Hard to say if the “America Party” is really getting off the ground or not, but I’d like to publish left-wing activists’ thoughts on that question
A Home in the Digital World
Hard to say if the “America Party” is really getting off the ground or not, but I’d like to publish left-wing activists’ thoughts on that question
We can rebuild the Mass. (and US) left by fighting for democracy, human rights, environmental restoration, peace, and bread-and-butter economic guarantees for working people
The Massachusetts left cannot build a new grassroots movement for democracy based on blue falsehoods and misdirections
If union members can’t stop automation from taking their jobs, what chance do the rest of us have?
DigBoston hosts the premiere indy newspaper convention at a difficult moment for journalism
Money should go to the local independent news outlets the digital giant has hurt worst
Solely spending your money and free time on presidential pageants is unwise The other day my colleague Chris Faraone made an interesting comment on social media—inveighing against those […]

July 3, 2018
BY JASON PRAMAS @JASONPRAMAS
The Supreme Court issued a decision last week that will have profound consequences for American working people. In Janus v. AFSCME, the court overturned a 1977 decision, Abood v. Detroit Board of Education, that allowed public sector unions—like the National Education Association, the American Federation of Government Employees, and the American Federation of State, County and Municipal Employees—to charge government workers who refused to become members a “fair share” fee to defray the expense of representing them.
According to the Atlantic, “Until now, 22 states had in place a so-called ‘fair share’ provision, which required people represented by unions who did not choose to be members of these unions to pay fees to cover the cost of the unions’ collective bargaining activities. By contrast, 28 states were so-called ‘right-to-work’ states, and barred employers from including ‘fair share’ requirements in employment contracts.”
Private sector unions—although most large unions these days like Service Employees International Union represent both private and public sector workers—are also not allowed to collect “fair share” or “agency” fees in right-to-work states. The thing that makes this ruling so pernicious is that it expands that right-to-work mandate to cover public sector unions nationwide.
The understandable view of the majority of labor supporters is that Janus is a disaster for American unionism. Bankrolled by a rogues’ gallery of right-wing donors, its passage virtually guaranteed by the replacement of conservative Supreme Court Justice Antonin Scalia with another conservative, Neil Gorsuch, the decision is certainly going to have a negative impact on public sector unions. Which comprise the largest wing of the US labor movement of 2018. Private sector unions having already been beaten back by endless attacks from corporations over the last 50 years.
According to the US Bureau of Labor Statistics, the union membership rate of public sector workers (34.4 percent) continued to be more than five times higher than that of private sector workers (6.5 percent) in 2017. With only 10.7 percent of American jobs unionized overall, and public sector union members outnumbering private sector union members since 2009.
This low “union density” rate is no accident, as big business wants to eliminate unions as an impediment to their endless drive for profit. Since unions have the strongest track record of any institution in our society of keeping the pressure on employers and government for higher wages, better benefits, and more spending on government programs that benefit working families. Just the sorts of things that lower corporate profits.
But public sector unions have been better protected than private sector unions—organizing jobs that are generally directly funded by government at all levels. This has made them a primary target of the right wing—for whom giving unionized government workers a better deal over decades is tantamount to using public funds to expand the government.
Also, public sector unions—like most other unions—provide tens of millions of dollars to the Democrats every election cycle, and most of the ground troops the Dems need to run successful election campaigns in many districts.
For those reasons, right-wing strategists have been looking for ways to get rid of public sector unions since they rose to prominence in the mid-20th century. Even more than the private sector unions they’ve had an easier time busting. And Janus moved them a long way toward that goal by cutting into union bottom lines.
How? Fair share fees add up. Eliminating them for public sector unions nationwide will cut millions of dollars from their budgets. Effectively slashing the amount of money they can spend on organizing new workers and plumping up Democratic Party coffers. Even though the Aboud decision dictated that fair share fees could only be spent on “collective bargaining” costs—basically, providing nonunion government workers the same services provided to union members—not on political activity.
No surprise, then, that many union leaders and boosters think this is the worst anti-labor decision by the court in decades.
