SUBSCRIBE TO OUR FREE NEWSLETTER
Daily news & progressive opinion—funded by the people, not the corporations—delivered straight to your inbox.
5
#000000
#FFFFFF
");background-position:center;background-size:19px 19px;background-repeat:no-repeat;background-color:var(--button-bg-color);padding:0;width:var(--form-elem-height);height:var(--form-elem-height);font-size:0;}:is(.js-newsletter-wrapper, .newsletter_bar.newsletter-wrapper) .widget__body:has(.response:not(:empty)) :is(.widget__headline, .widget__subheadline, #mc_embed_signup .mc-field-group, #mc_embed_signup input[type="submit"]){display:none;}:is(.grey_newsblock .newsletter-wrapper, .newsletter-wrapper) #mce-responses:has(.response:not(:empty)){grid-row:1 / -1;grid-column:1 / -1;}.newsletter-wrapper .widget__body > .snark-line:has(.response:not(:empty)){grid-column:1 / -1;}:is(.grey_newsblock .newsletter-wrapper, .newsletter-wrapper) :is(.newsletter-campaign:has(.response:not(:empty)), .newsletter-and-social:has(.response:not(:empty))){width:100%;}.newsletter-wrapper .newsletter_bar_col{display:flex;flex-wrap:wrap;justify-content:center;align-items:center;gap:8px 20px;margin:0 auto;}.newsletter-wrapper .newsletter_bar_col .text-element{display:flex;color:var(--shares-color);margin:0 !important;font-weight:400 !important;font-size:16px !important;}.newsletter-wrapper .newsletter_bar_col .whitebar_social{display:flex;gap:12px;width:auto;}.newsletter-wrapper .newsletter_bar_col a{margin:0;background-color:#0000;padding:0;width:32px;height:32px;}.newsletter-wrapper .social_icon:after{display:none;}.newsletter-wrapper .widget article:before, .newsletter-wrapper .widget article:after{display:none;}#sFollow_Block_0_0_2_0_0_0_1{margin:0;}#sSHARED_-_Social_Desktop_0_0_10_0_0_0.row-wrapper{margin:40px auto;}#sBoost_post_0_0_0_0_0_0_1_0{background-color:#000;color:#fff;}.boost-post{--article-direction:column;--min-height:none;--height:auto;--padding:24px;--titles-width:calc(100% - 84px);--image-fit:cover;--image-pos:right;--photo-caption-size:12px;--photo-caption-space:20px;--headline-size:23px;--headline-space:18px;--subheadline-size:13px;--text-size:12px;--oswald-font:"Oswald", Impact, "Franklin Gothic Bold", sans-serif;--cta-position:center;overflow:hidden;margin-bottom:0;--lora-font:"Lora", sans-serif !important;}.boost-post:not(:empty):has(.boost-post-article:not(:empty)){min-height:var(--min-height);}.boost-post *{box-sizing:border-box;float:none;}.boost-post .posts-custom .posts-wrapper:after{display:none !important;}.boost-post article:before, .boost-post article:after{display:none !important;}.boost-post article .row:before, .boost-post article .row:after{display:none !important;}.boost-post article .row .col:before, .boost-post article .row .col:after{display:none !important;}.boost-post .widget__body:before, .boost-post .widget__body:after{display:none !important;}.boost-post .photo-caption:after{content:"";width:100%;height:1px;background-color:#fff;}.boost-post .body:before, .boost-post .body:after{display:none !important;}.boost-post .body :before, .boost-post .body :after{display:none !important;}.boost-post__bottom{--article-direction:row;--titles-width:350px;--min-height:346px;--height:315px;--padding:24px 86px 24px 24px;--image-fit:contain;--image-pos:right;--headline-size:36px;--subheadline-size:15px;--text-size:12px;--cta-position:left;}.boost-post__sidebar:not(:empty):has(.boost-post-article:not(:empty)){margin-bottom:10px;}.boost-post__in-content:not(:empty):has(.boost-post-article:not(:empty)){margin-bottom:40px;}.boost-post__bottom:not(:empty):has(.boost-post-article:not(:empty)){margin-bottom:20px;}@media (min-width: 1024px){#sSHARED_-_Social_Desktop_0_0_10_0_0_0_1{padding-left:40px;}}.donation_banner{position:relative;background:#000;}.donation_banner .posts-custom *, .donation_banner .posts-custom :after, .donation_banner .posts-custom :before{margin:0;}.donation_banner .posts-custom .widget{position:absolute;inset:0;}.donation_banner__wrapper{position:relative;z-index:2;pointer-events:none;}.donation_banner .donate_btn{position:relative;z-index:2;}#sSHARED_-_Support_Block_0_0_13_0_0_3_1_0{color:#fff;}#sSHARED_-_Support_Block_0_0_13_0_0_3_1_1{font-weight:normal;}#sElement_Post_Layout_Press_Release__0_0_1_0_0_11{margin:100px 0;}.grey_newsblock .newsletter-wrapper, .newsletter-wrapper, .newsletter-wrapper.sidebar{background:linear-gradient(91deg, #005dc7 28%, #1d63b2 65%, #0353ae 85%);}.black_newsletter{background:linear-gradient(91deg, #005dc7 28%, #1d63b2 65%, #0353ae 85%);}.black_newsletter .newsletter_bar.newsletter-wrapper{background:none;}
