Community sounds off on high drug prices with Rep. Abigail Spanberger


TO CONGRESSWOMAN SPANBERGER. I WANT TO THANK EVERY ONE FOR BEING HERE. WE’RE EXCITED TO JOIN CONGRESSMAN SPANBERGER ON PRESCRIPTION DRUGS. IT’S MY PLEASURE TO INTRODUCE OUR CONGRESSMAN. CONGRESSMAN, ABIGAIL SPANBERGER.>>THANK YOU FOR THE INTRODUCTION AND THANK YOU FOR BEING HERE TODAY. THIS IS FUN, ISN’T IT?>>YEAH.>>SO, I’M GRATEFUL FOR YOU ALL FOR YOUR WILLINGNESS TO COME TOGETHER AND TALK ABOUT PRESCRIPTION DRUG PRICING AND LARGER HEALTHCARE ISSUES. JUST TO GIVE A QUICK BLIP ON WHAT IT IS THAT WE’VE BEEN FOCUSSED ON IN CONGRESS, JUST THIS PAST WEEK, WE PASSED HR3 WHICH IS THE ELIJAH COMINGS LOWER COST DRUG NOW ACT AND THAT BILL IS MONUMENTAL IN TERMS WHAT IT WOULD DO AND THE CAPACITY IT HAS TO LOWER THE COST OF PRESCRIPTION DRUGS. THAT WOULD BILL WOULD GIVE MEDICARE THE POWER TO NEGOTIATE PRESCRIPTION DRUGS AND THE PRICES IT PAYS, BUT THOSE SAVINGS WOULD EXTEND TO ALL AMERICANS WITH COMMERCIAL PLANS. THIS IS SUCH AN IMPORTANT PIECE OF LEGISLATION. IT DID PASS WITH BIPARTISAN SUPPORT. AND I’M SO PROUD OF THE WORK THAT WENT IN TO PUTTING THIS PIECE OF LEGISLATION FORWARD. IN ADDITION TO THAT I HAD 2 BILLS MYSELF ONE FOCUSSED ON TRANSPARENCY AND DRUG PRICING AND THAT PASSED 103-0. WHEN WE TALKING PRESCRIPTION DRUGS AND TRANSPARENCY ISSUE BEING ABLE TO UNDERSTAND WHAT IS CONTRIBUTING TO IT IS SOMETHING THAT ALL MEMBERS OF CONGRESS CAN AGREE ON. SO THAT’S GOOD. AND THEN I ALSO INTRODUCED ANOTHER BILL THAT WOULD STOP SOME OF THE PATENT GAMESMENSHIP THAT OH,HE SO THE GENERIC VERSIONS OF BIOLOGIC MEDICATIONSES FROM COMING TO MARKET IN A TIMELY FASHION AND AT AN AFFORDABLE COST. I’LL TURN IT BACK TO YOU ASK I LOOK FORWARD TO THE DISCUSSION.>>THE IT HAS BEEN A PLEASURE HEARING FROM YOU. WE HAVE A LOT OF PEOPLE HERE THAT HAVE QUESTIONS AND WANT TO TALK WITH YOU. SO BEFORE THAT I LIKE TO LET EVERY ONE KNOW THAT YOU HAVE AN ADDRESSED THE PRESCRIPTION DRUG CRISIS AND MAKING THINGS TRANSPARENT SO EVERY ONE UNDERSTANDS WHAT YOU ARE TRYING TO DO. WHO IS READY FOR THIS CONVERSATION, GUYS? WHO WANTS TO GO FIRST?>>I LIVE WITH TYPE 2 DIABETES. AND I’M SELF-EMPLOYED AND RELY ON THE ACA FOR HEALTHCARE. I’M NOT OLD ENOUGH FOR MEDICARE. MY PRESCRIPTION COSTS FOR ONE OF MY DRUGS HAS GONE FROM $80 FOR 90 DAYS. LAST YEAR THIS PAST YEAR $2,100 FOR 90 DAYS. SO I’M CONCERNED ABOUT THE PRICING CLEARLY AND I’M ALSO CONCERNED ABOUT PROTECTING PREEXISTING CONDITIONS PROTECTING PEOPLE WITH PREEXISTING CONDITIONS IN TERMS OF THE ACA. HOW IS THIS GOING TO HELP ME?>>SO, IN ADDITION TO HR3 WHICH I’VE DISCUSSED SO FAR WE HAVE ANOTHER BILL IN CONGRESS THAT IS AFFIRMING OUR COMMITMENT TO PREEXISTING CONDITIONS PROTECTIONS FOR THOSE WITH PREEXISTING CONDITIONS. AS AN ELEMENT OF THE ACA, WE HAVE AFFIRMED WHEN THAT BILL FIRST WENT INTO PLACE THOSE WITH PREEXISTING CONDITIONS WOULD BE PROTECTED IF THEY WERE LATER IN A PLACE OF CHANGING THEIR FROM INSURANCE COVERAGE. BUT WE HAVE A STAND ALONE BILL AFFIRMING THOSE PROTECTIONS AND VITAL WITH CHRONIC ILLNESSES THOSE WHO FACE ILLNESS AT SOME POINT. AS IT RELATES TO INSULIN AND IS THE CHALLENGES FACED BY SO MANY ACROSS THE COMMUNITY, YOURS IS THE MOST FREQUENT POINT OF CONVERSATION THAT I HAVE HEARD ACROSS THE DISTRICT. BECAUSE THE IDEA THAT YOUR PRESCRIPTION THAT YOU BUY WENT FROM $80 TO $2,100 IN A THREE 3 TIME PERIOD FOR A 90-DAY SUPPLY THAT’S UNBELIEVABLE AND SUBSTANTIAL. AND SO, RECOGNIZING WHAT THE VALUE OF ALLOWING MEDICARE DID NEGOTIATE IT’S THAT FIRST STEP. MEDICARE PART D WOULD NEGOTIATE THOSE PRICES INITIALLY AND THEN THOSE COST SAVINGS WOULD EXTEND TO ALL AMERICANS ON A COMMERCIAL PLAN. SO THE VALUE THERE IS SIGNIFICANT BECAUSE I BELIEVE IN THE POWER OF THE COMPETITIVE MARKET AND CERTAINLY COMPETITION IS GOING TO TAKE US AWAY FROM THE $2,100 A MONTH CHARGE FOR AN IN I-DAY SU — 90 DAY SUPPLY.