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Gilead Should Price Remdesivir at $1 Per Day
The Institute for Clinical and Economic Review (ICER) Friday announced two pricing models for remdesivir, marketed by Gilead Sciences as a treatment for COVID-19. While ICER's cost effectiveness model suggests a price of $4500, the cost recovery model suggests a price of $1 per day.
WASHINGTON
The Institute for Clinical and Economic Review (ICER) Friday announced two pricing models for remdesivir, marketed by Gilead Sciences as a treatment for COVID-19. While ICER's cost effectiveness model suggests a price of $4500, the cost recovery model suggests a price of $1 per day. Researchers at the University of Liverpool have calculated that $0.93 per dose is the cost of manufacturing remdesivir at scale with a reasonable profit. The public has contributed at least $60 million to remdesivir's development through federal grants and clinical trials. The U.S. Food and Drug Administration issued an emergency use authorization for remdesivir on Friday, and the federal government is expected to begin shipping the drug across the country this week.
Statement of Peter Maybarduk, Access to Medicines Director, Public Citizen:
Remdesivir should be $1 per day. That is more than the cost of manufacturing at scale with a reasonable profit to Gilead.
Gilead initially developed remdesivir as one of several candidate treatments for hepatitis C and has made tens of billions off its successful hepatitis C drugs. What is relevant now are Gildead's costs and the public's many investments in repurposing remdesivir as a treatment for COVID-19.
If Gilead intends to price remdesivir at more than $1 per day, Gilead must fully disclose its research and development costs and all public contributions associated with remdesivir's development. Then payers and independent experts can analyze again what constitutes fair pricing in a pandemic.
Gilead should commit its patents and know-how to the public domain so that researchers around the world can help bring manufacturing to scale.
Public Citizen is a nonprofit consumer advocacy organization that champions the public interest in the halls of power. We defend democracy, resist corporate power and work to ensure that government works for the people - not for big corporations. Founded in 1971, we now have 500,000 members and supporters throughout the country.
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'We Need a Shift': Climate Leaders Demand End of COP Dominated by Petrostates, Big Oil Lobby
"It is now clear that the COP is no longer fit for purpose," a coalition of scientists and advocates wrote as more than 1,700 fossil fuel lobbyists swarmed COP29 in Azerbaijan.
Nov 15, 2024
The crushing influence of petrostates and fossil fuel industry lobbyists has rendered the annual United Nations climate conference unfit to deliver the kinds of sweeping changes needed to avert catastrophic warming, a coalition of leading scientists, advocates, and policy experts warned in an open letter released Friday as the first week of the COP29 summit in Baku, Azerbaijan came to a close.
Acknowledging that the COP process has achieved "important diplomatic milestones" and "a remarkable consensus" on climate targets over nearly three decades of international negotiations, the coalition wrote that the policy framework produced by dozens of U.N. summits is not sufficient to solve the pressing crises facing humanity in an age of runaway warming and large-scale climate devastation.
"Science tells us that global greenhouse gas emissions must be reduced by 7.5% annually to have any chance of staying within the 1.5°C threshold, a prerequisite for the stability of our planet and a livable future for much of humanity. In 2024, the task is unequivocal: Global greenhouse gas emissions must be reduced by 4 billion tonnes," reads the letter, whose signatories include former U.N. Secretary-General Ban Ki-moon, former U.N. Framework Convention on Climate Change executive secretary Christiana Figueres, Club of Rome global ambassador Sandrine Dixson-Declève, and Potsdam Institute for Climate Action Research director Johan Rockström.
"Twenty-eight COPs have delivered us with the policy framework to achieve this, but it is now clear that the COP is no longer fit for purpose," the letter continues. "Its current structure simply cannot deliver the change at exponential speed and scale, which is essential to ensure a safe climate landing for humanity."
The letter calls not for a complete abandonment of COP but rather "a fundamental overhaul" that would enable the U.N.-led summit "to deliver on agreed commitments and ensure the urgent energy transition and phase-out of fossil energy."
