or better or for
worse, the Philippine election is finally over. Counting and recounting,
cheating and fraud may still be on-going but the TV ads and radio commercials
will finally cease. The fact is that throughout our election period many events
have taken place and issues raised throughout the world – but our media were too
busy to take notice.
For instance, last month culminated a bad year for the global
pharmaceutical industry with two of the world’s largest drug companies accused
of paying hundreds of millions of dollars to doctors every year in return for
giving their patients anemia medicines, which regulators now say may be unsafe
at commonly used doses. The story, headlined on the internet version of the New
York Times, recounted how Amgen (conglomerate associated with genetically
engineered products) and Johnson and Johnson (the giant company that most
Filipinos associate with baby powder) together promoted excessive prescribing of
a genetically engineered anti-anemia protein (erythropoietin in its natural
state) to create a 10 billion dollar market.
Like vaccines and some anti-cancer drugs, the products (Aranesp
and Epogen for Amgen; Procrit for Johnson & Johnson) are directly dispensed by
doctors – in contrast to most drugs that are sold through pharmacies or
drugstores. This provides the marketing companies opportunities to offer cash
incentives for administering the preparations. In the United States, the
epicenter of free market capitalism where money is valued more highly than
anything else, such incentives resulted in the dangerous over-prescription of
erythropoietin (especially for dialysis and cancer patients). For example, one
cancer group practice received 2.5 million dollars in rebates for the year 2006
alone.
All this despite the fact that high doses of erythropoietin
have not only been ineffective in prolonging the lives of dialysis and cancer
patients but have actually increased mortality by increasing the incidence of
blood clotting problems. In countries where government bodies exercise better
regulatory control of pharmaceutical marketing, doctors have exercised better
care and moderation in the use of this product which once was hailed as a
gigantic breakthrough for so-called "research-based" multinational giants.
This scandal follows a series of events where the global
pharmaceutical industry gave "free enterprise" a bad name. In Thailand, despite
a threat by drug giant, Abbot, to withhold any new product from the country, the
government has gone ahead with a compulsory licensing scheme for the anti-AIDS
medicines that many Thais so desperately need but cannot afford. In Brazil, a
similar action has been taken when the companies with monopolies also proved
recalcitrant in providing inexpensive AIDS drugs for thousands of affected
Brazilians.
***
Scriptures (Jewish, Christian, Islamic, or any other belief
systems) when taken literally and especially when quoted out of context can lead
to some very strange policies in countries where religion and politics are
allowed to mix. However, there are times when such quotations can shed light on
the behavior of certain groups of politicians and "religious" leaders.
The Apostle Paul once advised the young Greek Timothy: "It
must be remembered, of course, that laws are made, not for good people but
for…the godless and sinful…for the immoral…or those who do anything else
contrary to sound doctrine." This explains why the political and economic elite
in this country who are most closely associated with sectarian movements are
convinced that they can do no wrong as long as they persist in their piety and
religiosity. Lying, cheating, stealing, killing, and even sex are alright for
them but never for the majority of poor Filipino masses who must be protected
from themselves.
In the same letter, Paul also provides part of the basis for
the religious fanatics’ position against reproductive health: "Women should
learn in silence and humility. I do not allow them to teach or to have authority
over men…but a woman will be saved through having children…" Which is why, the
Christian Taliban believe that all contraceptive methods are evil even if they
would prevent many deaths from unsafe abortions and dangerous unplanned
pregnancies.
***
Wrong-headed policies of the present American administration
have nearly succeeded in reversing the progress made by Uganda in battling
HIV-AIDS. The aggressive three-pronged ABC (abstinence, be faithful, condom-use)
program of advocacy had reduced incidence and prevalence of HIV but was nearly
sabotaged by a move to replace it with an abstinence-only program. Fortunately,
soon after condom use was discouraged, evidence of resurgence of the disease
forced the Ugandan government to put the program back on track. However, it is
not yet known how many more cases resulted from the brief withdrawal of support
for condom use.
Ironically the abstinence-only campaign by the United States Agency for
International Development was headed by Randall Tobias as the deputy
administrator for HIV-AIDS assistance. After being promoted to head the whole of
USAID, Mr. Tobias last month was forced to resign from the post two weeks ago
because his name was listed as a regular customer of a woman charged with
maintaining a call-girl ring in Washington, D.C.