>>ONE WOMAN WAS GOING TO BE HERE TODAY BUT SHE’S IN CANADA BUYING HER INSULIN. SHE CAN GO THERE AND WALK INTO A DRUGSTORE AND BUY A VIAL FOR $30. HERE WITH A PRESCRIPTION IT’S 2 240 FOR THE SAME VIAL.>>THE WOW, THAT’S SAD.>>I DID A PRESCRIPTION DRUG ROUNDTABLE AND ONE OF THE PARENTS OF ONE OF THE CHILDREN ARE BOTH DIETIC AND THEY WERE TALKING ABOUT HOW THEY STACK THEIR PURCHASE OF INSULIN THROUGHOUT THE YEAR IN ORDER TO PAY FOR BOTH THE PARENTS INSULIN SUPPLY AND THE CHILD’S INSULIN SUPPLY. WHEN YOU LOOK AT THE COST OF THESE LIFE SAVING VERY BASIC STRAIGHTFORWARD MEDICATION AND THE COST COMPARISONS TO OTHER COUNTRIES IT’S SHAMEFUL WHAT WE PAY.>>ANYONE ELSE? LET’S JOIN THE CONVERSATION.>>I WILL. HI. I’M DONNA AND I’M KNOWN THE DYNAMIC DIABETIC. I’M A RETIRED PERSON FROM CHESTER FIELD. THE COST GOING UP REALLY AFFECTS ME IN THAT MEANS THAT SOMETHING ELSE HAS TO GO BECAUSE I’M ON A FIXED INCOME. I’VE ALSO BEEN AFFECTED BY THE FACT THAT DRUGS GOING UP MY INSURANCE REMOVED DRUGS THAT I COULDN’T TAKE ANYMORE BECAUSE THEY WERE SO EXPENSIVE. AND THAT CAUSED ME ME 3 YEARS TO GET BACK IN CONTROL ON ANOTHER MEDICATION. AND THEN THE INTERESTING TO ME WHEN I WHAT YOU LOOKING AT ANYTHING WITH INSULIN, NO MATTER HOW IT WAS DELIVERED, THEY WERE ALL THE SAME PRICE. AND I COULDN’T UNDERSTAND THAT. HOW ARE THEY ALL THE SAME PRICE. THAT SOUNDS LIKE MANIPULATION TO ME. HOW IS THIS BILL GOING TO CHANGE THAT? I HAVE PRIVATE INSURANCE. SO HOW IS THAT GOING TO DRIBBLE DOWN TO ME. IS THE INSURANCE COMPANY TO SAVOR AM I GONNA SAVE? THAT’S WHAT I WANT TO KNOW.>>SO THE CHALLENGE WITH PRESCRIPTION DRUG PRICES AND THE FACT THAT THEY HAVE BEEN RISING SIGNIFICANTLY OVER EVEN JUST A SHORT PERIOD OF TIME IS THAT YOU GET A LOT OF “IT’S THEIR FAULT.” IS IT COMING FROM THE PHARMACEUTICAL COMPANIES OR THE BENEFIT MANAGERS? WHERE IS THIS COST INCREASE? BUT, WHERE IS THE INCREASE HAPPENING? WITHOUT TRANSPARENCY IT BECOMES VERY DIFFICULT FOR THE CONSUMER, FOR MEDICAL PROVIDER TO UNDERSTAND WHY THESE COSTS — I JUST HAD THE EXPERIENCE OF PICKING UP A PRESCRIPTION YESTERDAY AND WITH — THEY CALLED IN THE PRESCRIPTION FOR ONE TOPICAL CREAM ABOUT $100. BUT THEN WITH THIS COST SAVING COUPON THAT YOU COULD FIND ONLINE, IT WAS $32 AND IF YOU DON’T HAVE THE TIME AND IN FACT I DIDN’T BECAUSE THREE MONTHS IS WHEN THEY WROTE THE PRESCRIPTION, TO ACTUALLY DIG INTO IT AND DETERMINE WHAT THE COSTS ARE AND POTENTIAL SAVINGS EXIST THEN YOU’RE PAYING THESE HIGH PRICES OR SOMETIMES ABANDONING YOUR MEDICATION. SO, WHERE TRANSPARENCY AND I’LL GO BACK TO THE BILL WE PASSED ALREADY IN THE HOUSE, IT REQUIRES THAT THE REBATES THAT PHARMACY BENEFIT MANAGERS, SO THE MIDDLEMAN ORGANIZATION BETWEEN THE POINT OF PRODUCTION WITH THE PHARMACEUTICAL COMPANY AND THE PATIENT PICKING UP AT A PHARMACY, WHAT REBATES MIGHT BE WITHIN THAT PIPELINE. BECAUSE MANY WOULD SAY THAT IN FACT THEY’RE A CONTRIBUTING FACTOR TO THE COSTS AND INCREASE IN COST. BUT WITH THAT TRANSPARENCY YOU DON’T TOTALLY KNOW. MY BILL DOESN’T IMMEDIATELY CHANGE THINGS BUT IT PROVIDES THAT TERANSPARENCY. AND THAT LEVEL WILL BE INCREDIBLY IMPORTANT WHEN WHEN YOU’RE TALKING ABOUT