However, there’s a minority view on the left wing of labor—where I have always situated myself as a longtime union member and activist—that says that the Janus decision may actually save American unions. Why? Two reasons.
First, because the more money that American unions have raised from members and nonmembers alike, the more they have tended to bureaucratize. And become top-heavy with high-paid staffers and elected officials that have become culturally distant from those same members.
Because union leaders making secure six-figure salaries with generous benefits have very little in common with members making typical union wages. They are also more likely to be college educated than union members are. A phenomenon that’s been growing (ironically) since the radical campus movements of the 1960s produced a generation of student activists who entered union jobs—and staff positions— in an effort to push them to the left politically. After the communists, socialists, and anarchists who actually built many unions through titanic workplaces struggles between the turn of the last century and the 1940s were pushed out of them during the anti-left “witch hunts” of the McCarthy Era.
Today’s union leaders therefore are not like the leaders of those earlier struggles. They’re often more comfortable with the college-educated corporate and government leadership sitting across from them at the bargaining table than they are with their own members. And they’ve tended to replace militant grassroots organizing on behalf of the entire working class with narrow bargaining for minor contractual gains for the shrinking number of members they represent. Such leaders make tough-sounding noises when it’s time to get a new contract with an employer or during big election campaigns. Yet they’re actually quite timid compared to their predecessors—who were often on the front lines of literal street battles with police and the National Guard or in jail on trumped-up charges when union activity was deemed illegal by courts stacked with pro-corporate elites.
Second, as this timidity in an era of renewed vicious corporate assaults against labor has contributed to declining union membership rolls as a percentage of the growing population, union leaders have turned to spending larger and larger sums of money on the Democratic Party. In a mostly vain attempt to purchase political clout they no longer have in the streets or at the ballot box. Even as the Democrats have moved steadily to the right since the 1970s, and become more and more beholden to corporations. Which still makes the Republican hard right angry enough to fight for court decisions like Janus, since the now slavishly pro-corporate Democrats are insufficiently capitalist by their lights. And, more to the point, since the Republicans have a strong desire to rule—a “will to power,” one might say—and any force that opposes them is an enemy that must be defeated. An attitude that hapless Dem leaders have definitely adopted to anyone to their left, including the social democratic pro-union left of their own party. But have failed to adopt to the Repubs and the outright fascists on their right.
So, Janus might be just what’s needed to cause a rebirth of the labor movement. It eliminates a big chunk of the money that union leaders have to spend on the Democrats—who have done little more than take that money and spit on union workers since the neoliberals of the Clinton administration took over party leadership.
It also will force the unions to cut staff. Including top staff. Which will definitely dump good leaders as well as bad ones, and that’s a drag. But it might very well help with the other big problem American unions have—a lack of internal democracy. Like other bureaucracies, too many unions have come to vest too much power in their top echelons. And leave their members out in the cold. Which is another factor that has led to union leaders making bad political decisions. Like backing pro-corporate Hillary Clinton over pro-labor Bernie Sanders in 2016.
Budget cuts caused by Janus could cause more power to be vested in union memberships’ hands. Leading to more victories like the one won recently by unionized teachers in West Virginia—who organized massive wildcat strikes over the protests of their own leadership. And won big while lighting a fire that has spread to teachers in other “red” states like Oklahoma and Arizona. States that are, among other bad things, right-to-work states.
However things play out, moribund American union leadership has been in need of a wakeup call for decades. And if Janus is what it takes to shake them out of their torpor, then so be it.
In any case, as storied labor martyr Joe Hill once said, “Don’t mourn, organize!” But don’t expect to win gains in the workplace and at the ballot box without a real fight—and without unions controlled by their members top to bottom.
Apparent Horizon is syndicated by the Boston Institute for Nonprofit Journalism. Jason Pramas is BINJ’s network director, and executive editor and associate publisher of DigBoston. Copyright 2018 Jason Pramas. Licensed for use by the Boston Institute for Nonprofit Journalism and media outlets in its network.
