Biden administration adds insulin to drug price negotiation list in major blow to big pharma

https://lemmy.world/post/4128033

Biden administration adds insulin to drug price negotiation list in major blow to big pharma - Lemmy.World

“This was an unexpected victory in a long fight against an illegal cartel of three corporations who have raised their insulin prices in lockstep.” The Biden Administration pleasantly stunned health care reform advocates Tuesday by including short-acting insulin in its list of 10 drugs for which Medicare will negotiate lower prices, power vested in the White House by the Inflation Reduction Act. The IRA was passed in the face of one of the heftiest barrages of lobbying in congressional history, with the pharmaceutical industry spending more than $700 million over 2021 and 2022 — several times more than the second- and third-ranking industries — much of it aimed at stopping the legislation, watering it down, or undermining its implementation.

As someone from the UK, I don’t know what to make of the Biden administration.

I see positive news articles about what they’re doing, then I see people (not just right wing) saying it’s going poorly…

Obviously things can always be better and there are going to be areas where they’re failing, but how actually is it going over all?

Biden is fine. A lot of people are looking for someone who is going to revolutionize things overnight. A lot of folks also like to give the President blame or credit for things out of his control. Overall I’ve been pleasantly surprised. All I really wanted was not Trump, but Biden has been a lot better than that.

ive been waiting 40 years for democrats to do something that didnt line insurance companies pockets. im still waiting. how much longer until this 'revolution' youre expecting? i suspect ill be long dead.

biden is an ancient husk of a politician, doing the bare minimum that the dems have been doing for as long as i can remember. this is not revolution, this is conservatism.

its sad that this 'bare minimum' is now seen as 'a lot better than not trump'

Try reading what you’re responding to again, slowly. I think you misread.
He can’t hear you over the righteous outrage.

If you want a revolution then you need to get people on board with it first, not politicians.

And it seems like America’s split down the middle between two groups with very different opinions, so I don’t see that happening anytime remotely soon.

The far left is basically as bad as maga when it comes to wanting a functioning government. They just want their way and they don’t much care about how it happens.
Your view of reality is skewed.
Kentucky’s governor won’t commit to appointing Republican if McConnell resigns - Lemmy.world

After Senate Minority Leader Mitch McConnell (R-Ky.) experienced his second freezing episode in five weeks, Kentucky Gov. Andy Beshear (D) is declining to say whether he would follow a state law requiring him to appoint a Republican in the event of a Senate vacancy. A reporter asked Beshear on Thursday whether, if McConnell were to step down, he would choose a replacement from one of three nominees selected by the state Republican Party, as the statute requires. “There is no Senate vacancy,” Beshear responded at the news conference. “Senator McConnell has said he’s going to serve out his term, and I believe him, so I’m not going to speculate about something that hasn’t happened and isn’t going to happen.” Asked whether voters deserve to know his stance on the issue, Beshear said he would not “sensationalize” McConnell’s health. Beshear, who took office in 2019, is running for reelection this fall against Kentucky Attorney General Daniel Cameron ®, a protégé of McConnell who has also been touted as a possible Senate successor should McConnell retire. McConnell, the longest-serving Senate GOP leader in history, has insisted he has no imminent plans to leave the Senate. Republican senators and other allies rallied around him after he froze for more than 20 seconds while speaking to reporters Wednesday in an incident similar to one in July. McConnell’s office attributed the freezing to him feeling “momentarily lightheaded,” and the attending physician of Congress said the senator was cleared to continue working. Beshear’s remarks raise questions about whether the governor might challenge the 2021 law and seek to appoint a Democratic senator. He vetoed the statute after the state’s Republican legislature passed it, calling the bill “unconstitutional.” The legislature overrode Beshear’s veto. The law, backed by McConnell, requires a governor to select within 21 days one of three nominees chosen by the state-level party apparatus of the departing senator. A special election must then be held to select a more permanent replacement. The timing would depend on when the vacancy occurred. In his veto message, Beshear said the law violates the 17th Amendment of the U.S. Constitution, which gives voters the right to directly cast ballots for senators, rather than state legislatures filling the seats. The amendment also says a state legislature can empower a governor to temporarily fill a vacancy until an election can be held. “The bill therefore upends a century of precedent by delegating the power to select the representative of all Kentuckians to an unelected, unaccountable committee of an organization that represents only a fraction of Kentuckians,” Beshear wrote in the veto message. The governor also argued that the law violates a provision of the Kentucky Constitution that says state-level vacancies “shall be filled by appointment of the Governor.” “No conditions, qualifications, or limits are placed on that appointment power,” Beshear wrote. In addition to his comments Thursday, Beshear declined to answer a question from Politico this month about whether he would commit to appointing a Republican replacement for McConnell. “There’s not going to be a vacancy,” he told Politico. “That would be total speculation.” Beshear would have two choices if he wanted to appoint a senator of his choosing, said Michael Abate, a Louisville-based attorney with expertise in constitutional law. The governor could file a lawsuit challenging the statute or immediately appoint someone not on the state Republican Party’s list of three names. Either scenario would probably prompt a court battle, Abate said. “I do think there’s a real and substantial question here,” he said of the law’s constitutionality. “Historically, when the governor’s given power of appointment for something like this or the executive power’s given, it’s often pretty wide-ranging discretion.” In 46 states, governors are empowered to appoint a temporary replacement if a Senate seat becomes vacant. Eleven of those states limit the governor’s choices in some way. In addition to Kentucky, six states — Hawaii, Maryland, Montana, North Carolina, West Virginia and Wyoming — specifically require that the governor choose from a list of nominees compiled by the outgoing senator’s party. In four states, special elections must occur to fill open Senate seats. Wyoming is the most recent state in which a governor was legally required to appoint a senator from an opposing party to keep the same party balance in the Senate. Then-governor Dave Freudenthal, a Democrat, appointed Republican John Barrasso to the Senate after Republican Sen. Craig L. Thomas died in 2007.