The coalition of experts and advocates recommended a number of reforms for future COP summits, including "strict eligibility criteria to exclude countries who do not support the phase-out/transition away from fossil energy," new "mechanisms to hold countries accountable for their climate targets and commitments," and changes to limit the influence of fossil fuel lobbyists and ensure equitable representation.
"At the last COP, fossil fuel lobbyists outnumbered representatives of scientific institutions, Indigenous communities, and vulnerable nations," Figueres said in a statement Friday. "We cannot hope to achieve a just transition without significant reforms to the COP process that ensure fair representation of those most affected."
Rockström added that "there is still a window of opportunity for a safe landing for humanity, but this requires a global climate policy process that can deliver change at exponential speed and scale."
"Planet Earth is in critical condition," he said. "We have already crossed six planetary boundaries."
"2024 marks yet another year at COP where we see those fighting the climate crisis outnumbered by those that have contributed to it the most—the fossil fuel industry."
The open letter was released in the wake of a new analysis from the Kick Big Polluters Out coalition showing that at least 1,773 fossil fuel lobbyists have been granted access to the COP29 summit—giving the industry primarily responsible for the global climate emergency more representation than nearly every country present at the talks in Baku.
According to the Kick Big Polluters Out coalition, the fossil fuel industry has more representation at COP29 than the 10 most climate-vulnerable nations combined.
Additionally, The Guardianreported Friday that "at least 132 oil and gas company bosses and staff were invited" to COP29 as "guests" by Azerbaijan's government and "given host country badges."
"2024 marks yet another year at COP where we see those fighting the climate crisis outnumbered by those that have contributed to it the most—the fossil fuel industry," said Joseph Sikulu of 350.org. "How can we achieve the ambition that is needed to save our homes when these negotiations are continually flooded with fossil fuel lobbyists? There is a ban on tobacco lobbyists from attending the World Health Organization's summit, why is that not the case for the fossil fuel industry at COP?"
"We demand that the upcoming COP presidencies set clear rules against the presence of fossil fuel interests at the negotiating table," Sikulu added. "Our lives depend on it."
Al Gore, the former U.S. vice president, joined climate advocates on Friday in decrying Big Oil's capture of the U.N. climate summit.
"It's unfortunate that the fossil fuel industry and the petrostates have seized control of the COP process to an unhealthy degree," said Gore.
Lamenting that the follow-through on COP28 commitments to transition away from fossil fuels has been "very weak," Gore said he believes "one of the reasons for that is that the petrostates have too much control over the process."
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Trump Picks Big Oil Ally and Drilling Enthusiast Doug Burgum for Interior
"Burgum is an oligarch completely out of touch with the overwhelming majority of Americans who cherish our natural heritage," said the executive director of the Center for Biological Diversity.
Nov 15, 2024
President-elect Donald Trump announced Thursday that he has chosen billionaire North Dakota Gov. Doug Burgum, a close ally of the fossil fuel industry and vocal proponent of oil drilling, to serve as head of the Interior Department in the incoming administration, a critical post tasked with overseeing hundreds of millions of acres of federal land and water.
Burgum, a friend of oil billionaire Harold Hamm, served as a kind of middleman between Trump's presidential campaign and the fossil fuel industry during the 2024 race. The Washington Postreported that Burgum's selection as interior secretary will "give Hamm expansive influence over policy related to drilling on public lands, at a time his company stands to benefit from the rule changes Trump envisions."
Burgum and Hamm have already worked to shape Trump's energy policy during the presidential transition, with Reutersreporting Thursday that the pair is leading the push for a repeal of electric vehicle tax credits—a key component of the Biden administration's signature climate law, the Inflation Reduction Act.
During a fundraiser over the summer, Burgum said Trump could "on day one" move to unleash "liquid fuels," accusing the Biden administration of waging war on "American energy."
"Whether it's baseload electricity, whether it's oil, whether it's gas, whether it's ethanol, there is an attack on liquid fuels," Burgum declared.
"We're ready to fight Burgum and Trump's extreme agenda every step of the way."
