It's happened in earlier Washington battles where powerful business interests have been threatened: corporate executives pressuring their employees into taking action on behalf of the firm's perceived political interests.
And now it's happening on health-care reform.
Employees of Express Scripts, a St. Louis-based pharmacy benefit manager that's ranked 115 in Fortune's rankings of America's largest corporations, on Monday received an email from the firm's CEO, George Paz. Titled "Take Action: Your Voice Matters on Healthcare Reform," the email, obtained by TPMmuckraker, denounces the "rush to pass legislation that could fundamentally alter our current system without a full understanding of the costs and consequences of those changes."
It then directs employees to a company web page which allows them to send an email to members of Congress, under the heading "Concerns With Health Care Reform." That form email to lawmakers appears to come from an ordinary citizen, giving no indication that the sender works for a company that would be directly affected by reform.
It's not hard to see why Express Scripts would oppose the reforms currently under consideration in Congress. Much of its business involves negotiating and managing drug benefits on behalf of large employers, especially government agencies. Anything that could weaken the current employer-based system of coverage -- as some believe a public option could -- threatens its business model. Hence the following line in the company's form email to lawmakers: "[R]eforms should build on the successes of the current employer-based system."
TPMmuckraker obtained the email from an Express Scripts employee who said he saw it as an effort by Paz to "convince, intimidate, and cajole as many employees as possible to become enlisted in sending correspondence to congressional offices."
Here's the full text of the email that Express Scripts employees received:
FROM: George Paz, Chairman & CEODATE: Aug. 3, 2009
SUBJECT: Take Action: Your Voice Matters on Healthcare Reform
Congress is considering a significant overhaul to the country's healthcare system. There seems to be a rush to pass legislation that could fundamentally alter our current system without a full understanding of the costs and consequences of those changes.
We believe there are significant issues to be addressed with our current healthcare system, but we also believe:
* Reforms should build on the successes of the current employer-based system.
* Policies should actually lower healthcare costs.
* And, in this economic environment, we should be particularly concerned about additional costs, public or private.Healthcare is a vital issue that affects everyone. With so much at stake, our elected officials need to hear from you. We've set up a website to make it easy for you to send a letter electronically to your senators and representative asking them to get healthcare reform right.
Thank you for taking the time to do this. Your voice matters to your elected officials.
In 2004, the state of New York sued Express Scripts for fraud, accusing it of pocketing $100 million in drug rebates that should have gone to the state. The company ultimately paid a multi-million dollar fine to settle the charges.
A P.R. representative for Express Scripts pledged to respond to a request for comment about the email from TPMmuckraker, but did not immediately do so. We'll update if we get a response.


Citoyen92
August 5, 2009 11:57 AM
This "company web page" set up to help employees lobby Congress doesn't sound right to me.
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
CVille Dem
August 5, 2009 12:20 PM in reply to Citoyen92
There is not very much going on any more that is sounding right to me.
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
barrelhse
August 5, 2009 4:30 PM in reply to CVille Dem
Agreed! And it's actually frightening out there on the right.
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
Eyepublius
August 5, 2009 12:21 PM
Interesting - democracy in action - I guess? I went to the homepage and on their Corp/Co. letterhead I note: a black guy, a woman, and what appears to be an Asian or Hispanic in the back ground _ 3 employees, I surmise (which shows how diverse they are, eh)? Then, They talk about a rush to reform. Hey, it's only been since 1912 (Teddy Roosevelt as a Bullmoose) when the first idea of a "national healthcare plan" was proposed. So, slowing down [again] now would be like, be in their view, I guess, like the
"cash for clunkers model; only getting a Model-A in return for your Band Aid?"
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
Ducksworthy
August 5, 2009 12:40 PM
The U.S. may be too infested with parasites to recover.
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
ally
August 5, 2009 2:50 PM
Interesting timing of that memo from CEO George Paz.
"In April drug benefits manager Express Scripts Inc. (NASDAQ:ESRX) agreed to buy WellPoint Inc.'s (NYSE:WLP) pharmacy benefit division, NextRx, for $4.68 billion in cash and stock. The deal -- which includes a 10-year service contract to manage pharmacy benefits for WellPoint customers -- will put Express Scripts roughly on par with its two largest PBM rivals as their roles in U.S. healthcare become more complicated at a time of regulatory change."
So George (who cashed out about $20 Million in stock options in 2008) - is saying "tell that Govt to NOT Mess with My soon to be More Obscene Profits!"
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
Partisancheese
August 5, 2009 3:32 PM
Here you can see a video that chronicles the recruitment of people to swarm these events at conservative websites.
http://www.newsy.com/videos/doctoring_up_fear
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
Zemer
August 5, 2009 3:45 PM
What bothers me about this is that Express Scripts is the mail-order pharmacy that TRICARE uses. TRICARE is the health insurance used be the US military.
