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The Trump administration has announced the beginning of a planning process to allow for exploration and leasing in the Arctic National Wildlife Refuge, barreling forward with plans for destructive oil and gas drilling and disregarding the serious biological, cultural and climate impacts fossil fuel extraction will have in the rapidly-warming Arctic. Tomorrow's scheduled notice in the Federal Register will begin a 60-day public comment period.
The Department of the Interior has announced a Notice of Intent to initiate scoping for an Environmental Impact Statement on the proposed lease sale that would target the biologically rich coastal plain, an area of the Refuge the Indigenous Gwich'in people, who have subsisted off the land for millennia, consider sacred. Drilling would also imperil wildlife and harm our climate. Scientists have warned that to avoid the worst impacts of climate change, we must keep Arctic fossil fuel reserves in the ground.
The Trump administration's first action to advance drilling in the Arctic Refuge comes only months after oil industry allies in Congress snuck a drilling provision into the unrelated federal tax bill in December. Drilling proponents circumvented normal legislative channels because winning legislative or public support for such a controversial measure in an above-board process would have been otherwise impossible.
A broad coalition of environmental organizations reaffirmed its commitment to stand with the Gwich'in to defend the Arctic Refuge and the wildlife, wilderness, recreational and cultural values it was established to protect.
Statements
"We will continue to stand against any development in the calving grounds of the Porcupine Caribou Herd. My people have had a cultural and spiritual connection the herd for thousands of years. With climate change hitting Alaska harder than any other place in the world, this is the last thing we need. An Attack on the Arctic Refuge is an attack on the Gwich'in and we will stand strong in unity for our future generations. This is an uphill battle that we are willing to take on because it is tied to the identity of the Gwich'in people," said Bernadette Demientieff, Gwich'in Steering Committee Executive Director.
"Just because those lease sales are opened up doesn't mean they have to be invested in. We must continue to divest from fossil fuels. As stewards of the land since time immemorial, Indigenous people across the Arctic stand in solidarity in opposition to any further development in our ancestral places. We support our Gwich'in brothers and sisters in the fight to the continue the protection of Iizhik Gwats'an Gwandaii Goodlit, The Sacred Place Where Life Begins, for the best interest of everyone in the world, not just ourselves. We know we are all dependent on the land. It provides not only food security, but also has a direct correlation with our cultural identity, our spirituality, and our place in the universe. We're seeing a large misrepresentation of our people through corporate endeavors and would like to remind policy makers and the general public, that what these corporations are saying is from the for-profit, western lifestyle that we have been forced into. This is reality for us. This threatens who we are. This isn't putting up a new store, or investing in the stock market. This is our life. We all have to be good ancestors to our future generations. The land remembers. Our people remember." Native Movement - Alaska Board Members, Arlo Nasruk Davis (Selawik) and Adrienne Aakaluk Titus (Unalakleet)
"When we have an administration using Twitter to fire cabinet secretaries and rewrite plans for the entirety of America's coastline, maybe we shouldn't be surprised at the reckless, warp speed approach it is taking to put oil rigs in one of the most iconic and wildest places left in America," said Adam Kolton, Executive Director at Alaska Wilderness League. "But the Trump administration's secretive work with Senator Murkowski and others to 'aggressively' push for Arctic drilling is a disgrace. Forget minimal effort; they can't even be bothered to fake the effort needed to assess the impacts of leasing on wildlife and the environment or meaningfully consult with the Gwich'in people whose culture is at stake."
"Over the last 14 months we have seen this administration try to cut corners, revoke existing environmental protections, rescind conservation priorities, and overall threaten our public lands. Now, after an already scheming process to get the Arctic Refuge opened in the tax bill, they want to expedite a lease sale in the coastal plain. This is unacceptable. This is the 'sacred place where life begins.' We stand firmly with the Gwich'in Nation to protect the calving grounds of the Porcupine Caribou Herd and preserve a traditional way of life practiced for millennia," said Lisa Baraff, Program Director, Northern Alaska Environmental Center.
