Prospective Parents in Limbo After 2 Accidents Destroy Fertility Clinic Embryos
Most Americans Want Drug Prices Controlled. Why Won't Congress Act?
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After contacting the center, he and his partner were informed their frozen embryos were in the impacted tank. But it will take at least another week before they learn whether their vials were damaged.\u003c/p>\n\u003cp>\"It's like waiting for any major test. 'Do we have cancer?' We're in this limbo,\" said Taroli, who said he spent $50,000 for the procedure. \"We know something has happened but we don't know if our four embryos are alive still.\"\u003c/p>\n\u003cp>The problem was discovered during a routine check by a senior embryologist who noticed that the liquid nitrogen levels in one tank had dipped to very low levels, affecting thousands of frozen eggs and embryos belonging to about 500 clients.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The tanks rely on liquid nitrogen to keep the frozen vials at the correct storage temperature.\u003c/p>\n\u003cp>The clinic has not yet announced the number of people impacted, said Ho. In a statement, Pacific Fertility Center said, \"The vast majority of the eggs and embryos in the lab were unaffected.\"\u003c/p>\n\u003cp>One of the company's clients includes an unnamed woman who learned on Sunday that her frozen eggs were destroyed. She has since filed a class action lawsuit against the company, seeking $5 million in damages for gross negligence stemming from a failure to properly maintain equipment. That figure is the minimum required to file a class-action suit in federal court.\u003c/p>\n\u003cp>Steven Tindall, the attorney for the woman, told Forum the facility lacked a real-time monitoring system that could have immediately alerted staff of a drop in nitrogen levels.\u003c/p>\n\u003cp>In a statement issued Wednesday, the company said it took immediate action once the malfunction was discovered:\u003c/p>\n\u003cblockquote>\u003cp>On March 4, a single piece of equipment in our cryogenic storage lab lost liquid nitrogen for a brief period of time. We do know that there is viable tissue from this tank. The rest of the tanks were not affected and the equipment was immediately retired. The vast majority of the eggs and embryos in the lab were unaffected and the facility is operating securely. As soon as the issue was discovered, our most senior embryologist took immediate action to transfer those tissues from the affected equipment to a new piece of equipment. And we have brought independent experts and are conducting a full investigation. We are truly sorry this happened and for the anxiety that this will surely cause.\u003c/p>\u003c/blockquote>\n\u003cp>The cost of storing frozen eggs or embryos is $600 a year, according to the center's website. But the entire process can cost anywhere between $10,000 to $100,000, said the Chronicle's Ho. Aside from the financial costs, the process can be emotionally draining for prospective parents.\u003c/p>\n\u003cp>Some of the clinic's clients include former cancer patients who had their eggs taken out in advance of cancer treatments, Tindall said.\u003c/p>\n\u003cp>\"Those people may have lost their opportunity to have biological children.\"\u003c/p>\n\u003cp>\u003cstrong>Ohio Incident\u003c/strong>\u003c/p>\n\u003cp>In a bizarre coincidence, a similar tank malfunction occurred at a Cleveland-based fertility clinic on the same day as the accident in San Francisco. The\u003ca href=\"http://www.cleveland.com/healthfit/index.ssf/2018/03/university_hospitals_notifies.html\" target=\"_blank\" rel=\"noopener\"> Cleveland Plain-Dealer\u003c/a> reported that the University Hospitals Fertility Center lost frozen eggs and embryos from 700 patients. Lawsuits have been filed in this incident as well, according to \u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2018/03/14/class-action-lawsuit-filed-against-pacific-fertility-for-loss-of-up-to-thousands-of-embryos-and-eggs/?utm_term=.705a90a7aa98\" target=\"_blank\" rel=\"noopener\">The Washington Post\u003c/a>.\u003c/p>\n\u003cp>The loss of potentially thousands of eggs and embryos from both clinics mark the biggest such loss on record in the U.S.\u003c/p>\n\u003cp>Regulations for oversight of fertility clinics vary by state. California, for example, requires clinics to be accredited by the Laboratory Field Services division of the California Department of Public Health. Ohio has no such licensing requirement.\u003c/p>\n\u003cp>\"The United States is the Wild West of the fertility industry,” Marcy Darnovsky, executive director of the Center for Genetics and Society told the Pew Charitable Trust's \u003ca href=\"http://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2015/3/18/states-not-eager-to-regulate-fertility-industry\" target=\"_blank\" rel=\"noopener\">Stateline\u003c/a> in 2015.