New Covid plan, same old Covid problems for Biden

From: POLITICO Pulse - Friday Dec 03,2021 03:02 pm
Presented by PhRMA: Delivered daily by 10 a.m., Pulse examines the latest news in health care politics and policy.
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By Adam Cancryn and Sarah Owermohle

Presented by

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With Megan R. Wilson

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Quick Fix

— President Joe Biden is running low on new ways to jump-start his vaccination campaign, especially in the face of rising GOP resistance.

— The Senate averted a government shutdown after striking a deal allowing an amendment vote on funding for Biden’s employer vaccine requirements.

— New York has confirmed five Omicron cases, in a sign the new variant is already widespread within the U.S.

WELCOME TO FRIDAY PULSE — where despite Gen Z’s best efforts, Tears of Joy will remain the top emoji for at least one more year . (We’re partial to the upside-down smiley, which describes so much of this strange year in health care.)

Send tips and your fav emoji to acancryn@politico.com and sowermohle@politico.com.

 

A message from PhRMA:

At a time when the science has never been more promising, the Democrats’ latest drug pricing scheme puts patients in harm’s way by threatening future treatments and cures. Learn more.

 
Driving the Day

NEW COVID PLAN, SAME COVID PROBLEMSJoe Biden’s presidency hinges on doing everything he can to beat back the pandemic. But faced with rising cases, falling approval ratings and a dug-in GOP opposition, Biden may be running out of fresh options for defeating Covid-19.

In its new nine-point plan, the White House pledged a redoubling of federal vaccination efforts, expanded testing and a series of public education campaigns — all initiatives that could strengthen the nation’s defenses around the margins.

What it lacks, though, are the kinds of drastic measures that health experts say are critical to ending the pandemic — and that would also prompt the biggest political blowback, Adam and POLITICO’s Jonathan Lemire report.

The Biden administration has shied away from mandating vaccines for domestic travel, stricter public health measures or enforced quarantines. The mandates it’s tried to put in place are frozen in the courts. And in the hardest-hit parts of the country, GOP governors have thwarted the government’s best efforts at imposing basic protections.

That hostile environment has shrunk the White House’s Covid-19 toolkit, even as it faces perhaps the most urgent threat since the summer Delta wave. Health officials have already found several Omicron cases in the U.S., and it could be at least a week until there’s a definitive verdict on the variant’s severity.

Biden, in the meantime, is preaching unity, pitching his new plan for winter partly on the promise that it won’t include new mandates. “This is a moment we can put the divisiveness behind us, I hope,” he said Thursday.

Still, few in the administration expect this new plan to drive a dramatic increase in the vaccination rate. Officials instead have turned their attention of late to shoring up the ranks of the already vaccinated — urging people to get boosters and vaccinate their kids in hopes of at least battling Covid-19 to a stalemate for another season.

CONGRESS AVERTS A SHUTDOWNThe Senate late Thursday approved a bipartisan deal to keep the government open through mid-February, after negotiators struck a deal on a vaccine-related amendment vote in exchange for GOP support, POLITICO’s Caitlin Emma, Jennifer Scholtes and Sarah Ferris report.

The path to the 69-28 vote hinged on demands from a group of conservatives for consideration of an amendment defunding Biden’s vaccination requirements for large businesses. The faction, led by Sen. Mike Lee (R-Utah), had floated shuttering the government altogether if funding for the new vaccine rules was kept in place.

But they ultimately settled for an amendment stripping money for the requirements, which failed on the floor by a 48-50 margin.

The bipartisan funding deal came together after days of dysfunction within the Capitol, as lawmakers in both the House and Senate sought an agreement they could speed to Biden’s desk. The House eventually passed its measure Thursday morning, teeing up final negotiations on the Senate side.

The process represents a preview of far more contentious funding fights to come. Congress still needs to agree on a full-year spending measure that could for the first time include Biden’s priorities. They also need to deal with potential cuts to Medicare and other aid programs set to take effect next year.

FIVE OMICRON CASES IN NY — The number of confirmed Omicron cases in the U.S. is multiplying as more states detect the new variant, including five infections found in New York on Thursday, POLITICO’s Shannon Young reports.

Gov. Kathy Hochul said at least one infected person had recently traveled from South Africa and told New Yorkers they should assume the variant is already spreading at the community level. Officials across the country have stressed that Omicron’s rise was expected once it began cropping up around the world.

It will still be several days before scientists can determine whether Omicron is more contagious or virulent than previous Covid-19 strains.

