Monday, September 28, 2020
Home Lead Story House Speaker Nancy Pelosi Pushes Ahead to Build Healthcare Strategy

House Speaker Nancy Pelosi Pushes Ahead to Build Healthcare Strategy

Pelosi has tapped two committees, Budget and Rules, to handle "Medicare for all." Health care legislation doesn't usually originate in either of them.

House Speaker Nancy Pelosi is laying out her strategy on health care and first up is improvements to “Obamacare” and legislation to lower prescription drug costs. “Medicare for all” will get hearings.

Pelosi and President Donald Trump have been sounding similar themes about the need to address the high drug costs. But her plans to broaden financial help for health insurance through the Affordable Care Act are unlikely to find takers among Republicans.

Either way, Democrats believe voters gave them a mandate on health care in the midterm elections that returned the House to their control.

Pushing her agenda, Pelosi is working from the ground up through major House committees. Her relationships with powerful chairmen and subcommittee chairs stretch back years. She’s “playing chess on three boards at once,” said Jim McDermott, a former Democratic congressman from Washington state, who predicts Pelosi’s most difficult challenge will be “herding new members” impatient for sweeping changes.

Nancy Pelosi, Shutdown, healthcare
U.S. House Speaker Nancy Pelosi holds a news conference at the U.S. Capitol in Washington, Jan. 10, 2019. VOA

Responding to written questions from The Associated Press, Pelosi called the ACA “a pillar of health and financial security,” comparing it to Medicare, Medicaid and Social Security.

“Democrats have the opportunity not only to reverse the years of Republicans’ health care sabotage,” she said, “but to update and improve the Affordable Care Act to further lower families’ premiums and out-of-pocket costs, and expand coverage.”

Legislation from Energy and Commerce Chairman Frank Pallone, D-N.J., Ways and Means Chairman Richard Neal, D-Mass., and Workforce and Education Chairman Bobby Scott, D-Va., would broaden the number of people who can get financial assistance with their premiums under the Obama health law, and undo the “family glitch” that prevents some from qualifying for subsidies. It would also restore the HealthCare.gov advertising budget slashed by Trump and block some of his administration’s health insurance alternatives.

Those issues are separate from legal questions raised by ongoing Republican litigation to overturn the health law. The Democratic-led House has voted to intervene in the court case to defend the law.

USA, Trump, Pelosi, shutdown
From left, President Donald Trump and House Speaker Nancy Pelosi. VOA

The 2010 health law belonged as much to Pelosi as to former President Barack Obama, said McDermott. “She’s taking `Obamacare’ and very carefully figuring out where you have to support it,” he said.

The House ACA package has little chance as a stand-alone bill. But parts of it could become bargaining chips when Congress considers major budget legislation.

On prescription drugs, Trump and the Democrats are occupying some of the same rhetorical territory, an unusual circumstance that could bring about unexpected results.

Both say Americans shouldn’t have to keep paying more for medications than consumers in other economically advanced countries where governments regulate prices.

The Trump administration has designed an experiment to apply international pricing to Medicare “Part B” drugs administered in doctors’ offices.

Pelosi wants to expand price relief to retail pharmacy drugs that seniors purchase through Medicare’s “Part D” prescription drug benefit, a much bigger move. A bill introduced by leading Democrats would authorize Medicare to negotiate directly with drug companies using international prices as a fallback.

Obamacare, republicans
A person walks by a health care insurance office in Hialeah, Fla. VOA

“President Trump said he’d `negotiate like crazy’ to bring down Medicare prescription drug prices, and since the midterm election he’s spoken about working with Democrats,” Pelosi wrote to AP. “We have an opportunity to enact the tough legislative negotiating authority needed to actually lower prescription drug prices for consumers.”

One of the top Senate Republicans on health care says he’s not inclined to do that. Finance Committee Chairman Chuck Grassley of Iowa says having private insurers negotiate with drug companies has worked.

“Part D is the only federal program I’ve been involved with that has come in under budget,” said Grassley. “If it’s working, don’t mess with it.”

Nonetheless, former Health and Human Services Secretary Mike Leavitt, a Republican, said Medicare is “a good example of places where the administration might surprise.”

“Prescription drug pricing is in a category where both the president and the Democrats have made a commitment,” Leavitt added. “There will be a lot of division, but in the end there is a very good chance they will find a way that they can both claim victory.”

Also Read: Obamacare Unconstitutional: U.S. Federal Judge

But the biggest health care idea among Democrats is “Medicare for all,” and on that, Pelosi is cautious. To those on the left, “M4A” means a government-run health care system that would cover every American. That would require major tax increases and a big expansion of government.

Pelosi has tapped two committees, Budget and Rules, to handle “Medicare for all.” Health care legislation doesn’t usually originate in either of them.

Says Pelosi: “We’re going to have hearings.” (VOA)

STAY CONNECTED

19,134FansLike
362FollowersFollow
1,776FollowersFollow

Most Popular

7 Money Tips to Travel for Hard-line Backpackers

Travel is something that every millennial love to do, but most of the time it can also turn out to be very costly especially...

People Neglect Fear of COVID as Food Orders Outrush

If you are among those who are thrilled to once again see food delivery boys all around or plan to visit a restaurant and...

Demand for Indian Animation Witnesses a Substantial Growth

With demand for Indian animated content growing among global audiences, especially with children who are a significant consumer group for animations like cartoon shows,...

Treatment and Lifestyle Changes for a Healthy Heart

From the time the first Coronavirus case was recorded in China, to India's numbers crossing four million, COVID-19 has millions of lives under its...

The Vogue Change of Footwear in India

Covid-19 has changed consumer buying patterns across segments, ranging from FMCG, personal care, apparel to footwear. The change has also led manufacturers to take...

Daughters’ Day: Entertainment Industry Showers Their Little Girls With Love

From megastar Amitabh Bachchan to Ajay Devgn and Ayushmann Khurrana, several stars took to social media to shower their daughters with love on the...

When “Rehnaa Hai Terre Dil Mein” Released, it was Flop But Slowly Became Iconic: Madhavan

When Rehnaa Hai Terre Dil Mein released in 2001, the film failed to create sparks at the box office. What remained with the viewers...

This is How NASA is Preparing Astronauts for Next Moonwalks in 2024

As NASA plans to return humans to the Moon in 2024 as part of the Artemis programme, the agency has already started preparing astronauts...

Recent Comments