October, 28 2021, 11:59am EDT
Excluding Medicare Drug Price Negotiations From Build Back Better Would Be a Disaster, But It's Not Too Late to Improve the Deal
Today the White House unveiled its framework for the Build Back Better package, which excludes Medicare drug price negotiation and expanded benefits for dental and vision. Robert Weissman, president of Public Citizen, issued the following statement:
"Americans of all political persuasions overwhelmingly support giving Medicare robust authority to negotiate drug prices in order to deliver cost savings for all Americans and to improve Medicare to cover dental and hearing care."
WASHINGTON
Today the White House unveiled its framework for the Build Back Better package, which excludes Medicare drug price negotiation and expanded benefits for dental and vision. Robert Weissman, president of Public Citizen, issued the following statement:
"Americans of all political persuasions overwhelmingly support giving Medicare robust authority to negotiate drug prices in order to deliver cost savings for all Americans and to improve Medicare to cover dental and hearing care."
"There is one reason, and one reason only, not to move on Medicare price negotiation: the political power of Big Pharma."
"Failing to take this opportunity to end Big Pharma price-gouging will mean Americans will continue to go without medicines they need: one-in-four Americans report rationing or skipping prescriptions because of high prices. It will mean that many of those who do find a way to pay for needed medications will face economic insecurity."
"Similarly, Americans overwhelmingly support improving Medicare to cover the health services that everyone needs, including dental and vision care."
"Failing to deliver on campaign promises and use this moment to expand Medicare to cover dental and vision will leave millions of seniors unable to get the dental and vision care they need. The numbers are stark: 70% of seniors who had trouble eating because of their teeth had not been to the dentist in the past year and also that 40% of seniors with vision troubles had not had an eye exam in the past year."
"Bowing to Big Pharma and other industry interests at the expense of the American people is also an enormous political mistake. Addressing drug corporation price gouging is something that Democrats ran on, and now they will fail to deliver. In poll after poll, Medicare drug price negotiation and Medicare improvements are among the most popular components of the Build Back Better set of policies and among those that Americans are most passionate about. Failing to deliver will increase cynicism, depress civic engagement and make people doubt that government can work for them."
"The political problem goes beyond electoral calculus. Among significant numbers of Americans, there is growing a dangerous alienation and embrace of conspiracy thinking. When people see big, powerful corporations exerting control over government at the expense of regular folks' desperate needs, that alienation will only grow."
"It's not too late for the 'adults in the room' to tell conservative Democrats who are obstructing agreement on Medicare drug pricing and Medicare improvements that they must accede to the will of the majority - the majority of their caucus and the majority of the American people - rather than Big Pharma donors and other health industry interests."
Public Citizen is a nonprofit consumer advocacy organization that champions the public interest in the halls of power. We defend democracy, resist corporate power and work to ensure that government works for the people - not for big corporations. Founded in 1971, we now have 500,000 members and supporters throughout the country.
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Analysis Shows How GOP Attack on SNAP Could Cut Food Assistance 'From Millions' in Low-Income Households
"With economic uncertainty and the risk of recession rising, now is a particularly bad time for Congress to pursue these harmful changes," according to the Center on Budget and Policy Priorities.
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As congressional Republicans mull potentially imposing stricter work requirements for adults who rely on federal nutrition aid as part of a push to pass a GOP-backed reconciliation bill, an analysis from the progressive think tank the Center on Budget and Policy Priorities released Wednesday states that such a move could take away food "from millions of people in low-income households" who are having a hard time finding steady employment or face hurdles to finding work.
The analysis is based on a proposal regarding the Supplemental Nutrition Assistance Program (SNAP) from House Agriculture Committee member Rep. Dusty Johnson (R-S.D.), which, if enacted, the group estimates would translate into an estimated 6 million people being at risk of losing their food assistance.
"In total, nearly 11 million people—about 1 in 4 SNAP participants, including more than 4 million children and more than half a million adults aged 65 or older and adults with disabilities—live in households that would be at risk of losing at least some of their food assistance" under Johnson's proposed rules, according to the analysis.
Per CBPP, current SNAP rules mandate that most adults ages 18-54 without children may receive food benefits for only three months in a three-year period unless they prove they are participating in a 20-hour-per-week work program or prove they have a qualifying exemption.
Under Johnson's proposal, work requirements would apply to adults ages 18-65, and they would also be expanded to adults who have children over the age of seven. Per CBPP, Johnson's proposal would also "virtually eliminate" the ability of states to waive the three-month time limit in response to local labor market conditions, like in cases where there are insufficient jobs
According to CBPP, its report is based on analysis of "the number of participants meeting the age and other characteristics of the populations that would be newly subject to the work requirement under U.S. Department of Agriculture 2022 SNAP Household Characteristics data," as well as the number of participants potentially subject to work requirements in areas that are typically subject to the waivers mentioned above.
The House Agriculture Committee, which oversees SNAP—formerly known as food stamps—has been tasked with finding $230 billion in cuts as part of a House budget reconciliation plan. To come up with that amount, the committee would need to enact steep cuts to SNAP.
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This snapshot does "not indicate whether a household had earnings before or after the sample month, nor do they show how long a household participates in SNAP."
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Immigration enforcement agents have detained and expelled numerous people with no criminal records, basing accusations that they're members of Tren de Aragua and MS-13 solely on the fact that they have tattoos in some cases.
After the reprieve from the Supreme Court earlier this month, with the justices ordering the government "not to remove any member of the putative class of detainees from the United States until further order of this court," the migrants still face potential deportation to El Salvador's notorious Terrorism Confinement Center under the Alien Enemies Act.