So what pressing matter caused KY’s republican legislature to pass that law in 2021? Gee, it must’ve been super important 🙄
Only following laws you agree with is what is wrong with both parties.

the truth is, biden and his peers are conservatives who do not believe that healthcare is a right. its only for those that can afford it. They attempt to appease the masses with these generous rebates on life saving drugs.

if the powers that be really cared about humans they would be pushing mass changes to the entire system, not placating businesses by keeping prices high while also pretending to negotiate for the unwashed.

follow the money, and all the money says "we dont care about healthcare or human beings"

that whole line about "but we cant affect change overnight. those crazy progressives!". motherfucker, ive been waiting 40+ years for them to do fucking anything that didnt line some providers pockets.

current democrats are fucking useless.

I have no idea why you got downvoted on this comment. With the exception of the Democratic Socialist subset, most Democrats are pretty conservative. Remove the white Christian bigotry and they’re pretty similar Regan era Republicans.
Obama himself is quoted as saying that some of his own policies would make him a “moderate conservative” by 1980’s standards. Then consider that Biden was picked as his running mate to appeal to the wing of the party that was more conservative than him.
Troglodytes that pretend they are above the team-sport aspect of politics fucking HATE when you point out what a limp dick milquetoast piece of shit Biden is and how his administration loves to shout about putting band-aids on bullet wounds, and the fucking neoliberals eat that shit up like candy.

"I have no idea why you got downvoted on this comment."

Literally no downvotes on the comment you're responding to. Until me, of course. You can have one too.

I have an honest question. In the current political climate, how would Democrats go about changing everything?

To borrow a couple of lines written for the UK in the 60s:

Say, the time is right for palace revolution
But where I live the game to play is compromise solution

Biden is a well meaning old man whittling away at the problems the best he can within the rules of the system. The problem is that the system has been rigged against working people for at least 40 years now; some people feel the problems go deeper than what you can solve by being by the book and doing politics as usual.

If we pretend Trump wasn’t a thing, I’d say Biden is really living up to his campaign promise of “nothing will fundamentally change.” By that I mean, he hasn’t personally done anything amazing or terrible, and he hasn’t gotten in the way of others, either.

For instance, this has the fingerprints of Bernie Sanders all over it, who chairs several committees in congress, including the relevant one for this. Has Biden stopped Bernie Sanders? No, and while I wish that fact wasn’t a win, it is.

Bernie isn’t alone in being the only good thing about our current government, either, but Biden also hasn’t removed some of the terrible things the trump administration set up. The Environmental Protection Agency has rolled back a bunch of things I’m very upset about. It is my personal belief that he’s heavily influenced by certain groups (insurance) but is trying in other areas.

