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Biotech / Medical : PFE (Pfizer) How high will it go? -- Ignore unavailable to you. Want to Upgrade?


To: Anthony Wong who wrote (4615)7/27/1998 9:20:00 PM
From: BigKNY3  Respond to of 9523
 
Column in the Washington Post.

BigKNY3

Thanks, Viagra

By David S. Broder

Sunday, July 26, 1998; Page C07

Viagra is the drug of the year, the magic blue pill that has
helped thousands of men overcome impotence.

Credit Viagra with one other benefit. It has helped
powerfully to bring Congress to the point of rectifying
one of the great stupidities in the health care system, the
refusal of many insurance plans to cover contraceptives
for women.

Thirteen months ago, I wrote a column about the fact that
two senators on opposite sides of the abortion debate --
Harry Reid of Nevada and Olympia Snowe of Maine --
had found common ground on a bill to require insurance
companies that cover other prescriptions to pay for the
pill and other contraceptive devices.

Reid, who is antiabortion, and Snowe, who supports
abortion rights, cited scientific studies that clearly
demonstrate unwanted pregnancies among women who
do not use contraceptives lead directly to abortions half
the time. As Snowe testified, "The Alan Guttmacher
Institute [a research center] concludes that the use of
birth control lowers the likelihood of abortion by a
remarkable 85 percent."

Yet a survey of group health plans by the same
organization found that half do not cover any method of
contraception and only 15 percent cover all five of the
most widely used devices. The added irony, as Reid
pointed out, is that many of those plans do pay for
abortion or sterilization and virtually all cover the cost
of delivering a child -- all of them far more expensive
than the $20 to $30 monthly cost of birth control pills.

Publicity about the Snowe-Reid bill drew thousands of
letters of support -- but no action on Capitol Hill.

And then came Viagra and all the TV and newspaper
stories about the readiness or reluctance of various
health insurance plans to meet the $10-a-pill cost of the
anti-impotence pill. It wasn't long before folks were
pointing to what Reid calls "the double standard" of
demanding coverage for a male potency pill but leaving
women without contraceptive insurance.

Last year, Reid and Snowe rounded up 10 co-sponsors
for their bill and couldn't get a hearing on it. This year,
they have more than 30 co-sponsors and on Tuesday
heard the legislation praised by witness after witness at
a committee hearing that was more a love-in than an
inquiry.

It looks very much as if Congress may be shamed into
doing something right.

"I have no problem with covering Viagra," Reid said in
his Tuesday testimony. "But if we are going to cover
Viagra, shouldn't we first remedy the inequities which
exist with prescription contraceptives. This Viagra
double standard is just another symptom of how biased
our health care system has been against women. If men
were the ones who needed prescription contraceptives, I
have no doubt they would have been covered years ago."

Snowe offered some history that backs up Reid's point,
noting that until Congress mandated it in 1978, more than
two out of five insurance policies did not cover
maternity benefits. "So here we are, 20 years later,
battling some of the same insurance companies that in
1978 didn't want to provide the same coverage we now
take for granted," she said. "And yet, along comes that
little blue pill we've all been hearing so much about --
Viagra -- and many insurance companies have already
stepped forward to cover it."

There is no answer to that contention. The Health
Insurance Association of America, invited to testify
Tuesday, declined, and its president, Bill Gradison, told
me, "We oppose government mandates, but we're not
going to spend a dime fighting this."

In an even clearer sign of change, the House on July 16
for the first time voted to require health insurance
companies covering federal employees to include
contraceptives along with other prescriptions. Rep. Nita
Lowey, the New York Democrat who sponsored the
amendment, pointed out to me that at least three dozen
Republicans and Democrats who are considered
antiabortion helped achieve the 224-198 victory,
signaling that this could indeed be common ground.

Reid and Snowe will offer the same provision for
government employees when the Treasury-Postal
Service appropriations bill reaches the Senate floor,
with good prospects of success. Then they will try to
attach the broader requirement for all insurance plans to
the bill financing the Department of Health and Human
Services.

Thanks to Viagra, common sense is starting to prevail.

c Copyright 1998 The Washington Post Company