"This is about the Gwich'in people and one of our last, great wild places. But it's also about what our country wants for our future-- a race to the bottom dominated by drilling and greed, or the preservation of life, climate justice and our wild places for future generations. We stand with the Gwich'in Nation as we fight for a better world, starting with safeguarding the Arctic Refuge," said Alli Harvey, Alaska representative for Sierra Club's Our Wild America campaign.
"This Administration is barreling ahead with a fossil fuel extraction plan in the Arctic National Wildlife Refuge, despite the environmental and human rights implications of industrializing the wild birthing grounds of caribou upon which indigenous Gwich'in have relied for millennia, and the fact that investing in oil development in the Arctic takes us in exactly the wrong direction on combating climate change. Earthjustice stands prepared to uphold bedrock environmental laws that protect the Refuge's values and mount a strong defense of the Arctic Refuge and our climate," said Earthjustice attorney Erik Grafe.
"The coastal plain of the Arctic National Wildlife Refuge is a place of stunning beauty and tremendous biological value, providing vital habitat for caribou, polar bears and hundreds of migratory bird species. Most Americans oppose the Trump administration's headlong rush to drill and desecrate this sacred place, which will inevitably end up in court," said Jenny Keatinge, Senior Federal Lands Policy Analyst at Defenders of Wildlife.
"This administration is recklessly moving to lease the coastal plain of the Arctic Refuge, a land sacred to the Gwich'in people and one of the wildest places in our nation. The coastal plain is no place for oil and gas. We'll continue to stand with the Gwich'in and our partners and to use the law to protect this invaluable land," said Brook Brisson, Senior Staff Attorney at Trustees for Alaska.
"This administration is about to sell the Arctic Refuge to the highest bidder and turn one of America's premier bird nurseries into an oilfield. We cannot and will not allow drilling in the Arctic Refuge. Such a disastrous approach to managing our protected public lands threatens birds and robs our kids and grandkids of their natural legacy," said David Yarnold, president and CEO of the National Audubon Society.
"In its rush to drill America's Last Frontier, the Trump Administration is trying to sell leases in the iconic coastal plain of the Arctic National Wildlife Refuge as fast as they can, with no regard for why the refuge was created in the first place," said Geoffrey Haskett, President of the National Wildlife Refuge Association. "This race to drill flies in the face of the Arctic Refuge's true purposes such as conserving natural diversity and shows the disdain this administration has for the natural world."
"The Trump Administration's frantic scramble to sell oil leases in the coastal plain of the Arctic National Wildlife Refuge is a direct threat to the traditional lifestyle of the Gwich'in people and an assault on the wildlife and habitat of America's greatest intact natural heritage," said Dr. David Raskin, President of the Friends of Alaska National Wildlife Refuges. "It is a violation of the laws and requirements for management of this iconic refuge that belongs to every American, not just the oil industry and their political supporters."
"Interior's timeline is rash and unrealistic, given the laws and safeguards protecting sensitive public lands and wildlife. NRDC will ensure those protections are not violated with impunity," said Niel Lawrence, Alaska Director and Senior Attorney for the Nature Program at the Natural Resources Defense Council.
"By pushing for a lease sale next year, the administration is admitting that they have no intention of seriously evaluating the negative impacts of oil development on wildlife and these wild lands, which science tells us are significant," said Jamie Williams, president of The Wilderness Society. "The Wilderness Society remains opposed to opening the Arctic Refuge coastal plain to drilling. Local communities and the public's concerns should be fairly considered and addressed. Americans should be outraged at what is being done to the crown jewel of their National Wildlife Refuge System."
