How House Democrats Would Trim The Deficit…

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scissors-flickrThis morning, we brought you a proposal from one US Senator for slashing the deficit that involves reworking Medicare pricing and pharmacy benefit transparency, among other things (see this). Now, the House Democrats have offered up their own set of recommendations and they largely mirror what President Barack Obama has already proposed.

To wit, the House Energy and Commerce Committee would reinstate rebates for so-called dual eligibles - low-income people who would be eligible for Medicare and Medicaid - and argues this would save taxpayers $135 billion over 10 years. Another item on the wish list (read the letter) is restricting pay-to-delay patent settlements between brand-name and generic drugmakers. The US Federal Trade Commission has long sought to limit these deals (look here).

These are not new suggestions, of course, and are repeated, in fact, by the Committee on Oversight and Government Reform, which would also like to allow the US Department of Health & Human Services to negotiate discounts for Medicare Part D drugs.

“A series of reports by the Oversight Committee identified the inability of the private Medicare Part D plans to negotiate for low drug prices and concluded that allowingthe Secretary to negotiate on behalf of tens of millions of Medicare enrollees could cut drug costs and save taxpayers billions of dollars,” the committee writes in its letter to the Joint Select Committee on Deficit Reduction.

The amount of savings was not specified, but President Barack Obama last month suggested the pharmaceutical industry cough up $135 billion by agreeing to negotiate Part D discounts (see this). And the Oversight Committee also cited an Obama proposal to reduce exclusivity on biologics from 12 years to seven years.

scissors pic thx to leonid mamchenkov on flickr

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  1. Just a note on the ‘dual eligibiles’ - which was news to me. At a professional presentation this week, the group was estimated to be 9 million persons (tending to be female)- representing 50 percent of Medicaid total spend and about 25 percent of Medicare spend.

    While I have heard the phrase before, if the presenter gave accurate figures, that group has a signigicant impact on the programs.

  2. Here’s the difference between leading & demagoguery–leading involves making these kind of proposals when they can actually be enacted, as was the case when the Democrats held the majority in both houses during 2009 & ‘10. Demagoguery involves doing this just to score political points in the run-up to an election.

  3. Forget trimming the deficit. Just go to Gerge McGovern’s campaign pledge to give everyone in the United States a tax free gift of $1,000. With a population of 300 million, that works out to a $300 billion giveaway, which would only increase the deficit by 2% while allowing everyone go go out and by the latest iPhone.

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