I know I've done a lot of pharma bashing lately, but this is just so messed up (from Krugman):
Consider the career trajectories of the two men who played the most important role in putting together the Medicare legislation.
Thomas Scully was a hospital industry lobbyist before President Bush appointed him to run Medicare. In that job, Mr. Scully famously threatened to fire his chief actuary if he told Congress the truth about cost projections for the Medicare drug program.
Mr. Scully had good reasons not to let anything stand in the way of the drug bill. He had received a special ethics waiver from his superiors allowing him to negotiate for future jobs with lobbying and investment firms - firms that had a strong financial stake in the form of the bill - while still in public office. He left public service, if that's what it was, almost as soon as the bill was passed, and is once again a lobbyist, now for drug companies.
Meanwhile, Representative Billy Tauzin, the bill's point man on Capitol Hill, quickly left Congress once the bill was passed to become president of Pharmaceutical Research and Manufacturers of America, the powerful drug industry lobby.
That's not including Mark McClellan, secretary of the Center for Medicare and Medicaid Services (CMS) whose former job was as an economist, and whose brother Scott is our beloved Press Secretary.