Eli Lilly’s insulin gesture isn’t enough

Eli Lilly’s insulin gesture isn’t enough

Gazette Blog
In mid-February the comment period closed for the Federal Drug Administration's proposed approach to transition insulins as regulated drugs to biologics and biosimilars. Indianapolis-based Eli Lilly and Company noted in its comments that it wanted to introduce its own versions. And, on Monday, it did just that. Lilly will begin selling an authorized generic of Humalog 100 for $137.35 per vial, which is roughly 50 percent below the insulin's current list price. As an authorized generic the insulin will be identical to the brand-name, except for the label, and will be manufactured in the same facilities. The generic will be called Insulin Lispro, according to company reports, and sold through an Eli Lilly subsidiary, ImClone Systems. Introduction of the authorized generic is a compromise, of sorts. The pharmaceutical company is…
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Maybe the answer is fewer rural hospitals

Maybe the answer is fewer rural hospitals

Gazette Column
Midwestern health providers and stakeholders are speaking out, and what they have to say is surprising. Could fewer hospitals bridge the widening urban-rural health gap? A new report highlighting the challenges and opportunities in rural health care across Iowa and six other Midwestern states says small communities need more flexibility to customize health care services, workforces and facilities to meet individual needs — even if, in some communities, it results in the loss of a full-service hospital. The Bipartisan Policy Center and the Center for Outcomes Research and Education spoke with more than 90 thought leaders and key stakeholders in Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota and Wyoming to compile the report, which was released this month. [caption id="attachment_1874" align="alignleft" width="500"] Stethoscopes hang in a clinic hallway on May…
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Rubashkin supporters have forgotten Postville. I can’t.

Rubashkin supporters have forgotten Postville. I can’t.

Gazette Column
Greed knows no religious boundary. On May 12, 2008, the day federal immigration officials raided the Agriprocessors plant in Postville, I was two hours away at a hospital, waiting for my husband to have surgery. The call came, and I, the only nearby reporter for the national news outlet that employed me, couldn’t go — wouldn’t go. A few hours later, as I sat beside my husband in a post-surgery recovery room, he made the decision. “Go,” he said. I did — not just that day but nearly every day over the course of the next year, and for months after that. The story of Postville, told from the tiny town in northeastern Iowa and points beyond, forever changed me. [caption id="attachment_1470" align="alignleft" width="500"] The welcome sign in Postville, Iowa…
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At Wing Ding, Democrats still are grappling

At Wing Ding, Democrats still are grappling

Gazette Column
CLEAR LAKE — Each year the Iowa Democratic Wing Ding lives up to its unusual and playful name by being slightly unorthodox. Last year, for instance, attendees twittered nervously as organizers literally mowed down defaced photographs of Republican U.S. Sen. Chuck Grassley that had been mounted in AstroTurf. While that bit of political humor missed the mark, other attempts, usually in the form of skits, have been more successful. This year’s offering was a much subdued two-man scripted exchange. (“Just got diagnosed with T.I.A.D. That sounds serious. What is it? Trump-Induced Anxiety Disorder.”) There were some moan-worthy puns, and one-liners tame enough to share with the grandkids. And, as it turns out, organizers didn’t need to push the envelope on this evening billed as an introduction to the party’s “Rising…
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Postcards offer love, bolster unity

Postcards offer love, bolster unity

Gazette Column
Hate crimes are on the rise in America, and religion-based violence leads the pack. As a May Senate Judiciary Committee hearing led by Sen. Chuck Grassley thoroughly detailed: Hate crimes against minority faiths spiked 86 percent in the past year — a low-ball percentage that only reflects what’s reported. “Religious hate crimes against Muslims are the fastest growing category,” said Grassley, an Iowa Republican. “Fear for practicing one’s religion should never happen in this country.” Religion-based violence touched the Midwest again last weekend when a bomb exploded inside the Dar Al-Farooq Islamic Center in suburban Minneapolis. As people gathered for morning prayers, the explosion ripped through the local religious leader’s office. Furnishings were charred, windows shattered — but thankfully no lives lost. Only a week before, swastikas and messages warning…
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Health care failure is bipartisan