THE FACT THAT HOW IS IT ACROSS THE BOARD IT’S ALL THE SAME PRICE ACROSS THE BOARD BUT AT AN UNAFFORDABLE LEVEL. AND THEN WHEN IT COMES TO THE HR3, FOR NO ONE WHO ON MEDICARE PART D THE BENEFIT IS CLEAR IN THAT MEDICARE PART D CAN NEGOTIATE ITS PRESCRIPTION DRUG PRICES. THIS IS VITAL BECAUSE WHEN YOU’RE TALKING ABOUT COMPETITION THAT EXISTS, THE VA CAN NEGOTIATE. SO I YOU’RE A VETERAN. THEY CAN NEGOTIATE THEIR PRESCRIPTION DRUGS WHICH IS ALL WE’RE ASKING IS GIVE THAT SAME POWER TO MEDICARE AND EXTEND THE BENEFITS OF THAT COMPETITION TO PRIVATE INSURERS. SO, THE FIRST STEP IS THIS BILL PASSES THE HOUSE OF REPRESENTATIVES AND NEXT STEP IT GOES TO THE SENATE. IDEALLY IT WILL VOTE AND PASS AND GO TO THE PRESIDENTS FOR SIGNING. ONE OF THE THINGS THAT THE PRESIDENT HAS FREQUENTLY SAID IN THE PAST IS THAT HE SUPPORTS ALLOWING MEDICARE THE ABILITY TO NEGOTIATE ITS PRESCRIPTION DRUG PRICES. IT’S VITALLY IMPORTANT AND ELEMENT OF COMPETITION THAT SHOULDN’T BE STOPPED.>>LET’S KEEP THE CONVERSATION GOING.>>HELLO, SENATOR SPANBERGER. NICE TO SEE YOU. ONE OF MY QUESTIONS IS THAT I’M A MEMBER OF THE HEALTHCARE WORKERS PART OF RICHMOND, VIRGINIA. AND THANK YOU FOR HELP PASSING THAT BILL HR3. PAE ON PRESCRIPTION DRUGS. I WOULD LIKE TO KNOW ONE OF THE THINGS THAT WOULD HELP PRESCRIPTION DRUGS FOR THE PEOPLE, BECAUSE WE’RE THE HEALTHCARE WORKERS, MY SISTER AND I, OF OUR MOTHER AND WE’RE THE SPOKES PEOPLE FOR HER. THAT’S ONE OF THE THINGS THAT PRESCRIPTION DRUGS THAT WOULD HELP HER.>>DOES SHE — SHE CURRENTLY IS ON MEDICARE?>>YES, SHE IS. SHE’S 93.>>OH MY GONESS.>>WHAT A BLESSING.>>THAT IS A BLESSING: >>ALLOWING FOR THE COMPETITION AND FOR MEDICARE TO NEGOTIATE ITS PRESCRIPTION DRUGS WOULD BE VALUABLE IF SHE IS ON MEDICATION ON A REGULAR BASIS. THE OVERALL COST WOULD BE IMPORTANT. THIS BILL WOULD PUT IN CAPS FOR OUT OF POCKET COSTS FOR MEDICARE PART D USERS SO THAT’S IMPORTANT TOO BECAUSE SO MUCH OF WHAT I HEAR AS IT RELATES TO THE COST OF PRESCRIPTION DRUGS IS IF YOU ARE CHRONICALLY ILL OR MEDICATIONS THAT YOU NEED OVER AND OVER AND OVER, IT GETS TO THE POINT WHERE IF YOU CAN AFFORD IT ONE MONTH BUT NOW YOU’RE LOOKING AT A FULL YEAR. KNOWING THERE WOULD BE A CAP TO THOSE OUT OF POCKET AMOUNTS IS IMPORTANT PARTICULARLY FOR INDIVIDUALS ON FIXED INCOME. AND I ALSO THANK YOU AND I KNOW THERE IS SOME HOME HEALTH WORKERS HERE SO THANK YOU ALL FOR THE WORK THAT YOU DO. WHEN WE TALK ABOUT THE LARGER DISCUSSION RELATED TO HEALTHCARE, IT’S THE PEOPLE WHO ARE HELPING PATIENTS AND OUR SENIORS WHO NEED ADDITIONAL ASSISTANCE, OR ANYONE WHO NEEDS ADDITIONAL ASSISTANCE AT HOME, THAT IS ALLOWING SO MANY AMERICANS TO AGE IN PLACE. THANK YOU FOR THE WORK YOU DO, BECAUSE I KNOW IT’S A LOT BUT IT’S SO INCREDIBLY IMPORTANT TO THOSE WHO YOU ARE HELPING.>>ANYONE ELSE WANT TO JOIN THIS CONVERSATION.>>MY NAME IS RICK. I’M SHELBY’S HUSBAND. I DO NOT HAVE DIABETES BUT LIVING WITH SOMEONE WHO DOES. SHE RESEARCHES EVERYTHING, SO WHEN SHE MADE SURE THAT THE INSURANCE PLAN SHE GOT COVERED HER MEDICINE. 3 OR 6 MONTHS IN THEY SAID WE’RE NOT GOING TO COVER THAT ANYMORE. THEY CAN KICK YOU OFF THE MEDICINE ANY TIME THEY WANT.>>WOW. SO YOU’RE ALREADY ON THE INSURANCE.>>I PICKED A PLAN BASED ON THE FACT THAT COVERED ALL MY PRE SKREUPBGSS. WHEN I WENT TO ORDER — THE FIRST TIME I ORDERED EVERYTHING WAS FINE. I WEPT IN JUNE TO GET MY NEXT 90-DAY SUPPLY AND THE INSURANCE COMPANY DECIDED I DIDN’T NEED TO BE TAKING THAT ANYMORE, THAT I SHOULD SWITCH TO SOMETHING ELSE. WHEN MY DOCTOR WANTED ME TO BE ON THE OTHER ONE. SO, THEY — I ASSUME IT WAS FINANCIALLY BENEFICIAL FOR THEM TO MOVE ME TO THE OTHER DRUG. SO, I THINK THIS IS CALLED NON MEDICAL SWITCHING.