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Jonathan Cohn at HuffPost:
The first-ever negotiations between the federal government and pharmaceutical companies have led to agreements that will lower the prices of 10 treatments, reducing costs for the Medicare program and for some individual seniors, the Biden administration announced early Thursday morning. This round of negotiations began in 2023 and took place because of the Inflation Reduction Act, the law that Democrats in Congress passed on a party-line vote and that President Joe Biden signed two years ago. The new prices are for drugs covering a variety of conditions, including diabetes and inflammatory illnesses, and are set to take effect in January 2026. The negotiation process is going to happen each year, with a new set of drugs each time. If all goes to plan, that means the scope of drugs subject to negotiated prices will grow each year, while the savings will accumulate.
“When these lower prices go into effect, people on Medicare will save $1.5 billion in out-of-pocket costs for their prescription drugs and Medicare will save $6 billion in the first year alone,” Biden said in a prepared statement, citing figures that analysts at the U.S. Department of Health and Human Services calculated and published on Thursday. “It’s a relief for the millions of seniors that take these drugs to treat everything from heart failure, blood clots, diabetes, arthritis, Crohn’s disease, and more ― and it’s a relief for American taxpayers.” Of course, those numbers refer to aggregate savings on drug spending. Figuring out what they will mean for individual Medicare beneficiaries is difficult, because so much depends on people’s individual circumstances ― like which drugs they take, or which options for prescription coverage they use. It also depends on knowing the actual, real prices for these drugs today, after taking into account the discounts that private insurers managing Medicare drug plans extract from manufacturers. Those discounts are proprietary information that the federal government cannot release.
Great news: The Biden Administration, pharmaceutical companies, and Medicare have negotiated hefty price reductions for 10 high-cost drugs, including Januvia, FIASP, and Entresto.
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socialjusticeinamerica · 10 months
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kp777 · 3 months
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By Edward Carver
Common Dreams
July 2, 2024
Past administrations "have been intimidated and deterred from challenging Big Pharma's monopoly power," an expert said. "Today, however, President Biden and Sen. Bernie Sanders call Big Pharma's bullying bluff."
President Joe Biden and Sen. Bernie Sanders on Tuesday called for prescription drug companies to lower prices and stop "ripping off" Americans.
The message from Biden and Sanders (I-Vt.) came in a joint op-ed in USA Today in which they laid out the reforms they've already pushed through, called out two pharmaceutical companies in particular for the "unconscionably" high prices they charge to Americans, and vowed to take governmental action to end the "corporate greed."
Read more.
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Releasing the U.S. Senate Health, Education, Labor, and Pensions Committee's findings on the prices of weight loss drugs in the United States, Sen. Bernie Sanders on Wednesday ramped up pressure on a Danish pharmaceutical company to lower the "outrageously high" prices of Ozempic and Wegovy, warning that the current pricing could bankrupt the country's healthcare system.
As chairman of the Senate HELP Committee, Sanders (I-Vt.) is leading an investigation into Novo Nordisk's weight loss drug pricing, and the report published Wednesday is the result of modeling his staff completed to show how the medications' exorbitant prices could impact prescription drug pricing across the United States.
The committee found that if half of all U.S. adults with obesity took Wegovy and other diabetes drugs that have recently been approved for weight loss, it could cost $411 billion per year. In 2022, Americans spent $406 billion on all retail prescription drugs.
Medicare and Medicaid would spend an estimated $166 billion per year on the medications if half of the programs' patients used them, rivaling the $175 billion the programs spent on prescription drugs in 2022.
"Today's report makes it crystal clear: The outrageously high price of Wegovy and other weight loss drugs have the potential to bankrupt Medicare and our entire health care system," said Sanders.
The projected costs are a far cry from what patients in Denmark and other European countries would pay for the same drugs.
Americans currently pay $969 per month for Ozempic and $1,349 per month for Wegovy. While the two drugs have the same active ingredient, the former is typically used to treat Type 2 diabetes and the latter is for weight loss and management.
Ozempic costs just $155 in Canada, $71 in France and $59 in Germany. Danish patients pay just $186 per month for Wegovy, while the medication costs $137 in Germany and $92 in the U.K.
Sanders' report says that Novo Nordisk's prices are "especially egregious" considering the fact that the company could make a profit off manufacturing them for less than $5 per month.