To donate by check, phone, or other method, see our More Ways to Give page.
Daily news & progressive opinion—funded by the people, not the corporations—delivered straight to your inbox.
United States Senator Elizabeth Warren (D-Mass.) and United States Representative Mondaire Jones (D-N.Y.) introduced bicameral legislation to help stomp out rampant industry consolidation that allows companies to raise consumer prices and mistreat workers. The Prohibiting Anticompetitive Mergers Act would ban the biggest, most anticompetitive mergers and give the Department of Justice (DOJ) and Federal Trade Commission (FTC) the teeth to reject deals in the first instance without court orders and to break up harmful mergers.
For capitalism to work for all Americans, our markets must have meaningful, robust competition. Since the 1970s, weak antitrust enforcement has led to increased industry consolidation across the American economy. Today, a handful of giant corporations are dominating countless industries to the detriment of consumers, workers, and entrepreneurs of all backgrounds. This worsening economic concentration also distorts our political processes, allowing the biggest and wealthiest firms to rig the rules in their favor.
Without robust competition, large opportunistic corporations are able to use inflation as a pretext to abuse their pricing power and jack up prices for American consumers at the grocery store, at the gas pump, and at the pharmacy. This excessive market power costs American families $5,000 per year on average and has depressed median household wages by $10,000.
Moreover, for the first time, the Prohibiting Anticompetitive Mergers Act would require the FTC and the DOJ to consider how a merger would impact workers -- and to reject mergers that would harm them. The bill would empower the FTC and the DOJ Antitrust Division to reject transactions that would exacerbate corporate domination of labor markets and block transactions that would weaken collective bargaining agreements, reduce employee benefits and compensation, or cause layoffs.
"For the last five decades, big companies have had almost free reign over our economy, squashing competitors, growing bigger and bigger, and abusing their market power to price gouge consumers and crush workers and small businesses. This unconstitutional behavior has to stop. My new bill with Rep. Jones would restore our country's anti-monopoly tradition by banning the biggest, most anticompetitive mergers and giving the DOJ and the FTC stronger tools to enforce our antitrust laws and restore real competition in our markets. Congress needs to take bold action to bring down prices for families and promote a fairer economy for all Americans, and our bill would do just that," said Senator Warren.
"In 2021, our antitrust agencies received more merger filings than in any other year during the last decade," said Congressman Mondaire Jones. "From major tech mergers between companies like Facebook and Instagram to agriculture mergers between companies like Wayne and Sanderson Farms, the recent rise in corporate consolidation has increased unemployment, suppressed wages, and allowed companies to hike up prices even further during this period of inflation. It's why we need the Prohibiting Anticompetitive Mergers Act, which I'm proud to introduce with Senator Elizabeth Warren. Our bill would empower workers, raise wages, reduce prices, combat inequality, and enable small businesses to thrive. By banning the biggest, most anticompetitive mergers, overhauling the merger-review process to include consideration of labor-market consequences, and strengthening agencies' tools to break up harmful mergers, our bill will tackle corporate consolidation head on and help build a fairer, more vibrant economy that works for everyone."