\u003c/p>\n\u003cp>Data shows that 1.5 percent of all infants born in the U.S. are conceived using assisted reproductive technology, according to the \u003ca href=\"https://www.cdc.gov/art/artdata/index.html\" target=\"_blank\" rel=\"noopener\">Centers for Disease Control and Prevention. \u003c/a>More than 60,000 U.S. births in 2015 resulted from such methods.\u003c/p>\n\u003cp>The American Society for Reproductive Medicine does issue guidelines for fertility clinics, but they are not mandatory. The center has been accused of prioritizing the business interests of its members.\u003c/p>\n\u003cp>“It’s a field characterized by strong antiregulatory sentiment because it evolved as a business, not a research enterprise,” Arthur Caplan, director of the division of Medical Ethics at New York University’s School of Medicine, told Pew Charitable Trust.\u003c/p>\n\u003cp>For Taroli, the question of liability doesn't change how the experience has affected him and his partner.\u003c/p>\n\u003cp>\"The reality is ... we've all been affected. Even if it turns out that our embryos are okay,\" he says, \"we're still going through this madness right now of not knowing and we’re worried about whether or not they're still alive.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>The Associated Press contributed to this report.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"The destruction of potentially thousands of eggs and embryos on the same day in 2 fertility clinics 2,500 miles apart marks the biggest such loss on record in the U.S.","status":"publish","parent":0,"modified":1521499197,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":934},"headData":{"title":"Prospective Parents in Limbo After 2 Accidents Destroy Fertility Clinic Embryos | KQED","description":"The destruction of potentially thousands of eggs and embryos on the same day in 2 fertility clinics 2,500 miles apart marks the biggest such loss on record in the U.S.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"440245 https://ww2.kqed.org/futureofyou/?p=440245","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/03/16/accidents-destroy-embryos-at-2-fertility-clinics-on-same-day/","disqusTitle":"Prospective Parents in Limbo After 2 Accidents Destroy Fertility Clinic Embryos","source":"DIY Health","audioUrl":"https://soundcloud.com/kqed/fertility-clinic-says-thousands-of-eggs-and-embryos-may-be-damaged-after-malfunction","path":"/futureofyou/440245/accidents-destroy-embryos-at-2-fertility-clinics-on-same-day","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Two refrigeration failures at fertility clinics in different states, coincidentally occurring on March 4, are raising questions about oversight of the industry and triggered several lawsuits.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We know something has happened but we don't know if our four embryos are alive still.'\u003c/aside>\n\u003cp>In San Francisco, the Pacific Fertility Center says it is still assessing the extent of the damage to the embryos and eggs it stores, said San Francisco Chronicle reporter Catherine Ho on KQED's \u003ca href=\"https://www.kqed.org/forum/2010101864351/woman-sues-fertility-center-after-equipment-failure-destroys-her-eggs\" target=\"_blank\" rel=\"noopener\">Forum program\u003c/a> Friday.\u003c/p>\n\u003cp>One of those clients includes Bill Taroli, who told Forum host Mina Kim he first learned about the malfunction on the evening news. After contacting the center, he and his partner were informed their frozen embryos were in the impacted tank. But it will take at least another week before they learn whether their vials were damaged.\u003c/p>\n\u003cp>\"It's like waiting for any major test. 'Do we have cancer?' We're in this limbo,\" said Taroli, who said he spent $50,000 for the procedure. \"We know something has happened but we don't know if our four embryos are alive still.\"\u003c/p>\n\u003cp>The problem was discovered during a routine check by a senior embryologist who noticed that the liquid nitrogen levels in one tank had dipped to very low levels, affecting thousands of frozen eggs and embryos belonging to about 500 clients.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The tanks rely on liquid nitrogen to keep the frozen vials at the correct storage temperature.\u003c/p>\n\u003cp>The clinic has not yet announced the number of people impacted, said Ho. In a statement, Pacific Fertility Center said, \"The vast majority of the eggs and embryos in the lab were unaffected.\"\u003c/p>\n\u003cp>One of the company's clients includes an unnamed woman who learned on Sunday that her frozen eggs were destroyed. She has since filed a class action lawsuit against the company, seeking $5 million in damages for gross negligence stemming from a failure to properly maintain equipment. That figure is the minimum required to file a class-action suit in federal court.\u003c/p>\n\u003cp>Steven Tindall, the attorney for the woman, told Forum the facility lacked a real-time monitoring system that could have immediately alerted staff of a drop in nitrogen levels.