"The unjustifiably high prices of these weight loss drugs could also cause a massive spike in prescription drug spending that could lead to an historic increase in premiums for Medicare and everyone who has health insurance," said the senator. "There is no rational reason, other than greed, for Novo Nordisk to charge Americans struggling with obesity $1,349 for Wegovy when this same exact product can be purchased for just $186 in Denmark."
The report cites the North Carolina state health plan's decision last month to end coverage for Wegovy and similar medications.
The plan administrators "estimated that continuing coverage for Wegovy at its current price would require them to double insurance premiums. Faced with impossible choices, the health plan eliminated coverage," reads the report.
The reason nearly 20,000 teachers and other state employees in North Carolina lost access to the drugs, the report emphasizes, "was not because there were not enough drugs to meet demand, but because Novo Nordisk refused to lower prices to make those drugs widely available."
Thirty-five state Medicaid programs do not cover the medications at all, the HELP Committee noted, due to the price.
"As important as these drugs are, they will not do any good for the millions of patients who cannot afford them," reads the report. "Further, if the prices for these products are not substantially reduced, they have the potential to bankrupt Medicare, Medicaid, and our entire healthcare system."
The committee found that if Novo Nordisk made the U.S. price of Wegovy equal to what Danish patients pay, the healthcare system could pay for new weight loss drugs for 100% of adults with obesity annually for less than what it costs to cover just 25% of those patients at the current drug prices.
The healthcare system would save up to $317 billion per year, according to the committee's modeling.
The report was released days after Sanders appealed to the Danish government in the pages of one of the country's largest newspapers, Politiken, calling on officials to force Novo Nordisk to lower U.S. prices.
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"As many Danes may know, I have long admired the welfare system that has been built up in Denmark," wrote Sanders. "When I was a candidate for the presidency, I often pointed out that the United States could learn a lot from Denmark in terms of access to healthcare and education, as well as respect for the environment and workers' rights. There is a reason why Denmark is considered one of the happiest places on Earth in international surveys. The Danish people should be proud of what you have managed to achieve."
"So now I want to appeal to the people of Denmark and the charitable foundation that owns this hugely profitable company," he continued. "Help the American people do something about the epidemic of obesity and diabetes we are facing."
Pelle Dragsted, a member of Danish Parliament for the Red-Green Alliance and a democratic socialist, applauded Sanders' op-ed.
"Healthcare is a human right," said Dragsted on Monday. "Having an illness should never be the ruin of anyone. Our message to Novo Nordisk is clear: Choose basic decency and social responsibility over profit—lower your prices in the U.S."
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arogyaaushadhi · 11 days
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watercress-words · 2 months
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President Joe Biden's Healthcare Record
President Biden is not seeking a second term of office. In this post I reviewed how his administration affected American healthcare.
It has been the greatest honor of my life to serve as your President. And while it has been my intention to seek reelection, I believe it is in the best interest of my party and the country for me to stand down and to focus solely on fulfilling my duties as President for the remainder of my term. President Joe Biden President Biden during a visit to the National Institutes of Health First Lady…
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reasonsforhope · 9 months
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"The Biden Administration last week [early December, 2023] announced it would be seizing patents for drugs and drug manufacturing procedures developed using government money.
A draft of the new law, seen by Reuters, said that the government will consider various factors including whether a medical situation is leading to increased prices of the drug at any given time, or whether only a small section of Americans can afford it.
The new executive order is the first exercise in what is called “march-in-rights” which allows relevant government agencies to redistribute patents if they were generated under government funding. The NIH has long maintained march-in-rights, but previous directors have been unwilling to use them, fearing consequences.
“We’ll make it clear that when drug companies won’t sell taxpayer funded drugs at reasonable prices, we will be prepared to allow other companies to provide those drugs for less,” White House adviser Lael Brainard said on a press call.
But just how much taxpayer money is going toward funding drugs? A research paper from the Insitute for New Economic Thought showed that “NIH funding contributed to research associated with every new drug approved from 2010-2019, totaling $230 billion.”
The authors of the paper continue, writing “NIH funding also produced 22 thousand patents, which provided marketing exclusivity for 27 (8.6%) of the drugs approved [between] 2010-2019.”