"First Republican leaders in Congress snuck a provision to destroy the Arctic National Wildlife Refuge into their disastrous tax bill - which Trump himself admitted they tried to keep secret because selling out one of our most majestic landscapes to the oil industry is deeply unpopular," said Alex Taurel, League of Conservation Voters Deputy Legislative Director. "Now Secretary Zinke is racing to transform this pristine wildlife refuge into an industrial oil field, apparently by waiving environmental review, planning, and local consultation that drilling supporters like Senator Murkowski assured would take place at each step in the process. We will continue to stand with the native Gwich'in people and work to block drilling every step of the way."
"Sinking drills into the refuge will drain the wild Arctic of its lifeblood. The habitat of polar bears, wolves, and caribou can't be trusted to the hands of oil companies," said Miyoko Sakashita, senior counsel at the Center for Biological Diversity.
"Take note of the phrase 'publicly owned.' Because the Arctic Refuge is your Arctic Refuge. This place, called the 'Crown Jewel of the Circumpolar North' is the home and birthing ground for an abundance of wildlife, from polar bears to the massive Porcupine Caribou herd, to the millions of birds that migrate to the Refuge. From six continents their migration connects these ancestral breeding grounds to every person on the planet. To the Gwich'in nation it's a human rights issue. The Gwich'in depend on the caribou for a subsistence way of life. A culture, passed down since time immemorial. They call the Refuge 'The Sacred Place Where Life Begins.' This is your land the oil companies want. It is a land sale. Call / contact your Congress people and tell them NO! NO drilling in our Arctic National Wildlife Refuge," said Carol Hoover, Executive Director of the Eyak Preservation Council.
"Each year, the Porcupine caribou migrate between Alaska and Canada's north. They are one of the last, healthy barren-ground caribou herds left on earth. Disturbing their calving grounds could have a disastrous effect on the health of the herd. This is not just an American issue. It's a deeply Canadian issue. We stand firmly with the Gwich'in as they fight to keep oil and gas development off the land that has sustained them for millennia." said Chris Rider, Executive Director of the Canadian Parks and Wilderness Society (CPAWS), Yukon Chapter
Reporter Resources
Memo: Trump administration pursuing overly aggressive timeline for Arctic Refuge drilling
Gwich'in Statement on the release of the Notice of Intent
Media Contacts
Alaska Wilderness League: Corey Himrod, corey@alaskawild.org, 202-266-0426
Audubon: Nicolas Gonzalez, ngonzalez@audubon.org, (212) 979-3100.
Center for Biological Diversity: Steve Jones, sjones@biologicaldiversity.org, 415-305-3866
Defenders of Wildlife: Haley McKey, hmckey@defenders.org, 202-772-0247
Earthjustice: Rebecca Bowe, rbowe@earthjustice.org, 415-217-2093
Eyak Preservation Council: Carol Hoover, carol@redzone.org
Friends of Alaska National Wildlife Refuges: Dr. David Raskin, davidcraskin@gmail.com 425-209-9009
Gwich'in Steering Committee: Bernadette Demientieff, bernademientieff76@gmail.com
League of Conservation Voters: Alyssa Roberts, aroberts@lcv.org, 202-454-4573
National Wildlife Refuge Association: Desiree Sorenson-Groves, dgroves@refugeassociation.org, 202-290-5593
Native Movement: Adrianne Titus, acct.nativemovement@gmail.com, 907-374-5950
Natural Resources Defense Council: Anne Hawke, ahawke@nrdc.org, 202-513-6263
Northern Alaska Environmental Center: Erica Watson, erica@northern.org, 907-452-5093
Sierra Club: Gabby Brown, gabby.brown@sierraclub.org, 202-495-3051
Trustees for Alaska: Dawnell Smith, dsmith@trustees.org, 907-433-2013
The Wilderness Society: Tim Woody, tim_woody@tws.org, 907-223-2443
Canadian Parks & Wilderness Society: Adil Darvesh, adarvesh@cpawsyukon.org, 867-393-8080, or alternately 867-332-0310
Earthjustice is a non-profit public interest law firm dedicated to protecting the magnificent places, natural resources, and wildlife of this earth, and to defending the right of all people to a healthy environment. We bring about far-reaching change by enforcing and strengthening environmental laws on behalf of hundreds of organizations, coalitions and communities.
