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I have no words. Alliance For Human Research Protection
Promoting Openness, Full Disclosure, and Accountability
http://www.ahrp.org and http://ahrp.blogspot.com
America's health care oversight agencies are running amok wasting taxpayer money while undermining the public health instead of protecting it.
Below are the highlights of the 115 page review issued by The United States Senate Subcommittee on Federal Financial Management, Government Information and International Security, Minority Office, Under the Direction of Senator Tom Coburn, Ranking Minority Member, June 2007.
U.S federal healthcare oversight agency, it appears are being run by reckless and irresponsible administrators. Previous reports confirmed this sorry state of affairs at the Food an Drug Administration--which is largely under the control of the pharmaceutical industry that it is mandated to oversee; at the National Institutes of Health financial conflicts of interest and scientist' double dipping has undermined the integrity of science and the safety of human subjects; the Environmental Protection Agency is headed by an administrator who would conduct a pesticide experiment on African American toddlers were it not for the public outcry and the intervention of several senators http://www.ahrp.org/infomail/05/09/07.php and
http://www.ahrp.org/infomail/05/11/30.php
The latest indictment is contained in an extraordinary report just published by the US Senate assessing the performance of the Centers for Disease Control: "CDC Off-Center: A review of how an agency tasked with fighting and preventing disease has spent hundreds of millions of tax dollars for failed prevention efforts, international junkets, and lavish facilities, but cannot demonstrate it is controlling disease."
CDC spokesman: "We strive day in and day out to fulfill our commitment to the American taxpayer."
The report, CDC Off-Center is found at: found at:
http://coburn.senate.gov/ffm/index.cfm?FuseAction=OversightAction.Home&ContentRecord_id=bf7e1789-802a-23ad-42e1-57d542e77901
Dr. Coburn indicated that this is the First in a Series of Oversight Reports on Federal Agencies.
Contact: Vera Hassner Sharav 212-595-8974
http://coburn.senate.gov/ffm/index.cfm?FuseAction=OversightAction.Home&ContentRecord_id=bf7e1789-802a-23ad-42e1-57d542e77901
June 12, 2007
The First in a Series of Oversight Reports on Federal Agencies
"CDC Off Center," a 115-page oversight report authored by the Minority Office of the Federal Financial Management Subcommittee, under the direction of ranking member Senator Tom Coburn, examines how CDC has tilted off center and makes recommendations about how it might get back on track.
The American people expect CDC to spend its $10 billion budget this year treating and preventing diseases and dealing with public safety threats, including the threat of bioterrorism. While CDC will meet some of those expectations, if history is any guide, it will also waste millions of dollars.
As part of his commitment to oversight of how Washington spends taxpayer dollars, Senator Coburn plans to release a series of oversight reports on federal agencies. Senator Coburn's hope is that more and better oversight will assist federal agencies and those in Congress with responsibility for overseeing agency budgets, with reigning in wasteful spending; demanding measurable results from programs and grantees; and with reevaluating current spending before asking politicians and taxpayers to send more scarce tax dollars.
"CDC Off Center" is not an effort to discredit the good work that the CDC and those who work for it have carried out and the good work that will continue in the future. The report will hopefully be seen for what it is: an effort to shine some light on prevention efforts and funding decisions that may be holding the agency back from fulfilling its central mission of fighting and controlling disease.