How we do drug discovery and production in America has a number of fundamental flaws that have created problems in the health service industry.
It costs billions of dollars and sometimes as many as 5 to 10 years to bring a drug to market in the US, which means that only companies with massive financial muscle can do so with any regularity, and that smaller, more innovative companies can’t compete with these pharma giants.
This also means that if a company can’t recoup that loss, a single failed drug can result in massive disruptions to business. To protect themselves, pharmaceutical companies establish piles of patents on drugs and drug manufacturing procedures. Especially if the drug in question treats a rare or obscure disease, these patents essentially ensure the company has monoselective pricing regimes.
However, if a company can convince the NIH that a particular drug should be considered a public health priority, they can be almost entirely funded by the government, as the research paper showed.
Some market participants, in this case the famous billionaire investor Mark Cuban, have attempted to remedy the issue of drug costs in America by manufacturing generic versions of patented drugs sold for common diseases."
-via Good News Network, December 11, 2023
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Walter Einenkel at Daily Kos:
President Joe Biden and Vice President Kamala Harris made their first joint public appearance Thursday since Biden stepped aside on July 21 and Harris became the Democratic Party’s presidential nominee. The two appeared at Prince George's Community College in Maryland to announce and celebrate lower drug prices thanks to the first Medicare price negotiation. The Biden-Harris administration received some well-deserved credit for its work to begin reducing the exorbitant cost of drugs. But the rally was also an emotional event, as chants of “Thank you, Joe,” rang out repeatedly. [...]
The president did not disappoint. He was feisty, feeding off of an enthusiastic crowd, and predicting Harris would be “one hell of a president.”  "I served in the Senate for 270 years,” Biden joked. “I know I only look 40, but I'm a little bit older. For the longest time, I was too damn young because I was only 29 when I got elected. Now I'm too damn old.” Biden framed the lowering of drug prices as a crowning achievement of his decades-long political career, noting that his first attempt to do so came in 1973, when he was a freshman senator.
For the first time since Joe Biden announced that he won’t run again for President nearly a month ago, he and his successor to the nomination Kamala Harris reunited at a rally in Maryland yesterday.
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mental-mona · 2 months
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it drives me nuts how much suffering we force people to go through to meet some arbitrary idealized standard vs something that'd actually help. they're making my 60 yr old mom with fibro take pain management classes because they're too scared to put her on the prescription pain meds that she was already on before. i just read about someone with adhd talking about how the only med that works really well for them without making them depressed when it wears off or causing anxiety is desoxyn but doctors are too afraid to prescribe it to them because it's technically methamphetamine. the drug war is a complete burden on society
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eldritch-bf · 28 days
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Goodrx brought my two uninsured meds from $800 to $60
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Person A: It’s not drug dealing, I swear! We were just going to sell pills to get some money.
Person B:
Person A: Oh.
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kp777 · 1 year
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By Kenny Stancil
Common Dreams
May 10, 2023
"We want to know why there are Americans who are dying, or are becoming much sicker than they should, because they can't afford the medicine they need," said the Vermont Independent.
U.S. Sen. Bernie Sanders on Wednesday paid his respects to the victims of insulin price gouging in front of the Big Pharma CEOs who are responsible and reiterated the need to make all lifesaving prescription drugs affordable.
Sanders (I-Vt.), chair of the Senate Committee on Health, Education, Labor, and Pensions (HELP), opened the panel's hearing by acknowledging "the many Americans who have needlessly lost their lives because of the unaffordability of insulin" and "the thousands who wound up in emergency rooms and hospitals suffering from diabetic ketoacidosis—a very serious medical condition as a result of rationing their insulin."
"This is a problem that is unique to the United States."
Diabetes—a disease that can wreak havoc on organs, eyesight, and limbs if left unmanaged—affects more than 37 million U.S. adults and is the country's eighth leading cause of death, according to the U.S. Centers for Disease Control and Prevention. Although it costs less than $10 to produce a vial of insulin required to treat diabetes, uninsured patients in the U.S. pay nearly $300 per vial of the century-old drug because Eli Lilly and Company, Novo Nordisk, and Sanofi—the three pharmaceutical corporations that control 90% of the nation's lucrative insulin market—charge excessive prices with little resistance from federal lawmakers.