“This is not March 2020,” Hochul said. “People should not panic that this is going to be a repeat of what happened before.”

Hawaii, Minnesota and Colorado also identified Omicron cases on Thursday.

 

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Influence & Industry

FIRST IN PULSE: DRUGMAKERS GO ON THE ATTACK — PhRMA is launching a seven-figure, nationwide ad campaign across television, radio and the internet arguing that pharmacy benefit managers should be passing the rebates they negotiate with drugmakers directly on to consumers, POLITICO’s Megan R. Wilson reports.

It’s part of a health industry civil war that’s playing out as Democrats finalize their $1.7 trillion social spending package. The pharmaceutical industry has thus far borne the brunt of the plan’s prescription drug proposals. But they’ve stepped up efforts to portray PBMs as a key culprit in the rising cost of medicines.

PBMs have countered that the industry is efficient in driving down costs and drugmakers are trying to unfairly shift the blame.

 

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Around the World

GERMANY CRACKS DOWN ON ITS UNVACCINATED — The German government is imposing severe restrictions on those who remain unvaccinated against Covid-19 , barring them from some shops and limiting gathering sizes, POLITICO Europe’s Laurenz Gehrke reports.

Chancellor Angela Merkel called the new measures an “act of national solidarity,” arguing that the nation needs to bring down its infection rates. Just more than 68 percent of Germans are currently vaccinated.

The restrictions include a limit on private gatherings that allows a maximum of two unvaccinated people from one household to be present. Nonessential shops will be open only to those who are vaccinated or have recovered from Covid-19.

In the States

OKLAHOMA SUES OVER VAX MANDATE — The state’s attorney general is challenging Biden’s vaccine requirements for federal employees and the National Guard after the administration rejected Oklahoma’s request for an exemption from the mandate.

The suit is just the latest challenging federal efforts to require the Covid-19 vaccine; new rules covering large businesses and health care workers are also being held up in court.

Oklahoma Gov. Kevin Stitt had previously asked Defense Secretary Lloyd Austin to let his state’s National Guard bypass the mandate. But Austin responded that all members of his department’s service branches must comply with the vaccine order or risk being kicked out of the Guard.

Army National Guard members have until June 30, 2022, to get fully vaccinated.

DC ADVISES MASKS ONCE AGAIN — Just weeks after dropping its indoor mask mandate, Washington, D.C., is advising people to start covering their faces again — but stopping short of making it a requirement.

D.C. Health issued an indoor mask advisory as more Omicron cases are being found in the U.S., citing the new variant and the “substantial community spread” of Covid-19 within the District.

Mayor Muriel Bowser broke with the Biden administration in late November when she opted to drop the mask mandate even as the CDC continued to encourage masking indoors. The White House never relaxed its own masking policy.

 

BECOME A GLOBAL INSIDER: The world is more connected than ever. It has never been more essential to identify, unpack and analyze important news, trends and decisions shaping our future — and we’ve got you covered! Every Monday, Wednesday and Friday, Global Insider author Ryan Heath navigates the global news maze and connects you to power players and events changing our world. Don’t miss out on this influential global community. Subscribe now.

 
 
Names in the News

Torey Mack is the new chief quality and solutions officer at the Children’s Hospital Association. Mack was previously deputy associate administrator for HRSA’s Bureau of Health Workforce.

What We're Reading

For The Washington Post, William Wan chronicles the struggles that families face when a loved one is lost to Covid-19.

Roughly 3,800 Rhode Island state employees will receive $3,000 bonuses if they get vaccinated against Covid-19, under a new union contract signed with the state, The Providence Journal’s Patrick Anderson reports.

Pfizer has yet to begin clinical trials for boosters in adolescents, even as the Biden administration accelerates initial vaccinations for 12- to 15-year-olds, MedPage Today’s Sophie Putka reports.

 

A message from PhRMA:

The Democrats’ hyper-partisan drug pricing plan is a detriment to patients and the future of medical research.

The plan guts the very incentives necessary to encourage investment in further research and development after medicines are approved, giving the government the power to pick winners and losers for lifesaving medicines.

While some would have you believe this is “negotiation,” it isn’t. It’s government price setting that does little to address patient affordability and will decimate the competitive ecosystem in the United States that has brought hope to so many Americans in the form of new medical advances where before there were none. No matter what they call it, this plan will result in the same outcome: negative consequences for the patients with the most need. Read more.

 
 

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