Biden isn’t at all supporting policies that are just common sense if you live anywhere else, and while the UK isn’t the best, I’ve discussed this with a British friend and I still include them in that. In short, you have more protections from your government that they need to try to remove first.

In my opinion if Biden had been elected after Obama or after a normal Republican he would’ve basically had a quiet presidency and been one of the ones you don’t really mention in history because nothing happened. Standard calls for corruption, but not worse than any regular senators. In today’s world, that’s positive, with Republican candidates promising to abolish the department of education, but in another world where things aren’t full of neonazis and fascists, I’d be saying it’s awful, because I would have wanted a president that would change things for the better, and now I’m just beaten down enough to be ok with “Nothing will fundamentally change.”

If only we could pretend Trump wasn’t a thing… sadly the courts, and many government agencies, will never be the same.
I know. I want what he’s done to be a bad term, like it would’ve been. But the bar is just so low. Mediocrity is good because the bad are actively bad (and fascist)

" I’d say Biden is really living up to his campaign promise of “nothing will fundamentally change.”"

Oh hey, people are still using the purposefully false claim where Biden in a speech to rich people said he was going to raise their taxes and they should be fine with him doing it because they're rich and nothing will fundamentally change about their lifestyle.

But, hey, keep taking that statement out of context like the trash you are.

First off, good for you, deciding someone is trash for having an opinion, I’m sure your parents are very proud.

I didn’t get that from the buzz afterwards surrounding that quote, I got it from watching the debate live. But you know what? Those rich assholes’ lives SHOULD change. If their lives aren’t different, even if they got a higher tax rate, then it’s not enough, and without them having to tighten their belts, everyone lower than them will continue to starve.

He’s Joe Biden, the dude who attacked social security as a senator. Saying that to the rich IS saying that to everyone, for him. And look, wow, during his term as president, nothing has fundamentally changed. Go figure.

I feel like he isn’t a deranged narcissist who would nuke his own country if it somehow benefited him.

Don’t forget that we have right of center (democrats), right (republicans) and left of center (bernie sanders).

Democrats are still rich and love the lobby money.

Clintons have invested in privatizing prisons for example.

It’s not just the republicans that take advantage if the single ideology vote.

Things are better than they were under Trump in that our head of state is no longer an overt bigot that tends towards embarrassing antics. It’s more like how things were before. The problem is the way things were before sucked. So it looks better but still is a neoliberal cesspool on this side of the pond.

But at least we can still get a few hundred varieties of potato chips! We’re fine!

To me, Biden is like a bandage to stop the bleeding the Republicans were inflicting. When you are bleeding out, you don’t really care what the bandage looks like or whether or not it’s the perfect bandage. Now that the bandage has stopped the worst of the bleeding, I’m going to be a little pickier.
Just don’t pick another knife.
Meanwhile, those same companies sell for a fraction of the price all around the world.

They need to find a way to negotiate the price down for everyone, not just retirees. Kids need insulin.

And after that, epi pens.

Where are all of the “think of the children” folk? Not important now that they’re born.

“If you’re pre-born, you’re fine. If you’re preschool, you’re fucked.” – George Carlin

Except even that isn’t true, because those “choose life” assholes don’t give two fucks about poor women without insurance being unable to afford pre-natal care. If your fetus dies from something preventable, fuck you lady.

Don’t worry, they’re too busy actively using children as pawns to fuck over the Internet, labor laws and trans people.
Children also make good target practice for guns in schools.
DARK BRANDON HAS ARRIVED

The problem is the government can’t set the price of goods in a private contract between two non-government entities, which is what would need to happen. The various bills you see in states setting co-pay caps is about as close as we can get, and that only happens because the government CAN regulate insurance companies and the policies they offer. While that might, eventually, put pressure on the insurance companies to demand lower prices from the manufacturers, it’s a long way disconnected from the price paid by the patient.

And regulating copays doesn’t help people without insurance at all.

That’s why this is such an important step. When prescription coverage was added to Medicare, the ability of the government to negotiate drug prices was specifically striped from the bill. The Inflation Reduction Act added it back, finally. And it’s a huge win. Medicare and Medicaid are enormous programs, and when they throw their weight around, they can affect the markets they’re in dramatically. It’s why the drug companies are already filing suit.

