we asked gottlieb, a former fda commissioner at the fda, if close ties are compromising their mission. in your estimation is the fda more watchdog or more lap dog? >> i think the fda is pretty rigorous. >> reporter: gottlieb said ethics and a commitment to protecting principles. >> i think they do by and large a very good job. they're probably the best regulatory agency around the world. >> reporter: the fda is spending millions to update its system for recording and analyzing problems with medical devices. the essure birth control device does not have an abnormally high rate of miscarriages and the patient deaths. >> more investigations mean more answers. if you have something you think new york's biggest i-team should look into, call us at 866-639-7244. >>> we've got some breaking news right now. a sad update to the story that led our newscast. we have just learned a sixth person has died as a result of that horrific crash on the long island expressway. helen died of her injuries at the hospital. her husband died shortly after marc santia had been talking to people who knew him and

scott gottlieb who has been following this very closely.cott, why don't you lay out for us how big of a concern this is now that we've actually seen 15 cases of zika that have been transmitted in miami. is this something we can stop the outbreak? how concerned should we be? >> some isolated outbreaks was inevitable. florida is a state that's most vulnerable because the mosquito that transmits tends to dominate in those regions. this is imminently controlled. florida seems to be doing a good job of getting a hand on the local outbreak. you should be able to quell the continued spread. i think what's more concerning here isn't the fact we're going to see isolated outbreaks which should be containable. but the profile of the zika infection itself continues to get more worrisome as we learn more about this virus. >> what do you mean? >> well, if you look at some of the subsequent studies that have been done, there might be a higher rate of fetal anomalies especially for women pregnant in the first trimester and become infected. initially we tho

scott gottlieb.oe, that was a big shocker from aetna because they have been the most committed of the big insurers to the exchanges. >> right. they've really backed the social justice mission of universal coverage, and they've said we have an obligation to participate, to try to make this work for as long as we can. so they were prepared to take very large losses in the first two years. this sudden turnabout is really big, and you've seen it across all the major insurers. you've seen it across the blue cross/blue shield plans that are nonprofits. i mean it's an indication that as it's currently structured, the law is not working as intended. >> well, and i think aetna figured, look, if united health is pulling out and some united pulling out and some of the other big companies are pulling out, we can get more market share and make money. so even if they are pulling out, they think these exchanges simply are not going to be profitable at all. >> there has really been a darkening of the mood among the

scott gottlieb said it's possible the generic epipen will actually benefit milan.or one, it could draw more revenue. mylan says after discounts and fees taken by pharmacy benefits managers and distributors, it brings in about $274 on every two-pack of branded epipen off a list price of more than $600. what analysts want to know now is, how much of the $300 generic list price will mylan keep? the company declined to comment but it may also be helped in other ways. >> the way this is going to benefit mylan in the long run, it's probably going to allow them to lock in more market share, and it could take some pressure off the fda approved generic drug. >> reporter: where mylan may be hurt is in its obtain to continue further raise the price of epipens. but if the government scrutiny is any indication, that wasn't likely to happen anyway. today saw yet another congressional inquiry, the house oversight committee sent a letter to heather bresch, asking for more information on epipen price increases. for "nightly business report, i' meg terrell. >>> come up, a golf legen

scott gottlieb.lked to you last week, you warned that there's still so much we don't know about zika. that this report sheds some light on some of those issues. >> right. this is an observational study of women who gave birth to baby who is were infected during their pregnancy and found a correlation between zika infection which is basically babies are born with contractures in their muscles and joints. so the joints are deformed. so this is a finding -- it's unclear what the cause is because it's believed that perhaps damage to motor neurons as a result of zika infection caused this finding in babies. it's an observational findings. it's seven babies in all. so it's not evidence, it's not proof positive there is a correlation. but certainly suggestive that it could be causing other things. >> i read the report, scott, and it's escaping me right now. but there was a lot of other ways that they ruled out other factors that could have been -- what are other factors that could cause this? i think they w

concerns about the side after william gottlieb told peter burns yesterday september could be in play. you are going to find out right after this. this just got interesting. why pause to take a pill? or stop to find a bathroom? cialis for daily use is approved to treat both erectile dysfunction and the urinary symptoms of bph, like needing to go frequently, day or night. tell your doctor about all your medical conditions and medicines, and ask if your heart is healthy enough for sex do not take cialis if you take nitrates for chest pain, or adempas for pulmonary hypertension, as it may cause an unsafe drop in blood pressure. do not drink alcohol in excess. side effects may include headache, upset stomach, delayed backache or muscle ache. to avoid long-term injury, get medical help right away for an erection lasting more than four hours. if you have any sudden decrease or loss in hearing or vision, or any symptoms of an allergic reaction, stop taking cialis and get medical help right away. ask your doctor about cialis and a $200 savings card stop taking cialis and get medical help right

gottlieb, but how many people do you think as a percentage were actually paying the full list price orly getting socked? when you look at all the buyers of epipen, are we solving a problem for a very small percentage of individuals? who i feel for. i don't want to undercut what they're going through to have to lay out all this cash. but if you're on medicaid you didn't pay this, if you had any kind of insurance from a corporation you probably weren't paying that full list price either. >> yeah, it's a growing number of people. it's a small number, to your point, but it's a growing number because more people are finding themselves underinsured for drugs as a result of some of the regulations imposed by the affordable care act. people finding themselves in narrow formularies and now it's back to school season, people are going out to buy these pens to put in their kid's knapsack and find they're getting socked with the whole bill. so it's not a huge portion of people. and it's hard to put a number on it. nobody's been able to do that. but it is a growing number of people. >> here's the t

scott gottlieb. start with ideas where we're looking at multiple areas in miami where you're being advised not to travel. message from governor and cdc starting to diverge a bit. still safe, come on down. cdc saying if you're pregnant you probably want to avoid miami and other areas that are probably having outbreaks you don't know about. >> cdc saying check with your position, advice to be prudent. with you knew we would see isolated outbreaks in miami. we talked about it before the season began, also in florida. these should be imminently attainable. florida has done a good job mosquito control. they killed about 90% ariel spraying. all the travelers from south america, they don't, they have gone in and killed mosquitoes. disney has done a good job. >> eradicated the possibility they will pick this up. just talked about louisiana flooding, idea of standing water, has to be a concern. >> any part of gulf region, dengue fever in the united states, probably zika, same mosquito. we always see dengue in

scott gottlieb and dr. scott waxell.when a really nice story of greedy corporate gouging has other nuances to it. it ruins everything for the politicians, for the demagoguing and everything else. but the journal -- can i call you scott? i keep saying doctor, it just gives you more credibility. the journal points out that if there were generic versions -- if there wasn't so much red tape generic versions would quickly cure -- certainly companies are going to try to maximize profits. that's what capitalism is about. if it's a monopoly, you can't expect different behavior. >> these complex drugs have become dwiflt to get on the market. not just epi-pens. any time it's hard forency to d the agency has a hard time. we were talking about this very issue ten years ago when i was at fda. to your point, one kcompetitor was driven from the market. and there are three trying to get on the market. so we can't be surprised when a company handed a monopoly acts as a monopolist. >> in this case this doesn't seem like it's that hard to