Trump campaigned on a pledge to "drill, baby, drill" in the face of a fossil fuel-driven climate emergency that is wreaking deadly havoc in the United States and around the world. While the Biden administration has presided over record oil and gas production and approved many new drilling permits to the dismay of climate advocates, Trump has made clear that he intends to take a sledgehammer to any guardrails constraining the fossil fuel industry.
In Burgum, Trump will have an enthusiastic champion of oil and gas drilling in a Cabinet that is shaping up to be a boon for the fossil fuel industry. Burgum helped organize the dinner at which Trump urged the oil and gas industry to raise $1 billion for his campaign in exchange for tax breaks and large-scale deregulation.
"We're going do things with energy and with land—Interior—that is going to be incredible," Trump said late Thursday.
Kierán Suckling, executive director of the Center for Biological Diversity, said in a statement that "Burgum is an oligarch completely out of touch with the overwhelming majority of Americans who cherish our natural heritage and don't want our parks, wildlife refuges, and other special places carved up and destroyed."
"We're ready to fight Burgum and Trump's extreme agenda every step of the way," Suckling added.
In his current capacity as North Dakota governor, Burgum is pushing a 2,000-mile carbon pipeline project set to be built by Summit Carbon Solutions with the stated goal of capturing planet-warming CO2 and storing it underground. Climate advocates have long derided carbon capture and storage—a method boosted by the fossil fuel industry—as a dangerous scam that can actually result in more emissions.
The Associated Pressreported earlier this year that "the blowback in North Dakota to the Summit project has been intense with Burgum caught in the crossfire."
"There are fears a pipeline rupture would unleash a lethal cloud of CO2," the outlet noted. "Landowners worry their property values will plummet if the pipeline passes under their land."
The North Dakota Public Service Commission is planning to meet Friday to vote on the project.
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'Good News': As Trump Threat Looms, Senate Confirms Ethics Czar
"It's important that we'll have a government ethics chief in place who serves the American people, not Trump's wallet," said Sen. Elizabeth Warren.
Nov 14, 2024
As the clock winds down on Democratic control of the U.S. Senate, upper chamber lawmakers on Thursday confirmed President Joe Biden's nomination of David Huitema, head of the State Department's ethics program, to lead the Office of Government Ethics for a five-year term.
Senators voted 50-46 in favor of Huitema's confirmation to head the OGE through the duration of Republican President-elect Donald Trump's tenure, averting at least temporarily a scenario in which the winner of the 2024 election—who has refused to sign required transition-related ethics agreements and whose first term saw thousands of conflicts of interest—would be empowered to fill or stonewall the post.
The OGE has been without a director for more than a year, ever since the term of Trump appointee Emory Rounds expired. In September, Sen. Mike Lee (R-Utah) blocked Senate Democrats' attempt to confirm Huitema via unanimous consent until after the presidential election, alleging "political weaponization of the U.S. government against Donald Trump by the Biden-Harris administration."
As the consumer advocacy group Public Citizen said ahead of Huitema's confirmation:
One of the most important roles of the Office of Government Ethics is to oversee and advise the presidential transition process. The selection and nomination of most new administration officials takes place during the transition, in which OGE's vetting of pending nominees for conflicts of interest is most critical. The office needs to be fully staffed and operational during the course of the transition period.
However, Walter Shaub, who led the OGE during the Obama administration and resigned in 2017 after months of conflict with the Trump White House, warned in a Thursday interview with Government Executive that "it might be a hollow victory for government ethics if Trump fires Huitema after the inauguration."
"Even if Trump doesn't fire Huitema, OGE won't be able to prevent Trump's top appointees from retaining conflicting financial interests if the Senate grants Trump's request that lawmakers conspire in skirting or short-shrifting the constitutional confirmation process," Shaub added.
Still, ethics advocates cheered Huitema's confirmation, with the watchdog group Citizens for Responsibility and Ethics in Washington hailing what it called the "good news" and "an important step to safeguard ethics compliance ahead of a second Trump administration that threatens to be even more corrupt than the first."
As one Democratic strategist said on social media following his confirmation, "Buckle up, David Huitema."
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