But the real solution isn’t trying to force private insurance companies to play ball, or make drug manufacturers sell at a low price, it’s to leverage that giant market pressure and expand Medicare eligibility to everyone. And if you’re worried about funding? Don’t be. Unlike social security, Medicare’s tax has no maximum wage.

Laws aren’t real. The government isn’t real. Money isn’t real.

You’re not listing good reasons. Just trite bullshit.

Laws are absolutely real, and this is a testable theory. Go break a law and put in no effort to hide what you’ve done. See what happens.

What you mean to say is that we can change laws, and that’s true. To do that, you’d need to elect more representatives, nationally, who agree with you - because the government is also very real.

There was fringe on the flag!
Yup. Everything i hear about health care cost is leverage. I’m glad to see this.

government can’t set the price of goods in a private contract between two non-government entities

What about IRS? I mean they should report taxes. So if they refuse money they report they are getting paid, then it is low-hanging tax fraud. Probably. At least in Europe it would be.

I buy my epipens illegally. I was without insurance for a little bit and instead of paying $650, I found a person on Reddit that sold me 2x for $50 and I’m still in contact with that person today whenever my pens expire or I use or lose one. I still go that route with insurance because damn the man. Not like that makes a difference to them, but it makes me feel better hahaha.
I've always wondered why those that might need an epinephrine shot don't keep a vial and needle on hand. A vial of epinephrine goes for about $35. No judgement, just genuinely curious.

You ever try to draw from a syringe while you're hypotensive, gasping for breath, and panicking as you're about to pass out? That's the primary innovation of the epi-pen. Remove cap, stab through clothes, press button.

Granted, syringe and vial would be better than not having epinephrine though.

You can prefill the needle and keep it in a pencil case. Syringes work fine through clothes, although not ideal.

I'm an insulin dependent (T1) diabetic. I keep a glucagon kit on hand in case of an emergency. It's a syringe and vial that needs to be mixed. The idea is that if you're unconscious, someone that is close can administer. If I were severely hypoglycemic I'd have problems, but my partner wouldn't. I could pull it off if it were prefilled, but you can't prefill glucagon.

You have to be careful about what tissue you put the epinephrine in. If you don’t hit the right tissue, it can not function or cause you to go into tachycardia. When your brain is also potentially not working super great due to low blood pressure (the shock part of anaphylactic shock), it’s best to have a point and click interface.

Insurance companies when you need to use their service (which you pay monthly for):

  • sorry I’m your doctor now and I’m not going to pay for that test Insurance companies when they need to bribe law makers:
  • money go brrrtr
They throw a few million in the right pockets and they make billions in return, best investment they ever made.
The pharmaceutical industry spent $700 million lobbying against this? What a bunch of assholes.

" Wealthy residents raise $60,000 to stop homeless shelter being built in San Francisco", was a headline last week.

It’s not just an 'industry" thing. It’s a "people"thing

I don’t know how this is a negotiation…big pharma overcharges the USA by a lot…we all know it. How is this not illegal? Why are they not held accountable for inflating prices for 1 group of people? Imagine if they did the to just a single race…black, white, Asian, whatever… Is t it the same thing?

It’s not illegal because it isn’t illegal to set a price that the market can bear.

They’re not increasing prices for just one group of people, which may or may not be illegal, but rather setting a price for a given product.

This is the crux of why this has been such a tough nut to crack.

A product which is only necessary for one group of people. A group who, through circumstances likely beyond their control, need that medication to maintain a healthy life. Thinking of life saving medication as a product to be sold is the problem.

I don’t disagree with your intent, but this is not the way laws work in the United States. I generally share your opinion that this is not the way laws should work, but that does not change the present reality.

You asked, “How is this not illegal” and I answered that question.

I’m not the one who asked that. I think “How is this not illegal” wasn’t intended to be taken as a literal request to explain our current legal situation in this country but more an exasperated rhetorical question to underline the jarring and obvious moral hypocrisy in our laws.

That makes sense. I often interpret people too literally, and to me the person seemed to be literally asking why this wasn’t illegal.

I understand the frustration, and to me, the current legal framework is the source of the frustration, which is why I thought the question was both literal and apt.

I thought the issue was that it wasn’t legal for the gov to negotiate prices?

big pharma overcharges the USA by a lot

A single months supply vial of insulin cost less to manufacture than a child’s Happy Meal

Didnt trump tried to do this?