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Drug Price Controls Deserves the Full Constitutional Process

The odyssey of how the President tries to rescue some portion of the Build Back Better act continues. Now that he can’t get the votes for the scaled down version that was proposed a few weeks ago he is extracting one part of that scaled down version that he hopes can get the votes to pass. Unfortunately, that part is the drug price control proposal. This approach has been discussed a lot. . . how it would impact innovation, how it would reduce competition and impact access. You’ve heard me echo many of those feelings. As it is with any issue that has the ability to affect millions of lives, there’s been deafening rhetoric from both sides. It shouldn’t take long, if you go back and read some of my earlier blogs, to ascertain where I stand on government price controls on prescription drugs and why. I would like to step back a little from all the specific pros and cons of this proposed legislation and talk about the evolution of how our government works and how this evolution impacts each of us.

I think that the process of how we pass important legislation has evolved (or in my opinion devolved) to a point where those officials who we elect to represent us have less and less control over the final regulations that will ultimately have a huge affect on our lives. I offer some examples.

I was very involved in the issues and the impact of the Affordable Care Act (often called Obamacare). This law was passed in the short two-year window when the Democrats controlled both the House and the Senate. The House passed their version of the bill and sent it to the Senate for action. There were Senators, both Democrats and Republicans, who had concerns with some parts of the bill – the power of the Independent Payment Advisory Board (IPAB) and the lack of any tort reform, for instance. The Senate did make changes to the bill and some Senators still had misgivings because the changes they wanted, like the two highlighted above, were not included. These Senators were assured that those changes could be added when the House and Senate went to conference to resolve differences. But, in the interim, Sen. Ted Kennedy, a Democrat, died and was replaced by a Republican. Concerns arose that a new bill could not be passed out of the Senate. The House speaker and the President convinced the House members to vote to pass the Senate’s version of the bill without a conference. This action assured that it would be a very partisan law and that for over a decade the Republicans would work to try to repeal the law rather than working to improve it.

The Republicans were no better. An amendment to alter the powers of IPAB, a sore spot for many on both sides of the aisle, was voted out of subcommittee with votes from both parties with the assurance that this clean bill would pass both the House and the Senate. The Republicans, rather than accepting the clean bill, added amendments that lost the votes of the Democrats. They passed up the chance to improve the bill for purely partisan political reasons.

President Trump used the power of executive orders and regulations to pass significant changes to our healthcare system. One of these was rebates at the pharmacy counter. Some people thought that was a good idea, others thought it wasn’t. Either way it didn’t matter because as soon as President Biden took over, he rescinded the order.

The process of reconciliation was instituted to make it easier for Congress to pass legislation that dealt with finances and budgets. It isn’t subject to the filibuster and only needs a simple majority in the Senate rather than 60 votes. It is used often when one party controls Congress and the White House but doesn’t have a 60-vote majority in the Senate. The Build Back Better bill was submitted under the rules of reconciliation as are all of the latest trimmed down proposals.

In the last few weeks, as it was evident that Senator Manchin couldn’t agree with the climate change and tax portions of the bill, the Senate decided on a smaller version containing the drug price controls. This proposed legislation would also be submitted under the rules of reconciliation. President Biden then indicated that he, like those before him have done, would use executive orders and other regulations to accomplish those parts of the initial legislation that had been removed.

I hope you see the common theme in these illustrations. The normal process for our government to pass and enact laws that impact our lives has been altered. The party in power now has the tools and the precedent to circumvent the checks and balances prescribed in the constitution and single handedly implement healthcare changes with none of the compromise that has historically been the hall mark of passing legislation.

The price controls proposed in this slimmed down bill will have to be reviewed by the Senate parliamentarian to see if it fits the rules of reconciliation. This decision is subject to debate and even legal intervention. Presidential executive orders and directed changes in regulations is not the way basic parts of our healthcare should be changed. Is this how we want changes to our healthcare implemented, using a process that has no mention in the U.S. Constitution and can be canceled with a stroke of the pen when the other party inhabits the White House? Do we want to implement laws that affect almost all of us in a very basic way with a short cut process that is intended primarily for financial and budgetary actions? When legislation is a one-party creation, we miss the compromise and balance of a bipartisan approach. We also almost always lose the willingness of the excluded party to participate in later amendments to improve the law after it is enacted. We deserve the full checks and balances afforded in the Constitution to come into play, especially when the legislation may eliminate the discovery of medicine that may save my life or the lives of my family.

Both sides of this drug pricing legislation emphasize the impact this legislation will have on our lives. Don’t we deserve the full constitutional prescribed process and debate for something so important? Tell those who represent you in Congress that you think this important piece of legislation deserves the debate and process guaranteed in the Constitution.

Best, Thair



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An Ounce (or so) of Vaccine Prevention is Worth a Pound of Cure

As we have gone through the COVID pandemic I think we’ve all learned a lot more about the workings of the Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC). We found out about accelerated approvals and the FDA advisory committee meetings, especially when they dealt with the controversy involved with the Alzheimer’s drug Aduhelm. The FDA uses advisory committees to give them scientific and third-party input on drug approvals. They also give stake holders the opportunity to participate in public written, and in person, testimony. I have testified multiple times at these advisory committee meetings as I advocated for older Americans.