800-584-6460"As a cease-fire in Gaza is near, Israel is expanding its assault on the West Bank," said one expert. "It was always a war on Palestinian existence."
As negotiators in Qatar navigated the "final stage" of a cease-fire agreement to end the U.S.-backed Israeli assault on the Gaza Strip, Israel's forces on Tuesday continued to kill Palestinians in the besieged coastal enclave and the illegally occupied West Bank.
Since the Hamas-led October 7, 2023 attack, the Israel Defense Forces (IDF) have killed at least 46,645 Palestinians in Gaza and wounded 110,012, with over 10,000 others missing, health officials said Tuesday. The true death toll could be much higher. A peer-reviewed analysis published last week in The Lancetfound that the official tally through last June was likely a 41% undercount.
The Palestinian National Authority's news agency WAFA reported Tuesday that IDF shelling killed at least two civilians at the Nuseirat refugee camp and a correspondent in Gaza City "said that Israeli warplanes fired missiles at a house in the Sheikh Radwan neighborhood, north of Gaza City, and another house in the Manara neighborhood, south of Khan Younis City, killing several civilians and injuring others."
According to multiple media outlets, Israeli forces also killed at least 13 people in an attack on a home in Deir al-Balah.
Israel faces a genocide case at the International Court of Justice over its assault on Gaza and in November the International Criminal Court issued arrest warrants for Israeli Prime Minister Benjamin Netanyahu and his former defense minister, Yoav Gallant, as well as Hamas leader Mohammed Diab Ibrahim Al-Masri.
In addition to waging war on Gaza over the past 15 months, Israel has stepped up its military activity in the West Bank—where a Tuesday strike on the Jenin refugee camp killed at least six Palestinians and wounded several others. The Times of Israelreported that "the IDF said it carried out the strike in a joint operation with the Shin Bet, without immediately providing further information."
The Israeli newspaper also noted that "on Tuesday evening, as on many previous Tuesday nights, thousands gather for a unity rally of prayer and song held in Tel Aviv's Hostages Square," while hundreds of right-wing demonstrators blocked "an intersection in central Jerusalem, in protest of the ongoing hostage negotiations between Israel and Hamas."
According to a draft obtained by The Associated Press, the first part of the three-stage deal would involve a halt to the fighting, both sides releasing captives, displaced Palestinians in Gaza returning home, and more humanitarian aid entering the strip.
Phase two would feature a declaration of "sustainable calm" and Hamas freeing more hostages in exchange for additional Palestinian prisoners and the full withdrawal of Israeli troops from Gaza, AP reported. The third part would include an exchange of bodies, a reconstruction plan for the strip—where civilian infrastructure is in ruins—and the reopening of border crossings.
"The terms of the deal being negotiated are largely consistent with what was on the table last May when outgoing President Joe Biden first announced it. Biden allowed Netanyahu to steamroll him for months—rewarding Israel with billions of dollars in arms transfers and political support after rejecting that cease-fire deal," Jeremy Scahill detailed at Drop Site News.
The latest cease-fire talks come as U.S. President-elect Donald Trump prepares for his inauguration next Monday. The Republican has been pushing for a resolution to Israel's assault on Gaza—or at least an appearance of one—before he returns to office.
"The fact that Trump emerged as the decisive player in pushing a potential cease-fire forward is evidence that Biden never used the full powers available to a sitting U.S. president to seal the deal in the summer," wrote Scahill. "While Trump has publicly repeated his threat that he will 'unleash hell' on Hamas if the Israeli hostages are not freed, his pressure has not been solely focused on Hamas; Trump and his aides have made clear to Netanyahu that the president-elect expects Israel to comply with his demands, too."