>>THEY SAID YOU CAN’T TAKE THAT ANYMORE. WE’RE NOT GOING TO COVER THAT ANYMORE SO YOU HAVE TO CHOOSE SOMETHING ELSE.>>THAT WAS IN THE MIDDLE OF THE PLAN. WHERE I THOUGHT I WAS GETTING ONE AND IT CHANGED.>>BECAUSE IT’S NOT OPEN ENROLLMENT YOU DIDN’T HAVE A LIFE CHANGING EVENT YOU COULDN’T GO AHEAD AND THEN CHANGE YOUR INSURANCE.>>EXACTLY.>>WOW.>>YOU WANT MORE FUN AND GAMES?>>LET ME HAVE IT.>>I WAS DOWN IN MEXICO AND I GO INTO A PHARMACY AND I SAY, HEY, DO YOU HAVE IT? THEY SAID HEY. HOW MUCH IS IT. THEY GO $400. I SEND IT BACK TO SHELBY. I SAID HOW MUCH WOULD THIS COST IN THE STATES. 2095. I CAN’T BUY IT BECAUSE I CAN ONLY BRING IN A 3 MONTH SUPPLY. I SAID TO A BUDDY OF MINE. I SAID CAN YOU MAIL THE TO ME. HE SAID NO I CAN’T AS SOON AS IT HITS CUSTOMS THEY’LL SEND IT BACK BECAUSE YOU CAN BUY IT IN THE STATES. NICE. HOW CAN MEXICO GET DRUGS FROM THE U.S. AND CHARGE 1/5 OF WHAT WE DO?>>THESE ARE THE SORTS OF CONVERSATIONS I HAVE COLLEAGUES WHO ARE FROM STATES ALONG THE NORTHERN BORDER AND THEY SAY THEY HAVE CONSTITUENT ON A WEEKLY BASIS PRACTICELY WHO ARE TELLING THEM THAT THEY GO ACROSS THE BORDER TO CANADA TO GET THEIR PRESCRIPTION DRUGS. AND THEY’RE EXACTLY THE SAME MEDICATION THAT THEY’RE BUYING AND STATE SIDE THEY’RE X DOLLAR AND ACROSS THE BORDER IN CANADA THEY’RE SO MUCH CHEAPER. SO THIS IS REALLY WHEN WE’RE LOOKING AT WHAT WE ARE FOCUSSED ON IN CONGRESS, IN THE HOUSE OF REPRESENTATIVES IT’S BRINGING A BASIC LEVEL OF FAIRNESS TO PRESCRIPTION DRUG PRICING. SO MANY OF THESE INCREDIBLE DRUGS THAT ARE LIFE SAVING WERE DEVELOPED BY U.S. RESEARCHERS HERE IN THE UNITED STATES AND YET THE PROFITS KEEP COMING ON THE BACKS OF THE AMERICAN PEOPLE WHO NEED THESE DRUGS. THERE YOU AN AN EPISODE HE HAVE VICE WHERE THEY EVERY OCTOBER THE GENERIC DRUG MAKERS GET TOGETHER AND TRY TO GET PEOPLE TO BUY STUFF. AND THERE WAS A WOMAN WHO WAS PAYING $20,000 A MONTH. AND HE SAID WE CAN MAKE 2 KILOS FOR $6,000. THE SAMPLE HAD A STREET VALUE OF $10 MILLION. IT WAS THE SAME STUFF.>>I’M KIND OF NEW TO THIS BECAUSE I WAS JUST DIAGNOSED IN MARCH WITH TYPE 2 DIABETES. I’M A WORKER HOME MOM. I HAVE THREE KIDS AND WE’RE FORTUNATE RIGHT NOW WITH MY HUSBAND WORKING FULL-TIME SO THAT’S HOW WE HAVE INSURANCE AND EVERYTHING LIKE THAT. BUT MY CONCERN IS THAT WE MAKE TOO MUCH SO WE’RE NOT ABLE TO AFFORD MEDICARE BECAUSE WE JUST MAKE TOO MUCH. BOTH SIDES OF OUR FAMILY DO HAVE DIABETES. I HAVE A FAMILY MEMBER WHO FIGHTING WITH INSURANCE COMPANIES JUST TO GET THE INSULIN SHE NEEDS. FOR THOSE OF US WHO DON’T HAVE MEDICARE WHAT CAN WE DO?>>THIS IS THE CONSTANT REFRAIN AND DISCUSSIONS I’M HEARING OUT ACROSS THE DISTRICT. IS THAT PEOPLE WILL SAY, I’M FINE RIGHT NOW. I CAN AFFORD THE MEDICATION THAT I NEED BUT WHAT ABOUT PEOPLE LIKE ME. I HAVE HAD CONSTITUENT TELL ME ABOUT FACEBOOK GROUPS WHERE DIABETICS AND THOSE WITH CHILDREN WHO HAVE DIABETES ARE TRADING SPHAOEUS BASED ON WHO CAN GET WHAT THEY NEED AND WHERE THEIR INSURANCE AND WHETHER OR NOT THEY’VE GOTTEN TOO MUCH SO FAR. THAT’S NOT HOW THE SYSTEM IS SUPPOSED TO WORK. IT’S NOT GOOD FOR ANYONE. IT’S NOT GOOD FOR THE INDIVIDUAL WHO HAS CHRONIC ILLNESS AND NOT GOOD FOR KIDS OR WORK. IT’S NOT GOOD FOR THE COMMUNITY OVERALL. THE FOCUS THAT WE HAVE IN CONGRESS RIGHT NOW, LASER FOCUS ON WORKING TO LOWER THE COST OF PRESCRIPTION DRUGS. IT’S THAT LEVEL