The CDC also has an advisory committee for immunization decisions. The CDC describes this group as follows:

“The Advisory Committee on Immunization Practices (ACIP) comprises medical and public health experts who develop recommendations on the use of vaccines in the civilian population of the United States. The recommendations stand as public health guidance for safe use of vaccines and related biological products”.

As you know I have often written about the importance of keeping up to date on our vaccinations . . . more and more of our preventative medication and treatments for illnesses come to us through immunizations. I’ve written often about the impact that the pandemic had on causing some of us to postpone these important preventative measures. I continue to stay involved in the CDC’s recommendations for immunizations and was selected recently to give a three-minute public testimony at the ACIP meeting held on June 23rd. While the subject of the meeting dealt with what guidance the CDC should recommend for COVID boosters, my comments were tailored to urge the CDC to expand their focus to include renewed recommendations on other preventative vaccinations. Below is my testimony.

Thank you for having me, I’m Thair Phillips of Seniors Speak Out.

I want to start by thanking this committee for your continued diligence toward ensuring vaccines are available for Americans throughout our lifespan. As many of us are parents, grandparents, aunts and uncles, we were particularly grateful for the recent approval of the COVID vaccines for the youngest children.

As you know, older Americans can benefit greatly from vaccines as we are more likely to be managing chronic conditions and a weakening immune system. As we learned early on in the pandemic, COVID-19 posed a greater threat to older Americans than any other age group. In fact, grim statistics recently released by the Associated Press showed that 3 out of 4 COVID deaths were older Americans which further illustrated this very real threat.

Despite entering into year three of this pandemic, our generation has not lost our resolve in fighting back against this virus and has embraced the vaccine more than any other age group with 95 percent of Americans over 65 having received at least one dose.

With that in mind, it is particularly important to those of us who serve older Americans to continue our work to keep their vaccination rates high, and for the COVID vaccine—added booster doses if necessary.

Now that we as a country are able to vaccinate to prevent or mitigate COVID from the very young to the very old, we should remain steadfast in our efforts to keep COVID boosters at the front of older Americans’ minds.

To that end, the work of ACIP will be critically important in the months to come, so that groups like ours can help encourage our fellow Americans to remain up to date on boosters, as well as being vaccinated for other respiratory illnesses like the flu and pneumonia.

As you know, vaccination rates pre-pandemic were not ideal. The pandemic squashed those routine vaccination numbers even further. COVID vaccinations were somewhat of a bright spot, with older Americans lining up. Let’s build on that. Let’s continue to work together to benefit this important community and ensure that they are informed and most importantly protected against COVID-19 and other preventable diseases.

Thank you.

I am encouraged by the movement to include our yearly flu shot with the next COVID booster if that becomes available. Anything that reduces the number of trips we make to the pharmacy, doctor or other healthcare provider will increase the number of people who take advantage of the vaccines that are available to us.

There has been a silver lining to the pandemic that we need to build on. The scientific push that produced our COVID vaccine in record time was based on a new form of cell level signaling that could be the pathway to breakthroughs in other disease areas. We could find vaccines that help prevent, treat and even cure diseases based on this new science. We need to encourage and embrace this expansion in the use of vaccines.

I’ve found it interesting that we are quick to accept a new pill, ointment or liquid that is discovered but some of us have been hesitant about a new vaccine. Older Americans need to continue to lead on being vaccinated, not only against COVID but for the other preventative vaccines that are now or will come available. As we get older our bodies may become a little less able to fight off illnesses, but we can continue to be resolute in our march toward doing everything we can to keep ourselves healthy.

I hope the CDC recognizes the importance of building on our willingness to take preventative measures by expanding and clarifying their immunization recommendations.

Best, Thair



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Government Prescription Drug Price Setting – Still a Bad Idea

I’m back after our 4th of July break. I hope everyone had a safe and enjoyable holiday. My plan was to have a light, feel good blog on enjoying a summer without the stringent COVID restrictions, but it wasn’t to be. The threat of the government setting the prices on prescription drugs has reared its ugly head again.

As the Senate’s Democrats frantically search for some way to rescue some of the Build Back Better bill that failed on the launching pad, they have released language concerning the control of drug prices that reportedly all Senate Democrats support.

I’ve pontificated ad nauseam about the problems with proposals for the government to control drug prices. I’ve talked about the impact their solutions would have on innovation and how the insertion of government controls would limit access. There are two other aspects of their proposed solution that I haven’t discussed too much that I think need to be highlighted.

First, this proposal is another attempt at finding a politically convenient solution to a complicated problem. H. L. Mencken said, “For every complex problem there is an answer that is clear, simple, and wrong,” and it absolutely applies in this case. The problem is not just proposing a “simple” answer to a complex problem but with politicians turning away from even understanding the complexities of the problem and only searching for a solution that polls well with constituents. That’s why they favor inserting the popular term “negotiations” into the solution’s description when the true process will give the government the ability to arbitrarily impose a non-negotiable take-it-or-leave-it drug price.

The current prescription drug pricing and supply chain is convoluted and costly. It is fraught with perverted incentives and controls that do nothing to lower the out-of-pocket costs for the patient and can even raise the list price of the drug. Seeking to dictate the cost of drugs after they have gone through this inefficient and flawed process is like continuing to manufacture a car with very uncomfortable front seats and then giving everyone who buys the car padded seat cushions for the back seats . . . it doesn’t fix the basic manufacturing problem and the proposed fix shows a lack of understanding of the current problem.