Specifically, the Prohibiting Anticompetitive Mergers Act would:
Senator Warren and Rep. Jones have previously called on the DOJ to consider opposing large, anticompetitive mergers. Earlier this year, they slammed the proposed merger between Sanderson Farms and Wayne Farms, two of the country's largest poultry processors, and called on the DOJ to thoroughly review the deal and step in to prevent harm to American farmers and consumers as poultry prices soar. Warren and Jones also raised concerns to the DOJ and Department of Transportation that Frontier Airlines' proposed acquisition of Spirit Airlines could further increase airline concentration, which has reduced competition and hurt consumers and workers over the past several decades. Senator Warren has also called on the FTC to consider harms to workers and harms throughout entire business ecosystems in a letter regarding Amazon's proposed acquisition of MGM Studios, and she questioned the effectiveness of behavioral remedies altogether in the defense industry in a letter regarding Lockheed Martin's proposed acquisition of Aerojet Rocketdyne, a vertical deal that the parties recently abandoned. All of these transactions would have been prohibited under this new legislation.
The legislation is cosponsored in the Senate by U.S. Senators Cory Booker (D-N.J.), Bernie Sanders (I-Vt.), Tammy Baldwin (D-Minn.), Brian Schatz (D-Hawaii), Sheldon Whitehouse (D-R.I.), Richard Blumenthal (D-Conn.), Jeff Merkley (D-Ore.), and Edward J Markey (D-Mass.).
The legislation is cosponsored in the House by U.S. Representatives Cori Bush (D-Mo.), Mark Pocan (D-Wis.), Alexandria Ocasio-Cortez (D-N.Y.), Katie Porter (D-Calif.), Jesus "Chuy" Garcia (D-Ill.), Andy Levin (D-Mich.), Adriano Espaillat (D-N.Y.), Ayanna Pressley (D-Mass.), Rashida Tlaib (D-Mich.), Mark Takano (D-Calif.), and Eleanor Holmes Norton (D-D.C.).
The legislation is endorsed by more than 70 antitrust, labor, agriculture, and advocacy organizations including Public Citizen, Open Markets Institute, Communications Workers of America, Color of Change, American Economic Liberties Project, Food & Water Watch, Farm Action Fund, United for Respect, Strategic Organizing Center, Institute for Local Self-Reliance, and Teamsters.
"The Teamsters are proud to stand alongside Senator Warren as she introduces legislation recognizing how workers are at the core of mergers and significant corporate concentration," said International Brotherhood of Teamsters General President James P. Hoffa. "For too long, workers have been left behind in the merger process that invariably impacts their lives and families. On a broader scale, this legislation is a major step in the right direction for greater worker inclusion and representation on antitrust issues that affect workers' wages, job security and overall working conditions. We hope Congress will act swiftly to pass this legislation and give workers the seat at the table they deserve."
"It's high time we revamped America's approach to corporate concentration. Over the past few decades, major companies in air travel, telecommunications, agriculture, and social media have combined or hoovered up competitors to the detriment of the economy and with real impacts for regular Americans. This groundbreaking legislation would put power back in the hands of the public, reduce corporate concentration in the economy, and restore fair competition for the benefit of small businesses, workers, and consumers," said Matthew Kent, Competition Policy Advocate, Public Citizen.
"The Open Markets Institute strongly applauds Senator Elizabeth Warren and Congressman Mondaire Jones for introducing the Prohibiting Anticompetitive Mergers Act of 2022, a critically important and transformative bill. Monopolists directly threaten freedom of the press and freedom of expression, the stability of our most basic industrial and financial systems, and the liberty to build better communities, better businesses, and better technologies. The American people repeatedly and resoundingly have expressed our fear of private monopoly and our intention to break or neutralize all concentrated private power. We hope today's legislation marks a first step towards the restoration and strengthening of the true will of the American people as expressed through Congress in the Clayton Antitrust Act of 1914," said Barry Lynn, Executive Director of the Open Markets Institute.