Vertex Headquarters. Photo ©2015 Derek Kouyoumjian
October 24, 2017
BY JASON PRAMAS @JASONPRAMAS
Vertex Pharmaceuticals made a big PR splash last week with an announcement of a significant donation to Boston and other cities where it does business. The Boston-based company, best known for its cystic fibrosis meds, has pledged to “spend $500 million on charitable efforts, including workforce training, over the next 10 years,” according to the Boston Globe, and “much of the money will go toward boosting education in science and math fields as well as the arts.” The company “also wants to set aside money for grants to help young scientists and researchers.”
Well isn’t that nice. Over 10 years, $500 million works out to about $50 million a year. Sounds quite generous, yes? John Barros, Mayor Marty Walsh’s chief of economic development, certainly thinks so: “The establishment of a Vertex foundation is a long-term investment in the people of Boston and the neighborhoods of Boston … That’s ultimately what we hope for when corporations move their headquarters to the city.”
But sharp-eyed locals would disagree. We’ve seen this gambit many times before in the Bay State—most recently when General Electric played it last year: A big business that has gotten bad press for various kinds of questionable behavior and/or outright malfeasance decides it needs to improve its image. And it does so by the simple device of expanding its advertising budget in the form of “charity.”
The important thing to remember with such “donations” is that the corporations in question often get far more money from government at all levels than they ever give back to society. So it’s not really charity at all. It’s just public relations by other means. Aimed at being able to continue to dip from the great public money river largely unnoticed by everyone but the few investigative reporters managing to ply their trade in this age of corporate clickbait.
To that point, let’s look at four ways that Vertex has benefitted from public support. Then reconsider its most excellent announcement in that light.
1) Tax breaks and direct aid
Readers might remember Vertex as the company that got $10 million in state life science tax incentives between 2010 and 2014 and $12 million in tax breaks from the city of Boston—both in exchange for adding 500 local jobs to their existing staff of 1,350 by 2015 and, quixotically, for moving their headquarters from Cambridge to Boston. According to the Globe, the Commonwealth also took out a $50 million loan to pay for “new roads and other improvements” to the new HQ’s Fan Pier site.
Why? As is often the case in the wonderful world of corporate finance, Vertex told then-Gov. Patrick that it might leave the state if it didn’t get the appropriate… um… “incentives.” So that apparently played a role in getting state and local government in gear. The deal was based on the expected performance of Vertex’s blockbuster new hepatitis C drug, Incivek. But things didn’t go as planned. According to MassLive, when the company pulled the plug on Incivek in 2013 after being outgunned by another company’s hep C med, it agreed to pay back $4.4 million of the state money. In 2015, according to the Boston Business Journal, after Vertex failed to meet its job creation target, the city reduced its tax breaks to $9 million—but didn’t ask the company to pay anything back and will keep its deal in place until 2018. Leaving Vertex reaping a windfall of almost $17 million in state and local tax breaks. Oh, and that sweet loan, too.
2) Gouging public health programs
With the release of two major successful cystic fibrosis meds and more new related meds set to breeze through the FDA drug approval process, the company is starting to expand. And how could it not? In July 2017 it raised the price of its newer med, Orkambi, by 5 percent to $273,000 per patient per year, according to the Boston Business Journal. A product that did $980 million in sales in 2016 before the price increase. In 2013, the company had already raised the price of its first major med, Kalydeco, from $294,000 to $307,000 per patient per year. With some patients paying as much as $373,000 per year, according to an October 2013 Milwaukee Journal Sentinel/MedPage Today article. Cystic fibrosis doctors and researchers have strongly protested, but to no avail.
It’s true that most patients don’t pay anywhere near that amount of money for the meds—because public and private insurance eat the lion’s share of the still-outrageous cost. But the final sticker price remains tremendously high. And the company doesn’t say much about who does pay a big chunk of the bill: the government, and therefore the public at large. Stick a pin in that. Vertex, like virtually every other drug company, has a business model based on gouging the public with ridiculously high prices that various government insurance programs are mandated to pay.
