity by anybody of the Trump associates, or anyone they were speaking with,” diGenova said. “In short, the only apparent illegal activity was the unmasking of the people in the calls.”

Other official sources with direct knowledge and who requested anonymity confirmed to TheDCNF diGenova’s description of surveillance reports Rice ordered one year before the 2016 presidential election.

Trump Should Arrest Coup-Attempting Obama/Clinton Operatives

counterpunch |  We are now in a position to see the real story behind “Russiagate.” It’s not about Russia, except incidentally. The Obama regime abused the government’s surveillance powers and spied on Donald Trump and other Republicans in order to build a dossier for the DNC to leak to the press in an attempt to slander or compromise Trump and throw the election to Hillary.

They’ve been caught, but we can now see that they took steps to protect themselves against this. They prepared a cover story. They pretend they were not spying on Trump, but on Russians – which only by fortuitous happenchance turned up incriminating smoke against Trump.

This cover story was buttressed by the fake news story prepared by former MI6 freelancer Christopher Steele. As Whitney reports, Steele “was hired as an opposition researcher last June to dig up derogatory information on Donald Trump.”  Unvetted and unverified information paid for by so-called informants “somehow” found its way into U.S. intelligence agency reports. These reports were then leaked to Democrat-friendly media.

This is where the crime lies. Obama regime and DNC were using these agencies for domestic political use, KGB style.

The Obama/Clinton cover story is now falling to pieces. That explains the desperation in the attack byAdam Schiff, the ranking Democrat on the House Intelligence Committee, on Committee Chairman Devin Nunes to stop the exposure. Russiagate is not a Trump/Putin collusion but a domestic spy job carried out by Democrats.

Law requires Trump to arrest those responsible and to put them on trial for treason and conspiracy to overthrow the government of the United States. If Trump fears to prosecute the Obama operatives within the Deep State, they will try all the harder to attack him to the point of forcing his removal, or at least discrediting him and his fellow Republicans to pave the way for the 2018 elections.

Moral and Physical Cowards Insist That You Stay Focused on War with Russia!!!

unz |  The latest Democratic Party shill to demonize Russia is, I am ashamed to say, my state of Virginia’s Senator Mark Warner, who, on Thursday said “Russian President Vladimir Putin ordered a deliberate campaign carefully constructed to undermine our election.” Last Thursday, Warner was the top Democrat on a Senate Intelligence Committee panel investigating Moscow’s alleged interference in last year’s presidential election. The panel inevitably included carefully selected expert witnesses who would agree with the proposition that Russia is and was guilty as charged. There was no one who provided an alternative view even though a little Googling would have surfaced some genuine experts who dispute the prevailing narrative.

Warner joined many of his esteemed colleagues in Congress who have completely accepted the allegations that Russia meddled in the election in spite of the failure of the Obama Administration to provide any indisputable evidence to that effect. Senator Ben Cardin of Maryland has called Moscow’s claimed interference an “attack” and labeled it a “political Pearl Harbor.” A number of other congressmen, to include Bonnie Watson Coleman of New Jersey and Eric Swalwell of California have called it an act of war. And then there are echo chambers Senators John McCain and Mark Rubio on the Republican side of the aisle while former Vice President Dick Cheney was speaking at a business conference in New Delhi saying the same thing. Yes, that Dick Cheney. Why anyone in India would pay to hear him speak on any subject escapes me.

Democrat Adam Schiff of California is leading the charge for his party as he is the ranking Democrat on the House Intelligence Committee. He outlined his case against Russia two weeks ago, providing a heap of minimally factual “information”, relying heavily instead on supposition and featuring mostly innuendo. And again, it was largely evidence-free. One assertion is almost comical: “In July 2016, Carter Page, one of Trump’s former national security advisers, traveled to Moscow after being approved to do so by the Trump campaign. While there, Page gave a speech in which he was critical of the U.S. and its efforts to fight corruption and promote democracy.”

MSM Says "Move Along Folks, Susan Rice Was Just Doing Her Job"...,

msn |  Monday Bloomberg report alleging that a former top Obama administration official requested the unmasking of U.S. persons tied to the Trump campaign who were swept up in foreign surveillance is not the “smoking gun” that the President’s backers are making it out to be.

According to surveillance and national security experts, former Obama national security adviser Susan Rice would be within her rights to make such requests if she was trying to determine the extent of Russia’s interference in the presidential election.

