Sunlight Foundation

Influence Explored: The organizations behind silicone implants

The Los Angeles Times published an article in its Science and Environment section today that outlined the politics behind the silicone breast implant debate.

As the LA Times reported, the FDA is citing new studies that show silicone implants manufactured by corporations like Dow Corning are indeed safe despite a 14 year ban on them due to suspicions that they cause diseases such as lupus and cancer.

Here’s a look at the political involvement and influence for some of the names mentioned in the piece:

  • Dow Corning gave $100,228 in political contributions during the 2009-10 election cylce.  All but $3,000 of that went to Michigan politicians, the state where the silicone manufacturer is based. The corporation reported spending $220,000 lobbying the government in the first quarter of 2011.
  • Allergan Inc. gave $500,282 in political contributions during the 2009-10 election cycle. The company reported spending  $300,000 on lobbying expenses in the first quarter of 2011.
  • Allergan is also a government contractor currently holding nearly $1 million in government contracts.
On Wednesday, the Huffington Post ran a piece in its Politics section written by Dick Gephardt that explains his opinion on why Medicare must remain the responsibility of Congress and why the Independent Payment Advisory Board is bad.

The piece includes a disclaimer that notes that Gephardt is a lobbyist representing clients with interests in the healthcare field. Here's a look at Gephardt's influence profile and that of some his clients:

‘Influence Explored’ takes an article from the day’s headlines and exposes the influential ways of entities mentioned in the article. Names and corporations are run through Sunlight’s influence tracking tools such as Influence Explorer and Transparency Data to remind readers of the money that powers Washington.

"Put it on CSPAN" Translated

Public appetite for transparent health care negotiations is driving us toward more transparency.

While Congress has rightly responded to that public pressure by posting bills online for 72 hours, the public dialog about the process of shaping health care legislation is more focused on transparent deliberations.

President Obama's promise to put healthcare negotiations on CSPAN, in combination with the question of formal conference proceedings, has become shorthand for several more fundamental questions. Formal requirements for public proceedings, while sometimes appropriate, are far short of what we should all be aiming for.

Firm requirements for public deliberations, since they are essentially prohibitions on private speech, are probably inappropriate for issues like health care in Congress. Since you can't require those negotiations to be public, Promises and Requirements are downgraded to Suggestions and Inducements.

Maybe that's why it's been so easy to ignore what's possible for health care deliberations. Since President Obama promised deliberations on CSPAN, shouldn't we all focus there? It's right to focus on a Presidential candidate's promises, and they should mean something. But if it turns out to be a failure, that doesn't mean we should all just go home. By focusing too much on requirements and promises, we're missing out on a chance to conceive and create public dialog that does work.

That's the realm that we shouldn't be ignoring. Where hard and fast requirements can't deliver what we're all looking for, we should focus on thinking of what can deliver it. "Put it on CSPAN!" should start to address those more basic questions.

We've all been so focused on the precise language of President Obama's campaign promise -- did he or didn't he keep it? -- that everyone was gobsmacked by last Friday's appearance before the House Republican retreat.

Since the appearance was almost universally welcomed, why haven't there been calls for just such an appearance? Because the public dialog has been focused on evaluating promises and procedures (the realm of the requirement, which is ultimately insufficient for public deliberations) rather than on what we actually want to see.

That's what was shocking to me about last Friday. Not just that the President and House Republicans were engaged in an honest, unscripted public debate, but that it wasn't orchestrated beforehand, or the direct result of public pressure.

House Republicans and President Obama innovated in the face of diffuse public pressure.

We live in a world where live streaming, immediate clippable archives, and all manner of new public interaction are now possible. We should balance our judgment of the world of public deliberations requirements (conference committees, or exaggerated promises) against the world of what is possible and desirable.

We should also remember that inducing public deliberations into the public sphere is exactly the point of much of our politics. Sunday talk shows, discharge petitions, Dear Colleague letters, caucus meetings, and editorials are all, in their own way, attempts to cajole, drag, and otherwise induce a policy conversation into the public eye.

Of course, our new technological capacity is having an effect on each of those spheres as well.

We advocate for a 72 hour rule precisely because it empowers all of us to take part in a more substantive, valuable public dialog. Government information empowers participation, and the Sunlight Foundation exists to empower the public through access to information.

As technology leads us to have higher expectations, and politicians are forced to respond with new methods for including the public, we should all respond with better expectations about the possible and the desirable.

If we don't, we'll become more susceptible to fake public engagement, and lose the chance for new technology to lead to a better relationship between citizens and their representatives.

72 Hours is Now

September 24th, Speaker Pelosi said that the healthcare bill would be online for 72 hours.

That 72 hours is now.  The bill is online.

We should recognize this as a milestone.  Has it now become unpalatable for House leadership for either party, from now on, to schedule a vote on major legislation before 72 hours of public availability (and that means online) has elapsed?  That's unclear.

Even if Speaker Pelosi hadn't committed to posting the final healthcare bill for 72 hours, though, it's pretty hard to imagine such a rushed vote in this case.  It invites too significant a political liability.  It would empower process-based criticism.  Not only would it be a bad idea, it would be a bad idea politically.  Minority Leader Boehner would have a field day.

Has something changed?

In January, I made a similar point about the Recovery.gov website.  Congress shifted directly from ignoring the Web to struggling with how to create accountability through public disclosure online.  From ignoring the utility of the Internet to struggling with how to best harness it.

Something similar is happening here.  Public outcry, partisan pressure, and rising expectations are forcing Congress's hand, and it's now (apparently) taken as a matter of course that this bill is online for a long weekend before its final consideration.

Pelosi's initial commitment to a 72 hour period saw far greater coverage than that commitment's fulfillment.  That's to be expected -- controversy is more compelling than compliance.

What's important here, though, is what we make of this move.

If having bills exposed for the public, Members of Congress, and their staff really is important, then we need to be sure that the raised bar stays raised.

Will the new standard applied to this version of the healthcare bill apply to more minor legislation?  Will future controversial initiatives all be available for inspection in the same way this bill is?

Only if that's our expectation.

Ultimately, even H.Res. 554 depends on expectations.  House Rules can be waived, and if no one cares, then there are no consequences.

If public demand is high enough however, H.Res 554 can become moot, and all bills will be available for at least a minimum of scrutiny.

That so many take Speaker Pelosi's commitment as granted, when it was news a month ago implies that such expectations and results are possible.

Transparency in Healthcare and Scientific Research

(from the Open House Project blog)

As the research of the Harvard Transparency Policy Project has made abundantly clear, applying the principles of openness and transparency to complex systems demands a careful approach to epistemic nuances; questions like what should be knowable to whom need to be answered before disclosure requirements are implemented, and need to be built into a disclosure regime's initial design. (more)

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