Indian envoy warns of 'big red line,' days after charges laid in Nijjar case
India's envoy to Canada insists relations between the two countries are positive overall, despite what he describes as 'a lot of noise.'
U.S. President Joe Biden pledged Monday that his social agenda legislation would deliver tangible savings on prescription drugs for all Americans. Relief that consumers have clamored for is now in sight, he asserted.
But first the bill has to pass Congress, where plenty of obstacles remain in its path.
Biden tried to shift the focus to pocketbook provisions overlooked in the political machinations over his $2 trillion legislation, which deals with issues from climate to family life and taxes. Even before concerns over rising inflation, polls consistently showed support from Americans across the political spectrum for government action to lower drug costs.
"It's safe to say that all of us can agree that prescription drugs are outrageously expensive in this country," Biden said at the White House.
"I'm committed to using every tool I have to lower prescription drug costs for Americans consistent with the drug companies getting a fair return on their investment," he added.
But even if Biden and his fellow Democrats succeed in their final push to pass the legislation, a major political difficulty awaits them: Dividends from their prescription drug provisions won't show up right away, while the pain of rising costs is real and present. Democrats will have to point to promised, not actual, savings in next year's midterm elections.
The biggest policy change -- a system for Medicare to negotiate prices for prescription drugs -- won't begin to deliver lower costs until 2025, and then only for a selected set of 10 medicines, as well as insulin products. The number of drugs subject to negotiations would build with time, reaching 100 in six years and continuing to grow by 20 a year.
Other provisions would take effect earlier.
-- Copays for insulin would be limited to $35 a month, starting in 2023. Biden called the high cost of insulin "one of the most egregious examples" of overpriced medicines. He was introduced at the White House by a young woman, Iesha Meza, who couldn't afford insulin for her Type 1 diabetes and was hospitalized in a coma.
-- Drugmakers would be required to pay rebates to Medicare if they raise prices faster than inflation, starting that same year. That provision would benefit people with private insurance as well.
-- Medicare recipients with high drug costs would finally get a cap on their annual financial exposure, $2,000 starting in 2024.
-- Shingles vaccines and other shots covered under Medicare's "Part D" pharmacy benefit would be cost-free to consumers, starting in 2024.
The social legislation has passed the House and is pending before the Senate, where it could come to the floor as early as next week.
Some of the key prescription drug provisions face parliamentary challenges under Senate rules. The powerful pharmaceutical industry is maneuvering to strip out as much as possible. Drug companies oppose the entire bill, arguing that limits on their ability to set prices would stifle investment that fuels innovation.
In a statement following Biden's speech, Stephen J. Ubl, head of the industry lobby Pharmaceutical Research and Manufacturers of America, said that "a damaging bill jammed through a partisan process will not provide patients struggling to afford their medicines meaningful relief."
But a recent overview of the legislation from the nonpartisan Kaiser Family Foundation found that Medicare negotiations would "put downward pressure" on premiums and out-of-pocket costs for seniors, and other provisions of the legislation would also reduce out-of-pocket costs for those who are privately insured.
Biden said the industry has lost the pricing debate with the American people.
"This is not a partisan issue," said Biden. "Diabetes, Alzheimer's, cancer -- so many other diseases. They don't care whether you are a Democrat or Republican."
"We need Congress to finish the job," he emphasized.
Core provisions of the Biden bill draw from earlier legislation that was supported by then-President Donald Trump but failed to advance. Those include the cap on out-of-pocket costs for seniors and penalties on drug companies that raise prices faster than inflation.
The $35 monthly copays were also introduced under Trump through regulation, and are now available in a limited though growing number of Medicare prescription plans. Biden would greatly expand access and benefits.
Meanwhile, Medicare recipients are about to get an unwelcome illustration of the impact of high drug costs.
About half of next year's $21.60 increase to Medicare's "Part B" monthly outpatient premium is due to the program's need to financially prepare for a pending coverage decision on a $56,000-a-year Alzheimer's drug called Aduhelm. Notices have already gone out to millions of seniors telling them their cost in January will jump to $170.10.
Sen. Bernie Sanders, the Vermont Independent, is asking the Biden administration to hold back on that increase, a painful hit ahead of any benefits from the prescription drug legislation. But Biden did not address the issue in his speech Monday, and the Democrats' bill is currently silent on it as well.
India's envoy to Canada insists relations between the two countries are positive overall, despite what he describes as 'a lot of noise.'
Footage from dozens of security cameras in the area of Drake’s Bridle Path mansion could be the key to identifying the suspect responsible for shooting and seriously injuring a security guard outside the rapper’s sprawling home early Tuesday morning, a former Toronto homicide detective says.
With Donald Trump sitting just feet away, Stormy Daniels testified Tuesday at the former president's hush money trial about a sexual encounter the porn actor says they had in 2006 that resulted in her being paid to keep silent during the presidential race 10 years later.
Two Nova Scotia men are dead after a boat they were travelling in sank in the Annapolis River in Granville Centre, N.S., on Monday.
A chicken farmer near Mattawa made an 'eggstraordinary' find Friday morning when she discovered one of her hens laid an egg close to three times the size of an average large chicken egg.
Susan Buckner, best known for playing peppy Rydell High School cheerleader Patty Simcox in the 1978 classic movie musical 'Grease,' has died. She was 72.
Accused killer Jeremy Skibicki could have a challenging time convincing a judge that he is not criminally responsible for the deaths of four Indigenous women, a legal analyst says.
A Calgary bylaw requiring businesses to charge a minimum bag fee and only provide single-use items when requested has officially been tossed.
The CFL suspended Toronto Argonauts quarterback Chad Kelly for at least nine regular-season games Tuesday following its investigation into a lawsuit filed by a former strength-and-conditioning coach against both the player and club.
An Ontario man says he paid more than $7,700 for a luxury villa he found on a popular travel website -- but the listing was fake.
Whether passionate about Poirot or hungry for Holmes, Winnipeg mystery obsessives have had a local haunt for over 30 years in which to search out their latest page-turners.
Eighty-two-year-old Susan Neufeldt and 90-year-old Ulrich Richter are no spring chickens, but their love blossomed over the weekend with their wedding at Pine View Manor just outside of Rosthern.
Alberta Ballet's double-bill production of 'Der Wolf' and 'The Rite of Spring' marks not only its final show of the season, but the last production for twin sisters Alexandra and Jennifer Gibson.
A mother goose and her goslings caused a bit of a traffic jam on a busy stretch of the Trans-Canada Highway near Vancouver Saturday.
A British Columbia mayor has been censured by city council – stripping him of his travel and lobbying budgets and removing him from city committees – for allegedly distributing a book that questions the history of Indigenous residential schools in Canada.
Three men in Quebec from the same family have fathered more than 600 children.
A group of SaskPower workers recently received special recognition at the legislature – for their efforts in repairing one of Saskatchewan's largest power plants after it was knocked offline for months following a serious flood last summer.
A police officer on Montreal's South Shore anonymously donated a kidney that wound up drastically changing the life of a schoolteacher living on dialysis.