
WASHINGTON — As Democrats race to finalize a sweeping social spending bundle, President Biden on Monday tried to promote the invoice by specializing in a particular profit: decreasing the price of insulin for these with diabetes.
“I believe it’s protected to say that each one of us, all of us, no matter our background, our age, the place we reside, we are able to agree that pharmaceuticals are outrageously costly on this nation,” Mr. Biden mentioned after he was launched by a girl who mentioned she had fallen right into a coma after rationing her insulin.
The president mentioned one of the vital “egregious examples” of the excessive costs of pharmaceuticals was how a lot these affected by diabetes should pay for the treatment they want.
“Disgrace on us,” Mr. Biden mentioned. “We will do higher as a nation.”
It was the most recent try by the president to advertise the bundle, which has been caught in congressional gridlock. Mr. Biden beforehand sought to construct assist for the social coverage invoice by highlighting how it could create jobs, tax the wealthy and tackle the worldwide menace of local weather change. On Monday, he homed in on the methods the bundle would tackle prescription drug prices, a difficulty that the administration believes will attraction to a variety of voters.
However vital variations over the bundle should nonetheless be resolved, at the same time as Senator Chuck Schumer of New York, the bulk chief, insisted to his colleagues in a letter on Monday that the package would pass the Senate by Christmas. Senator Joe Manchin III, Democrat of West Virginia, has sought to pare down provisions in the package, including its paid family leave program, a methane fee on emissions, a plan to tax billionaires and an expansion of Medicare to cover hearing aids. Mr. Manchin has signaled support for the proposal to lower the costs of prescription drugs.
Mr. Biden dodged a question on Monday about whether he was confident that the package would be ready by Christmas.
“As early as we can get it,” Mr. Biden said. “We want to get it done no matter how long it takes.”
The social spending bill that passed the House would, for the first time, allow Medicare to directly regulate the price of drugs prescribed for its beneficiaries. Under the legislation, Medicare would be allowed to lower the price of 20 drugs a year once they have been on the market for several years. It also would change Medicare’s drug benefit to limit how much seniors can be asked to pay for their medication. It would establish a spending cap of $2,000 a year, a provision that would lower costs for the 2.5 million Medicare beneficiaries who currently pay more.
The bill would also make changes to drug prices for patients outside Medicare, by limiting the amount drug makers can raise their prices each year and by capping co-payments for insulin at $35 a month. The package, which was subject to extensive negotiations, targets fewer drugs than many House Democrats had hoped.
Prescription drugs cost substantially more in the United States than in other developed nations, a point Mr. Biden repeated in his speech. According to recent estimates from the Rand Corporation, American drug prices are more than 250 percent of prices paid by other nations in the Organization for Economic Cooperation and Development.
The White House views the provision to lower prescription drugs as one that can build support among a diverse group of voters for a legislative package that would also combat climate change and invest in the social safety net. After Democrats lost the governor’s race in Virginia last month, a White House official said the administration intended to focus on the progress made on negotiations to empower Medicare to galvanize suburban voters who may have supported Glenn Youngkin, the Republican who won the race.
But the portions of the drug plan that were highlighted in the event — limits on cost sharing for insulin, and a ban on high price hikes — both face challenges. Senate Republicans are arguing that the provisions violate the budget rules Democrats must follow to pass their legislation with a simple majority. The survival of those provisions depends on the ruling of the Senate’s parliamentarian, who is expected to consider the issue in the next few weeks.