The Democrats' Hollow Utilisation D Proposal

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The Democrats' Hollow Utilisation D Proposal

The House Democrats lead hold announced the aeroplane their Part D prescription drug legislation volition take.

Throughout the 2006 campaign, they had pledged to lower senior prescription drug prices past times requiring the federal authorities to negotiate direct amongst the drug companies--something the 2003 Medicare Act specifically prohibited. The Democrats went farther proverb that these negotiations would locomote far possible to closed the "donut hole," or coverage "gap," that straight off exists inward the senior drug program.

That all had a bully band to it on the drive trail. But gauge what? The Democrats won the election as well as straight off they lead hold to follow through on the pledge.

The work is that when they got dorsum to Washington they couldn't figure out a means to brand their pledge work! It became clear that at that spot weren't the savings inward drug negotiation they had hoped for--so forget eliminating the gap.

More, they establish out that the means you lot larn existent savings from negotiation is that you lot enjoin the drug companies if they don't grade the Part D plans a bully toll they volition endure excluded from beingness offered--they won't endure on the formulary.

All final yr Democrats were critical of the Republican Part D plan for limiting benefits inward 1 means or another. Now Democrats discovery out that if you lot actually desire to cutting costs you lot lead hold to bound benefits to produce it. Yikes!!!

So what produce the Democrats advise for their "first 100 hours" approach to limiting drug costs?

They advise something hollow as well as zero to a greater extent than than a political charade.

The Democrats advise to involve the Department of Health as well as Human Services (HHS) to negotiate drug prices amongst the drug companies (tough linguistic communication there). BUT, they don't grade the feds whatsoever leverage to larn a lower price.

The Democrats would involve the negotiations simply they set HHS inward the seat of having to enjoin the other side that they likewise lead hold no leverage--negotiate amongst us simply you lot are going to larn offered inward all the wellness plans anyway.

The Democrat proposal likewise says that the Part D drug plans (the PDPs) are gratis to negotiate amend prices than the authorities gets.

So, where are nosotros at the goal of the day?

The PDPs volition produce what they produce now. The big guys, who lead hold the marketplace clout, tin exclude drug companies from their formulary, as well as grade incentives to purpose generic drugs, volition lead hold to a greater extent than clout than the the feds who lead hold none because they can't exclude anybody.

So, the Democrats locomote past times their hollow as well as meaningless Part D negotiation law inward the "first 100 hours," probable scout it perish inward the Senate (if non incur a Bush veto), declare a political victory, as well as deed on.

The marketplace keeps doing what it has as well as the Democratic proposal, if it were to larn law, wouldn't brand whatsoever difference.

Being inward the opposition was a lot easier than governing!

January vii Washington Post Related Story


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