Addendum

It occurs to me drug companies have the same perceptual problem Trump struggles with, though I doubt he is self-aware enough to know it. Pharma gets it and spends big money on PR people to alter the narrative. Many of us are predisposed not to take claims at face value.   We judge both harshly because we have them firmly pegged. Fairly or not, we believe we are not playing for the dame team. I hang out on Manhattan’s Upper Westside. Not too many Trump voters there. Or any.

perception speaks louder than truth, though sometimes they coincide.

With great fanfare, Big Pharma announces a new MS drug. Sweeping claims infiltrate headlines. Automatically, I do not believe them.   P atient expectations skyrocket. Demand builds. Great for business. When Antigren (later Ty Sabr) iwas about to go to market, in the public mind, it was right up there with the Fountain of Youth.   Biogen has a well-oiled PR machine that spread around money to prominent patients to join the team. Somehow, I was not invited into the tent.

Trumpism was built on big talk and few details. And so far, no results. Now that healthcare has been blown, what goes down next?   The wall on the Mexican border was a big promise. Let’s wait and see.   I predict it will remind us of Jericho, except it will never will actually go up. I cannot imagine the tight-fisted Freedom Caucus wasting money on that.

Alas, I do not believe much of anything an I cannot imagine the tight-fisted Freedom Caucus wasting money on that.

Alas, I do not believe much of anything any more.

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