Some examples in the report of CDC's spending:
$1.7 million - including terrorism funds - on a Hollywood liaison program, which happens to be run by a former employee (pg. 87);
$45 million for conferences, including those featuring prostitutes, protests, and beach parties (pgs. 48 - 60);
$30,000 employee saunas in a new $200,000 fitness center that also includes mood-enhancing light shows and $3,500 worth of zero-gravity chairs (pg. 15);
$5 billion spent over seven years on HIV/AIDS prevention funding, and yet the U.S. still sees 40,000 new cases each year, with no decrease in infection rates for over a decade (pgs. 23-37); Syphilis prevention funds used to feature a porn star's presentation (pg. 44); HIV/AIDS prevention funds spent on a transgender beauty pageant (pg. 45);
$250,000 spent so two former employees could help build staff morale, (pgs. 100 - 101);
$5.1 million on "audio visual integration" in the new Thomas R. Harkin communications and visitor center, including a giant 70-foot-wide by 25-foot-tall video wall of plasma screen TVs showcasing agency vignettes (pg. 8);
110 CDC employees traveled to two international AIDS conferences, when buying retroviral drugs with the trip funds could have prevented mother-to-child AIDS transmission for more than 115,000 infants (pgs. 50 & 52);
New Hawaii office opening soon, announcement made by Senator from Hawaii who oversees agency's funding (pg. 18);
$335 million on ads to fight childhood obesity. kids saw the ads, whether or not the ads affected their behavior is another question (pgs. 69 - 71);
$128,000 in CDC bioterrorism funds spent by L.A. County on trinkets such as letter openers, whistles, magnets, mouse pads, flashlights, pens, and travel toothbrushes (pgs. 106 - 110).
The report also includes:
*A detailed graph showing CDC's yearly budget from 1995-2007, which has increased by more than 350% (pg. 7); and
*A chart showing yearly CDC's HIV/AIDS funding from 2001-2007, which has more than doubled during that time (pg. 115).
*Do you know of examples of government waste, fraud or abuse? Submit the information to FFM's website tip page, or by mail to:
Senator Tom Coburn
Subcommittee on Federal Financial Management,
Government Information, and International Security
340 Dirksen Senate Office Building
Washington, D.C. 20510
Further Readings:
FFM Report - CDC Off Center (829.5 KBs)
http://coburn.senate.gov/ffm/index.cfm?FuseAction=Files.View&FileStore_id=0e72b780-363a-4777-b841-20925a304d20
Jun 11, 2007
~~~~~~~~~~~~~~~~
News:
Sen. Tom Coburn: Resolute and Right
http://coburn.senate.gov/ffm/index.cfm?
FuseAction=LatestNews.NewsStories&Con
tentRecord_id=2fa2c86d-802a-23ad-41e9-56c29757ef96
Jun 14, 2007
By John W. Mashek
US News & World Report: A Capital View
Senator's report: CDC wastes millions on perks
http://coburn.senate.gov/ffm/index.cfm?
FuseAction=LatestNews.NewsStories&Con
tentRecord_id=2562fa32-802a-23ad-45b2-0367f9916815
Jun 13, 2007
By Matt Kelley
USA TODAY
Health Agency Wastes Cash on Consultants, Screens, Report Finds
http://coburn.senate.gov/ffm/index.cfm?
FuseAction=LatestNews.NewsStories&Con
tentRecord_id=2a9de4c8-802a-23ad-465d-b4a99f022fca
Jun 12, 2007
By John Lauerman
Bloomberg
Report: CDC wastes millions
"The top public health agency spent millions of dollars on a Hollywood consultant, a lavish visitors center, and a 70-foot-by-25 foot ``wall of plasma televisions,'' a senator's report said.
http://coburn.senate.gov/ffm/index.cfm?
FuseAction=LatestNews.NewsStories&Con
tentRecord_id=2a9de4c8-802a-23ad-465d-b4a99f022fca
Jun 12, 2007
By Alison Young
Atlanta Journal-Constitution
http://coburn.senate.gov/ffm/index.cfm?
FuseAction=LatestNews.NewsStories&Con
tentRecord_id=2032cd9a-802a-23ad-4dbe-dd6bf54fab43
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The Age of Autism: Hot potato on the Hill
By DAN OLMSTED
The newly proposed legislation to study the autism rate in never-vaccinated American kids could settle the debate over vaccines and autism once and for all. Does that mean it will never happen?
This week U.S. Rep. Carolyn Maloney, D-N.Y., stepped out front on the issue. She announced at a briefing at the National Press Club that she is drafting legislation to mandate that the federal government find the answer to that question.
Notice the word "mandate" -- as in "direct," which is the language the bill uses. As in, quit making excuses and just do it.
Bureaucrats and lobbyists and "experts" sometimes forget that the power in this country resides with the people, who express their will through their elected representatives. This may sound rather grand, but the point is that legislators are not some "special interest" who must be humored while the permanent ruling class goes on its merry way.
