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Author: commonone 🐝 HONORARY
SHREWD
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Number: of 48495 
Subject: Trump Failed, Biden Succeeded
Date: 08/29/2023 10:45 AM
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No. of Recommendations: 8
Candidate Trump promised in 2016 to "negotiate like crazy" to bring down drug costs but failed. Leading up to the 2020 election, in an effort to court senior voters, Trump announced an executive order "Lowering Drug Prices By Putting America First" but refused to release the text of the order. Shortly after, he put the executive order on hold. Two months later Trump announced a new executive order under the original name to "immediately take appropriate steps to implement his rulemaking plan to test a payment model," putting in place "most favored nations" policy.

In short, word salad that provided no real savings for patients or the federal government.

The Biden administration on Tuesday unveiled the first 10 prescription drugs that will be subject to price negotiations between manufacturers and Medicare, kicking off a controversial process that aims to make costly medications more affordable for older Americans.

President Joe Biden's Inflation Reduction Act, which passed in a party-line vote last year, gave Medicare the power to directly hash out drug prices with manufacturers for the first time in the federal program's nearly 60-year history. The agreed-upon prices for the first round of drugs are scheduled to go into effect in 2026.


The first ten drugs include some of the most prescribed and most expensive medications, including:

Eliquis
Jardiance
Xarelto
Januvia
Farxiga
Entresto
Enbrel
Imbruvica
Stelara
Fiasp and NovoLog

The 10 medicines accounted for $50.5 billion, or about 20%, of total Part D prescription drug costs from June 1, 2022, to May 31, 2023, according to the Centers for Medicare and Medicaid Services, or CMS.

Savings for patients and the federal government could top $100 billion.


https://www.cnbc.com/2023/08/29/10-drugs-to-face-m...
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Author: LurkerMom   😊 😞
Number: of 48495 
Subject: Re: Trump Failed, Biden Succeeded
Date: 08/29/2023 10:58 AM
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commonone: 'Savings for patients and the federal government could top $100 billion.'

Certainly did not bring down the cost of the prescriptions I must take..Tier 3.
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Author: bighairymike   😊 😞
Number: of 48495 
Subject: Re: Trump Failed, Biden Succeeded
Date: 08/29/2023 11:23 AM
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President Joe Biden's Inflation Reduction Act, which passed in a party-line vote last year, gave Medicare the power to directly hash out drug prices with manufacturers for the first time in the federal program's nearly 60-year history. The agreed-upon prices for the first round of drugs are scheduled to go into effect in 2026.

==================

Labeling Biden's effort as "Succeeded" is premature. Merck, BM Squibb, and Abvie have filed three different lawsuits challenging Biden's program under the 1st and 5th Amendments and these will certainly go all the way to the Supreme Court to be resolved.

Then, even if SCOTUS rejects Big Pharma and lets the program stand, the program includes this,

The companies face severe financial penalties that are several times higher than their drug's daily revenues if they do not enter the negotiations and comply with the program's conditions. Drug makers can avoid the taxes only if they pull their drugs out of Medicare and Medicaid rebate programs.

So the result of Biden's success could result in one or more of these drugs being unavailable under Medicare.

And even if the drugs remain available at a new lower price, what's to stop Big Pharma from raising prices on other drugs to make up some or all of the lost revenue.

Personally, I would like to see drug prices come down, but praising Biden for doing it is pre-mature.
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Author: bighairymike   😊 😞
Number: of 48495 
Subject: Re: Trump Failed, Biden Succeeded
Date: 08/29/2023 11:36 AM
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One more angle to think about has to do with Part D deducible.

I take one med that is on that list of ten. It is so expensive, I hit the deductible upon the first fill. After that my cost is $42 per month. So if Biden cuts the price way down, it may take two or even three fills to hit the deductible, the savings to me will be $42 or $84 per year for those months where I am topping off the deductible and not paying the $42. Biden's effort may save my Part D insurance provider a bunch of money, but me, not so much.
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Author: Lapsody 🐝  😊 😞
Number: of 48495 
Subject: Re: Trump Failed, Biden Succeeded
Date: 08/29/2023 12:34 PM
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BHM: Personally, I would like to see drug prices come down, but praising Biden for doing it is pre-mature.

