this is one of these ones like lipitor. we are not trying -- it is a real prevention. you don't say i have got an ellis, let me see if i can treat the episode and in 90 days i will tell you. we are halfway through. >> one of the questions you brought up earlier, if the child has a seemingly irrational fear of dogs, are these the questions that get asked? >> early on, alan can tell you, you don't see clear illnesses among kids very often. you wait a while and the illness declares itself. there is an impulsive sort of fearful, moody -- they are odd kids. you go after these spectrum's. one of the ones they use the first is fearful less. the other one is impulsive less. you don't see depression until teenage years. the impulsive, aggressive, fearful kids. >> nature or nurture? >> 50% is nurtured. environmental effects interact with genetic. it is a combination of the wrong genes at the wrong time at the wrong place. in terms of variants, nature is more important than nurture. >> nurture is more important than nature. environment is more important than jeans but both play a

lipitor is imported into this country. and the pharmaceutical industry, which has always opposed our legislation because they want to charge the highest prices in the world to th the u.s. consumers, they say, well, if do you this, if you allow americans to import f.d.a.-approved drugs, there's a greater possibility of counterfitting. our legislation will dramatically improve safety because we put batch labeling, we do all kinds of safety mechanisms that do not now exist with respect to our prescription drug supply. so my point is, this is not rocket science. you want to reduce health care costs, i would say to the finance committee and the "help" committee, make sure you put this piece in your legislation, because one of the fastest rising costs in this country is prescription drugs. and we know how to solve that. if we pass the legislation that senator snowe and i have introduced with broad bipartisan support that allow the reimportation of f.d.a.-approved prescription drugs by american consumers, it will require the phar

the same with lipitor. lipitor may not work for me. we can see the future but we can't quite get there. the only way is a capital budget at the federal level, where we borrow the money, make the investments and move the needle. it will save us billions of dollars. [applause] >> congressman gephardt has outlined the objectives of individualized medicine including mental health. let me pose a question this way. what is the rate limiting said? >> everyone says we are not where we should be. >> why not? if we were able to wave a magic wand would be a cap expenditure? what else would you need to say this is where we need to be? >> no question that we have got to make serious investments and assure the scientific community that those investments will be sustained over time. that is what the congressman is suggesting. what happened over the course of the last few years was the budget ramped up, and it actually began to be taken apart. the affect on the ability to recruit young scientists, that is who we are affecting the most, is very dramati

the american people get the pleasure of paying twice the price for lipitor than the canadians but it's not just canada. it's virtually every other country, industrialized country is able to pay a fraction of the price for prescription drugs that our consumers are required to pay. why? there is a law in the country that says the only entity that can import prescription drugs into the country is the manufacturer of the drug itself. the legislation we will put together on a bipartisan basis is very straightforward. it provides some say initially greater protection with pedigree and batch lots and so on, substantially greater protection that now exists in the drug supply. so don't tell me -- don't anybody tell me there's a safety issue. this is about whether the american people should continue to pay the highest prices in the world for prescription drugs. all last we ought to have a vote on this and get through congress and signed by the president who was a co-sponsor when he served this body. so the majority leader has committed to giving the opportunity to get this on the floor, and that

i think it's lipitor that he carries around, two different bottles, but anyway, so i don't pretend to do as persuasive a job as my friend senator dorgan of north dakota. we are going to hear arguments from the pharmaceutical industry on why the amendment shouldn't pass. most powerful lobby today is pharma. they exercise their muscle with great frequency. they contribute millions of dollars to campaign coffers. i understand the opposition here. you are going to hear the industry. we had an intercepted e-mail the other day when we were going to try to get it on the floor. the arguments were we needed to contact various people in order to stop this. they'll argue they are not safe. they'll argue fda doesn't have the resources to ensure the safety of imported drugs, but let's be clear. the almighty pharmaceutical industry's real concern is competition. any claim that imported drugs will be dangerous is inaccurate. safety of imported drugs is of utmost concern and this would require drug wholesalers to register with the fda and institute strict safety requirements including manufacturing s

is a lot but the fact is i have confidence when i take my constituents 10 years ago they brought lipitor and other prescription drugs in the same boxes and the same brand name and the same ingredients that, in fact, the candidate the equivalent protect the public in canada, those fears on real so i know i hear it's and has this way and i hope senator mccain tries again but he wants to go ahead and on the amendment and i ask for a roll-call and keep debating roll-call. >> i really take offense at what shoe are implying of those worried about safety. you know my affection for you and we tend to be on the same side 99 percent of the time but discounted to drug thing is a real thing if we could all go to canada with a drug stores it would be a different gig but this is not what importation is. importation will come through a variety of trade routes for which there will be inspection and there is a lot of counterfeiting. so if we want to vote on it don't imply those of us are going to show drug companies. >> i think is always a danger when we get into motivations weathercaster votes. in i sup

specifically, the institute found that the most commonly prescribed brand name drug -- lipitor -- is 40% less in canada. presstor is 50% less in canada and celebrex is 52% less expensive in canada. americans would love a 60%-off coupon for prescription drugs and deserve such a discount now more than ever. this morning president obama met with his cabinet and announced he intended to accelerate of the $780 billion stimulus funds which, by the way, were all supposed to be shovel-ready, but that's the subject of a different debate. many have limited the slow pace by which the stimulus funds are being spent. this amendment would provide an immediate stimulus to each american if enacted. over half of all americans must take a prescription drug every day. according to a 2008 poll by kaiser public opinion and millions more take prescription drugs when diagnosed with a virus or other ailment. many americans who are cutting household expenses can't afford to cut out the prescription drugs they must take each day for their health. we must help these americans by enacting this amendment. you kn

