From what I am hearing in DC, Mermaid is 100% accurate. Big Pharma will be left alone as long as they support the Democratic plan. The only outstanding question is do they have to support the Democratic-version of the plan or just an overall demo-house plan or can they support the kinda senate-kinda white house plan (sans public option). Right now, they are just being asked to be quiet, and they are doing it.
Either way, this highlights another "issue" with a public option. One of the biggest costs in health insurance is drug prices. If the White House has agreed to not use their full bargaining power on drug prices, what does that leave. From my cheap seats, I see that hospitals, medical centers, and doctors will pick up the slack and the Pharma's skate on by... If someone else is hearing something else, please chime in as I am not a crazy health care change opponent/propenent.