The drug manufacturers continually offer to sit down and talk about drug prices. To my knowledge it hasn’t happened. We need to somehow decide to get to the root of the problem and fix the process rather than continue to propose band aid solutions that further complicate the situation.

The second part of this issue that I feel needs to be discussed is the motivation behind proposing this price fixing proposal. The indications are that the bill will not only contain the drug price control scheme but will also contain programs and costs dealing with climate change, energy production and taxes, and the Democrats are counting on the “projected” savings from drug price-setting to pay for these other programs. To quote the non-partisan Kaiser Family Foundation,

“At the very least, advancing the drug bill would make some other Democratic goals easier to achieve, since it would save the federal government a lot of money, which could then be applied to other programs.”

That’s what bothers me – a lot! Why do our elected politicians think it’s ok to use the hard-earned money we sent to the government to pay for other programs. We were told our money was put into a trust fund that was to be used to pay for our healthcare when we got old. They didn’t say that they were going to use the money to finance other programs, like climate change, energy production, lower taxes or any other current or future whim Washington may come up with. It seems to me this type of action removes any trust we had in the fund and the government that over sees it.

There were some good changes that were implemented in Obamacare. One of the problems I had back when it was being debated was using cuts and savings in Medicare to pay for some of those changes. It wasn’t right then and it’s not right now. If there are savings that can be realized, without reducing healthcare choices and access, then those savings ought to be used to lower the patient’s out-of-pocket costs or shore up Medicare’s financials. We hear continually about when Medicare will run out of money, yet we are willing to use projected Medicare savings for other programs. Even if the proposed changes to Medicare would generate savings without reducing access, benefits, and innovation to find new cures (and you know that I don’t think that’s possible), the savings should be used to the benefit of the Medicare beneficiaries, not other programs. Medicare shouldn’t be used as Washington’s uncontrolled ATM.

Washington needs to understand what’s causing the problem and get all the stakeholders together and decide how to fix the problem rather than continuing to come up with politically expedient band aid solutions. They also need to quit using Medicare to finance this month’s popular issue. We need to tell our leaders in Washington we deserve accessible, quality, innovative healthcare.

Best, Thair



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Summertime and the Living is Easy

George Gershwin had a way with words and there are no words more recognizable than the title of this blog . . . at least to those of us who are over 60 or someone who has listened to one of the more than 25,000 recordings that have been made of that song. But the real question remains, is the living really easier in the summer?

For those who have weathered a long winter of shoveling snow or driving on slick streets, summertime is a welcome relief. For all of us it’s a time to enjoy the warm weather and the promise of a vacation, especially given many of us have been robbed of our vacations over the last two years. It’s a time to come out from the shadow of the pandemic and begin to again live our lives unencumbered by a virus.

So, what do we do this summer to make the living easy? One thing you might think about is trying some new recipes. As we found ourselves eating at home more often due to the pandemic, we may have found that we got tired of the same old things. Some of us may have tried out the new cooking appliance, the air fryer. I’ve found it’s a great way to fry food without the mess of hot oil and it’s much healthier. If any of the eight air fryer meals below look interesting, you can get the recipes by clicking here.          

  • Breakfast
  • Hard “Boiled” Eggs
  • Roasted Tomatoes
  • Crispy Tofu
  • Roasted Fish
  • Snack Chips
  • Leftovers
  • Desserts


You also might have found some new ways to stay physically fit. Pickleball has caught on with the older crowd. The increasingly popular paddle sport, which has similarities to tennis and ping pong, has attracted 4.8 million U.S. players of all ages and fitness levels, according to the 2022 Sports & Fitness Industry Association (SFIA) report on pickleball. It doesn’t require an excess of running but keeps the participants moving and, most importantly, it gives us a reason to get out and get some exercise. I have friends who play almost every day, they all say it beats trying to force yourself to go to the gym and workout. Older adults are especially drawn to the fun sport: The SFIA report notes that among the 1.4 million “core” participants — defined as those who play at least eight times a year — 60 percent are 55 or older and more than 33.7 percent are 65 or older. Older people enjoy this sport because:

  • The court is small enough that you don’t need to move much to hit the ball, especially if you’re playing doubles.
  • The game encourages players to socialize.
  • There’s less of the frustration factor that accompanies sports like golf.
  • It’s designed to be carefree and fun.
  • It’s inexpensive.


The great thing about this sport is it’s readily accessible. You can input your zip code on the USA Pickleball Association website to find out where to play near you. 

Finally, it seems we’ve found a sport, besides golf, that older people can play, and it no doubt is better exercise than riding around in a golf cart. You’re hearing this from a guy who loves to play golf but is going to give pickleball a try this summer.

Volunteering is another activity that you might find very rewarding. Helping someone else gets us out of looking inward at our own problems and allows us to focus on others. There is nothing more satisfying than giving of your time and skills to help someone else. Below are five non-profits that accept and need volunteers. Just click on their name to find out more about their organization.