As Sanders noted, such corporate profiteering—a problem compounded by the widespread lack of coverage under the nation's for-profit healthcare system—forces many people to skip doses, with deadly consequences. Recent studies found that 1.3 million people in the U.S. ration insulin, including an estimated 1 in 4 people with Type 1 diabetes. People without insurance are the most likely to do so, followed by those with private insurance.
Ahead of the hearing, Sanders released a video featuring diabetes patients sharing their struggles to afford insulin in the U.S.
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"Imagine just three companies having worldwide market dominance over such necessities as air and water," Steve Knievel, an advocate with Public Citizen's access to medicines program, said Wednesday in a statement. "This is what people with diabetes face with insulin."
Addressing the CEOs of the three aforementioned firms during the hearing, Sanders outlined how each has jacked up prices in recent decades:
Eli Lilly increased the price of Humalog 34 times since 1996 from $21 to $275—a 1,200% increase. The same exact product. No changes at all. The only reason for the huge increase in price during that period was that there was no legislation to stop them. In America, the drug companies could charge any price they want. But it's not just Eli Lilly. Novo Nordisk increased the price of Novolog 28 times from $40 in 2001 to $289—a 625% increase. And then there is Sanofi, a company that increased the price of Lantus 28 times from $35 in 2001 to $292—a 730% increase.
"In every instance it is the same exact product that rose astronomically," said Sanders. "And let's be clear. This is a problem that is unique to the United States. In France, 20 years ago, the cost of Lantus was $40. Today, it has gone down to just $24."
Sanders has famously accompanied Americans with diabetes on a two-mile trip from Detroit, Michigan to Windsor, Ontario. In Canada, people can purchase the exact same insulin product for one-tenth of the price they would pay in the U.S.
"We cannot rely on limited price concessions from insulin corporations to ensure this essential resource is accessible and fairly priced for Americans who need it."
Also in attendance at Wednesday's hearing were the leaders of CVS Health, Express Scripts, and OptumRX, three major pharmacy benefit managers (PBMs). Sanders took them to task, noting that "as insulin manufacturers continued to increase prices, PBMs signed secret deals to increase their profits by putting insulin products on their formularies not with the lowest list price but the ones that gave PBMs the most generous rebates."
Thanks to sustained public pressure and fresh policy changes—namely the Inflation Reduction Act's provision limiting Medicare beneficiaries' insulin copayments to $35 per month—Eli Lilly, Novo Nordisk, and Sanofi have all recently pledged to significantly lower the list prices for some of their insulin products. As Sanders explained:
Eli Lilly announced it would reduce the price of Humalog by 70% later this year—from $275 to $83. Eli Lilly also decreased the price of its generic Humalog to $25 per vial. Novo Nordisk announced it would reduce the price of Novolog by 75% beginning next year—from $289 to $72. Sanofi announced it would reduce the price of Lantus by 78% beginning next year—from $292 to $64.
While Sanders thanked the three companies for taking what he called "an important step forward," he stressed that "we must make sure that these price reductions go into effect so that every American with diabetes gets the insulin they need at an affordable price," vowing to "hold a hearing early next year to make certain that happens."
Knievel, meanwhile, said that "we cannot rely on limited price concessions from insulin corporations to ensure this essential resource is accessible and fairly priced for Americans who need it, regardless of their insurance status or age."
His message was echoed by Margarida Jorge, head of Lower Drug Prices Now.
"Certainly, these multimillion-dollar CEOs will spend their time in front of the committee patting themselves on the back for bowing to public pressure and lowering the cost of insulin," Jorge said in a statement. "But let's be clear, the tens of millions of Americans who cannot afford their prescription medication should not have to depend on the goodwill of greedy corporations who have repeatedly shown they care about profits more than people to bring them relief from skyrocketing prescription costs."
Sanders and Rep. Cori Bush (D-Mo.) recently introduced the Insulin for All Act of 2023, which would cap insulin prices at $20 per vial.
Only federal legislation of this sort can "put an end to decades of price gouging that has led to preventable suffering and costs the lives of people with diabetes who need insulin to live," Knievel emphasized.