\u003c/p>\n\u003cp>In a statement issued Wednesday, the company said it took immediate action once the malfunction was discovered:\u003c/p>\n\u003cblockquote>\u003cp>On March 4, a single piece of equipment in our cryogenic storage lab lost liquid nitrogen for a brief period of time. We do know that there is viable tissue from this tank. The rest of the tanks were not affected and the equipment was immediately retired. The vast majority of the eggs and embryos in the lab were unaffected and the facility is operating securely. As soon as the issue was discovered, our most senior embryologist took immediate action to transfer those tissues from the affected equipment to a new piece of equipment. And we have brought independent experts and are conducting a full investigation. We are truly sorry this happened and for the anxiety that this will surely cause.\u003c/p>\u003c/blockquote>\n\u003cp>The cost of storing frozen eggs or embryos is $600 a year, according to the center's website. But the entire process can cost anywhere between $10,000 to $100,000, said the Chronicle's Ho. Aside from the financial costs, the process can be emotionally draining for prospective parents.\u003c/p>\n\u003cp>Some of the clinic's clients include former cancer patients who had their eggs taken out in advance of cancer treatments, Tindall said.\u003c/p>\n\u003cp>\"Those people may have lost their opportunity to have biological children.\"\u003c/p>\n\u003cp>\u003cstrong>Ohio Incident\u003c/strong>\u003c/p>\n\u003cp>In a bizarre coincidence, a similar tank malfunction occurred at a Cleveland-based fertility clinic on the same day as the accident in San Francisco. The\u003ca href=\"http://www.cleveland.com/healthfit/index.ssf/2018/03/university_hospitals_notifies.html\" target=\"_blank\" rel=\"noopener\"> Cleveland Plain-Dealer\u003c/a> reported that the University Hospitals Fertility Center lost frozen eggs and embryos from 700 patients. Lawsuits have been filed in this incident as well, according to \u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2018/03/14/class-action-lawsuit-filed-against-pacific-fertility-for-loss-of-up-to-thousands-of-embryos-and-eggs/?utm_term=.705a90a7aa98\" target=\"_blank\" rel=\"noopener\">The Washington Post\u003c/a>.\u003c/p>\n\u003cp>The loss of potentially thousands of eggs and embryos from both clinics mark the biggest such loss on record in the U.S.\u003c/p>\n\u003cp>Regulations for oversight of fertility clinics vary by state. California, for example, requires clinics to be accredited by the Laboratory Field Services division of the California Department of Public Health. Ohio has no such licensing requirement.\u003c/p>\n\u003cp>\"The United States is the Wild West of the fertility industry,” Marcy Darnovsky, executive director of the Center for Genetics and Society told the Pew Charitable Trust's \u003ca href=\"http://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2015/3/18/states-not-eager-to-regulate-fertility-industry\" target=\"_blank\" rel=\"noopener\">Stateline\u003c/a> in 2015.\u003c/p>\n\u003cp>Data shows that 1.5 percent of all infants born in the U.S. are conceived using assisted reproductive technology, according to the \u003ca href=\"https://www.cdc.gov/art/artdata/index.html\" target=\"_blank\" rel=\"noopener\">Centers for Disease Control and Prevention. \u003c/a>More than 60,000 U.S. births in 2015 resulted from such methods.\u003c/p>\n\u003cp>The American Society for Reproductive Medicine does issue guidelines for fertility clinics, but they are not mandatory. The center has been accused of prioritizing the business interests of its members.\u003c/p>\n\u003cp>“It’s a field characterized by strong antiregulatory sentiment because it evolved as a business, not a research enterprise,” Arthur Caplan, director of the division of Medical Ethics at New York University’s School of Medicine, told Pew Charitable Trust.\u003c/p>\n\u003cp>For Taroli, the question of liability doesn't change how the experience has affected him and his partner.\u003c/p>\n\u003cp>\"The reality is ... we've all been affected. Even if it turns out that our embryos are okay,\" he says, \"we're still going through this madness right now of not knowing and we’re worried about whether or not they're still alive.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>The Associated Press contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/440245/accidents-destroy-embryos-at-2-fertility-clinics-on-same-day","authors":["11428"],"programs":["futureofyou_54"],"categories":["futureofyou_1060","futureofyou_452","futureofyou_1","futureofyou_73"],"tags":["futureofyou_1409","futureofyou_927","futureofyou_283","futureofyou_137","futureofyou_1473"],"collections":["futureofyou_1093"],"featImg":"futureofyou_440254","label":"source_futureofyou_440245"},"futureofyou_435763":{"type":"posts","id":"futureofyou_435763","meta":{"index":"posts_1591205157","site":"futureofyou","id":"435763","score":null,"sort":[1507051849000]},"guestAuthors":[],"slug":"most-americans-want-drug-prices-controlled-why-wont-congress-act","title":"Most Americans Want Drug Prices Controlled. Why Won't Congress Act?","publishDate":1507051849,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Of all the promises President Donald Trump made for the early part of his term, controlling stinging drug prices might have seemed the easiest to achieve.