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The Sunshine Act of The Affordable Care Act (Obamacare), which focuses on the financial ties and potential conflicts of interest between Big Pharma and physicians, curiously ignores the very same financial ties and potential conflicts of interest between Big Pharma and CDC, FDA, and NIH, the powerful governmental entities, which not only regulate healthcare, but also enjoy a lucrative revolving door with Big Pharma. To quote Karr, “The more things change, the more they stay the same.”