Programs like, in this case, federal Children’s Health Insurance Program (CHIP). As an Oct 4 letter from the Cystic Fibrosis Foundation (whose eminently questionable role in the funding and development of Vertex’s cystic fibrosis meds will likely be the subject of a future column) to the Senate Finance Committee explained, about half of all cystic fibrosis patients—who used to die young before the new treatments came online—are under 18 years old. So they’re generally covered by CHIP. That program, sadly, was defunded on Sept 27 by our psychotic Congress as part of the Republican Party’s crusade against Obamacare. Most states will run out of their 2017 CHIP money early next year, and unless they find money in their own budget to replace it or Congress manages to do the right thing, over 4 million kids—including thousands of cystic fibrosis patients—are in danger of losing their health coverage.
Vertex is not directly to blame for that crisis, but the situation does make its promise that some of its $500 million donation “will be spent helping cystic fibrosis patients get access to Vertex drugs that help them breathe easier and live a more normal life” look even more ridiculous than it otherwise would. Because Vertex and other pharmas certainly have no plans to lower the outrageous prices of their top meds for any reason. They’ll give some destitute patients “access” to their drugs. But everyone else pays—primarily through government insurance, often in tandem with private insurance. After what the pharma industry terms “discounts”… that still result in usurious prices. So even if one takes whatever portion of the donation actually goes to helping patients get cheaper meds as an inadvertent giveback of some of the lucre they’ve leeched off the government, it’s going to be even less helpful than it otherwise would have been if half the patients on those meds lose their insurance next year.
But Vertex isn’t content with just draining funds out of the US federal and state governments. According to Forbes, it’s pioneering ways to suck public funds out of countries with national health services. “Vertex seems to have finally cracked a long-festering problem: selling its expensive drugs in European markets, which are tougher at negotiating prices. Ireland recently agreed to give Vertex a flat, undisclosed annual payment; in return, all patients who need the drug will get access … other countries outside the U.S. will make similar deals … new CF drugs, including discounts, will cost $164,000 per patient in the U.S., where a fragmented health care system allows for less tough negotiation, and $133,000 in other countries. With almost all of the 75,000 CF patients in those countries treated, that would be an $8.5 billion market.”
3) Government-backed monopolies
Moving on, there’s another key way that Vertex makes bucketloads of money with government help: gaming the Orphan Drug Act. Passed in 1983, it was meant to create a strong incentive for pharmas to research drugs that treated conditions suffered by less than 200,000 patients. In practice, it’s become a standard way for pharmas to get a seven-year monopoly on many of their meds. And while it’s certainly true that cystic fibrosis afflicts about 30,000 people in the US—well below the 200,000 patient threshold—it’s also true that it’s no accident that Vertex chose to focus on the disease. Because, according to its 2016 10-K annual report filing to the Securities and Exchange Commission, the company has won orphan drug status for both Kalydeco and Orkambi. Guaranteeing it seven years of monopoly production and distribution of both of the desperately needed and wildly overpriced meds. And 10 years in the European Union, under similar laws.
As Johns Hopkins University School of Medicine researchers commented in the American Journal of Clinical Oncology in November 2015, such monopolies make “it’s hardly surprising that the median cost for orphan drugs is more than $98,000 per patient per year, compared with a median cost of just over $5,000 per patient per year for non-orphan status drugs.” The same study demonstrated that “44 percent of drugs approved by the FDA [in 2012] qualified as orphan drugs.” So winning orphan drug status is one structural mechanism that makes it possible for pharmas like Vertex to charge crazy high prices for many meds.
A recent article by Harvard Business Review adds that pharmas enjoy monopolies on many other meds thanks to the 1984 Drug Price Competition and Patent Term Restoration Act—which allows them to enjoy “patent protection to effectively monopolize the market” for new meds. Once that protection expires, the field is then supposed to be open to other pharmas to produce far cheaper generic versions. Which is doubtless what Vertex CEO Jeffrey Leiden was referring to in a June Globe piece when he defended the company’s sky-high drug prices, saying “‘This is a system that actually works. It rewards innovation and stimulates it. And then after the period of [market] exclusivity is over, it actually makes these innovations free’ for future patients.”