Reuters flew a drone over Bluebonnet in recent days to capture images of the migrants, after being denied access to the facility. One flight captured the men forming the letters—the internationally used distress signal.
Reuters spoke to one of the men, 19-year-old Jeferson Escalona, after identifying him with the drone images.
He was detained by Immigration and Customs Enforcement in January and initially sent to the U.S. migrant detention center at Guantánamo Bay before being transferred to Bluebonnet. A Department of Homeland Security official said, without providing evidence, that he was a "self-admitted" member of Tren de Aragua, but Escalona vehemently denied the claim and told Reuters he had trained to be a police officer in Venezuela before coming to the United States.
"They're making false accusations about me. I don't belong to any gang," he told Reuters, adding that he has asked to return to his home country but has been denied.
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Earlier this month in a separate decision, the Supreme Court ruled that migrants being deported under the Alien Enemies Act must be provided with due process to challenge their removal.
"Remember," said Aaron Reichlin-Melnick of the American Immigration Council, "the Trump administration refuses to give these men a chance to day in court, despite the Supreme Court telling them that they must give people a chance to take their case in front of a judge!"
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The U.S. Supreme Court on Wednesday heard arguments over what could become the country's first taxpayer-funded religious charter school—and opponents of the St. Isidore of Seville Catholic Virtual School renewed their warnings about the proposal.
Faith leaders, parents, and educators celebrated last June, when the Oklahoma Supreme Court ruled against establishing St. Isidore. The test case for all such schools has now advanced to the country's highest court, which has a right-wing supermajority.
Reporting on over two hours of arguments Wednesday, Law Dork's Chris Geidner wrote that "the religious supremacy movement from the right's majority on the U.S. Supreme Court—with its outside helpers—appeared likely to... OK the first religious charter school in the country."
"Justices Clarence Thomas, Sam Alito, and Brett Kavanaugh appeared eager to do so, and Justice Neil Gorsuch's past writing in a related case signaled his alignment with the move, at least in principle," Geidner detailed. "Chief Justice John Roberts—the key vote then since Justice Amy Coney Barrett has recused herself from the case—appeared to be open to the idea as well."
Other legal reporters also concluded that Roberts appears to be the "key vote," given that the three liberals—Justices Ketanji Brown Jackson, Elena Kagan, and Sonia Sotomayor—all "expressed significant reservations" about allowing a religious charter school.
It appears very likely that the Supreme Court will force Oklahoma to approve and fund a Catholic charter school that reserves the right to indoctrinate students in Catholicism, force them to attend mass, and discriminate against non-Catholics. The three liberals sound increasingly exasperated.
— Mark Joseph Stern ( @mjsdc.bsky.social) April 30, 2025 at 11:52 AM
According toThe Associated Press:
If Roberts sides with the liberals, the court would be tied 4-4, an outcome that would leave the state court decision in place, but would leave the issue unresolved nationally.
If he joins his conservative colleagues, on the other hand, the court could find that the taxpayer-funded school is in line with a string of high court decisions that have allowed public funds to flow to religious entities. Those rulings were based on a different part of the First Amendment that protects religious freedom.
Roberts wrote the last three of those decisions. He acknowledged at one point that the court had previously ruled that states "couldn't exclude religious participants," suggesting support for St. Isidore.
But he also said the state's involvement in this case is "much more comprehensive" than in the earlier ones, a point that could lead him in the other direction.
American Federation of Teachers president Randi Weingarten said in a statement after the arguments that "we respect religious education and the Founders' intention in separating church and state."
"Public schools, including public charter schools, are funded by taxpayer dollars because they are dedicated to helping all—not just some—children have a shot at success," the union leader said. "They are the bedrock of our democracy, and states have long worked to ensure that they remain secular, open, and accessible to all. They are not, and never have been, Sunday schools."
"The petitioners are seeking to change that," Weingarten warned. "Religious schools should be able to operate in the U.S., but they are not public schools, and they shouldn't be able to get the benefits and the funding yet ignore the obligations and responsibilities."
"Our hope is that the justices will uphold the Supreme Court of Oklahoma's decision, correctly siding with religious pluralism over sectarianism," she concluded. "A reversal would be a devastating blow to public education and the 90% of young people who rely on it. We must preserve and nurture the roots of our democracy, not tear up its very foundations."
The country's other leading teachers union also opposes the establishment of the Oklahoma school. National Education Association president Becky Pringle said in a statement this week that "every student—no matter where they live, what they look like, or their religion—deserves access to a fully funded neighborhood public school that gives them a sense of belonging and prepares them with the lessons and life skills they need."
"Allowing taxpayer dollars to fund religious charter schools would put both public education and religious freedom at risk," Pringle asserted, "opening the door to more privatization that undermines our public education system."
Proud to join @faithfulamerica.bsky.social outside of SCOTUS ahead of oral arguments in the OK religious charter school case, which challenges whether public funds can be used to support religious charter schools. As religious Americans, we say the separation of church and state is good for both!
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— Interfaith Alliance (@interfaithalliance.org) April 30, 2025 at 10:12 AM
Chris Yarrell, an attorney at the Center for Law and Education, similarly warned in a Common Dreams opinion piece earlier this month that "if the court sides with St. Isidore, the ripple effects could be seismic, triggering a wave of religious charter school applications and fundamentally altering the landscape of public education."
In addition to fighting for a taxpayer-funded religious school, Christian nationalists in Oklahoma want to put Bibles in public school classrooms—an effort the state Supreme Court has temporarily impeded.
The court last month blocked Oklahoma's superintendent of public instruction, Ryan Walters, and education department from spending taxpayer dollars on Bibles and Bible-infused instructional materials.
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