Health care failure is bipartisan

Gazette Column
“Think of it as a starter house,” former U.S. Sen. Tom Harkin said in 2010 of the newly minted (and already dented) Affordable Care Act. His meaning, if it isn’t clear, was that the ACA, or Obamacare, never was intended to be stagnant. It was what the Democratic majority had the political will to pass, a product of compromise and, therefore, fell short of many party members’ aspirations. Flip the partisan majority, fast forward to 2017, and the similarities are obvious. In the weeks ahead we’ll learn if Republicans have the political will to compromise. Perhaps more important, if the goal is to stabilize health care, we’ll discover if Democrats can better stomach massive renovations or full demolition. And, yes, those are the remaining options. Harkin’s starter home, too cheaply…
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Last-minute public schedules benefit no one

Last-minute public schedules benefit no one

Gazette Column
Are we witnessing the final throes of the “full Grassley” era? Some readers may remember the Congressional recess in the summer of 2009. As a reporter, I covered then Congressman Bruce Braley’s town hall forums, which were overrun with concerns about the Affordable Care Act. The reports I and other journalists filed about those meetings were peppered with words like “feisty,” “lively” and “contentious,” but still fell short of conveying the level of combativeness on display. Constituents got in each other’s faces as well as those of their representatives. A few cried. Some brandished signs. Others yelled. Nearly everyone arrived with an agenda, and a willingness to fight. That was the summer when U.S. Sen. Chuck Grassley, speaking at a forum in Winterset, made his infamous “pull the plug on…
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In 2016, rural areas roared

In 2016, rural areas roared

Gazette Column
While it’s possible to look back on 2016 as a single year, doing so doesn’t provide clarity. The past year was a culmination of a decades-long and ever widening urban-rural chasm. To hear the national media tell it, the big news was the presidential election. But November was merely the coup de grace, a death blow to end ongoing suffering. I began my career in journalism in the late 1980s. Those were perhaps the final heydays of community journalism — local papers, run by local families. The next decade was marked by large news corporations gobbling up smaller dailies and weeklies. Each incarnation brought more cost-effective management by new parent companies, and fewer local jobs. Local presses stood still. Circulation and ad sales were centralized. Newsrooms emptied. Vertical integration of…
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Chuck Grassley sets stage for AG Sessions

Chuck Grassley sets stage for AG Sessions

Gazette Column
First order of business, attack orgs that serve women, science As the nation prepares for its next transition of power, it appears everything old and discredited is new again. Senate Judiciary Committee Chairman Chuck Grassley, R-Iowa, is calling for the Federal Bureau of Investigation and Department of Justice to investigate four Planned Parenthood affiliates in California, the Planned Parenthood Federation of America and three privately-held California medical research companies regarding their work with fetal tissues. The Judiciary Committee began its review after the Center for Medical Progress, an anti-abortion group, released a series of highly edited video clips in 2015. The clips were presented to the public as proof Planned Parenthood profited from the illegal sale of tissues. Two of the people who created and released the video clips were…
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Grassley’s gamble isn’t paying off

Grassley’s gamble isn’t paying off

Gazette Column
Iowa’s senior U.S. Senator is holding firm on his promise to not vet any Supreme Court nominee offered by the White House, but the gambit isn’t producing political returns. News on Thursday that the U.S. Supreme Court split on a critical immigration case wasn’t welcomed by the Obama administration. The tie effectively continues a lower court’s decision to halt President Barack Obama’s Deferred Action for Parents of Americans and Lawful Permanent Residents program (DAPA), which, in the interest of preserving families, prohibited deportation of the undocumented parents of legal resident children. It was a legal defeat, although a much lesser one than was expected before the death of Justice Antonin Scalia. And, it is quite possible that it wouldn’t have been a defeat at all if Obama’s replacement choice, Merrick…
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