What he doesn’t mention, however, is that pharmas routinely lobby and litigate to extend their monopolies on meds, and actually pay off potential generic producers to not manufacture generics. Delaying the cheaper meds’ arrival on the market and costing public insurance programs like Medicare, Medicaid, the VA system, and CHIP huge amounts of extra money. Which then flows into corporate coffers. All the more so because the Affordable Care Act (“Obamacare”) did not finally give the government the power to negotiate with pharmas to rein in drug prices, according to Morning Consult. The HBR story also notes that generic companies themselves often obtain exclusive monopolies for shorter periods of time and that their products are sometimes substandard—resulting in recalls. All these delays can keep cheaper meds off the market for years.
4) Public science, private profit
Finally, there’s the fact that much of the basic research that allows pharmas to exist is done by the federal government through the National Institutes of Health. In the case of Vertex, a direct connection has already been demonstrated. A May 2013 article by Milwaukee Journal Sentinel/MedPage Today explains that the company’s first cystic fibrosis med, Kalydeco, was only possible thanks to “a hefty investment from taxpayers through grants from the National Institutes of Health, which underwrote the cost of early research, which identified the gene that the drug targets.”
If one were to put a price tag on all the basic science Vertex uses to develop its cystic fibrosis meds—and other meds—that comes straight from the NIH, what would it be worth? Tens of millions? Hundreds of millions? It would be a great research project to estimate the total, but suffice to say that it would be a great deal of money. Money that Vertex could never have leveraged on its own back in 1989 when it was a startup.
Conclusion: the racket and the damage done
Add it all up: tax breaks, direct aid, profits from price gouging CHIP and other public insurance programs, profits from orphan drug status, and profits based on research directly attributable to NIH research. How much money will Vertex ultimately get from government at all levels? A hell of a lot more than that $500 million it proposes to give back to communities like Boston—mostly in ways that either benefit the company directly by providing it with a new generation of trained researchers or indirectly by gilding its public image. Assuming that it ever actually gives that much money away. Which the public has no way of knowing at this juncture.
Any more than we can know how much Vertex spends on lobbying annually to guarantee a constant flow of fat stacks of public cash. Since its shareholders at its most recent annual meeting in June thoughtfully shot down an initiative by a small number of religious shareholders to force the company to report its actual lobbying budget going forward, according to the Boston Business Journal. Not long after Vertex successfully colluded with 10 other pharmas to get the SEC to allow them to quash shareholder resolutions from the same religious groups that would have made the company’s drug pricing formula public, according to the Wall Street Journal.
Then, taking all the above into consideration, check out Vertex’s annual advertising and promotions budget for the last three years: $16.2 million in 2014, $24.5 million in 2015, and $31.4 million in 2016, according to its latest annual report. Going up, right? So tack $50 million a year onto that last figure and we get an $80+ million ad budget. Totally doable for a company with cash, cash equivalents, and marketable securities worth $1.67 billion on hand on June 30, 2017. A company that’s now becoming profitable after years of running in debt—all of which has only been possible with massive public support.
Now come back to Vertex’s “donation.” Doesn’t look so generous anymore, does it?
Reforming the twisted wreckage of our drug research and distribution systems in this country will take a massive grassroots effort lasting years. But there’s one way that local advocates can get going on that project fast: demand that municipal and state officials stop giving public money to pharmas like Vertex, or participating in pharma PR stunts like promising to recycle some of that money to educate local kids—more of whom would have a fine education already if our elected officials stopped throwing money at giant corporations that should be going to social goods like public schools.
Apparent Horizon is syndicated by the Boston Institute for Nonprofit Journalism. Jason Pramas is BINJ’s network director, and executive editor and associate publisher of DigBoston. Copyright 2017 Jason Pramas. Licensed for use by the Boston Institute for Nonprofit Journalism and media outlets in its network.