\u003c/p>\n\u003caside class=\"pullquote alignright\">'There is a very aggressive lobby that is finding any and all means to thwart any reform to a system that has produced very lucrative profits.'\u003ccite>Ameet Sarpatwari, Harvard Medical School\u003c/cite>\u003c/aside>\n\u003cp>An angry public overwhelmingly wants change in an easily vilified industry. Big pharma’s recent publicity nightmare included thousand-percent price increases and a \u003ca href=\"https://www.vanityfair.com/news/2017/08/martin-shkreli-verdict\" target=\"_blank\" rel=\"noopener\">smirking CEO who said\u003c/a>, “I liken myself to the robber barons.” Even powerful members of Congress from both parties have said that drug prices are too high.\u003c/p>\n\u003cp>But any momentum to address prescription drug costs — a problem that \u003ca href=\"http://www.kff.org/slideshow/public-opinion-on-prescription-drugs-and-their-prices/\" target=\"_blank\" rel=\"noopener\">a large number of Americans\u003c/a> now believe government should solve — has been lost amid rancorous debates over replacing Obamacare and stalled by roadblocks erected via lobbying and industry cash.\u003c/p>\n\u003cp>“There is a very aggressive lobby that is finding any and all means to thwart any reform to a system that has produced very lucrative profits,” said Ameet Sarpatwari, an epidemiologist and lawyer at Harvard Medical School who follows drug legislation. “Everything that’s coming out is being hit and hit hard — even stuff that’s commonsensical.”\u003c/p>\n\u003cp>[contextly_sidebar id=\"RiRCaAhGLSSzIv8VTS6OBlnq3jBDwE0j\"]Those in Congress concerned with health policy have spent much of the year advancing proposals to overhaul the Affordable Care Act, none of which would affect pharmaceutical pricing. The latest Republican proposal, by Senators Lindsey Graham of South Carolina and Bill Cassidy of Louisiana, is no different.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Meanwhile, more than two dozen bills aimed at curbing drug costs have been introduced in this or the previous Congress, according to the Drug Pricing Lab, a Memorial Sloan Kettering Cancer Center program \u003ca href=\"https://drugpricinglab.org/tools/dpl-policy-tracker/\" target=\"_blank\" rel=\"noopener\">that has catalogued ideas for reducing prices.\u003c/a> Many have bipartisan support.\u003c/p>\n\u003cp>Proposals include importation from other developed countries, where regulations keep prices down; allowing government to negotiate the price of Medicare-covered drugs; speeding approval of cheaper generics; requiring notification before raising drug prices; and restricting consumer drug ads.\u003c/p>\n\u003cp>Other ideas that haven’t made it to legislation include banning patents for pills that simply copy or repackage existing medicines; and adjusting prices according to a drug’s effectiveness.\u003c/p>\n\u003cp>“There’s clearly no single solution out there that will solve this rapidly rising spending,” said Dr. Peter Bach, who leads the lab. But, he added, “there’s not a lot of fundamental disagreement about the direction this needs to move.”\u003c/p>\n\u003cp>Trump drew new attention to the issue last month by tweeting that Merck’s chief executive, Kenneth Frazier, “will have more time to LOWER RIPOFF DRUG PRICES!” after Frazier quit the president’s manufacturing council to protest his remarks about white supremacists in Charlottesville, Va.\u003c/p>\n\u003cp>Those comments matched Trump’s \u003ca href=\"http://www.politico.com/story/2017/01/trump-press-conference-drug-industry-233475\" target=\"_blank\" rel=\"noopener\">characterization earlier this year of drug companies\u003c/a>as “getting away with murder.” That same January day, a dozen Republican senators, including Ted Cruz of Texas, John McCain of Arizona and Mike Lee of Utah, voted for the old liberal idea of letting Americans buy less-expensive drugs from Canada.\u003c/p>\n\u003cp>[contextly_sidebar id=\"urt72cNaNX4YKl7iNuU8fZ3qlRARZvTT\"]The measure was attached to a budget resolution and \u003ca href=\"http://www.politifact.com/truth-o-meter/statements/2017/jan/18/other-98/viral-image-about-democratic-senators-and-big-phar/\" target=\"_blank\" rel=\"noopener\">wouldn’t, by itself,\u003c/a> have allowed importation. It failed 52 to 46 after 13 Democrats voted against it, with some citing safety concerns about foreign-sourced medicine — an idea promoted by American drugmakers.\u003c/p>\n\u003cp>Even so, the vote prompted speculation that a pharma price deal might be within reach.