“Part of her job as national security adviser is to pay attention to what foreign governments are doing,” Rebecca Lonergan, a former federal prosecutor who handled foreign surveillance cases, told TPM. “If she’s asking for specific names to be unmasked in order to understand what Russia may be doing to influence the U.S. political system and influence our elections, presumably in a way they thought would benefit them, she’s doing her job.”

Nada Bakos, a former CIA analyst, noted on Twitter that it was not “odd or wrong” for the national security adviser to read “a report of foreign officials discussing US persons coming into” the White House. And Susan Hennessey, a fellow in national security governance studies at the Brookings Institution, wrote of the Bloomberg article that “nothing in this story indicates anything improper whatsoever.”

Susan Rice: Interwebs AND MSM Far Enough In That Azz To See Your Tonsils...,

NYPost |  Do you suspect that the noise over Trump-campaign contacts with the Russians is just a political hit arranged by Obama insiders before they left? You got fresh evidence of that Monday, with news that then-National Security Adviser Susan Rice was behind the “unmasking” of Trumpites in transcripts of calls with Russian officials.

Again, nothing on the public record so far shows that anyone on Team Trump said anything improper on those calls.

It’s no surprise that US spooks intercept foreign officials’ calls. But intelligence-community reports don’t disclose the names of US citizens on the other end. To get that info, a high official must (but rarely does) push to “unmask” the Americans’ names.

Bloomberg’s Eli Lake now reports that Rice started doing just that last year.

Susan Rice - "I Know Nothing About This"

WashingtonTimes |  File this under Most Disingenuous Argument Ever. Susan Rice, of Barack Obama national security adviser fame, actually penned a piece for the Washington Post decrying President Donald Trump administration’s “false statements” about wiretapping — saying such unproven allegations present a danger to America.

That buzzing in your ears is from the rapid head-shaking that probably started, involuntarily, as soon as you finished reading that quick sentence.

Did Susan Rice Unmask Incoming Trump Officials?

medium |  Susan Rice, who served as the National Security Adviser under President Obama, has been identified as the official who requested unmasking of incoming Trump officials, Cernovich Media can exclusively report.

The White House Counsel’s office identified Rice as the person responsible for the unmasking after examining Rice’s document log requests. The reports Rice requested to see are kept under tightly-controlled conditions. Each person must log her name before being granted access to them.

Upon learning of Rice’s actions, H. R. McMaster dispatched his close aide Derek Harvey to Capitol Hill to brief Chairman Nunes.

“Unmasking” is the process of identifying individuals whose communications were caught in the dragnet of intelligence gathering. While conducting investigations into terrorism and other related crimes, intelligence analysts incidentally capture conversations about parties not subject to the search warrant. The identities of individuals who are not under investigation are kept confidential, for legal and moral reasons.

Under President Obama, the unmasking rules were changed. Circa originally reported:

As his presidency drew to a close, Barack Obama’s top aides routinely reviewed intelligence reports gleaned from the National Security Agency’s incidental intercepts of Americans abroad, taking advantage of rules their boss relaxed starting in 2011 to help the government better fight terrorism, espionage by foreign enemies and hacking threats, Circa has learned.

Three people close to President Obama, including his “fall guy” for Benghazi (Susan Rice), had authorization to unmask.

Among those cleared to request and consume unmasked NSA-based intelligence reports about U.S. citizens were Obama’s national security adviser Susan Rice, his CIA Director John Brennan and then-Attorney General Loretta Lynch.

Healthcare - Our Sadistic Hostage Racket

kunstler |  If you thought banking in our time was a miserable racket — which it is, of course, and by “racket” I mean a criminal enterprise — then so-called health care has it beat by a country mile, with an added layer of sadism and cruelty built into its operations. Lots of people willingly sign onto mortgages and car loans they wouldn’t qualify for in an ethically sound society, but the interest rates and payments are generally spelled out on paper. They know what they’re signing on for, even if the contract is reckless and stupid on the parts of both borrower and lender. Pension funds and insurance companies foolishly bought bundled mortgage bonds of this crap concocted in the housing bubble. They did it out of greed and desperation, but a little due diligence would have clued them into the fraud being served up by the likes of Goldman Sachs.

Medicine is utterly opaque cost-wise, and that is the heart of the issue. Nobody in the system will say what anything costs and nobody wants to because it would break the spell that they work in an honest, legit business. There is no rational scheme for the cost of any service from one “provider” to the next or even one patient to the next. Anyway, the costs are obscenely inflated and concealed in so many deliberately deceptive coding schemes that even actuaries and professors of economics are confounded by their bills. The services are provided when the customer is under the utmost duress, often life-threatening, and the outcome even in a successful recovery from illness is financial ruin that leaves a lot of people better off dead.