I hope you can find something new and exciting to challenge yourself this summer and you do it while also keeping yourself healthy and safe. I’ve written past blogs about taking care of your skin and your eyes and your joints as you venture outdoors this summer. Do a quick search of my blogs if you need some good guidance in these areas. One little hint, you might take some time to do a little training before you venture out on your vacation. I just spent a week walking around and touring Boston and I found out pretty quickly that I wasn’t as ready for that much walking as I thought.

Finally, while we’re looking forward to this summer it’s not too early to start looking at Medicare open enrollment coming up this year. I’ve been working hard these last few months to catch up on the preventative screenings and checkups that I put off because of COVID-19 (don’t you hate the preparation required for the colonoscopy). Keep track of any health changes that have occurred this year so you can make an informed decision as you review your insurance coverage. Especially keep track of any new prescription medication you may now be taking.

Above all, get out this summer and try something new, and also try to get that George Gershwin song out of your head. I haven’t succeeded yet.

Best, Thair



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What’s So Special About the Summer Solstice – the Longest Day

Tomorrow is the official start of summer but, more importantly, it is the longest day of the year for those of us in the northern hemisphere. It’s the day with the most light and it has a very special meaning for those who have been impacted by Alzheimer’s.

This month is Alzheimer’s & Brain Awareness Month and June 21st, the summer solstice, is a special day for those who advocate and support the fight against Alzheimer’s; it is labeled “The Day With the Most Light Is the Day We Fight”. This day was chosen to refine the focus on the fight against Alzheimer’s to a specific day.

Usually, I include some statistics about the disease that I’m writing about in my blog. I do that to highlight and educate you about the impact that disease has on our lives. Unfortunately, I really don’t have to do that with Alzheimer’s or other types of dementia, because almost without exception Alzheimer’s or dementia has affected each one of us in some way. Let me tell you about how it has affected me.

I spent over eight years in the Air Force with most of my time as part of a crew in a B-52. Downstairs in a B-52 is where the bombardier and the navigator sit, no windows just radar sets and low light/infrared screens to keep us entertained. That’s where I spent my time. I flew a large part of my 2,000 hours in the B-52 with a man who became a lifelong friend. He was one of six Air Force friends and their wives who have continued to get together every two years for 46 years. He died a little over two years ago from Louie Body Dementia. Louie Body Dementia is an aggressive form of dementia, but it is just one of many different types of this terrible disease. I will use the term Alzheimer’s in this blog since it is the most common type of dementia, but I will use it to also include all of the types of dementia. As is the case with Alzheimer’s you lose the loved one you knew long before their death. It was so hard as I visited, vacationed, and cared for my friend after he was diagnosed because I saw the man I knew and loved slowly disappear. We had to continually say that it was Louie talking and acting rather than the man we knew before. It was especially hard on his wife and family. I suspect that many of you have your own experiences that you could talk about.

As I’ve advocated over the years for more Alzheimer’s research, I’ve often pointed out that Alzheimer’s costs us 300 billion dollars each year with the cost rising each year. This always seemed like such a strong argument for expanded research. After my experience with my Air Force friend the money part, while it remains very important, dimmed somewhat in relationship to the impact on the lives of those who care for those who suffer from Alzheimer’s. The mental, financial, and physical impact of this disease on those around the patient is huge. I don’t think there is any better way for us to spend our time and resources than searching for a cure.

Discoveries of new treatments for Alzheimer’s have been rare, almost non-existent. There have been many promising medicines that have been tested and failed, some of the failures coming at the very end of the clinical trials. It has been heartbreaking to those impacted by Alzheimer’s to have hope and then be disappointed. Just last year a drug was approved that offered some hope. The cost was substantial and, even though the cost was ultimately cut in half, CMS decided that it would only be available to people who participated in clinical trials. While there are many people and organizations on both sides of the question of who should get access to this medicine, the fact of the matter is the hope of a treatment for Alzheimer’s was again dimmed. Just recently a promising drug, named crenezumab, failed in a trial that had been going for 10 years. Once again, the hope for an Alzheimer’s treatment has been dashed, to say nothing of the cost of a 10-year trial. It’s time we take action.

We’ve had government programs that used the “moon shot” moniker to focus commitment and funding. We’ve shown that we can develop vaccines at breakneck speeds when our backs are against the wall. These are all important efforts. I think it’s time we recognize the impact on not only those who suffer from Alzheimer’s but also to the loved ones and care givers by marshaling are personal and government resources to conquer this disease.

As noted above, this is the month and today is the day that we focus on advocating for more research and helping those affected by Alzheimer’s. You can find out what activities are going on in your community during “The Day With the Most Light Is the Day We Fight” project by clicking this link. Get involved, do it for that someone in your life who has been affected by Alzheimer’s.

Best, Thair



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Men’s Health Week – A Time to Focus on the Men In Our Lives

This week is Men’s Health Week and, at the risk of going against our push for inclusion, I’m going to eliminate approximately half of our population in this week’s blog and focus on men, and, specifically, older men.