OF ANXIETY I THINK YOU CAN CALL IT THAT PEOPLE ARE EXPERIENCING THAT WE’RE TRYING TO ADDRESS. BECAUSE THERE ARE PEOPLE WHO ARE FACED WITH THE DECISION OF WHETHER OR NOT THEY PICK UP THEIR PRESCRIPTION DRUG AT THE PHARMACY OR WHETHER OR NOT THEY BUY A FULL LOAD OF GROCERIES. THAT JUST MEANS THEY’RE GOING WITHOUT. WHAT DOES THAT MEAN MORE TRAGIC ENDINGS IF THEY DON’T GET THE DOSAGE AND INSULIN THAT THEY REQUIRE. SO, WHERE WE’RE WORKING — I’LL HARKEN BACK TO HR3 BECAUSE I’M SO PROUD OF THE WORK WE HAVE DONE ON THE BILL, THAT COMPETITION, BRINGING BOTH THROUGH THE COMPETITION THAT MEDICARE PART D CAN INITIATE AND UNDERSTANDING THAT THERE CAN’T BE PRICE FIXING. THERE CAN’T BE THESE OUTRAGEOUS PRICES FOR LIFE SAVING MEDICATION THAT WAS INVENTED 100 YEARS AGO THAT’S SIMPLISTIC IN ITS FORMULATION AND BASIC IN ITS LIFE SAVING ABILITY AND SOMETIMES OUT OF THE REACH FOR INDIVIDUALS AND FAMILIES. THE FOCUS ON THAT COMPETITION AND TRANSPARENCY IS SO VITAL TO ENSURING THAT PEOPLE ME MIGHT BE IN A PLACE THAT MIGHT BE ABLE TO AFFORD PRESCRIPTION DRUGS WHAT HAPPENS IF THEY WANT TO START THEIR OWN BUSINESS OR GO OUT OR ENTERING RETIREMENT. THIS LEVEL OF ANXIETY THAT EXISTS FOR THOSE WITH CHRONIC ILLNESS, IT IMPACTS ALL OF US, WHETHER WE HAVE AN ILLNESS OR NOT.>>DEFINITELY.>>I’M CONCERNED ABOUT MY SON’S NEEDS AS WELL AND BILLS ARE PILING UP.>>THANK YOU FOR BEING HERE. >>WONDERFUL. ANYONE ELSE? >>YES. I’M A HOME HEALTH PERSON WHO TAKES CARE OF MY MOM. I LEFT MY JOB IN 2013 BECAUSE SHE WAS DIAGNOSED WITH DEMENTIA. THAT STRUGGLE IS WHEN THEY CHANGE DIFFERENT INSURANCES THAT SHE HAS YOU HAVE WOULD WAIT SO LONG TO GET BACK IN THE SYSTEM AND IN THE MEANTIME I’M STRUGGLING TO TRYING TO GET HER MEDICATION BECAUSE SHE HAS TO HAVE IT. I LEFT MY JOB TO TAKE CARE OF HER. I’M NOT MAKING A WHOLE LOT OF MONEY. SO NOW IT’S LIKE BOTH OF US ARE REALLY SCRAMBLING FOR OUR PRE SKREUPLGSZ. WITH THIS BILL THAT YOU PASS I HOPE IT’S TRYING TO HELP SOME — SOME KIND OF IT CAN HELP US.>>THANK YOU FOR SHARING THAT AND THANK YOU FOR YOUR WORK IN HELPING YOUR MOTHER. SHE’S VERY, VERY LUCKY TO HAVE YOU. BUT WHEN WE’RE LOOKING AT THE LARGER SCALE HEALTHCARE CRISIS, THE FACT THAT A DAUGHTER IS LEAVING HER JOB AND LARGER IMPLICATIONS THAT HAS ON YOUR LIFE IN ORDER FOR YOUR MOTHER TO GET THE SUPPORT SHE NEEDS, THAT CREATES A CHALLENGE ALL IN AND OF ITSELF. WHILE WE ARE WORKING FOR THE — TO LOWER HEALTHCARE COSTS AND PRESCRIPTION DRUG PRICING THAT WON’T SOLVE THAT ISSUE ALL AT ONCE. WHEN WE’RE LOOKING INTO THE FUTURE WITH AN AGING POPULATION AND COMMUNITY MEMBERS WHO WILL NEED HOME HEALTHCARE SUPPORT AND WORKERS, HOW DO WE KNOW THAT WE HAVE A PIPELINE OF THOSE WHO ARE GOING TO BE ABLE TO GO IN WHETHER THEY’RE CHILDREN WHO ARE SUPPORTING PARENTS OR EMPLOYED HOME HEALTHCARE WORKERS, THAT’S THEIR PRIORITY AND ROW TPEGS NATURAL ROLE. THE CHALLENGE EXISTS WHERE ARE WE GOING TO BE WITH THE SUPPLY GIVEN HOW MANY AGING AMERICANS WE HAVE ME DO WANT TO AGE IN PLACE AND AT TIME. THAT IS ALSO A PART OF THE LARGER DISCUSSION THAT WE’VE BEEN UBG AT AING ABOUT IN THE HALLS OF CONGRESS AND SOME SOME OF THE COMMITTEE HEARINGS, WHAT DO WE EXPECTS IN THE INCOMING YEARS IN TERMS OF WHAT THE NEEDS OF THE POPULATION WILL BE.>>AS A HOME CARE WORKER MYSELF, I CARED FOR A LADY WHO RECENTLY HAD A STROKE. THINGS GOT KIND OF BAD AND SOMEHOW OF ANOTHER HER INSURANCE GOT CHANGED. AND BECAUSE OF THAT SHE ABOUT A MONTH WITHOUT MEDICATION. NOT ONLY DOES SHE GET HER MEDICATION I DIDN’T GET PAID. THINGS GET MUCKY WHEN PEOPLE ARE SICK. I THANK YOU FOR PUSHING THIS BILL TO HELPING TO KEEP PEOPLE LIKE ME AND MY CLIENT MEDICATED.