It is a hostage racket, in plain English, a disgrace to the profession that has adopted it, and an insult to the nation. All the idiotic negotiations in congress around the role of insurance companies are a grand dodge to avoid acknowledging the essential racketeering of the “providers” — doctors and hospitals. We are never going to reform it in its current incarnation. For all his personality deformities, President Trump is right in saying that ObamaCare is going to implode. It is only a carbuncle on the gangrenous body of the US medical establishment. The whole system will go down with it.

The New York Times departed from its usual obsessions with Russian turpitude and transgender life last week to publish a valuable briefing on this aspect of the health care racket: Those Indecipherable Medical Bills? They’re One Reason Health Care Costs So Much by Elisabeth Rosenthal. Much of this covers ground exposed in the now famous March 4, 2013 Time Magazine cover story (it took up the whole issue): Bitter Pill: Why Medical Bills Are Killing Us, by Steven Brill. The American public and its government have been adequately informed about the gross and lawless chiseling rampant in every quarter of medicine. The system is one of engineered criminality. It is inflicting ruin on millions. It is really a wonder that the public has not stormed the hospitals with pitchforks and flaming brands to string up that gang in the parking lots high above their Beemers and Lexuses.

Intel Official Behind "Unmasking" Of Trump Associates Is "Very Senior, Very Well Known"

thehill  |  Senator Chuck Schumer and Congressman Adam Schiff have both castigated Devin Nunes, the chairman of the House Intelligence Committee, for his handling of the inquiry into Russia’s interference in the 2016 presidential election.  They should think twice.  The issue that has recently seized Nunes is of vital importance to anyone who cares about fundamental civil liberties.

The trail that Nunes is following will inevitably lead back to a particularly significant leak.  On Jan. 12, Washington Post columnist David Ignatius reported that “according to a senior U.S. government official, (General Mike) Flynn phoned Russian Ambassador Sergey Kislyak several times on Dec. 29.”

From Nunes’s statements, it’s clear that he suspects that this information came from NSA intercepts of Kislyak’s phone.  An Obama official, probably in the White House, “unmasked” Flynn’s name and passed it on to Ignatius.

Regardless of how the government collected on Flynn, the leak was a felony and a violation of his civil rights.  But it was also a severe breach of the public trust. When I worked as an NSC staffer in the White House, 2005-2007, I read dozens of NSA surveillance reports every day. On the basis of my familiarity with this system, I strongly suspect that someone in the Obama White House blew a hole in the thin wall that prevents the government from using information collected from surveillance to destroy the lives of the citizens whose privacy it is pledged to protect.  

The leaking of Flynn’s name was part of what can only be described as a White House campaign to hype the Russian threat and, at the same time, to depict Trump as Vladimir Putin’s Manchurian candidate. 

Happy Passah's Day!!!

NGA - the Literal Eye of Sauron - in St. Louis

antimedia  |  If you’re one of the countless Americans who was distraught to learn of the revelations made by former National Security Agency (NSA) contractor Edward Snowden, the mere idea that there might be yet another agency out there — perhaps just as powerful and much more intrusive —  should give you goosebumps.

Foreign Policy reports that the National Geospatial-Intelligence Agency, or NGA, is an obscure spy agency former President Barack Obama had a hard time wrapping his mind around back in 2009. But as the president grew fond of drone warfare, finding a way to launch wars without having to go through Congress for the proper authorization, the NGA also became more relevant. Now, President Donald Trump is expected to further explore the multibillion-dollar surveillance network.

Like the Central Intelligence Agency (CIA) and the National Security Agency (NSA), the NGA is an intelligence agency, but it also serves as a combat support institution that functions under the U.S. Department of Defense (DOD).

With headquarters bigger than the CIA’s, the building cost $1.4 billion to be completed in 2011. In 2016, the NGA bought an extra 99 acres in St. Louis, building additional structures that cost taxpayers an extra $1.75 billion.

Enjoying the extra budget Obama threw at them, the NGA became one of the most obscure intelligence agencies precisely because it relies on the work of drones.

As a body of government that has only one task — to analyze images and videos captured by drones in the Middle East — the NGA is mighty powerful. So why haven’t we heard of it before?