There’s a good reason for this focus. Because of poor health habits, lack of health insurance, failure to seek medical attention, and dangerous occupations, men live sicker and die younger than women. Men die at higher rates for 9 of the top 10 causes of death. This includes deaths from cancer, diabetes, suicide, and accidents, and diseases of the heart, kidney, and liver. Men account for over 90% of workplace fatalities, are far less likely than women to have health insurance and are half as likely to see a doctor for preventive care. When men get sick it affects those around them, the loss of their income to the family often has serious consequences. I’ve talked with many older widowed women at seminars and health fairs about the impact on her life when her husband died. Often there is a loss of retirement income to say nothing about the loneliness that ensues. According to the Census Bureau there are 105 males born for every 100 females, but by age 34 there are more women than men. According to the United States Census Bureau (2000), the ratio of men to women in the early retirement years (age group 65-69) reduces to 85 men per 100 women. According to the Administration on Aging (2001), more than half of the elderly widows now living in poverty were not poor before the death of their husbands. Poor health and the early death of men impacts their families and loved ones. The good news is that the cause for this disparity is not unchangeable.

In my generation, and historically, men have been the primary bread winner, while women were focused on the family, which included the health of the family. This begins to explain some of the health disparity between men and women. I’ve worked with the Men’s Health Network for many years, participating on panels and working with them on common issues. They are a national non-profit organization whose mission is to reach men and their families with health awareness messages where they live, work, pray, and play. They’ve done many health fairs with professional sports teams, businesses, and religious organizations where they did screenings and offered health information for men. They found that the way to get men to attend these health fairs was to go through their wives. It was the wife who convinced her husband to attend the fair, do the screenings and get the helpful health information. Men, and I speak from experience here, are very good at ignoring their own bodies’ health signals, not scheduling or postponing checkups, and generally not taking care of themselves.

The pandemic continued to show this disparity. Over 65,000 more men than women have died from COVID-19. Now I’m a big fan of individual responsibility and taking care of your own health falls under that heading, but men are absolutely influenced by loved ones, family and friends who are important in supporting them to take action toward better health. Darrell Sabbs, a community health advocate in southwest Georgia, emphasized that, “Today we see men come in with more advanced diseases simply because they lost trust in, and access to, healthcare during the pandemic. What we are doing now is celebrating a return to normal where hopefully men and their families will take on a deeper concern for their health.” He also noted, “Trusted voices had to be found, and they were found in our communities and churches.”

I was intrigued by Mr. Sabbs saying that men lost trust in, and access to, healthcare during the pandemic. What we didn’t need was another reason for men to ignore their health but I’m afraid that some of the vaccine hesitancy during the pandemic was uncharacteristically fueled by men and a growing distrust in government agencies. I’m sure this, along with the other noted reasons, was the basis for disparity between men’s and women’s deaths in the pandemic.

 So, here comes the action portion of my blog. What can we do? One thing we can do is observe Wear BLUE Day. Wear BLUE Day is observed on the Friday of National Men’s Health Week, which is this Friday and just happens to be the Friday before Father’s Day. It is a great time to raise awareness and educate everyone about encouraging men to seek regular checkups, to get educated on testicular and prostate cancer along with other health issues that affect men (cardiovascular disease, skin cancer, lung cancer, diabetes, gout, and more.) Hopefully, wearing a blue ribbon will trigger conversations about men’s health.

There is something else you can do, if you have a friend, husband, or a family member who hasn’t taken the steps to keep himself healthy, find a voice that he trusts to discuss the steps to a healthier life. If that trusted voice is yours, fine, if it’s a close friend, a relative or a church leader, get them to have a serious talk with the man in question. Encourage the trusted voice to emphasize how important your man’s health is to those around him. To remind him about the joy he will have when he is able to actively participate in, and be present at, important events with his children, grandchildren, and even great grandchildren. A trusted voice can make a huge difference in a man’s life.

Men’s Health Week is an ideal time to focus on improving the health of those men in our lives who are so important to us.

Best, Thair



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Recap – Facebook Live Event with the American Cancer Society Cancer Action Network

Last Wednesday, we held a Facebook live event in recognition of National Cancer Survivor Month and invited a special guest, Pam Traxel, Senior Vice President of Alliance Development and Philanthropy at the American Cancer Society Cancer Action Network (ACSCAN), to talk about cancer prevention, screening, treatment, the importance of clinical trial diversity, and the need to protect cancer treatment research and development. You can click here to watch the entire half hour event.

I started the event with a few remarks about the impact cancer has on each of our lives. I pointed out that there are an estimated 16.9 million cancer survivors alive today, but, in 2022 in the U.S., there will be an estimated 1.92 million new cancer cases and 609,360 cancer deaths. These statistics highlight the importance of screening and other methods for early detection and prevention.

As is my habit I took a few moments at the beginning of the event to talk about some important issues that are threatening our healthcare, starting with a proposal that has once again been put forth to allow the government to set the price of prescription drugs. As we progress toward personalized healthcare, the reduction of options available to doctors is not the path we should be taking. Thrusting the government into this process would reduce the number of options available. I emphasized that no patient should face even the possibility of having fewer treatments or therapies available when undergoing cancer treatment.

I also pointed out that Senator Bernie Sanders may introduce an amendment in an unrelated piece of legislation to allow drugs to be imported from Canada. This is an unsafe and unworkable solution that will do very little to reduce the price of drugs for you and me. With that I turned the time over to Pam Traxel.

Pam began by pointing out that Cancer Action Network is the public policy arm of the American Cancer Society and that working to shape public policy concerning cancer patients has made a difference. She went on to point out that they advocate for the entire cancer continuum from screening and early detection to treatment and survivorship across all types of cancer.