That's why putting a bill before the Congress -- which Maloney says she will do by the end of April after getting as much public comment as possible -- could be a bigger threat than people realize.
After all, as Maloney said this week, "Maybe someone in the medical establishment will show me why this study is a bad idea, but they haven't done it yet."
Maloney, who credits this column with the idea to look at the never-vaccinated, also critiqued the studies that supposedly have ruled out any link between vaccines -- particularly the mercury-based preservative thimerosal -- and autism.
"The one major government study to date, the Institute of Medicine's 2004 review, has been met with skepticism from a lot of people," she said. "There are serious questions about the data set and methodology.
"Meanwhile, there is new biological evidence published in top journals, and from major U.S. universities, to support the mercury-autism hypothesis. Just last week we saw the study out of UC Davis, which found that thimerosal disrupts normal biological signals within cells, causes inflammation and even cell death.
"In short," the congresswoman concluded, "I believe that there are still more questions than answers. But answers are what we desperately need."
Surely everyone's in favor of answers, aren't they? Well, no, they're not. Already, doubts are being raised about whether there are enough never-vaccinated kids to do such a study (there are); whether it's worth doing (it is); and what the results would really show (well, let's find out).
In fact, if the feds hadn't been contentedly dozing for the last decade as the autism rate inexplicably soared, we'd already have our answer.
Back in 2002 a woman named Sandy Gottstein, who does not even have an affected child, came all the way from Anchorage, Alaska, to raise this issue at a congressional hearing.
"My question is, is the National Institutes of Health ever planning on doing a study using the only proper control group, that is, never-vaccinated children?" Gottstein asked.
Dr. Steve Foote of NIH responded: "I am not aware of a proposed study to use a suitably constructed group of never-vaccinated children. ... Now CDC would be more likely perhaps to be aware of such an opportunity."
Responded Dr. Melinda Wharton of the CDC: "The difficulty with doing such a study in the United States, of course, is that a very small portion of children have never received any vaccines, and these children probably differ in other ways from vaccinated children. So performing such a study would, in fact, be quite difficult."
Another futile effort is recounted in David Kirby's book, "Evidence of Harm," which recounts parents' compelling stories that their children's regressive autism was triggered by vaccine reactions.
The book -- just out in paperback and winner of this year's prize from the prestigious Investigative Reporters and Editors -- describes how in 2004 Lyn Redwood of the advocacy group SafeMinds sent a list of proposed studies to Rep. Dave Weldon, R-Fla.
Weldon, a strong advocate of banning thimerosal, sent the list on to Dr. Julie Gerberding, director of the Centers for Disease Control and Prevention. Redwood's proposal No. 1: "An investigation into the rates of neurodevelopmental disorders including autism in vaccinated and unvaccinated populations (e.g., Amish, Christian Scientists.)"
Last year this column set out to test that theory among the Amish, in an unvaccinated subset of homeschooled kids and in a large medical practice in Chicago with thousands of never-vaccinated children. In this admittedly unscientific and anecdotal reporting, we didn't find very many kids with autism.
That's certainly not conclusive, but we did conclude there are plenty of never-vaccinated kids in this country, and not all of them are riding around in buggies and reading by candlelight. The total number of appropriate "controls" -- reasonably typical never-vaccinated kids -- is well into the tens of thousands, at least.
Nor is the issue pro-vaccines vs. no vaccines, as some who oppose such a study are subtly suggesting. It's safety vs. complacency.
After all, the CDC switched to an inactivated polio vaccine in 2000 when it became clear that the live polio virus was causing a handful of polio cases each year. And kids today are still protected from polio -- only now with zero chance of actually contracting it from the vaccine.
Switching to a safer vaccine did not cause a collapse in public confidence in childhood immunizations -- probably quite the contrary.
Expect to hear all kinds of excuses, including that one, from the powers that be as to why such a conclusive study couldn't, shouldn't and really mustn't be done. Then ask yourself, Why?
E-mail: dolmsted@upi.com
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