Russiagate a Deep State Nothing-Burger...,

theduran |  To my mind what this episode shows is how sensitive the Democrats are about the raising of the whole surveillance issue.  This lends further strength to my opinion – which I note is coming to be increasingly widely shared – that it is the surveillance carried out during the election of Donald Trump and his campaign team which is the real scandal in this affair, and that the fake ‘Russiagate’ scandal is the smoke-screen concealing it.

Having increasingly given up on the House Intelligence Committee, the proponents of the ‘Russiagate’ scandal now seem increasingly to be resting their hopes on the Senate Intelligence Committee.

They will be equally disappointed there.  These attempts to use Congressional committees as investigative and prosecutorial instruments suffer from a basic misconception: these are oversight committees, not investigative or prosecutorial committees, and they cannot be used in that way.  They cannot magic up evidence of collusion between the Trump campaign and Russia that the actual investigation – the one carried out by the FBI – says is not there.

The single most important fact about the last few weeks, and the clearest possible sign that the ‘Russiagate’ scandal is flagging, is that there have been no more leaks from within the intelligence and security agencies since the ones at the beginning of March about Jeff Sessions’s meetings with the Russian ambassador.

That suggests that the former Obama administration officials, who I suspect were the people who were physically communicating the information in the leaks to the media, are no longer being fed  information about Donald Trump and his associates or about the progress of the FBI investigation by their sources within the intelligence and national security bureaucracy.

That could be because people within the intelligence and national security bureaucracy are being deterred by the investigation into the leaking of classified material which the President has been calling for but which the House Intelligence Committee hearing on 20th March 2017 suggested FBI Director Comey is resisting (almost certainly because people within the FBI were involved in the leaks), or it could be because increasingly there is no damaging information to leak.

Regardless of what the explanation is, in the absence of any more leaks there has been nothing over the last few weeks for the supporters of ‘Russiagate’ to work with.  The result is that in the absence of anything new the effort to keep the ‘Russiagate’ scandal going and in the public eye is flagging.

My best guess is that it will collapse entirely by early summer.

Wikileaks Vault 7 Marble Framework

wikileaks | Today, March 31st 2017, WikiLeaks releases Vault 7 "Marble" -- 676 source code files for the CIA's secret anti-forensic Marble Framework. Marble is used to hamper forensic investigators and anti-virus companies from attributing viruses, trojans and hacking attacks to the CIA.

Marble does this by hiding ("obfuscating") text fragments used in CIA malware from visual inspection. This is the digital equivallent of a specalized CIA tool to place covers over the english language text on U.S. produced weapons systems before giving them to insurgents secretly backed by the CIA.

Marble forms part of the CIA's anti-forensics approach and the CIA's Core Library of malware code. It is "[D]esigned to allow for flexible and easy-to-use obfuscation" as "string obfuscation algorithms (especially those that are unique) are often used to link malware to a specific developer or development shop."

The Marble source code also includes a deobfuscator to reverse CIA text obfuscation. Combined with the revealed obfuscation techniques, a pattern or signature emerges which can assist forensic investigators attribute previous hacking attacks and viruses to the CIA. Marble was in use at the CIA during 2016. It reached 1.0 in 2015.

The source code shows that Marble has test examples not just in English but also in Chinese, Russian, Korean, Arabic and Farsi. This would permit a forensic attribution double game, for example by pretending that the spoken language of the malware creator was not American English, but Chinese, but then showing attempts to conceal the use of Chinese, drawing forensic investigators even more strongly to the wrong conclusion, --- but there are other possibilities, such as hiding fake error messages.

The Marble Framework is used for obfuscation only and does not contain any vulnerabilties or exploits by itself.

MUCH MORE Impressed with Tulsi Gabbard Than I Am With Myself...,

gabbard.house.gov |  Continuing her commitment to common sense criminal justice reform, Rep. Tulsi Gabbard (HI-02) spoke on the House floor today urging Congress to pass bipartisan legislation to federally decriminalize marijuana. If passed, the Ending Federal Marijuana Prohibition Act (H.R.1227) would take marijuana off the federal controlled substances list—joining other industries such as alcohol and tobacco. Gabbard introduced the legislation with Rep. Tom Garrett (VA-05), an Army veteran and former prosecutor.  