Her first point was how important screening and early detection are and noted the important role that health coverage plays in getting screened.  ACSCAN is working to encourage Congress to extend and make permanent the subsidies in the American Rescue Plan for health coverage in the exchanges. They are also working to encourage states that have not chosen to expand Medicaid to do so, given that those states that have chosen to expand have seen a huge increase in cancer screening participation. The final area she focused on was encouraging Congress to implement a yearly cap on out-of-pocket Medicare prescription drug costs.

Pam also discussed the importance of states ensuring access to bio marker testing. She emphasized how important it is that our elected officials hear from us and where we stand on these important issues.

I then asked Pam a few questions, the first one concerned how seniors can prevent cancer and detect it early. Pam pointed out that living a healthy lifestyle is important and taking advantage of different screenings will help detect cancer early. She gave out a great link to information that will give us healthy lifestyle hints and the screenings available depending on our age. She emphasized that the best way to survive cancer is to detect it early. She knows that the pandemic has caused many of us to delay our screenings, and I admitted I was one that had delayed some screenings. She implored us to talk with the doctor about where we stood on our screenings and what do we need to do to get current.

In response to a question on the biggest advances she has seen in cancer research and treatment innovation, Pam noted the ability to target cancer more closely and for medicines to go directly to the cancer cells and kill them is very encouraging. Through the use of bio markers and unimpaired access to new medicines we have a much better chance to survive cancer. She also said that there are many new developments in ways to detect cancer early that is lifesaving.

Pam pointed out that ACSCAN is pushing for the passage of the Diverse Trials Act, a bipartisan, bicameral piece of legislation. This bill would help people who are participating in clinical trials with their ancillary costs, removing some of the barriers that exist for clinical trial participation. Pam also pointed out that in cancer clinical trials half of the participants receive the normal cancer treatment and half receive the new drug, as opposed to other trials where half get a placebo and half get the new drug. This removes another barrier to trial participation.

I then asked about the impact of screenings and early detection. Pam discussed the fact that early screening and detection along with a significant increase in the number of drugs and therapies available has made a huge difference in cancer survivability in the last decade. She pointed out how important innovation is in the fight against cancer. New drugs mean new options which means more lives saved. This led to my final question of what would happen if we limited innovation and produced fewer drugs to fight cancer. Her answer was simple – cancer will kill you if there is no intervention, and the tools that are used to fight cancer are prescription drugs. If we have fewer drugs, we have fewer tools to fight cancer and save lives.

To sum up our conversation, there are three main points:

  • Early detection through screenings and healthy living will have a huge impact on surviving cancer
  • Government intervention in our healthcare will obstruct innovation with little reduction in out-of-pocket costs for the patient
  • Your voice in speaking out to your elected officials can and will make a difference

I hope you enjoyed this Facebook live event; you can see the entire video here. We look forward to your participation at our next Facebook live event.

Best, Thair



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Two Threats to Our Medicare Prescription Drug Program

There are two threats to prescription drug accessibility and innovation that are once again threatening your health. These are not new threats, but they continue to be thrust forward as politically popular “solutions” to help reduce drug prices. These two threats are government “negotiation” and foreign importation. Inserting the government into the drug pricing equation through so called negotiations was mentioned in the President’s State of the Union speech. Importing drugs from foreign countries is not a new approach but it has recently been raised as a possible amendment to be added to proposed legislation. Before I discuss these two approaches in more detail, I’d like to remind you of some important facts concerning drug prices.

In 2021, the list price of drugs, the price that many of the patient’s out-of-pocket costs are based on, rose less than the Consumer Price Index (CPI) which measures inflation. There are many parts of our healthcare system that rose more than the CPI, but not the list price of drugs. Even more relevant is the fact that the net price of drugs, the amount the drug manufacturer actually receives, dropped by 1.2% in 2021. That’s right, the net price dropped! This is the 4th year that the net price has dropped. If the drug companies were trying to raise prices so they would get paid more each year, they have failed miserably. In these days of 8% inflation, it seems crazy to increase government regulations on an industry where their net prices have dropped. Given this backdrop I’d like to discuss these two drug pricing proposals.  

The proposed insertion of the government into the Medicare prescription drug program, Part D, would involve repealing the non-interference clause in Part D and allow the government to get involved in setting the price of selected drugs. The government would calculate what they considered a fair price to be for a particular drug and present that to the manufacturer. If a manufacturer was not willing to accept the price the government calculated, they would be charged anywhere from 65% to 95% of their gross sales to continue to sell the drug in the U.S. No drug manufacturer could continue to sell their product if they had to pay 65% of their gross sales to the government. This is not a negotiation but a take it or leave it ultimatum which reduces the so-called negotiations to simply price fixing. History has shown that government price fixing never works.