as a community organizer helped instill in us a new way to reach out and talk to people of bella lipitorcampaigning -- electoral campaign and that is that people matter and all too often in campaigns people are paid less service but they are not taken seriously so we have a model on the campaign, respect and already includes and we took every person's point of view very seriously, their efforts, their sacrifice, and we fell into that empowerment there would be more invested in our success and if we didn't take the time to build that sort of repoire. we basically took that from iowa and did that in every primary state, every general election state moving foreign and is something we're going to do and have done with organizing for america. for folks who may not be familiar, organizing for america is a continuation of the same grassroots organization that cosby is reelected as opposed to elect oral organizing we are now focused on supporting the president's agenda shortly after the campaign ended we send out a detailed online service in both to our e-mail list and ask them what they wanted

i think it is lipitor he carries around to different bottles so i don't pretend to do as persuasive a job as my friends of north dakota but we're going to hear arguments from the pharmaceutical industry on why the amendment shouldn't pass and the most powerful lobby in washington is pharma and they exercise their muscle with great frequency income should be millions of dollars to campaign coffers. this i understand the opposition here. you are going to hear the industry. we had a little intercepted e-mail the other day when we were going to get in on the floor and the arguments were they needed to contact various people in order to stop this and they will argue they are not safe and argue that fda doesn't have resources to ensure the safety of imported drugs. but let's be clear, the almighty pharmaceutical industry concern is competition. any claim that important -- imported trucks is inaccurate, safety is of utmost concern in this amendment would require pharmacies and drug wholesalers to register eight yen is industry safe requirements including many fratricide inspections. addition

to pay $49 million to pay the subsidiary of defraud ing t defrauding the country for overcharging lipitor. and the attorney general charged johnson and johnson with kickbacks to texas health officials. glaxosmithkline agreed to pay $40 million to the state of california, and they also signed a corporate integrity agreement that paid $88 million in civil fines for overcharging. and hoffman laroche, $500 million in 1999, criminal fine for leading a worldwide conspiracy to raise and fix prices for allocating market shares for certain vitamins. and aventis paid $95 million to settle charges that it violated the false claim act. wythe, just this year, 16 states have joined in two whistleblower suits against wythe, and the drug company failed to pay hundreds of millions of dollars to rebates to the medicaid program. i hear a lot about fraud and a lot about waste, but what i don't hear about is the role that the major corporate giants in the health care industry are playing in ripping off the american people to tunes of billions and billions of dollars. i don't know why we don't talk about that

my constituents ten years ago to windsor, ontario and went to hunters drug store and they bought lipitor and other prescription drugs in the same boxes with the same brand name, same dosage, same inert ingredients and the active ingredients that the candidate equivalent of the fda protects the government in canada. those fears aren't real. the drug industry will probably have its way on this vote. i hope senator mccain tries it again in the next section. he wants to go ahead on the amendment. i ask for a roll call. >> senator brown, really, i take offense at what you are implying here about those of us who worry about safety. you know my affection for you. >> i know and it's mutual. >> we tend to be on the same side 99% of the time, but this counterfeit drug thing is a real thing. i'm grad you went to canada and bought drugs if we could all go to canada and go to their drug stores, it would be a different gig. this is not what importation is. importation will come through a variety of trade routes for which there will be inspection and there is a lot of counterfeiting. if you want to vot

but we can have a different standard whether it comes to bad lipitor. i just -- i'm uncomfortable. let me ask some questions because i don't think i completely understand. when i look at section 106 and section 107, we have sort of an all-in and under traceability we have some exemptions. so i'm -- you know, i come from a very small town. i grew up on the tippecanoe river, buffalo indiana. we have two stop signs on either side of the bridge and that's the size of town that i come from. so i think of small businesses, and i worry so when we think about access to records and we're going to say requirement with regard to restaurants, are we going to include concessionairs. has anybody thought about that so when you go to mci arena -- how about when you go to the college football game, how about high school, how about little league? you know, we make deer chili at our little league games. what all is going to be included? how about convenience stores? how about you pull in that mom and pop gas station and they've created something. you can get elk sausage. i mean, what kind of requirem

i think it is lipitor he carr

49 million to settle charges that a subsidiary defrauded the medicaid program by overcharging for lipitor. huge fines. johnson & johnson was charged -- the texas attorney general charged johnson & johnson with kickbacks to texas health officials. johnson johnson. glaxo smithkline signed a corporate integrity agreement that paid 88 million in civil fines for overcharging medicaid. r roche, $500 million in 1999 criminal fine for leading a worldwide conspiracy to raise and fix prices on allocate market shares for certain items. [inaudible] of and is paid $95 million to settle charges that have violated the false claims act. wyeth joined in to whistle-blower suits against for reciprocal giant wyeth, the drug company failed to pay hundreds of millions of dollars in rebates to the medicaid program. you know, i hear a lot of fraud, and i hear a lot about waste but what i don't hear about is the role that the major corporate giants in the health care industry are playing and ripping off the american people to the tune of billions and billions of dollars. i don't know why we don't talk about that