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
twirling fartknocker
August 5, 2009 4:05 PM
unless I'm missing something, it looks like in step #1 on the company web page to "compose email" the only composing that can be done is to sign your name at the bottom.
they really want *their* exact message to get through -- that is scare folks who already have health insurance (as cruddy and expensive as it has gotten)
I'm so sick of these greedy bastards using their financial might to protect and grow their obscene profits I could scream
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
twirling fartknocker
August 5, 2009 4:10 PM in reply to twirling fartknocker
I just sent one with salutation being "sent by express scripts" and signature reading "phony generated email". I added some other fun things for name and address below that...
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
Tom Wells
August 5, 2009 4:12 PM
The status quo makes some people millions. The "success" of the current system? I don't think they know what that word means.
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
The Old Grouch
August 5, 2009 4:47 PM
I know someone who works there. I'm going to have a few questions this evening.
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
traitorjoe
August 5, 2009 4:57 PM
Another honest grass roots organization grows from the honest hard-working soil of the blue collar movement.
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
AnswerFrog
August 5, 2009 5:20 PM in reply to traitorjoe
lol
" * Reforms should build on the successes of the current employer-based system."
LOL
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
azpaull
August 5, 2009 5:25 PM
Possible follow-up, or new story: The Express Scripts page doesn't give employees an opportunity to personalize, as many such contact-your-rep efforts do.
Appears that Express Scripts has subscribed to/purchased the contact-your-rep program from Capitol Advantage. Capitol Advantage appears to work both ends: helping Congressional offices switch to "web forms" for constituent communications, and then selling their inside knowledge of the systems to orgs and corps (like Express Scripts).
Capitol Advantage boasts about its power position, and also says that it agrees with the association of Congressional office mgmt that orgs/corps should encourage their users to personalize messages. (Also, that orgs/corps should identify themselves as being the communication-enabler.) http://capitoladvantage.com/cmf
BTW, Capitol Advantage is part of the "Roll Call Group".
Certainly seems to be some interesting angles about how C.A. has apparently helped narrow the funnel for electronic contacts to Congresspeople and then sells work-arounds to corps/orgs (full-time "Government Outreach Director" working with Congressional offices - http://capitoladvantage.com/for-policymakers)
I'm guessing that Bonner & Asses didn't bother with something relatively-transparent (like C.A. claims to be), but certainly may provide some other pieces of the jigsaw puzzle that the astroturf landscape has become.
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
azpaull
August 5, 2009 5:30 PM in reply to azpaull
addendum: "Roll Call Group" being the parent of the influential newspaper/newssite.
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
dustbunny44
August 5, 2009 5:46 PM
Not surprising they are emailing their employees.
I contracted briefly, about 15 years or so ago, to a company that brought Aleve to market (and many other drugs) at their campus in Mountain View (? could have been Palo Alto). Anyhow, it surprised me that nearly every entrance to every building had what appeared to be simply-created notices taped to the doors and updated regularly, asking employees to contact their congress critters about the legislation du jour (which the paper named, and specified what it thought was a good position on it).
I myself got an email once in a while from my management of my IT -services corporation urging us to pay attention to certain legislation and how it would affect the Company.
I guess they can do that. But if unions do that, it's communism.
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
RCE
August 5, 2009 5:55 PM
Another thing that surprises me is the role of the media in defeating healthcare reform. Take this example:
http://www.kcbd.com/Global/story.asp?S=10765399
A "news report" trumpeting a press release from the local chamber of commerce, urging all citizens to rally against healthcare reform. Citizens don't get news anymore. At least, not news that's in any way balanced. It's no wonder most of America is so uneducated and misinformed.
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
FirefighterMarc
August 5, 2009 7:49 PM in reply to RCE
Yes, I know about these Chamber of Commerce things - I recently got a email from the Chamber I belong too (it is a business thing - networking and all that) touting its position on the healthcare debate. It links to the Texas Association for Business website on healthcare reform which has the appropriate half-truths and distortions.
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
fkaZk0sm0
August 5, 2009 10:44 PM
the two things that bother me about this are - as was mentioned above - the body of the text is required and unalterable AND the body of the text is designed to completely obscure the fact that the senders are employees of a corporation in the health care industry. apparently being honest about their self-interests isn't in their self-interest.
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?
Pope Ratzo
August 6, 2009 5:48 PM
The livelihood of the insurance company employees is, in fact, at stake. With luck, we will soon have single-payer health care in this country and health insurance will be little more than a boutique service for the very rich.
God willing.
However, considering the boost to the economy that would come from the threat of bankruptcy over health payments disappearing for workers and small businesses, I'm guessing the insurance company employees will have little trouble finding new jobs.
After all, the buggy-whip makers had to find new jobs and the world didn't end.
Reply | Flag Abuse
Are you sure this comment violates TPM's Terms of Service?