>>ARE YOU WERE YOU IN THE ROLE HAVE HAVING TO ADVOCATE FOR HER TO ENSURE SHE GOT HER MEDICATION.>>I CALLED AND I MADE PHONE CALLS BECAUSE THEY CHANGED HER — THEY CHANGED HER FROM ONE PAY AGENCY TO ONE INSURANCE TO ANOTHER INSURANCE AND THIS INSURANCE DIDN’T COVER THIS. THIS GOT MIND BOGGLING FOR ME. IT WAS LIKE, OKAY, I’M NOT THE RIGHT PERSON TO DO THIS. AT THE TIME SHE LIVED WITH ME. I WAS TRYING TO FIGURE OUT HOW TO KEEP HER HEALTHY. I MEAN, SHE WAS 74 YEARS OLD AND SHE HAD — SHE LOST HER LEFT SIDE OF HER BRAIN. BECAUSE EVERYTHING WAS CHANGING THINGS UP I WAS LOST. I CALLED HER FAMILY AND I SAID, I CAN’T HANDLE THIS. THIS IS NOT MY EXPERTISE. SO I HAD TO SEND HER BACK TO THEM BECAUSE I COULDN’T TAKE CARE OF HER BECAUSE WITHOUT HER MEDICATION I DIDN’T WANT TO TAKE THE CHANCE OF HER HAVING ANOTHER STROKE ON MY WATCH.>>>>I HAVE A SIMILAR PROBLEM. A FRIEND OF MINE WHO IS YOUNGER THAN ME. I GOT A CALL SAYING CORY’S IN TROUBLE. SO I FLEW OUT TO LAS VEGAS AND I SAW HIM. AND I REALIZED NOW IN RETROSPECT HE JUST WASN’T MENTALLY ABLE TO TAKE CARE OF HIMSELF. AND HEED HAD DIABETES AND HE HAD BEEN TAKING HIS MEDICINE AND THEN HE JUST STOPPED TAKING HIS MEDICINE. HE COULDN’T AFFORD IT AND HE DIDN’T HAVE HEALTHCARE. HE HAD HIS OWN BUSINESS AND HE HE’S ON DIALYSIS. HE JUST WASN’T ABLE TO DO THINGS FOR HIMSELF. HE ENDED UP DYING. THEY CALLED ME PAUSE THEY WANTED TO KNOW IF HE HAD A — WHAT DO THEY CALL IT — A LIVING WILL AND I KNEW WHERE IT WAS BECAUSE WE GOT THAT DONE AND I ASKED THE DOCTOR ON DUTY, I SAID WHAT HAPPENED? HE SAID ALL SYSTEMS WERE SHOT. HE WASN’T ABLE TO DO IT AND WE’RE THE RICHEST COUNTRY IN THE WORLD? I GO AROUND AND I STUDY ANCIENT CIVILIZATION. THE INCA’S TOOK CARE OF THEIR PEOPLE. EVERYBODY GOT TAKEN CARE OF AND WE CAN’T DO THAT HERE? COME ON.>>LET’S KEEP THIS CONVERSATION GOING.>>I’M A HOME CARE WORKER AS WELL AND I’VE BEEN DOING THIS OVER 20 YEARS AND I RAN INTO QUITE A FEW PEOPLE THEY HAVE INSURANCE AND MULTIPLE INSURANCE BUT I HAVE SOMEONE IN THE CLASS THAT I’M WORKING WITH, THEY HAVE TOO MANY INSURANCES AND THEY CAN’T DECIDE WHO IS GOING TO PAY FOR MEDICATION BECAUSE THEY’RE NOT THE PRIMARY INSURANCE SO THE PERSON ENDS UP GOING WITHOUT THE MEDICATION FOR PERIOD OF TIME. HOW DO YOU FIGURE WHICH INSURANCE CAN ACTUALLY PAY WITHOUT IT BEING A YEAR BEFORE THE PERSON GETS TO PAY FOR MEDICATION OR THEY HAVE TO GO SO MANY MONTHS OR WEEKS WITHOUT THEIR — WITHOUT BEING MEDICATED AND THEN THEY GET WEAKER AND SICKER AND THEY COULD HAVE BEEN TAKEN CARE OF IN A TIMELY FASHION. IF YOU CAN GET THE MEDICATION IN 6 MONTHS IS IT POSSIBLE TO GET THAT ADDITIONAL 6 MONTHS SUPPLY WHILE THE INSURANCE IS PAYING. THEY’RE NOT PAYING. HOW IS THAT PERSON GETTING THEIR MEDICATION WHEN THEY ACTUALLY PHYSICALLY HAVE INSURANCE BUT NOT PAYING FOR THE MEDICATION THEY NEED. THEY’RE STILL TRYING TO AT THE SIDE WHO IS GOING TO PAY AND NOBODY IS PAYING THAT BILL THAT IS COMING BACK TO THAT PERSON AND PUTTING MORE STRESS ON THEM.>>WHAT COULD OTHERWISE HAVE BEEN PREVENTATIVE CARE BECOMES REACTIONARY AND MORE EXPENSIVE FOR THEM AND IMPACTS EVERY ONE ACROSS THE BOARD.>>LET’S KEEP THIS CONVERSATION GOING.>>I’M A CAREGIVER AS WELL. MY FATHER’S 99 AND HE’S GOING STRONG. HE TELLS ME IT’S 116 AND I’M LIKE, I CAN’T HANDLE IT, DAD. HE’S A CHARACTER. BUT HE’S FORTUNATELY A VETERAN AND I CAN SEE FROM WHAT YOU ARE TALKING ABOUT THE VA IS SO GOOD FOR HIM AND HIS SITUATION IS SO DIFFERENT FROM WHAT I’M HEARING FROM MY COHORTS HERE THAT IF I’M CORRECT IN UNDERSTAND THIS BILL THAT WILL HELP EVEN THAT OUT, RIGHT?