Foreign importation of prescription drugs has thrust itself into the limelight because of a proposal put forth by Senator Bernie Sanders to include this sweeping change to Medicare Part D into the FDA user fee “must pass” legislation. I’ve talked about this “solution” to drug prices in previous blogs, explaining how it bypasses the safety net we now enjoy without any proof that the patient will see any savings while counting on Canada to implement a program that they have already said they can’t support. Because of the variation in foreign government laws and control of healthcare prices the price of prescription drugs can vary between different countries. While you or someone you know may have gone across either our southern or northern boarders to purchase medicine at a lower price, this is not what this proposal is about. This importation proposal is at a much higher-level involving suppliers and transporters and large volumes. Some states have passed laws allowing importation but none of them have yet been implemented. The non-partisan Congressional Budget Office, our government’s accountants, have studied this approach and said, “Even if this practice was made legal, however, unique aspects of the prescription drug market would limit the additional volume of prescription drugs reaching the United States. On the basis of its evaluation of recent proposals, the Congressional Budget Office (CBO) has concluded that the reduction in drug spending from importation would be small”. There have also been legal challenges asserting that the government can’t legally implement this proposal. In spite of the facts that the safety we now enjoy through FDA-approved drugs would be compromised, that Canada has said they won’t support importation, that any savings would be small, and that this idea may not even be lawful, Senator Sanders has chosen to ignore these facts and has proposed implementing this change in some must-pass legislation. Which brings me to what I think could be the worst part of this whole situation.

Adding this huge change to Medicare Part D as an amendment to User Fee legislation bypasses the discussion and debate that this huge change deserves. It’s an attempt to sneak this change into an unrelated piece of legislation which eliminates the chance for members of Congress to review the facts, for hearings to take place, and for stake holders to offer their input. It even bypasses the judicial branch from reviewing its legality. It’s not the way we should be doing the people’s business. This big of a change to our Medicare prescription drug program should be out in the open, analyzed and debated. I’m tired of politically expedient proposals that do nothing to make our healthcare better but will look good in some election ads and speeches. These proposed changes will affect real people for a long time, Congress should take the time to hear from the people these changes affect.

On that note I encourage you to write or call your members of Congress and tell them you want real solutions, not changes that need to be snuck in as an amendment to unrelated, must-pass legislation.

I also urge you to tune in on June 1 to our Facebook Live event where I will talk with Pam Traxel who leads the advocacy arm of the American Cancer Society. I’m sure some of the above issues will be discussed. You can tune in for the event by clicking here on Wednesday.

Best, Thair



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National Senior’s Health and Fitness Day. Do I Have to Get Off the Couch to Participate?

This Wednesday, May 25th, is National Senior Health and Fitness Day, one of two days a year that focuses on seniors’ health and fitness. As the title might suggest it probably will take more than two days a year to get some of us off our duffs and doing something that has some semblance of exercise. For most of my life someone has been telling me to exercise and they always have good reasons, it’ll make your lungs/heart stronger, raise your endorphins (I’m still not sure what those are and why I need to raise them), and you’ll sleep better. I’m probably like most people and have, periodically, developed some routine of exercising, but at no point did it become part of my everyday life. The question is, why should I start now? Glad you asked.

Here’s my take on this question. I’ve noticed a definite decline in my ability to perform some physical things. I don’t play basketball anymore, I don’t run unless it’s a real emergency, and getting down is easy, getting back up, not so much. It doesn’t seem right that just when I have more time on my hands my ability to do some of the things that make me happy has decreased. There’s the crux of the problem and the source of the answer. Prolonging your ability to do things that you enjoy and feeling healthy enough that you want to go out and do them may be the motivator that you need to get off the couch. I guess that’s why they named the day National Senior Health and Fitness Day, you need to be both healthy enough and fit enough to enjoy the activities that give you joy.

Here’s my challenge, this Wednesday, sit down and write down the things that you used to do that health and fitness are keeping you from doing. There are going to be some things that just aren’t going to be possible. I’m never going to go back to playing basketball, but hiking may be something that I don’t do anymore because of my knees or hips or aerobic weakness. This is the time to talk with your doctor. I’ve found that I’ve got in my head that the only time I go to the doctor is when I’m sick. You have every right to make an appointment with the doctor and ask the simple question, I want to go hiking but this (whatever is keeping you from hiking) makes it so I can’t, what can I do?

For instance, I love to golf but periodically my legs started hurting. It seemed like it was a strange hurt, not like it was in the muscle. I went to the doctor, and she says it might be a nerve problem. She suggested I schedule an MRI to look at my lower back and upper legs. If there is something that can be done to alleviate this problem I’m motivated to do it, even if it’s exercising. The point here is don’t be bashful about being proactive in the preservation of the things that make you happy.

It’s almost a given that exercising and eating healthy are going to be in any doctor’s advice for restoring or prolonging your ability to something physical. Which brings us back to this Wednesday’s National Senior Health and Fitness Day. It’s a great time to take stock, as I recommended earlier, and make a change. Look at the resources available. There are often activities on this day, walks and runs and screenings that you can take advantage of. Here are seven senior health and fitness day ideas that you can do:

1. Go to the Park – Check out local events near you or construct your own day at the park, filled with trail walking and a picnic!

2. Attend a Fitness Class – Whether at a local community center or private gym, look for a structured workout session.

3. Walk to Health – Organizations near you may be organizing walking events.

4. Work in the Garden – Gardening is a leisurely hobby promoting both health and fitness

5. Dance – Groove and dance to the music! Whether signed up for a Zumba class or in the comfort of your own kitchen, there are endless possibilities when it comes to dancing, as it can be done just about anywhere.

