Last week, we reported that Howard Dean, former presidential candidate and current supporter of Hillary Clinton’s presidential campaign, had attacked Bernie Sanders for supporting a single-payer health plan, claiming that having the government pay for everyone’s health care would “undo people’s health care” and result in “chaos.” In our story, we noted that Dean, once a proponent of single-payer, now works for the lobbying practice of Dentons, a law firm retained to lobby on behalf of a number of pharmaceutical and for-profit health care interests. In response, Dean tweeted: “I continue to support Single pay or [sic] and I do not Lobby.”

He tweeted the next day: “The Intercept=The Daily Caller of the left. Same propaganda techniques.” Dean did not respond to multiple requests for comment. Dentons’ director of communications, Bennett Kleinberg, wrote to us to say, “Howard Dean is a senior advisor with Dentons in our Public Policy and Regulation practice. However, he is not a registered lobbyist and does not lobby public officials on behalf of clients of the Firm.” Since joining the lobbying industry, Dean has oddly argued on multiple occasions that he does “not lobby.” But he engages in virtually every lobbying activity imaginable, helping corporate interests reach out to lawmakers on legislation, advising them on political strategy, and using his credibility as a former liberal lion to build public support on behalf of his lobby firm clients. In his new career, he has helped drug companies maintain monopoly power, reversed his old positions on Medicare prices, and worked to undermine a critical component of the Affordable Care Act. Though known for his anti-war rhetoric in 2004, Dean has accepted money from Mojahedin-e Khalq, an extremist group seeking regime change in Iran and has criticized President Obama’s negotiations with Iran. The fact that Dean is not a registered lobbyist reflects a distinction that is largely meaningless in today’s Washington. Thousands of other professionals in the lobbying business have either never registered or de-registered and lobby registration law has almost never been enforced. Newt Gingrich, who was widely criticized in 2011 for acting as a lobbyist for various clients without registering, was hired last year by Dentons’ lobbying practice, where he works closely with Dean to consult with clients on political strategy. As Legal Times reported, the Dean-Gingrich team is now a selling point for Dentons as the “pair aims to become another Washington-based bipartisan tag team who can act as political soothsayers for whichever corporate clients call upon them.” Helping keep drugs expensive In 2009, Dean joined the lobbying division of the law firm McKenna Long & Aldridge LLP, which represents a number of health care interests. Through the firm, he was retained that year to work for Biotechnology Industry Organization, or BIO, a lobbying group for biotech and pharmaceutical companies. After being retained by BIO, Dean authored an opinion column for The Hill newspaper arguing in support of a bill backed by his client that called for extending the exclusivity period for drugs made from living organisms, such as vaccines or Herceptin/trastuzumab, a treatment for breast cancer. Dean claimed in the piece that a “commonsense and fair approach, similar to the process and timeline currently in place for generic versions of chemical-based medicines, would allow the original developer of the biologic to protect the proprietary data used to develop the medicine for at least 12 years.” Dean’s call for extending the exclusivity period for biologics — a move that would boost prices for life-saving drugs — shocked patient and consumer advocates. Dean did not initially disclose that he was working for BIO in his column, although The Hill later updated his byline to note that Dean’s law firm represented biotech companies. The inside story of Dean’s work for the biotech lobby was revealed in an article by BioCentury, a trade publication. According to the report, Dean and his former campaign manager Joe Trippi were hired by BIO to help move forward the biologic legislation backed by the industry. Jim Greenwood, the president of BIO, told BioCentury that Dean was brought on to help with messaging, strategy, and even to contact lawmakers on Capitol Hill on behalf of the industry. BIO made clear that Dean was hired specifically for his reputation as a liberal. “As a physician clearly focused on health care, a Democrat leader and clearly to left of center, his efforts were impactful,” Greenwood said. Dean defended his efforts to BioCentury by saying, “I do not lobby.” In the end, a version of the biologic legislation was folded into the Affordable Care Act. “Howard Dean navigated around the lobbying rules to push Democrats to back big drug companies on the term of the monopoly for biologic drugs,” said Jamie Love, the director of Knowledge Ecology International, a nonprofit organization that addresses human rights aspects of intellectual property rights and medical innovation. “His ‘trust me, I’m a doctor’ routine was worth billions to Roche and the other companies he represented on this. Now it is very hard to undo the damage.”