Netanyahu on Tuesday told hostages' families that "he is willing to agree to a prolonged cease-fire Gaza in exchange for their return," according toHaaretz. Later Tuesday, The Times of Israelreported that the prime minister was meeting with "Israel's hostage negotiation team and with members of Israel's security establishment," and expected negotiations to go through the night.
Even if a deal is reached regarding Gaza, some experts fear the bloodshed will continue there and in the West Bank
"There will possibly be an end to the Gaza war, but there will be now another war in the West Bank," Sami Al-Arian, a Palestinian analyst and director of the Center for Islam and Global Affairs at Istanbul Zaim University, told Scahill. "It may not be on the same scale, but it would be as vicious from the settlers, from the Netanyahu government."
Gazan writer and analyst Muhammad Shehada wrote for the U.S.-based Center for International Policy last week that a senior Arab official told him the U.S. president-elect asked the Qataris and Egyptians to finalize a deal before he takes office but the Israeli prime minister "is not budging while at the same time issuing false positive statements of a breakthrough and progress to buy time and pretend to seek a deal until Trump is in office, where Netanyahu can trade the Gaza war for something big in the West Bank."
Sharing on social media a video of the Tuesday strike on Jenin, Middle East expert Assal Rad said that "as a cease-fire in Gaza is near, Israel is expanding its assault on the West Bank. The Gaza genocide is only the most recent atrocity Israel—with the help of the U.S.—has carried out against Palestinians. The same story for 77+ years. It was always a war on Palestinian existence."
"Seriously? You wait until six days before leaving office to do what you promised to do during your 2020 campaign?" said one observer.
In a move likely to be reversed by the incoming Trump administration, President Joe Biden on Tuesday notified Congress of his intent to remove Cuba from the U.S. State Sponsors of Terrorism list, a designation that critics have long condemned as politically motivated and meritless.
Noting that "the government of Cuba has not provided any support for international terrorism" and has "provided assurances" that it will not do so in the future, the White House said in a memo that the Biden administration is moving to rescind the first Trump administration's January 2021 addition of Cuba to the State Sponsors of Terrorism (SSOT) list and take other measures to ease some sanctions on the long-suffering island of 11 million inhabitants.
Cuba's SSOT designation was based mostly on the socialist nation's harboring of leftist Colombian rebels and several U.S. fugitives from justice for alleged crimes committed decades ago, even though no other country has been placed on the SSOT list for such a reason and despite right-wing Cuban exile terrorists enjoying citizenship—and even heroic status—in the United States.
"Despite its limited nature, it is a decision in the right direction and in line with the sustained and firm demand of the government and people of Cuba, and with the broad, emphatic, and repeated call of many governments, especially Latin America and the Caribbean, of Cubans living abroad, political, religious and social organizations, and numerous political figures from the United States and other countries," the Cuban Ministry of Foreign Affairs said in a statement.
"It is important to note that the economic blockade and much of the dozen coercive measures that have been put into effect since 2017 remain in force to strengthen it, with full extraterritorial effect and in violation of international law and human rights of all Cubans," the ministry added.
For 32 straight years, the United Nations General Assembly has overwhelmingly voted for resolutions condemning the U.S. blockade of Cuba. And for 32 years, the United States, usually along with a small handful of countries, has opposed the measures. Last year's vote was 187-2, with Israel joining the U.S. in voting against the resolution.
Cuba followed Biden's move by announcing it would "gradually" release 553 political prisoners following negotiations with the Catholic Church, The New York Timesreported.
Many progressives welcomed Biden's shift. Congresswoman Nydia Velázquez (D-N.Y.) said in a statement that Cuba's SSOT designation "has only worsened life for the Cuban people without advancing U.S. interests" and "has made it harder for Cubans to access humanitarian aid, banking services, and the ability to travel abroad."
"It has also deepened food and medicine shortages and worsened the island's energy crisis, especially after Hurricane Rafael," she added. "These hardships have driven an unprecedented wave of migration, leading to the largest exodus in Cuba's history."
