Bush would Veto Medicare
Drug Price Measure,
Republicans Say
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There are 44 Blue Dogs in the
House. If there ever was a need to elect more Blue Dogs to block
a Republican president's veto of obtaining lower prices under
Medicare, this article is provides it. This is why electing more
Blue Dogs in 2008 is crucial. |
WASHINGTON (AP) January 12,
2007 — President Bush promised on
Thursday to veto Democratic-drafted legislation requiring the government to
negotiate with drug companies for lower prices under Medicare.
The House is to debate and vote Friday on the bill, which
is one of a handful of priority items for Democrats who gained control of
Congress in last fall's elections.
"Government interference impedes competition, limits
access to lifesaving drugs, reduces convenience for beneficiaries and ultimately
increases costs to taxpayers, beneficiaries and all American citizens alike,"
the administration said in a written statement.
Further, it said, competition already "is reducing prices
to seniors, providing a wide range of choices and leading to a more productive
environment for the development of new drugs."
Bush had already threatened to veto another of the top
six bills Democrats are pushing across the House floor in the first two weeks of
the new Congress. That's the measure, approved Thursday, to expand the extent to
which federal funds could be used for embryonic stem cell research.
Several Democrats campaigned last fall as critics of the
two-year-old program that offers prescription drug coverage under Medicare,
saying it tilted too heavily toward profits for the pharmaceutical and insurance
industries.
Currently, private drug plans negotiate how much they'll
pay for the medicine their customers take. But the legislation under
consideration Friday would require the secretary of the Department of Health and
Human Services to do so.
"It is clear Medicare can do better and we are insisting
that they do so," said Rep. John Dingell, R-Mich., the bill's author.
Democrats have said they would use the savings produced
by the negotiations to reduce a coverage gap that is common in many plans.
Republicans argue that individual insurance companies
already negotiate lower prices on behalf of their customers, and that the
Democratic approach was tantamount to calling for federal price controls.
They note that the program is coming in under budget and
seniors are expressing support for the benefit.
"What we set out to do, we accomplished," said Sen. Jim
Bunning, R-Ky., during a hearing Thursday about the drug benefit. "We had a
success, a very big success."
Also, the non-partisan Congressional Budget Office said
the legislation was unlikely to result in lower prices.
"The secretary would be unable to negotiate prices across
the broad range of covered Part D drugs that are more favorable than those
obtained by (the plans) under current law," Donald B. Marron, the CBO's acting
director, has written.
Actuaries for the Centers for Medicare and Medicaid
Services came to the same conclusion Thursday.
Dingell, a leading supporter of the legislation,
dismissed the CBO's letter.
"This isn't the first time the Congress and CBO differed
on the amount of savings a particular bill would achieve," he said. "Common
sense tells you that negotiating with the purchasing power of 43 million
Medicare beneficiaries behind you would result in lower drug prices."
The legislation, expected on the House floor on Friday,
also would ban any attempt to limit the array of drugs available to Medicare
beneficiaries by creating formularies. That stands in contrast to the Veterans
Administration, which has lower prices for its beneficiaries but uses
formularies that limit patient choice.
Under the Medicare prescription drug program, insurance
companies offer competing coverage plans, and seniors may enroll in the one they
like best. The administration announced on Wednesday that 23.5 million seniors
had enrolled in stand-alone plans as of Jan. 1.
While a majority of seniors are expressing satisfaction
with the program, surveys also indicate that they overwhelmingly want the
government to have the power to negotiate drug prices.
A survey of seniors for the Kaiser Family Foundation
showed that about 81% of seniors want to let the government use its buying power
to negotiate drug prices, including 67% who said they strongly favor such
negotiations. Democrats say that another survey showed that requiring government
negotiations polled more favorably than any other issue that Democrats included
for their first 100 hours of the new Congress.
The issue is expected to have a tougher time in the
Senate. However, Sen. Max Baucus, D-Mont., gave supporters of the measure a lift
on Thursday when he said the total prohibition on government negotiations for
Medicare beneficiaries should be eliminated.
"I do not buy the argument that the sky will fall on the
prescription drug market if we remove this clause," said Baucus, chairman of the
Senate Finance Committee, which has jurisdiction over Medicare.