"The Prohibiting Anticompetitive Mergers Act of 2022 takes direct aim at the record-shattering merger frenzy now supercharging the concentration of wealth and power in America," said Sarah Miller, Executive Director of the American Economic Liberties Project. "This legislation prioritizes the needs of working people, honest businesses, and consumers, clearly prohibiting the largest mergers and providing antitrust enforcers with important tools to block and unwind bad deals. It offers critical support to the Federal Trade Commission and the Department of Justice as the agencies work to confront the current merger boom. And it remedies many of the most serious issues with current federal merger policy. Congress should pass it immediately."
"It is critical that we look at mergers through the lens of their impact on minority-owned businesses," said Rashad Robinson, President of Color Of Change. "Approving mergers without doing so has become a key driver of inequality: for decades, corporate monopolies have directly suppressed the growth of Black-owned businesses and the contributions of Black entrepreneurs. Antitrust reform like the Prohibiting Anticompetitive Mergers Act of 2022 will help ensure the long-overdue investments in Black communities, and Color Of Change applauds Senator Warren and Representative Jones for standing up to the many harmful effects of consolidated corporate power. Stronger antitrust legislation is an essential tool for ensuring racial justice in our economy."
"Concentrated market power is the single biggest threat facing independent businesses in my community," said Theodora Skeadas, Executive Director of Cambridge Local First (CLF). "Cambridge Local First represents nearly 500 unique small businesses in Cambridge, Massachusetts. A key part of our mission is to promote and celebrate a 'local economy community' and support our home town businesses. We need Congress to step in and stand up to giant businesses like Amazon that are undermining our communities. It's a relief to see Sen. Warren and Rep. Jones bringing some basic fairness back to our economy."
"Local independent businesses are the backbone of our communities in New York," said Bob Giordano, President/Founder of the Westchester Independent Business Alliance. "They provide character and individuality while keeping jobs and money in the local community. Our small businesses do so much for our communities, but too often the deck is stacked in favor of dominant companies like Amazon, big box stores and national and regional chains. We need this legislation to break up the power of monopolies and ensure small, independent businesses a fair shot at competing."
"Many of the difficulties facing American families today - from inflated prices for everyday needs to threats to our food safety, health and climate - can be traced back to egregious corporate mega-mergers that were foolishly rubber-stamped in recent years. This critical legislation will put a halt on anti-competitive, anti-consumer mergers, and also put a halt to some of the worst corporate profiteering that is so rampant in our country today," said Wenonah Hauter, Executive Director of Food & Water Watch, a national advocacy group. "It's time for Congress to get serious about protecting American families and workers, and make this bill the law."
"Antitrust agencies have had to combat record-breaking levels of consolidation with one hand tied behind their backs," said Sarah Carden, Policy Advocate at Farm Action Fund. "Our small businesses, our farms, our communities -- they need an economy that works for them, not one that just pumps out more corporate profits. This bill can deliver that."
"Organic dairy farm families thrive on competition to set a fair price for their organic milk. With the exit of Danone there is only one buyer of organic milk in New England and Eastern New York. Without competition the price we currently receive is 15% below the cost of production and equal to what we were paid in 2014. The Northeast Organic Dairy Producers Alliance supports the Prohibiting Anticompetitive Mergers Act to provide a living wage for all farmers," said NODPA Board President Liz Bawden.
"Organic farmers are being harmed by extreme consolidation in the food system. Right now, dozens of organic dairy farmers in New England are facing an economic crisis because one of the very few buyers of organic milk is shifting to large farms in other regions of the country. The Organic Farmers Association supports the Prohibiting Anticompetitive Mergers Act because farmers and the resilience of our food supply suffer when already dominant companies are allowed to get even bigger. Stopping the growth of mega-mergers is the first step in getting more buyers and a fair price for organic farmers," said Kate Mendenhall, Director of Organic Farmers Association.
A full list of endorsements can be found here.
Letter of support from advocacy organizations can be found here.
Senator Elizabeth Warren, a Democrat and fearless consumer advocate who has made her life's work the fight for middle class families, was elected to the United States Senate on November 6, 2012, by the people of Massachusetts.
"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."