Rep. Ilhan Omar (D-Minn.) called Biden's move "a long overdue action that will help normalize relations with our neighbor."
"This is a step toward ending decades of failed policy that has only hurt Cuban families and strained diplomatic ties," Omar added. "Removing this designation will help the people of Cuba and create new opportunities for trade and cooperation between our nations. I look forward to continuing the work to build bridges between our countries and supporting policies that benefit both the American and Cuban people."
David Adler, the co-general coordinator at Progressive International, called the delisting "far too little, far too late."
"POTUS removing Cuba's SSOT designation in the final days of his presidency only means one thing: He knew—from day one—that the designation was simply an excuse to punish the Cuban people," Adler added. "But he maintained it anyway. Sickening."
The peace group CodePink released a statement welcoming Biden's shift, but adding that "it is unacceptable that it took this administration four years to address these injustices."
"President Biden made the inhumane decision every single day to not alleviate the suffering of millions of Cubans by keeping this designation in place," the group added. "As we mark this overdue progress, we can only hope that the Trump administration does not reverse these crucial steps towards justice and diplomacy."
Trump's nominee for secretary of state, Sen. Marco Rubio (R-Fla.) is the son of Cuban immigrants and a fierce critic of Cuba's socialist government. In 2021, Rubio introduced legislation aimed at blocking Cuba's removal from the SSOT list. Trump has also tapped Mauricio Claver-Carone—a staunch supporter of sanctioning Cuba—as his special envoy for Latin America.
Alex Main, director of international policy at the Center for Economic and Policy Research, said Tuesday that "while this decision, which comes years after 80 members of Congress urged Biden to reverse Trump's 'total pressure' approach should have been made long ago, it is better late than never."
"Sixty years of failed policy should be more than enough, and hopefully the new administration will have the wisdom and the courage to pursue a new course, one that's in the best interest of both the U.S. and the Cuban people," Main added.
Cuba was first placed on the SSOT list by the Reagan administration in 1982 amid an ongoing, decadeslong campaign of U.S.-backed exile terrorism, attempted subversion, failed assassination attempts, economic warfare, and covert operations large and small in a futile effort to overthrow the revolutionary government of longtime leader Fidel Castro. Cuba says U.S.-backed terrorism has killed or wounded more than 5,000 Cubans and cost its economy billions of dollars.
In stark contrast, Cuba has not committed any terrorism against the United States.
Former President Barack Obama removed Cuba from the SSOT in 2015 during a promising but ultimately short-lived rapprochement between the two countries that abruptly ended when Trump took office for the first time in 2017.
"Cuba will continue to confront and denounce this policy of economic war, the interference programs, and the disinformation and discredit operations financed each year with tens of millions of dollars from the United States federal budget," the Cuban Foreign Ministry said Tuesday. "It will also remain ready to develop a relationship of respect with that country, based on dialogue and noninterference in the internal affairs of both, despite differences."
Pharmacy benefit managers "are raking in billions in excess revenue—$7.3 billion over just five years—while squeezing independent pharmacies and leaving patients and health plan sponsors with skyrocketing costs."
The U.S. Federal Trade Commission on Tuesday published the second part of its investigation into how prescription drug middlemen are marking up the prices of specialty generic drugs dispensed at their affiliated pharmacies by hundreds—and in some cases, thousands—of percent, underscoring what advocates say is the need for urgent action by policymakers.
The FTC's second interim staff report on consolidated pharmacy benefit managers (PBMs) found that the three largest of these middlemen—CVS Health's Caremark Rx, Cigna Group's Express Scripts, and UnitedHealth Group's OptumRx—"marked up two specialty generic cancer drugs by thousands of percent and then paid their affiliated pharmacies hundreds of millions of dollars of dispensing revenue in excess of estimated acquisition costs for each drug annually."