>>FROM THE PRESCRIPTION SIDE PRICING SIDE OF THINGS YES. IF IT’S SUPSHALLY IMPORTANT. MEDICARE AS A GOVERNMENT PROGRAM THE FACT THAT THE VA CAN NEGOTIATE ITS PRESCRIPTION DRUGS AND AT A MUCH MORE AFFORDABLE RATE THAN MEDICARE AND MEDICARE DOESN’T HAVE THE POWER CURRENTLY TO NEGOTIATE AND THE IMIMPACT IS ON THE INDIVIDUAL PATIENT THE LARGEST SYSTEM OF COURSE BECAUSE THERE IS SO MUCH POWER. THERE IS A REAL POWER IN SAYING WE AS A GROUP ARE GOING TO NEGOTIATE. BUT MOVING FORWARD OPTIMIST CALI WHEN OUR BILL GETS SIGNED INTO LAW MEDICARE WILL HAVE THE POWER TO BE ABLE TO DO THAT. THE EASE OF EXPERIENCE TO GET THE PRESCRIPTIONS THAT YOUR DAD NEEDS WILL IDEALLY BE SOMETHING THAT WE CAN DUPLICATE WITHIN THE MEDICARE SYSTEM.>>THAT’S SO IMPORTANT. FOR ME DAD’S 99 AND MY MOM PASSED WITH DIABETES LAST YEAR AT 94. SO I GOT REALLY GOOD GENES BUT I WANT TO MAKE SURE THAT I CAN AFFORD TO LIVE AS LONG AS THEY HAVE. THIS WHOLE THING IS SO TERRIFYING TO LOOK AT THE COST RISING LIKE IT IS. THANK YOU VERY MUCH.>>THANK YOU.>>YES, THANK YOU AGAIN ALSO. ONE OF THE QUESTIONS THAT I HAVE –>>ANYMORE QUESTIONS.>>WITH AHR3. YOU SAY YOU HAD TWO MORE BILLS COMING UP AND IS THAT BIPARTISAN?>>HR3 DID GO THROUGH AND WE DID HAVE BIPARTISAN SUPPORT. NOT A TREMENDOUS AMOUNT OF SUPPORT ON THE REPUBLICAN SIDE BUT WE HAD A COUPLE SO THAT MAKES IT BIPARTISAN. MY BILL FOR PRICINGS AND THE REBATES THAT ALONG WITH THAT THAT BILL WAS TOTALLY BIPARTISAN. I INTRODUCED IT WITH A REPUBLICAN CO-LEAD AND PASSED OUT OF THE HOUSE WITH 403-0. NOT EVERYBODY WAS PRESENT 0 NOT THAT VOTING DAY BUT NOBODY VOTED AGAINST IT. AND THEN MY OTHER BILL, WHICH IS FOCUSSED ON BIOSIMILARS SO THE GENERIC VERSIONS OF BIOLOGIC MEDICINES THAT BILL I INTRODUCED WITH A COLLEAGUE WHO IS REPUBLICAN FROM UPSTATE NEW YORK. SO IT’S BIPARTISAN AT THE POINT OF INTRODUCTION. AND WE HAVE A BILL IN THE SENATE WHICH IS ALSO BIPARTISAN AS WELL. SO THAT ONE IDEALLY WILL CONTINUE TO MOVE FORWARD AND HOPEFULLY WE’LL GET A STRONG SHOWING OF SUPPORT INTO THE FUTURE. ONCE THAT BILL ACTUALLY GETS A VOTE. HASN’T COME UP FOR A VOTE YET AND STILL GOING THROUGH THE PROCESS.>>GREAT.>>AND I THINK IT’S IMPORTANT AND THANK YOU FOR RAISING THIS, WHEN WE ARE LOOKING THE FACT OF ISSUES OF HEALTH CARE PRICING AND ISSUES OF THE COST OF PRESCRIPTION DRUGS, THIS ISN’T AN ISSUE THAT IS TICK TO ONE PARTY OR ANOTHER. THIS IS AN ISSUE THAT IMPACTS EVERY AMERICAN REGARDLESS OF WHERE THEIR POLITICAL IDEOLOGY IS OR ISN’T. I THINK IT’S IMPORTANT THAT WE WORKED WITH THE BILLS THAT I INTRODUCED, WE WORKED TO MAKE SURE WE COULD GET A BROADER COALITION. BECAUSE TO CREATE THE LONGER TERM STABILITY IN OUR LEGISLATION I THINK IT’S IMPORTANT TO BRING A BROADER COALITION TOGETHER. WITH HR3 IT DID HAVE TREMENDOUS SUPPORT ON THE DEMOCRATIC SIDE OF THE AISLE AND LITTLE LESS ON THE REPUBLICAN SIDE OF THE AISLE BUT I’M SO GRATEFUL TO MY COLLEAGUES ACROSS THE POLITICAL SPECTRUM AGAIN FOR RECOGNIZING HERE IT’S THE POWER OF COMPETITION AND RECOGNIZING THE CRUSHING BURDEN THAT PRESCRIPTION DRUG PRICING HAS ON SO MANY INDIVIDUALS AND SENIORS AND FAMILIES ACROSS THE COUNTRY AND THAT IF WE WANTED TO SROE INDICATE NOT JUST FOR THEIR NEEDS BUT FOR THE STRENGTH OF THE COMMUNITY AND THE ECONOMY, THAT ENSURING THAT THEY ARE CHOOSING BETWEEN PUTTING FOOD ON THE TABLE AND BUYING PRESCRIPTION DRUGS