No it isn't, not one bit. There are always legal skirmishes and your warnings are normal. You can make up warnings on anything - that's why we have the expression "slippery slope", which most of the time is a fallacy.

The Pharma capitalists have to realize that if they get too out of hand, we'll step in, maybe set the prices for them, or make it easier for foreign manufactured drugs to be on the market, or both. So yes, Biden gets a huge plus from me for starting down this road and I'm as surprised as anyone he could pull it off. I think a lot of us Dems were pleasantly surprised by his legislative victories for you and for me.
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Author: g0177325   😊 😞
Number: of 48495 
Subject: Re: Trump Failed, Biden Succeeded
Date: 08/29/2023 1:47 PM
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Jardiance

Now you've done it. I've got the "Jardiance Jingle" earworm again - https://www.youtube.com/watch?v=Aromts0OiHs
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Author: weatherman   😊 😞
Number: of 48495 
Subject: Re: Trump Failed, Biden Succeeded
Date: 08/29/2023 9:19 PM
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c'mon, if this ever benefits anyone in MAGA , they will dismiss it with the cliched 'i dont follow mainstream news'.

we are talking about people who think trump has built a national border wall that mexico paid for, whereas the more common scenario was rightwing grift.

https://www.bbc.com/news/world-us-canada-62841761

https://www.cbsnews.com/news/brian-kolfage-andrew-...

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Author: bighairymike   😊 😞
Number: of 48495 
Subject: Re: Trump Failed, Biden Succeeded
Date: 08/30/2023 12:30 PM
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BHM: Personally, I would like to see drug prices come down, but praising Biden for doing it is pre-mature.

No it isn't, not one bit. There are always legal skirmishes and your warnings are normal. You can make up warnings on anything - that's why we have the expression "slippery slope", which most of the time is a fallacy.

The Pharma capitalists have to realize that if they get too out of hand, we'll step in, maybe set the prices for them, or make it easier for foreign manufactured drugs to be on the market, or both. So yes, Biden gets a huge plus from me for starting down this road and I'm as surprised as anyone he could pull it off. I think a lot of us Dems were pleasantly surprised by his legislative victories for you and for me. - Lapsody


---------------------

Two questions....

1) Have drug prices come down? It is a simple question and the answer is NO.

2) Given the answer to #1, is it true that Biden has (past tense) brought prices down? The only answer can be No.

Lets say Biden announces he has passed into law a new $10 Trillion dollar tax on the wealthy that is earmarked for debt elimination. The new tax is set to kick in starting in 2050. Would you agree with him when he announces, "We have eliminated the national debt"?


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Author: Dope1   😊 😞
Number: of 48495 
Subject: Re: Trump Failed, Biden Succeeded
Date: 08/30/2023 1:40 PM
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No. of Recommendations: 1
1) Have drug prices come down? It is a simple question and the answer is NO.

2) Given the answer to #1, is it true that Biden has (past tense) brought prices down? The only answer can be No.


Heh. These guys don't know what Biden has done here, nor do they understand the consequences.

Let's look at what the "Inflation reduction act" does and the consequences of that, shall we?

https://www.nytimes.com/2023/08/29/us/politics/med...
Buried at the end of the article, we find
Now that the list of drugs is public, their makers have until Oct. 1 to declare whether they will participate in negotiations with the government. Companies that decline to negotiate must either pay a large excise tax or withdraw all of their products from both Medicare and Medicaid, the federal-state program that provides health coverage to low-income people.

Hmm. That doesn't sound like "negotiating" to me. More like extortion. But what are these excise taxes? What happens if a company refuses to play along?

Hat tip to Hot Air for finding this:

https://crsreports.congress.gov/product/pdf/R/R472...