\u003c/p>\n\u003cp>Sen. Lee is one of the Republicans who favor importation as a way to increase competition. “When we’re talking about garden-variety, generic drugs that can be easily imported from another country that has regulatory procedures that make them safe?” he said in an interview. “I don’t see why not.”\u003c/p>\n\u003cp>In response to the new threats, the Pharmaceutical Research and Manufacturers of America, already one of Washington’s biggest-spending trade groups, \u003ca href=\"http://www.politico.com/story/2016/10/phrma-lobby-pricing-battle-230277\" target=\"_blank\" rel=\"noopener\">increased member dues by half\u003c/a> last year to prepare for battle.\u003c/p>\n\u003cp>The pharmaceutical and health products industries \u003ca href=\"https://www.opensecrets.org/lobby/indus.php?id=H&year=2017\" target=\"_blank\" rel=\"noopener\">spent $145 million\u003c/a> on lobbying for the first half of 2017, according to data from the Center for Responsive Politics.\u003c/p>\n\u003cp>Drug manufacturers gave $4.5 million to congressional campaigns in that period, including six-figure donations to House Speaker Paul Ryan; Rep. Greg Walden, head of the House Energy and Commerce Committee; and Sen. Orrin Hatch, head of the Senate Finance Committee, according to a Kaiser Health News analysis.\u003c/p>\n\u003cp>PhRMA’s “Go Boldly” campaign, showing heroic researchers seeking cures, has spent $28 million so far this year on six ads shown on about 4,600 national TV channels, according to iSpot.tv, an ad tracker.\u003c/p>\n\u003cp>The industry hired former FBI director Louis Freeh \u003ca href=\"https://storage.googleapis.com/m1738/20170605_Report%20on%20Counterfeit%20Drugs.pdf\" target=\"_blank\" rel=\"noopener\">to study\u003c/a> the impact of importation. He concluded that it would “leave the safety of the U.S. prescription drug supply vulnerable to criminals seeking to harm patients.” Import proponents argue the Food and Drug Administration could easily ensure safety by licensing and inspecting Canadian suppliers.\u003c/p>\n\u003cp>Drugmakers say that high prices reflect heavy investment in innovation and drug development. They reject the notion that the industry wields too much influence in Washington.\u003c/p>\n\u003cp>“These are important issues with significant ramifications,” Holly Campbell, a PhRMA spokeswoman, said. “So we will continue to be engaged with the administration to advance solutions that improve the marketplace and make it more responsive to the needs of patients.”\u003c/p>\n\u003cp>The top 10 publicly traded U.S. drug companies made $67.8 billion last year, after taxes, regulatory filings show.\u003c/p>\n\u003cp>Efforts to restrain prices have made little progress in the executive branch, either.\u003c/p>\n\u003cp>The White House has long been expected to issue an executive order on drug costs. But \u003ca href=\"https://www.nytimes.com/2017/06/20/health/draft-order-on-drug-prices-proposes-easing-regulations.html?_r=0\" target=\"_blank\" rel=\"noopener\">leaked documents\u003c/a> show that deliberations have focused on things the industry wants, such as \u003ca href=\"https://khn.org/news/exclusive-white-house-task-force-echoes-pharma-proposals/\" target=\"_blank\" rel=\"noopener\">extending overseas patents\u003c/a> and changing a drug-discount program for hospitals, and not so much on lowering prices.\u003c/p>\n\u003cp>Gerard Anderson, a health policy professor at Johns Hopkins University, said Trump’s draft order “did not talk at all about branded drugs or about specialty drugs,” including for rheumatoid arthritis and cancer, that have seen especially steep price increases. “If that represents the administration’s thinking, then my guess is there is not much effort.”\u003c/p>\n\u003cp>Trump’s ongoing feud with congressional Republicans, especially Senate Majority Leader Mitch McConnell, means “you’re not going to get any strong direction or leadership out of the White House” on drug prices, said Vishnu Lekraj, who follows pharma stocks for Morningstar, an investment research firm.\u003c/p>\n\u003cp>Trump isn’t the only one in his administration criticizing drug companies. Scott Gottlieb, the FDA commissioner, has accused the industry of \u003ca href=\"https://blogs.fda.gov/fdavoice/index.php/2017/06/fda-working-to-lift-barriers-to-generic-drug-competition/\" target=\"_blank\" rel=\"noopener\">“gaming” the system\u003c/a> to delay the appearance of cheap generics after patents expire. He has pledged to speed applications for generics when there is little competition as part of a \u003ca href=\"https://www.fda.gov/newsevents/newsroom/pressannouncements/ucm564725.htm\" target=\"_blank\" rel=\"noopener\">“drug competition action plan”\u003c/a>while opposing stronger measures like allowing importation.\u003c/p>\n\u003cp>But promoting generics is “reasonably small potatoes” compared with the money that could be saved by putting direct pressure on brand-drug prices, Anderson said. Gottlieb has served on the boards of \u003ca href=\"https://www.opensecrets.org/news/2017/04/fda-nominee-gottlieb/\" target=\"_blank\" rel=\"noopener\">several pharmaceutical companies\u003c/a> and reaped large consulting and speaking fees from the industry.