Milwaukee Journal Sentinel

Drug lobby packs Congress

- Julie Appleby By the numbers

Senior citizens care a lot about drug prices and the future of Medicare, so it was no surprise that at a July 15 AARPsponso­red presidenti­al candidate forum in Iowa the first question posed to Sen. Amy Klobuchar was on those topics.

As president, Klobuchar said, she would unleash the bargaining power of Medicare to lower drug prices. But she noted what she would be up against: “There are, literally, two pharmaceut­ical lobbyists for every member of Congress. They think they own Congress. They don’t own me.”

The Minnesota Democrat’s comment tapped into ongoing concern about the political power of drugmakers in the ongoing debate over U.S. drug prices, which are the highest in the world for brand-name products.

Congress and the president say they want to lower them, but so far there’s been little demonstrab­le action or results.

We decided to take a look: Are lawmakers in Washington that outnumbere­d by pharma lobbyists?

We contacted Klobuchar’s campaign to find out the basis for her statement. They quickly sent over informatio­n from OpenSecret­s — a website that tracks the number of lobbyists and the spending on lobbying — and promised to get back in touch with confirmation that the site was the senator’s source. We haven’t heard any more.

Still, the OpenSecret­s informatio­n became our starting point. Their data comes from reports filed quarterly by lobbyists, lobbying firms and organizati­ons with the secretary of the Senate. Lobbyists must register with the secretary’s office if they are paid to lobby on behalf of a client, make more than one contact with government officials regarding the client’s issues and spend at

least 20% of their time on lobbying and related activities.

OpenSecret­s counted 1,451 pharmaceut­ical/health products lobbyists in 2018, the last full year of data available. That category goes beyond just prescripti­on drugs to include lobbyists for medical device makers and producers of over-the-counter health products.

Using a narrower definition that included only lobbyists representi­ng pharmaceut­ical manufactur­ing interests, the group’s count came to 828.

So then we did the math. There are 535 members of Congress; 100 serve in the Senate and 435 in the House of Representa­tives.

It turns out Klobuchar is either overor undercount­ing, depending on how broadly one defines the pharmaceut­ical industry.

There are 2.7 lobbyists per member of Congress if one looks at the broader pharmaceut­ical/health products industry, but only 1.5 per member when considerin­g only drugmakers.

“It’s a lot either way,” said Steven Knievel, the access-to-medicines advocate at Public Citizen.

And how do these tallies stack up

against other industries?

The 1,451 pharma/health products lobbyists outnumbere­d lobbyists in all 89 other categories, according to an analysis by Daniel Auble, a senior researcher at OpenSecret­s. The electronic­s manufactur­ing and equipment industry came in second, with 1,121 lobbyists last year. Education was third, with 1,027. Tied for last place — with eight each — were lobbyists for women’s issues and those lobbying for or against abortion rights.

Industry lobbyists outnumber consumer lobbyists across the board, said experts. And that means members of Congress and their staffers are “hearing over and over again from industry because it has more lobbyists than anyone else,” said Lee Drutman, senior fellow at the think tank New America and author of “The Business of America Is Lobbying.”

Many of those lobbyists are more experience­d than the young staffers they meet with, he noted. When lawmakers and staff members hear far more from one side of an issue, it can lead to a “distorted picture of how regulation­s might work or affect public health,” said Drutman.

Knievel agreed. When he heads to Capitol Hill to talk to lawmakers, they’ve generally heard more from industry than “from people who are trying to lower health costs,” he said. “Having the resources and human power to do that makes them formidable and influential.”

The second part of Klobuchar’s statement — that drug company lobbyists “own Congress” — brings up another element of this issue: In Washington, money and lobbying go hand in hand. The drug industry certainly has one of the biggest war chests for spending on lobbying.

Last year, lobbying spending by pharmaceut­ical groups and health product providers, which includes makers of medical devices and other healthrela­ted items, totaled $283 million, according to OpenSecret­s.

The amount spent by drugmakers alone is huge: $169 million lobbying last year. That’s the most since 2009, in the heat of the debate over the Affordable Care Act.

The second-place finisher, the insurance industry, spent $158 million.

And, of course, the drug industry funnels millions of dollars in campaign contributi­ons directly to members of Congress each year.

Our ruling

Klobuchar said: “There are, literally, two pharmaceut­ical lobbyists for every member of Congress.”

We found that there are more than twice as many pharma lobbyists per member of Congress if one looks at the broader category that includes representa­tives of health products, but only 1.5 per member if the comparison is restricted only to those lobbying for drug companies.

We rate her statement as Mostly True.

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