The excise tax rate would range from 185.71% to 1,900% of the selected drug's price depending on the duration of noncompliance. The provision does not specify these rates explicitly, but instead defines an applicable percentage which equals the share of the post-tax sale price attributable to the excise tax. Specifically, the applicable percentage as defined in the statute equals tax/(tax+price) which simplifies to tax rate/(tax rate+1) with the applicable percentages being 65% for the sales of selected drugs during the first 90 days of noncompliance, 75% for sales during the 91st to 180th days of noncompliance, 85% for sales during the 181st to 270th days of noncompliance, and 95% for sales after the 270th day of noncompliance. Hence, the corresponding tax rates would be calculated as (applicable percentage)/(1- applicable percentage) and equal 185.71%, 300%, 566.67% and 1,900% respectively, depending on the duration of noncompliance. For example, if a selected drug was subject to the top tax rate of 1,900% and cost $10 pretax, it would cost $200 post-tax with $190 of the $200 cost (or 95%, the applicable percentage) being attributable to the excise tax.

Set aside the 1,900% stuff. Just taking 65-75-95% of the amount of sales effectively tells a drug company not to offer it on the market.

These "negotiations" are Biden's team pointing guns at the pharma company and saying "You can either cut the price by 50% or you can cut the price by 90%". Sure, that will work.

Until the drug companies decide not to play. Why would you even bother to ship a drug at below cost?

The democrats will get their short term political optics win - and for their voter base, a bunch of folks unable to think 5 minutes ahead, so that's enough - but for the rest of the market, say hello to shortages or outright discontinuations.

Bbbbbut no problem, libs will say: the patents will expire and some generic drug maker will step in and make a cheap one? That works great until the number of new medicines also dries up.


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Author: Lapsody 🐝  😊 😞
Number: of 48495 
Subject: Re: Trump Failed, Biden Succeeded
Date: 08/30/2023 2:25 PM
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No. of Recommendations: 2
And I pretty muuch said it's a beginning... and ...

"Eli Lilly announced they are lowering the cost of insulin by 70% and capping what patients pay out-of-pocket for insulin at $35. This action, driven by the momentum from the Inflation Reduction Act, could benefit millions of Americans with diabetes in all fifty states and U.S. territories. The President continues to call on Congress to finish the job and cap costs at $35 for all Americans."

There, as of March 2 https://www.whitehouse.gov/briefing-room/statement...

Eli Lilly & Co. is capping out-of-pocket costs for insulin at $35 a month, following a public plea from President Joe Biden for lower prices of the diabetes treatment for all Americans.

Lilly announced the cap Wednesday along with other actions, including cutting the list price for non-branded Insulin Lispro Injection to $25 a vial in May, while some Humalog and Humulin doses will be slashed 70% in the fourth quarter. Newly-launched Rezvoglar will sell at a 78% discount to a biosimilar version ' Sanofi's Lantus ' starting in April, the company said.

https://news.bloomberglaw.com/health-law-and-busin...

SO THE ANSWER IS YES to your 1 & 2.

I'll ignore you other question.



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Author: Dope1   😊 😞
Number: of 48495 
Subject: Re: Trump Failed, Biden Succeeded
Date: 08/30/2023 4:42 PM
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"Eli Lilly announced they are lowering the cost of insulin by 70% and capping what patients pay out-of-pocket for insulin at $35. This action, driven by the momentum from the Inflation Reduction Act, could benefit millions of Americans with diabetes in all fifty states and U.S. territories. The President continues to call on Congress to finish the job and cap costs at $35 for all Americans."

Sigh. Insulin pricing has been A Thing for a long time now, ever since EpiPens became a near-monopoly for Mylan Pharma.

https://www.wbay.com/content/news/Third-company-to...

By LINDA A. JOHNSON, Associated Press
Published: Dec. 6, 2018 at 8:44 PM PST
Generic drugmaker Sandoz announced plans Thursday to start selling an alternative to the EpiPen in the U.S. early next year.


That's nice that Lilly lowered their prices. It has zip to do with Biden and more to do with the fact that there are more generics around.

The DOJ in fact lowered the boom on them long before Biden:
https://www.mddionline.com/business/has-mylan-paid...
The $465 million settlement agreement that Mylan reached with the Department of Justice 10 months ago for claims that it defrauded the government by overcharging Medicaid for EpiPen auto-injectors has been finalized. Some called the news a win for taxpayers, while others said the drugmaker got off easy.



I'll ignore you other question.

Good. Hope you don't need any of those drugs on Biden's list, because they won't be around for much longer.
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