\u003c/p>\n\u003cp>Yet even small potatoes might be a long shot — despite widespread agreement that change is needed.\u003c/p>\n\u003cp>“It is sort of remarkable to see just how far the system can bend before meaningful reform is taken,” said Sarpatwari of Harvard. “If there ever was a time to strike while it’s hot, it’s now.”\u003c/p>\n\u003cp>\u003cem>Elizabeth Lucas and Sydney Lupkin contributed to this report.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>KHN’s coverage of prescription drug development, costs and pricing is supported in part by the \u003ca href=\"http://www.arnoldfoundation.org/\" target=\"_blank\" rel=\"noopener\">Laura and John Arnold Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Any momentum to address prescription drug costs has been lost amid rancorous debates over replacing Obamacare and stalled by roadblocks erected via lobbying and industry cash.","status":"publish","parent":0,"modified":1507051849,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1355},"headData":{"title":"Most Americans Want Drug Prices Controlled. Why Won't Congress Act? | KQED","description":"Any momentum to address prescription drug costs has been lost amid rancorous debates over replacing Obamacare and stalled by roadblocks erected via lobbying and industry cash.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"435763 https://ww2.kqed.org/futureofyou/?p=435763","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/10/03/most-americans-want-drug-prices-controlled-why-wont-congress-act/","disqusTitle":"Most Americans Want Drug Prices Controlled. Why Won't Congress Act?","nprByline":"Jay Hancock\u003c/br>Kaiser Health News","path":"/futureofyou/435763/most-americans-want-drug-prices-controlled-why-wont-congress-act","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Of all the promises President Donald Trump made for the early part of his term, controlling stinging drug prices might have seemed the easiest to achieve.\u003c/p>\n\u003caside class=\"pullquote alignright\">'There is a very aggressive lobby that is finding any and all means to thwart any reform to a system that has produced very lucrative profits.'\u003ccite>Ameet Sarpatwari, Harvard Medical School\u003c/cite>\u003c/aside>\n\u003cp>An angry public overwhelmingly wants change in an easily vilified industry. Big pharma’s recent publicity nightmare included thousand-percent price increases and a \u003ca href=\"https://www.vanityfair.com/news/2017/08/martin-shkreli-verdict\" target=\"_blank\" rel=\"noopener\">smirking CEO who said\u003c/a>, “I liken myself to the robber barons.” Even powerful members of Congress from both parties have said that drug prices are too high.\u003c/p>\n\u003cp>But any momentum to address prescription drug costs — a problem that \u003ca href=\"http://www.kff.org/slideshow/public-opinion-on-prescription-drugs-and-their-prices/\" target=\"_blank\" rel=\"noopener\">a large number of Americans\u003c/a> now believe government should solve — has been lost amid rancorous debates over replacing Obamacare and stalled by roadblocks erected via lobbying and industry cash.\u003c/p>\n\u003cp>“There is a very aggressive lobby that is finding any and all means to thwart any reform to a system that has produced very lucrative profits,” said Ameet Sarpatwari, an epidemiologist and lawyer at Harvard Medical School who follows drug legislation. “Everything that’s coming out is being hit and hit hard — even stuff that’s commonsensical.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Those in Congress concerned with health policy have spent much of the year advancing proposals to overhaul the Affordable Care Act, none of which would affect pharmaceutical pricing. The latest Republican proposal, by Senators Lindsey Graham of South Carolina and Bill Cassidy of Louisiana, is no different.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Meanwhile, more than two dozen bills aimed at curbing drug costs have been introduced in this or the previous Congress, according to the Drug Pricing Lab, a Memorial Sloan Kettering Cancer Center program \u003ca href=\"https://drugpricinglab.org/tools/dpl-policy-tracker/\" target=\"_blank\" rel=\"noopener\">that has catalogued ideas for reducing prices.\u003c/a> Many have bipartisan support.\u003c/p>\n\u003cp>Proposals include importation from other developed countries, where regulations keep prices down; allowing government to negotiate the price of Medicare-covered drugs; speeding approval of cheaper generics; requiring notification before raising drug prices; and restricting consumer drug ads.\u003c/p>\n\u003cp>Other ideas that haven’t made it to legislation include banning patents for pills that simply copy or repackage existing medicines; and adjusting prices according to a drug’s effectiveness.