Original flag image by Adbusters. Or Betsy Ross, depending on who you ask
March 7, 2017
BY JASON PRAMAS @JASONPRAMAS
Immigration enforcement is the responsibility of the federal government. Yet Immigration and Customs Enforcement (ICE) and related federal agencies often rely on local police to help round up undocumented immigrants for deportation. That problematic lies at the heart of the rising sanctuary cities movement. Local governments in opposition to increasingly inhumane federal immigration policy under the Trump administration are passing resolutions ordering police forces under their control to refuse to aid federal agencies seeking to detain and deport undocumented immigrants.
Immigrant advocates hope that creating large numbers of such sanctuary cities—plus sanctuary campuses and sanctuary religious institutions—will stop or at least slow the latest wave of deportations until the US finally develops a more fair and rational immigration policy.
That’s not going to happen without popular support. And all too many Americans have not been provided with the information that will allow them to make an informed decision on the matter.
Citizens who back slowing or stopping immigration do so because they believe immigrants “steal jobs” from Americans, don’t pay taxes, and/or increase crime. Positions that are not borne out by major research studies. But if they looked more closely at what has actually happened on the immigration front since the early 1990s, there’s every possibility that they would join a groundswell of support for progressive immigration policy… and for something else besides: support for strong labor legislation at the national and international levels.
So it’s imperative that nativist Americans begin to understand the structural crisis that led to the current situation. The biggest precipitating factor was a so-called “trade” treaty signed in 1993 by President Bill Clinton called the North American Free Trade Agreement (NAFTA). It went into effect in 1994.
According to labor journalist David Bacon, NAFTA was the result of a major lobbying effort by American multinational corporations with support from CEOs in Canada and Mexico. It was sold to Congress as a remedy to the supposed dilemma of migration from Mexico (and points south) to the US. The argument was that by eliminating “barriers to trade” like tariffs and taxes on major corporations, profits would rise, the economic boats of all three countries would be lifted, more good jobs would be produced, and immigration would slow to a trickle. Because there would be no reason for anyone to leave home.
As often happens in politics, this turned out to be a pack of lies. Removing the so-called trade barriers meant that US multinationals were able to flood the Mexican market with cheap goods and services. Goods and services that Mexicans had once produced for themselves either in Mexican-owned companies or in a robust public sector that included a strong nationalized oil industry.
The Mexican economy went into immediate freefall—throwing over one million people out of work. Then the American multinationals were able to move more manufacturing operations to Mexico than ever before—where they were free of pesky labor unions and tax burdens—resulting in the loss of over 682,000 good American jobs by 2010 according to the Economic Policy Institute. Corporations that kept major factories and farms in the US were free to take advantage of a seemingly endless flood of undocumented immigrant workers who are rarely able to organize into labor unions—since one call to the feds ensures the deportation of any “troublemakers.” Canada was also badly hurt by NAFTA. Billionaire CEOs got even richer, and extended their political power significantly in all three countries.
And here’s the irony: It is precisely those Americans who lost their jobs to NAFTA and other neoliberal schemes like it who voted for Donald Trump in significant enough numbers in key states to ensure his victory.
That’s why any successful movement for immigration justice must be linked directly to the most far-sighted sectors of the labor movement in the US and abroad. The key to ending the fight over immigration is to enshrine strong labor rights worldwide; so that major corporations will no longer be able to pit workers in the US against workers in other countries in what’s been aptly called a “race to the bottom.” Spread that message widely enough, and the nativist movement will evaporate—aside from a small core of outright racists. Because if workers can make a decent living wherever they live, then immigration will cease to be an issue anywhere. And when people do migrate to the future US once a fair immigration regime is finally in place, it will be much easier to do so legally and permanently.
Which is the kind of world we all want, yes? One in which the rights of human beings to make a decent living and to move about the planet freely are respected more than the rights of corporations to maximize their profits.
This column was originally written for the Beyond Boston regional news digest show—co-produced by the Boston Institute for Nonprofit Journalism and several area public access television stations.
Apparent Horizon is syndicated by the Boston Institute for Nonprofit Journalism. Jason Pramas is BINJ’s network director and senior editor of DigBoston.
Copyright 2017 Jason Pramas. Licensed for use by the Boston Institute for Nonprofit Journalism and media outlets in its network.
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