6. Schedule A Health Screening – Along with being active, be proactive with health. Scheduling a health screening keeps seniors in the know of their own personal health and offers a chance to take preventative measures or actions, which may also be dependent on the physical results and discussions held with a healthcare professional.

7. Volunteer – Volunteering is a chance to offer health and wellbeing not only to yourself, but the ability to extend it to others.

There is one other source of fitness help that you might find helpful. My insurance offers SilverSneakers as a benefit. It is the nation’s leading community fitness program for Medicare-eligible Americans. I recently joined their email program and I get periodic, about once every four days, emails giving me health information, recipes, exercise tips, etc. They also offer free video exercises classes, online classes and even a free app for your smartphone. You can click here to find out what they offer and check if you’re eligible.

I hope that this Wednesday’s National Senior Health and Fitness Day motivates you to get off the couch and do something that helps you get healthy and fit so you can enjoy the things that make you happy.

Best, Thair



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Skin Cancer Awareness Month

The one thing that I don’t have to tell anyone is that summer is coming. We’ve been careful over the winter to not get caught in the new COVID-19 variant trap and limited our travels. We just barely have been free to remove our masks on airplanes and in the airport, although, depending on our health status and age some of us have chosen to continue the practice. We are all looking forward to going on a vacation, getting away, feeling the warmth of the sun on our face . . . and just as I say that I know you are all saying, “here he goes again, given the blog title, he is going to ruin our fun with dire warnings and a list of dos and don’ts”. Well, there still might be some dos and don’ts but we can still be free to have some fun in the sun if we just follow a few simple steps.

First, a little background. Skin cancer is the most common type of cancer diagnosed each year, but there are ways for us to significantly lower our chance of getting skin cancer and, if it’s found early, it often can be treated and eliminated completely. Here are some interesting and sobering facts:

  • One out of five of those over 70 will develop skin cancer.
  • An estimated 3.6 million people will be diagnosed with basal cell carcinoma (BCC), the most common and least serious type of skin cancer.
  • Having five or more sunburns doubles your chances of getting skin cancer, but just one blistering sunburn in childhood or adolescence more than doubles a person’s chances of developing melanoma (a more serious form of skin cancer) later in life.
  • People who first use a tanning bed before age 35 increase their risk for melanoma by 75 percent.
  • When detected early, the 5-year survival rate for melanoma is 99 percent.


When I read these facts I came to the following conclusions – a lot of people are going to get skin cancer. Things that we did when we were younger affect our risk of getting skin cancer. Since the name of this blog is “Seniors Speak Out,” and we can’t do anything about the stupid decisions we made when we were younger, I’m going to talk about the things that older people should do to limit their chances of getting skin cancer or having a bad outcome if you do get it.

Different people may have a higher or lower risk of getting skin cancer depending on your own background and physical characteristics. I recommend you take this skin cancer risk quiz to see what your own personal risk is. It’s a good first step to take.

Here’s the list of dos and don’ts you’ve all been waiting for, I trimmed it to the ones that fit the older crowd.

  • Seek the shade, especially between 10 AM and 4 PM.
  • Don’t get sunburned.
  • Avoid tanning, and never use UV tanning beds.
  • Cover up with clothing, including a broad-brimmed hat and UV-blocking sunglasses.
  • Use a broad-spectrum (UVA/UVB) sunscreen with an SPF of 15 or higher every day. For extended outdoor activity, use a water-resistant, broad-spectrum (UVA/UVB) sunscreen with an SPF of 30 or higher.
  • Apply 1 ounce (2 tablespoons) of sunscreen to your entire body 30 minutes before going outside. Reapply every two hours or after swimming or excessive sweating.
  • Examine your skin head-to-toe every month.
  • See a dermatologist at least once a year for a professional skin exam.


These are things that we’ve all probably heard before but maybe have periodically neglected to follow. This month is a good time to start following the guidance above. I would like to talk a little more about the final two items on the list.

As I get older, I’ve found myself looking at myself in the mirror less and less. The sagging and wrinkles just aren’t that exciting to look at. Examining myself from head to toe once a month just doesn’t seem like much fun, but you can see the wisdom in doing that type of examination. I’ve given this guidance some thought and have come up with a personal solution that I’m going to try. As I’ve grown older, I’ve found the accuracy of my memory has declined. According to my wife (and she is right on this point) my memory hasn’t declined, I still remember things just fine, I just remember them wrong. Given that fact I saw a problem with trying to remember from month to month if something on my skin has changed. I decided I’m going to take some baseline pictures that I could use to compare to my monthly exam. This way any changes would be apparent and not based on my flawed memory. It’s just something I thought I’d do; you’re welcome to use your own methods. The important thing is that you do the monthly exam. Remember, early detection makes a huge difference in achieving a positive outcome.

The last item, seeing your dermatologist, is another point that I want to stress. Sometimes skin cancer doesn’t present itself as something you can see. Your dermatologist is the key to detecting things that need further evaluation. Many of us postponed appointments like this due to COVID-19. If it’s been over a year since you saw a dermatologist, schedule an appointment.

I always look at these blogs as hoping they cause some of you to make a change. It’s huge if you just do one thing that helps you stay healthier. My change is I’m going to finally follow the suggestion of my sons and my wife and start putting sunscreen on when I golf, and I’m going full out and using SPF 30. I hope you also decide to make a change that will help protect your skin.

Best, Thair