\u003c/p>\n\u003cp>“There’s clearly no single solution out there that will solve this rapidly rising spending,” said Dr. Peter Bach, who leads the lab. But, he added, “there’s not a lot of fundamental disagreement about the direction this needs to move.”\u003c/p>\n\u003cp>Trump drew new attention to the issue last month by tweeting that Merck’s chief executive, Kenneth Frazier, “will have more time to LOWER RIPOFF DRUG PRICES!” after Frazier quit the president’s manufacturing council to protest his remarks about white supremacists in Charlottesville, Va.\u003c/p>\n\u003cp>Those comments matched Trump’s \u003ca href=\"http://www.politico.com/story/2017/01/trump-press-conference-drug-industry-233475\" target=\"_blank\" rel=\"noopener\">characterization earlier this year of drug companies\u003c/a>as “getting away with murder.” That same January day, a dozen Republican senators, including Ted Cruz of Texas, John McCain of Arizona and Mike Lee of Utah, voted for the old liberal idea of letting Americans buy less-expensive drugs from Canada.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The measure was attached to a budget resolution and \u003ca href=\"http://www.politifact.com/truth-o-meter/statements/2017/jan/18/other-98/viral-image-about-democratic-senators-and-big-phar/\" target=\"_blank\" rel=\"noopener\">wouldn’t, by itself,\u003c/a> have allowed importation. It failed 52 to 46 after 13 Democrats voted against it, with some citing safety concerns about foreign-sourced medicine — an idea promoted by American drugmakers.\u003c/p>\n\u003cp>Even so, the vote prompted speculation that a pharma price deal might be within reach.\u003c/p>\n\u003cp>Sen. Lee is one of the Republicans who favor importation as a way to increase competition. “When we’re talking about garden-variety, generic drugs that can be easily imported from another country that has regulatory procedures that make them safe?” he said in an interview. “I don’t see why not.”\u003c/p>\n\u003cp>In response to the new threats, the Pharmaceutical Research and Manufacturers of America, already one of Washington’s biggest-spending trade groups, \u003ca href=\"http://www.politico.com/story/2016/10/phrma-lobby-pricing-battle-230277\" target=\"_blank\" rel=\"noopener\">increased member dues by half\u003c/a> last year to prepare for battle.\u003c/p>\n\u003cp>The pharmaceutical and health products industries \u003ca href=\"https://www.opensecrets.org/lobby/indus.php?id=H&year=2017\" target=\"_blank\" rel=\"noopener\">spent $145 million\u003c/a> on lobbying for the first half of 2017, according to data from the Center for Responsive Politics.\u003c/p>\n\u003cp>Drug manufacturers gave $4.5 million to congressional campaigns in that period, including six-figure donations to House Speaker Paul Ryan; Rep. Greg Walden, head of the House Energy and Commerce Committee; and Sen. Orrin Hatch, head of the Senate Finance Committee, according to a Kaiser Health News analysis.\u003c/p>\n\u003cp>PhRMA’s “Go Boldly” campaign, showing heroic researchers seeking cures, has spent $28 million so far this year on six ads shown on about 4,600 national TV channels, according to iSpot.tv, an ad tracker.\u003c/p>\n\u003cp>The industry hired former FBI director Louis Freeh \u003ca href=\"https://storage.googleapis.com/m1738/20170605_Report%20on%20Counterfeit%20Drugs.pdf\" target=\"_blank\" rel=\"noopener\">to study\u003c/a> the impact of importation. He concluded that it would “leave the safety of the U.S. prescription drug supply vulnerable to criminals seeking to harm patients.” Import proponents argue the Food and Drug Administration could easily ensure safety by licensing and inspecting Canadian suppliers.\u003c/p>\n\u003cp>Drugmakers say that high prices reflect heavy investment in innovation and drug development. They reject the notion that the industry wields too much influence in Washington.\u003c/p>\n\u003cp>“These are important issues with significant ramifications,” Holly Campbell, a PhRMA spokeswoman, said. “So we will continue to be engaged with the administration to advance solutions that improve the marketplace and make it more responsive to the needs of patients.”\u003c/p>\n\u003cp>The top 10 publicly traded U.S. drug companies made $67.8 billion last year, after taxes, regulatory filings show.\u003c/p>\n\u003cp>Efforts to restrain prices have made little progress in the executive branch, either.\u003c/p>\n\u003cp>The White House has long been expected to issue an executive order on drug costs. But \u003ca href=\"https://www.nytimes.com/2017/06/20/health/draft-order-on-drug-prices-proposes-easing-regulations.html?_r=0\" target=\"_blank\" rel=\"noopener\">leaked documents\u003c/a> show that deliberations have focused on things the industry wants, such as \u003ca href=\"https://khn.org/news/exclusive-white-house-task-force-echoes-pharma-proposals/\" target=\"_blank\" rel=\"noopener\">extending overseas patents\u003c/a> and changing a drug-discount program for hospitals, and not so much on lowering prices.