"Of the specialty generic drugs analyzed in this report and dispensed by the 'Big Three' PBMs' affiliated pharmacies for commercial health plan members between 2020 and 2022, 63% were reimbursed at rates marked up by more than 100% over their estimated acquisition cost... while 22% were marked up by more than 1,000%," the report states.
"For the pulmonary hypertension drug tadalafil (generic Adcirca), for example, pharmacies purchased the drug at an average of $27 in 2022, yet the Big Three PBMs marked up the drug by $2,079 and paid their affiliated pharmacies $2,106, on average, for a 30-day supply of the medication on commercial claims," the publication notes. That's a staggering average markup of 7,736%.
"The FTC's second interim report lays bare the blatant profiteering by PBM giants."
"Such significant markups allowed the Big Three PBMs and their affiliated specialty pharmacies to generate more than $7.3 billion in revenue from dispensing drugs in excess of the drugs' estimated acquisition costs from 2017-22," the FTC said. "The Big Three PBMs netted such significant revenues all while patient, employer, and other healthcare plan sponsor payments for drugs steadily increased annually."
The new analysis follows a July 2024 report that revealed Big Three PBM-affiliated pharmacies received 68% of the dispensing revenue generated by specialty drugs in 2023, a 14% increase from 2016.
"The FTC staff's second interim report finds that the three major pharmacy benefit managers hiked costs for a wide range of lifesaving drugs, including medications to treat heart disease and cancer," FTC Chair Lina Khan said in a statement Tuesday. "The FTC should keep using its tools to investigate practices that may inflate drug costs, squeeze independent pharmacies, and deprive Americans of affordable, accessible healthcare—and should act swiftly to stop any illegal conduct."
Khan's time as chair is limited. Republican U.S. President-elect Donald Trump's inauguration is next week and he has named Andrew Ferguson as the next FTC chair. As Ferguson is already on the commission, his elevation to chair won't require Senate confirmation.
Greg Lopes, spokesperson for the Pharmaceutical Care Management Association, a PBM lobby group, said Tuesday that "it's clear this report again fails to consider the entirety of the prescription drug supply chain and makes sweeping assertions about the role of PBMs disconnected from a full appreciation of their critical cost-saving role for employers, unions, taxpayers, and patients."
Last September, the FTC sued the Big Three and their affiliated group purchasing organizations for allegedly "engaging in anticompetitive and unfair rebating practices that have artificially inflated the list price of insulin drugs, impaired patients' access to lower list price products, and shifted the cost of high insulin list prices to vulnerable patients."
FTC Office of Policy Planning Director Hannah Garden-Monheit said Tuesday that the problem of PBM price inflation "is growing at an alarming rate, which means there is an urgent need for policymakers to address it."
To that end, U.S. Sens. Maria Cantwell (D-Wash.) and Chuck Grassley (R-Iowa) introduced the Pharmacy Benefit Manager Transparency Act of 2023, a bill backed by the AARP aimed at increasing transparency and "holding PBMs accountable for deceptive and unfair practices that drive up prescription drug costs and force independent pharmacies out of business."
"This report is a call to action for policymakers to dismantle these exploitative schemes."
Responding to the FTC report, Emma Freer, senior policy analyst for healthcare at the American Economic Liberties Project—a corporate accountability and antitrust advocacy group—said in a statement Tuesday that "the FTC's second interim report lays bare the blatant profiteering by PBM giants, which are marking up lifesaving drugs like cancer, HIV, and multiple sclerosis treatments by thousands of percent and forcing patients to pay the price."
"By steering prescriptions for the most expensive specialty generic drugs to their own pharmacies, PBMs are raking in billions in excess revenue—$7.3 billion over just five years—while squeezing independent pharmacies and leaving patients and health plan sponsors with skyrocketing costs," Freer added. "This report is a call to action for policymakers to dismantle these exploitative schemes, outlaw the rebate system driving up prices, and restore fairness and affordability to the U.S. healthcare system."