“Our outdated policies on marijuana are having devastating ripple effects on individuals and communities across the country. They have turned everyday Americans into criminals, torn apart families, and wasted huge amounts of taxpayer dollars to arrest, prosecute, and incarcerate people for non-violent marijuana charges,” said Rep. Tulsi Gabbard. “Differences in state and federal law have also created confusion and uncertainty for our local businesses, who face contradictory regulations that affect their bottom line and ability to operate. I urge our colleagues to support our bipartisan legislation which would decriminalize marijuana, bringing about long overdue and common sense reform." 

“There is growing consensus acknowledging that the effects of marijuana are less harmful than its criminal prohibition, which has increased incarceration rates, divided families, and burdened state governments with the high cost of enforcement, prison and probation. It’s clear that there are more vital needs that we as a society need to allocate our precious resources towards, such as education, mental health, and homelessness. Decriminalization is a step forward in making needed criminal justice reforms, which should also include more diversion to substance abuse treatment,” said Karen Umemoto, Department of Urban and Regional Planning at the University of Hawaiʻi at Mānoa and juvenile justice researcher. 

“As long as marijuana is federally illegal, FDIC regulations make it impossible for banks to provide any services to the eight Hawaiʻi Medical Marijuana Dispensary licensees. Federal decriminalization will enable professional dispensaries to provide much needed patient access and cost savings,” said Richard Ha, CEO of Lau Ola, a medical marijuana dispensary on Hawaiʻi Island.    

  

“Descheduling cannabis will benefit Hawaiʻi patients by allowing for more rapid research to identify the best medical marijuana strains and dosages for individual medical conditions. Also, eliminating the barriers to banking will make it easier and safer for Hawaiʻi patients to purchase the medicine they need and eliminate unnecessary expense and complexity for dispensaries,” said Brian Goldstein, Founder and CEO of Mānoa Botanicals, a licensed medical marijuana dispensary on Oʻahu. 

Background: Rep. Tulsi Gabbard supports the full legalization of marijuana on the federal level as part of her overall effort toward criminal justice reform. Last month, she visited correctional facilities throughout the state, and met with inmates, criminal justice advocates and experts, health professionals, educators and others to discuss reducing recidivism and her continued efforts to pass federal criminal justice reform legislation like the SAFE Justice Act and the Sentencing Reform Act.

The congresswoman has also supported legislation like the Industrial Hemp Farming Act to support the cultivation of industrial hemp in Hawaiʻi and nationwide.

Predatory Pharmaceutical Parasites (Pharmacy Benefit Managers)

prospect |  Rob Frankil of Sellersville, Pennsylvania, followed his father into the family business after college. “My entire life,” he said, “I’ve been involved with managing and owning independent pharmacies.” He now owns two stores, a traditional community pharmacy and another that caters to long-term care facilities.

Like any retail outlet, Frankil purchases inventory from a wholesale distributor and sells it to customers at a small markup. But unlike butchers or hardware store owners, pharmacists have no idea how much money they’ll make on a sale until the moment they sell it. That’s because the customer’s co-pay doesn’t cover the cost of the drug. Instead, a byzantine reimbursement process determines Frankil’s fee.

“I get a prescription, type in the data, click send, and I’m told I’m getting a dollar or two,” Frankil says. The system resembles the pull of a slot machine: Sometimes you win and sometimes you lose. “Pharmacies sell prescriptions at significant losses,” he adds. “So what do I do? Fill the prescription and lose money, or don’t fill it and lose customers? These decisions happen every single day.”

Frankil’s troubles cannot be traced back to insurers or drug companies, the usual suspects that most people deem responsible for raising costs in the health-care system. He blames a collection of powerful corporations known as pharmacy benefit managers, or PBMs. If you have drug coverage as part of your health plan, you are likely to carry a card with the name of a PBM on it. These middlemen manage prescription drug benefits for health plans, contracting with drug manufacturers and pharmacies in a multi-sided market. Over the past 30 years, PBMs have evolved from paper-pushers to significant controllers of the drug pricing system, a black box understood by almost no one. Lack of transparency, unjustifiable fees, and massive market consolidations have made PBMs among the most profitable corporations you’ve never heard about.

Americans pay the highest health-care prices in the world, including the highest for drugs, medical devices, and other health-care services and products. Our fragmented system produces many opportunities for excessive charges. But one lesser-known reason for those high prices is the stranglehold that a few giant intermediaries have secured over distribution. The antitrust laws are supposed to provide protection against just this kind of concentrated economic power. But in one area after another in today’s economy, federal antitrust authorities and the courts have failed to intervene. In this case, PBMs are sucking money out of the health-care system—and our wallets—with hardly any public awareness of what they are doing.