Meanwhile, Sanders made clear that the unaffordability of insulin is part of a much broader crisis and proceeded to ask:
If Eli Lilly can lower the price of Humalog by 70%, why is it still charging the American people about $200,000 for Cyramza (CYR-AMZA) to treat stomach cancer—a drug that can be purchased in Germany for just $54,000? If Novo Nordisk can lower the price of Novolog by 75%, why is it still charging Americans with diabetes $12,000 for Ozempic when the exact same drug can be purchased for just $2,000 in Canada? If Sanofi can reduce the price of Lantus by 78%, why is it still charging cancer patients in America over $200,000 for Caprelsa—a drug that can be purchased in Japan for just $37,000?
"Lowering the cost of insulin is only one part of what we must accomplish," said the senator. "This committee is determined to end the outrage in which Americans pay, by far, the highest prices in the world for virtually every brand name prescription drug on the market—whether it is a drug for cancer, heart disease, asthma, or whatever."
"We want to know why there are Americans who are dying, or are becoming much sicker than they should, because they can't afford the medicine they need," he continued. "We have got to ask, how does it happen that nearly half of all new drugs cost over $150,000? How does it happen that cancer drugs which, in some cases, cost just a few dollars to manufacture are selling on the market for over $100,000?"
"Americans die, get sicker than they should, and go bankrupt because they cannot afford the outrageous cost of prescription drugs, while the drug companies and the PBMs make huge profits. That has got to change."
"I know that our guests from the drug companies will tell us how much it costs to develop a new drug and how often the research for new cures is not successful," said Sanders. "I get that. But what they are going to have to explain to us is why, over the past decade, 14 major pharmaceutical companies, including Eli Lilly, spent $747 billion on stock buybacks and dividends."
"They will also have to explain how as an entire industry pharma spent $8.5 billion on lobbying and over $745 million on campaign contributions over the past 25 years to get Congress to do its bidding," Sanders added. "Unbelievably, last year, drug companies hired over 1,700 lobbyists including the former congressional leaders of both major political parties—that's over three pharmaceutical industry lobbyists for every member of Congress."
In Sanders' words, "That could well explain why we pay the highest prices for prescription drugs in the world and why today drug companies can set the price of new drugs at any level they wish."
"While Americans pay outrageously high prices for prescription drugs, the pharmaceutical industry and the PBMs make enormous profits," he noted. "In 2021, 10 major pharmaceutical companies in America made over $100 billion in profits—a 137% increase from the previous year. The 50 top executives in these companies received over $1.9 billion in total compensation in 2021 and are in line to receive billions more in golden parachutes once they leave their companies. Last year, the three major PBMs in America made $27.5 billion in profits—a 483% increase over the past decade. These PBMs manage 80% of all prescription drugs in America."
"In other words, Americans die, get sicker than they should, and go bankrupt because they cannot afford the outrageous cost of prescription drugs, while the drug companies and the PBMs make huge profits," Sanders lamented. "That has got to change and this committee is going to do everything possible to bring about that change."
Jorge, for her part, described the Inflation Reduction Act as a "milestone" law that "will help tens of millions of seniors."
"But it is just the start," said Jorge. "Congress should pass legislation to bring the prescription drug reforms that are saving Medicare patients and taxpayers billions to people of all ages, so that everyone can get lower drug prices on medicines they need—including insulin."
"Congress, not greedy corporations trying to redeem their tarnished reputations, should be leading the way on reforms that put patients ahead of pharmaceutical profits," she added.
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Congressional Republicans have laid out their mega MAGA trickle-down economic plan clearly. Their economic plan will raise costs and make inflation worse. Their five part plan includes:
1. $3 TRILLION IN TAX CUTS SKEWED TO THE WEALTHY – WHICH WOULD ADD TO THE DEFICIT AND MAKE INFLATION WORSE
“GOP wants to push to extend Trump tax cuts… Republican lawmakers gear up to push 2017 tax law after midterm elections, despite potential impact on inflation.” — Washington Post (10/17/22)
Congressional Republicans are calling for extending expiring provisions of the Trump tax cuts and repealing Inflation Reduction Act (IRA) provisions that require large, profitable corporations to pay taxes and stop wealthy people and corporations from cheating on their taxes. These tax policies would add about $3 trillion to deficits over 10 years, Congressional Budget Office and Joint Committee on Taxation estimates have shown. By adding to near-term deficits, the tax cuts would increase inflation and work against efforts to bring inflation down in 2023.
