Politics / September 1, 2023

Biden’s Bold Move on Drug Prices Gives the GOP Two Choices: Change the Subject, or Lie

Not surprisingly, Trump opts for both.

Jeet Heer
President Joe Biden speaks at an event promoting lower healthcare costs in the East Room of the White House on August 29 in Washington, D.C.

President Joe Biden speaks at an event promoting lower health care costs in the East Room of the White House on August 29 in Washington, D.C.

(Win McNamee / Getty Images)

In a recent blog post, former Obama adviser Dan Pfeiffer, one of the shrewdest political strategists among mainstream Democrats, flagged some distressing polling showing a “neck and neck” race in the likely rematch between Joe Biden and Donald Trump in next year’s presidential contest. Key parts of the Democratic coalition, notably young people, are dissatisfied with Biden. They aren’t rushing to vote for Trump or any other Republican. But a critical mass of such voters might just sit out the election—or vote for a plausible third-party candidate like Cornel West. To his credit, Pfeiffer eschews the tired tactic of vote-shaming these demobilized Democrats and instead advocates for Biden to win them back into the coalition.

Biden’s staff seems to be thinking along the same lines as Pfeiffer. On Tuesday, the White House announced a major policy change to lower drug prices. As Reuters reports, the Biden administration released a list of 10 “prescription medicines that will be subject to the first-ever price negotiations by the United States. Medicare health program that covers 66 million people, with big-selling blood thinner Eliquis from Bristol Myers Squibb and Pfizer among them.” As with other Biden reforms such as student debt relief, the main problem now is the courts, which are stacked with Republican justices eager to overturn progressive social policies.

Leaving aside the dangers from the court, Biden’s push on drug prices is a political master stroke. Simply as policy, it’s a long-overdue reform. The deference the United States government gives to big pharmaceutical corporations means that prescription drug prices are often more than two and a half times higher than they are in peer nations. The policy will also help shore up Biden’s support among exactly those voters that Pfeiffer sees as crucial to Biden’s reelection (young people who are to the left of Biden on economic issues and feel he hasn’t done enough to fulfill his promises).

Drug price reform is also a stratospherically popular policy. According to a new survey from Data for Progress, “giving Medicare more power to negotiate lower prices for all prescription drugs” is strongly supported by 66 percent of the public, including 75 percent of Democrats, 63 percent of independents, and 59 percent of Republicans. If we combine “strong support” with “somewhat support,” we get a policy that is supported by 90 percent of the public, including 93 percent of Democrats, 88 percent of independents and 88 percent of Republicans.

Current Issue

Cover of April 2024 Issue

A policy that overwhelmingly popular also has the supreme political virtue of completely boxing in Republican politicians, since even before the new policy was announced, the lack of a coherent Republican alternative was clear. The GOP is divided on the issue. Some Republicans are choosing to ignore the issue all together. Parts of the old business establishment remain committed to maintaining the status quo on drug prices. But that’s an untenable position, so we’re seeing counter-moves that broadly fall into the category of dishonesty: either creating distractions or offering solutions that are pure bunkum. Not surprisingly, former president Trump falls into the bunkum camp.

Silence is the most common response. As The Hill reported in early August, “President Biden is leaning into lowering health care costs as the White House shifts into campaign mode, but the issue is barely mentioned by the gaggle of GOP candidates barnstorming the country.” Of the 10 Republican presidential hopefuls contacted by The Hill to comment on their approach to the issue, only one (William Hurd) responded.

But with the Biden campaign clearly getting ready to make this one of the primary arguments in his reelection bid, keeping silent won’t be an option.

Remarkably, the business wing of the GOP is still parroting the talking points of Big Pharma. On Tuesday, Politico reported that some congressional Republicans are “piggybacking on the pharmaceutical industry’s strategy” and “working to persuade Americans that the Biden plan will stifle innovation and lead to price controls.” Former vice president Mike Pence voiced this sentiment, telling reporters in a call, “I would have concerns about, ultimately, being able to use the power of the government to impose price controls under the free market.”

The Nation Weekly

Fridays. A weekly digest of the best of our coverage.
By signing up, you confirm that you are over the age of 16 and agree to receive occasional promotional offers for programs that support The Nation’s journalism. You may unsubscribe or adjust your preferences at any time. You can read our Privacy Policy here.

Democrats should be delighted that Pence and others are falling into this trap. In a time of inflation, “price controls” is not a bogeyman that will scare many voters, especially since there is an overwhelming consensus that drug prices are too high. Speaking to Politico, Minnesota Senator Amy Klobuchar could barely contain her glee. “If they want to run their campaigns based on keeping the profits of the drug companies high, welcome,” she said. “Why don’t they go for it and see how well President Biden does because people are going to understand that seniors want to see less expensive drugs.”

A policy of defending the status quo is clearly doomed. One fallback position is to offer distractions. As Politico notes, Pence has “made general statements on improving transparency and competition to lower costs. He also proposed reviving Operation Warp Speed, the federal program created to expedite Covid-19 vaccines, but for new drugs.” Other Republicans suggest reforming pharmacy benefit managers, middlemen who drive up prices. These policies have some merit, but they don’t get to the root of the problem, which is that the government is allowing Big Pharma to set prices when it should be forced to negotiate (as it does virtually everywhere else in the world).