\u003c/p>\n\u003cp>Gerard Anderson, a health policy professor at Johns Hopkins University, said Trump’s draft order “did not talk at all about branded drugs or about specialty drugs,” including for rheumatoid arthritis and cancer, that have seen especially steep price increases. “If that represents the administration’s thinking, then my guess is there is not much effort.”\u003c/p>\n\u003cp>Trump’s ongoing feud with congressional Republicans, especially Senate Majority Leader Mitch McConnell, means “you’re not going to get any strong direction or leadership out of the White House” on drug prices, said Vishnu Lekraj, who follows pharma stocks for Morningstar, an investment research firm.\u003c/p>\n\u003cp>Trump isn’t the only one in his administration criticizing drug companies. Scott Gottlieb, the FDA commissioner, has accused the industry of \u003ca href=\"https://blogs.fda.gov/fdavoice/index.php/2017/06/fda-working-to-lift-barriers-to-generic-drug-competition/\" target=\"_blank\" rel=\"noopener\">“gaming” the system\u003c/a> to delay the appearance of cheap generics after patents expire. He has pledged to speed applications for generics when there is little competition as part of a \u003ca href=\"https://www.fda.gov/newsevents/newsroom/pressannouncements/ucm564725.htm\" target=\"_blank\" rel=\"noopener\">“drug competition action plan”\u003c/a>while opposing stronger measures like allowing importation.\u003c/p>\n\u003cp>But promoting generics is “reasonably small potatoes” compared with the money that could be saved by putting direct pressure on brand-drug prices, Anderson said. Gottlieb has served on the boards of \u003ca href=\"https://www.opensecrets.org/news/2017/04/fda-nominee-gottlieb/\" target=\"_blank\" rel=\"noopener\">several pharmaceutical companies\u003c/a> and reaped large consulting and speaking fees from the industry.\u003c/p>\n\u003cp>Yet even small potatoes might be a long shot — despite widespread agreement that change is needed.\u003c/p>\n\u003cp>“It is sort of remarkable to see just how far the system can bend before meaningful reform is taken,” said Sarpatwari of Harvard. “If there ever was a time to strike while it’s hot, it’s now.”\u003c/p>\n\u003cp>\u003cem>Elizabeth Lucas and Sydney Lupkin contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>KHN’s coverage of prescription drug development, costs and pricing is supported in part by the \u003ca href=\"http://www.arnoldfoundation.org/\" target=\"_blank\" rel=\"noopener\">Laura and John Arnold Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/435763/most-americans-want-drug-prices-controlled-why-wont-congress-act","authors":["byline_futureofyou_435763"],"categories":["futureofyou_1"],"tags":["futureofyou_302","futureofyou_948","futureofyou_137","futureofyou_442"],"featImg":"futureofyou_435772","label":"futureofyou"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png","officialWebsiteLink":"http://freakonomics.com/","airtime":"SUN 1am-2am, SAT 3pm-4pm","meta":{"site":"radio","source":"WNYC"},"link":"/radio/program/freakonomics-radio","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519","tuneIn":"https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/","rss":"https://feeds.feedburner.com/freakonomicsradio"}},"fresh-air":{"id":"fresh-air","title":"Fresh Air","info":"Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.","airtime":"MON-FRI 7pm-8pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/fresh-air/","meta":{"site":"radio","source":"npr"},"link":"/radio/program/fresh-air","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Fresh-Air-p17/","rss":"https://feeds.npr.org/381444908/podcast.xml"}},"here-and-now":{"id":"here-and-now","title":"Here & Now","info":"A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.","airtime":"MON-THU 11am-12pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"http://www.wbur.org/hereandnow","meta":{"site":"news","source":"npr"},"link":"/radio/program/here-and-now","subsdcribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661","tuneIn":"https://tunein.com/radio/Here--Now-p211/","rss":"https://feeds.npr.org/510051/podcast.xml"}},"how-i-built-this":{"id":"how-i-built-this","title":"How I Built This with Guy Raz","info":"Guy Raz dives into the stories behind some of the world's best known companies. 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Updated Monday through Friday at about 3:30 p.m. PT.","airtime":"MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.marketplace.org/","meta":{"site":"news","source":"American Public Media"},"link":"/radio/program/marketplace","subscribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201853034&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/APM-Marketplace-p88/","rss":"https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"}},"mindshift":{"id":"mindshift","title":"MindShift","tagline":"A podcast about the future of learning and how we raise our kids","info":"The MindShift podcast explores the innovations in education that are shaping how kids learn. 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