And, these tax cuts would disproportionately benefit the wealthy. Under the Congressional Republican plan, the top 0.1% of Americans (with incomes over $4 million per year) would get tax cuts averaging over $110,000 per year, Tax Policy Center estimates show. That’s an annual tax cut that exceeds the typical American household’s total annual income.
2. RAISING PRESCRIPTION DRUG COSTS FOR MILLIONS OF SENIORS
“House GOP eyes repeal of Dems’ drug pricing law … Some key House Republicans are calling for the repeal of Democrats’ newly-passed drug pricing measure.” — Axios (9/23/22)
“Because those drug provisions are so dangerous… I would imagine [repealing the Inflation Reduction Act’s prescription drug policies] will be a top priority for Republicans in the new session.” — Rep. Kevin Brady (Ranking Member, Ways and Means Committee)
Repealing the IRA prescription drug provisions would increase prescription drug prices by eliminating the requirement that drug companies pay rebates to Medicare when they raise prices faster than inflation, as they did for 1,200 drugs from 2021-2022. It would expose millions of Medicare beneficiaries to the risk of higher costs by eliminating the IRA’s $2,000 cap on drug costs at the pharmacy, and immediately increase Medicare beneficiaries’ costs for insulin.
3. INCREASING HEALTH INSURANCE PREMIUMS
The IRA provisions making Affordable Care Act (ACA) premiums more affordable “bribe people into Obamacare,” give help to “people making over 400% of the poverty line, a group that was never intended to get subsidies under the original ACA,” “hide the true cost of health insurance,” and make “working taxpayers pay for Obamacare subsidies.” — Ways and Means Committee Minority press releases: 8/8, 8/10
Repealing the IRA improvements to ACA premium tax credits would raise health insurance premiums by an average of about $800 for 13 million people starting next year, with about 3 million people becoming uninsured. And if Congressional Republicans repeal the IRA provision that lets middle-class people get ACA premium tax credits, a 60-year old making $60,000 would pay over $10,000 for marketplace coverage in most states, versus half that today.
4. INCREASING ENERGY BILLS IN 2023 AND BEYOND
“GOP leaders have discussed using the debt limit and government shutdown fights to press for cuts to clean energy spending — which many experts view as necessary to slow climate change — approved as part of the Inflation Reduction Act, Biden’s signature economic legislation.” — Washington Post, 10/25
The Congressional GOP plan will eliminate tax credits that will save Americans thousands of dollars starting next year if they buy an electric vehicle, weatherize their homes, install a super-efficient heating and cooling system like a heat pump, install rooftop solar, or make other investments that will also directly cut their energy bills. Independent experts expect these clean energy provisions will cut households’ electricity bills by hundreds of dollars per year.
5. INCREASING STUDENT LOAN PAYMENTS
“[Student debt relief is] too significant to allow the Secretary to act without Congressional approval… This student loan debt scheme is not a legal or responsible policy…” — Rep. Virginia Foxx (Ranking Member, Education and Labor Committee) and 22 House Republicans, 9/7/22
Republican officials are suing to block the Biden administration’s student debt relief plan. If they succeed, that would mean higher debt payments for the over 40 million Americans who could benefit from up to $20,000 in student debt relief. The vast majority of that relief (nearly 90% of all relief dollars) will go to those earning less than $75,000.
BONUS: CONGRESSIONAL REPUBLICANS ARE THREATENING THE GLOBAL ECONOMY TO CUT SOCIAL SECURITY OR MEDICARE
Sen. Rick Scott has called for putting Medicare and Social Security on the chopping block every five years. Sen. Ron Johnson has gone even further and said Medicare and Social Security should be put up for a vote every single year.
Congressional Republicans keep declaring they will hold the American economy hostage by putting the full faith and credit of the United States at risk in order to cut Medicare and Social Security. Rep. Kevin McCarthy endorsed the idea, and Rep. Nancy Mace said Sunday “I support this strategy.”
And the Republican Study Committee, which represents a majority of House Republicans, has proposed a specific plan to cut Medicare and Social Security benefits, including through privatization and raising the eligibility age.
Congressional Republicans will deny seniors’ benefits they have already paid into.
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skywitchmaja · 2 years
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jeeeeeeez why does getting a fda apporoved micro dose of meth have to be suuuuyyyych a goddamned ordeal???
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