Donald Trump has had the most vigorous and dishonest response. He’s less beholden to free-market happy talk than most Republican politicians and more willing to promise executive action. As Semafor reports, “Donald Trump broke with many Republicans by backing federal negotiations and price caps on drug prices, including a late-term executive order intended to eventually tie drug reimbursements to international prices. In a press release Tuesday, he attacked Biden for reversing an unrelated 2020 executive order compelling the federal government to only purchase certain drugs and medical supplies produced in the U.S.”

Trump is offering a simple rehash of an executive order he signed in October 2020, one that was later blocked by courts in December 2020.

A 2020 report from the Center for American Progress accurately described Trump’s executive order as aimed at “tricking the public into believing that his administration will make meaningful changes to prescription drug prices” but only offering “bluster…without delivering for the American people.”

Over the last few years, the Republicans have had some success playing a shell game where Trump offers the public gimmicky faux-populist economic policy while the mainstream of the party upholds corporate oligarchy. We’re seeing this combination in action again on drug prices.

The task for Biden’s reelection campaign is to forcefully make clear that Trump is a snake oil salesman in the service of the same big-business bandits other Republicans serve.

In policy terms, Biden is heading in the right direction. Whether he is an effective enough communicator and candidate to sell his drug policies to the public, especially in the face of Trump’s dishonesty, remains to be seen. Good policy is half the solution; strong electioneering remains the vital other half.

Thank you for reading The Nation!

We hope you enjoyed the story you just read. It’s just one of many examples of incisive, deeply-reported journalism we publish—journalism that shifts the needle on important issues, uncovers malfeasance and corruption, and uplifts voices and perspectives that often go unheard in mainstream media. For nearly 160 years, The Nation has spoken truth to power and shone a light on issues that would otherwise be swept under the rug.

In a critical election year as well as a time of media austerity, independent journalism needs your continued support. The best way to do this is with a recurring donation. This month, we are asking readers like you who value truth and democracy to step up and support The Nation with a monthly contribution. We call these monthly donors Sustainers, a small but mighty group of supporters who ensure our team of writers, editors, and fact-checkers have the resources they need to report on breaking news, investigative feature stories that often take weeks or months to report, and much more.

There’s a lot to talk about in the coming months, from the presidential election and Supreme Court battles to the fight for bodily autonomy. We’ll cover all these issues and more, but this is only made possible with support from sustaining donors. Donate today—any amount you can spare each month is appreciated, even just the price of a cup of coffee.

The Nation does not bow to the interests of a corporate owner or advertisers—we answer only to readers like you who make our work possible. Set up a recurring donation today and ensure we can continue to hold the powerful accountable.

Thank you for your generosity.

Jeet Heer

Jeet Heer is a national affairs correspondent for The Nation and host of the weekly Nation podcast, The Time of Monsters. He also pens the monthly column “Morbid Symptoms.” The author of In Love with Art: Francoise Mouly’s Adventures in Comics with Art Spiegelman (2013) and Sweet Lechery: Reviews, Essays and Profiles (2014), Heer has written for numerous publications, including The New Yorker, The Paris Review, Virginia Quarterly Review, The American Prospect, The GuardianThe New Republic, and The Boston Globe.

More from Jeet Heer Jeet Heer Illustration

Woman walks by photo of Iranian missiles

Joe Biden Is Destroying His Own Foreign Policy by Giving Israel Impunity Joe Biden Is Destroying His Own Foreign Policy by Giving Israel Impunity

World / September 1, 2023 Biden’s Bold Move on Drug Prices Gives the GOP Two Choices: Change the Subject, or Lie The administration’s blatant double standard demonstrates that…

Jeet Heer

Biden and Netanyahu

Will Benjamin Netanyahu Drag America Into a Big Middle Eastern War? Will Benjamin Netanyahu Drag America Into a Big Middle Eastern War?

Biden is for pushing de-escalation—but Israel could still go rogue.

Jeet Heer

O.J. Simpson tries on glove during trial

O.J. Simpson Proved That With Enough Money You Can Get Away With Murder O.J. Simpson Proved That With Enough Money You Can Get Away With Murder

The accused killer won and lost in court depending on his bank account.

Jeet Heer

Extra! Extra! Steve Brodner’s Brilliance Recognized by Herblock Prize

Extra! Extra! Steve Brodner’s Brilliance Recognized by Herblock Prize Extra! Extra! Steve Brodner’s Brilliance Recognized by Herblock Prize

Brodner, a frequent contributor to The Nation, is both a great caricaturist and a great portraitist.

Comment / Jeet Heer

Trump at Palm Beach Fundraiser

His Billionaire Buddies’ Bribery Bails Out Trump, Again and Again His Billionaire Buddies’ Bribery Bails Out Trump, Again and Again

The problem isn’t that the former president is broke but that he’s for sale.

Jeet Heer

Pro-Palestinian demonstrators call for a cease-fire in Gaza during a protest as part of the “People's White House Ceasefire Now Iftar” outside the White House on April 2, 2024, in Washington, DC.

What It Takes to Break Joe Biden’s Zionist Bubble What It Takes to Break Joe Biden’s Zionist Bubble

The president’s rigid ideological commitment has led him to shut out government dissenters—and his own voters.

Jeet Heer