ENSURING THAT’S NOT A DECISION ANYONE IS MAKING IS IMPORTANT TO ALL OF US. WHETHER WE NEED THOSE PRESCRIPTION DRUGS OR NOT NOW. WE’VE BEEN DOING A LOT OF GOOD WORK AND NOT EVERYBODY KNOWS ABOUT IT. SO I THINK THIS BILL HR3 THAT PASSED WE WANTED TO GET A VOTE IN THE SENATE WHICH MEANS WE NEED THE SENATE TO BE WILLING TO TAKE IT UP. SO, I MEAN A COUPLE OF THINGS THAT YOU CAN DO IS JUST TALK ABOUT THE EFFORTS THAT WE HAVE UNDERTAKEN EXTALK ABOUT THIS BILL IN PARTICULAR. THIS ONE IS SUCH AN EXPANSIVE AND FOUNDATIONAL BILL AS IT RELATES TO PRESCRIPTION DRUG PRICING SO THERE’S BEEN A LOT OF WRITE-UPS IN THE PAPER. AND NEWS STORIES ABOUT IT AND SO THERE IS A BODY OF INFORMATION. WE SHARED ON FACEBOOK AND TALK TO YOUR FRIENDS ABOUT IT. CERTAINLY FOR THE HOME HEALTHCARE WORKERS TALK TO YOUR COLLEAGUES ABOUT IT AND WHERE YOU HAVE THE TIME AND THE ABILITY TO DO SO, ADVOCATE WITH OUR SENATORS HERE IN VIRGINIA AND WITH YOUR FRIENDS AND COLLEAGUES AND COUNTERPARTS IN DIFFERENT STATES, MAKE SURE THEY’RE ADVOCATING WITH THEIR SENATORS TO PUSH FOR THIS BILL TO GET A VOTE IN THE SENATE.>>I THANK YOU FOR THE WORK THAT YOU DO AND THAT YOU HAVE DONE AND TRUST ME WE WILL BE VERY MAYBE I’LL JUST HALF A PILL TODAY AND I’LL SKIP IT IT TOMORROW. AND WE’LL GET SOMETHING TO EAT THE NEXT DAY BECAUSE — THE IMPORTANT THING TO REMEMBER FOR EVERY PERSON WHO IS HERE THERE ARE 10 OR 20 PEOPLE LIKE YOU. WHEREVER YOU CAN BE A VOICE AND SHARE A STORY AND MAKE IT KNOWN TO US, I THINK THAT’S SO VITALLY IMPORTANT. THANK YOU FOR BRINGING THIS GREAT GROUP TOGETHER AND CERTAINLY THANK YOU FOR BEING SO ENGAGED NOT JUST IN COMMUNITY AND NOT JUST IN YOUR ROLE AS A HOME HEALTHCARE WORKER BUT ADVOCATING FOR YOUR PATIENTS SO, SO, SUBSTANTIALLY. THANK YOU, THANK YOU, THANK YOU.>>IN THE DIABETES WORLD THERE IS ALSO A LOT OF TECHNOLOGY. FOR EXAMPLE I DON’T HAVE THE FINGER STICK TO TAKE MY BLOOD SUGAR. I HAVE SOMETHING ON MY ARM AND I CAN WAVE MY PHONE OVER MY ARM. HOWEVER THAT DEVICE IS NOT COVERED BY INSURANCE. FOR ME IF YOU TAKE INSULIN NO PROBLEM. IF YOU BASICALLY I’M TYPE 2 AND I DON’T TAKE INSULIN SO IT’S NOT COVERED FOR ME. AND MY INSURANCE COMPANY GOES ONE STEP FURTHER. IT’S NOT ONLY THAT I DON’T TAKE INSULIN IT’S THAT I DON’T TAKE TWO DIFFERENT TYPES OF INSULIN. SO HERE’S THIS DEVICE THAT’S THE BEST THING I’VE EVER DONE FOR MY DIABETES MANAGEMENT THAT’S NOT AVAILABLE TO ME AND A WHOLE LOT OF OTHER PEOPLE. SO IS THERE ANY THOUGHT OF INCLUDING THE DEVICES IN THIS LIST OF PRESCRIPTION DRUGS?>>THEN ARE YOU FORCED TO PAY OUT OF POCKET FOR THE DEVICE >>KWHRAE. I HAVE A MANUFACTURE’S COUPON BUT IT’S $75 A MONTH.>>WHAT WOULD BE THE ALTERNATIVE IF YOU DIDN’T HAVE THIS DEVICE? >>FINGER STICKS. SO I’M NOT GOING TO TEST MY BLOOD SUGAR NEARLY AS OFTEN. I CAN TAKE THAT — MY DOCTOR CAN DOWNLOAD IT AND HE CAN SEE WHAT I’VE DONE FOR THE PAST 90 DAYS. I MEAN IT’S FABULOUS TECHNOLOGY.>>WHICH KEEPS YOU FROM SPIKING WHICH KEEPS YOU FROM HAVING HEALTH ISSUES WHICH KEEPS YOU OUT OF THE EMERGENCY ROOM AND EVERYTHING ELSE.>>IT’S THE BEST PREVENTATIVE THING I’VE EVER DONE AND NOT AVAILABLE — A LOT OF PEOPLE CAN’T AFFORD IT. AND SO, I WOULD JUST LIKE TO SEE THE PRESCRIPTION DRUG LIST EXPANDED TO INCLUDE DEVICES AS WELL.>>THANK YOU.>>THAT WOULD BE GREAT.>>SHE CAN SEE A SPIKE AND SAY, THAT NEEDLE WAS N — MEAL WAS NT GOOD FOR ME. IT IS LIFE CHANGING.>>I’M SO PROUD OF MY HEALTHCARE WORKERS BECAUSE NOT ONLY TAKING CARE OF THOSE PEOPLE WE CARE OF, BUT WE HAVE TO EDUCATE THEIR FAMILIES ALSO. WE’RE EDUCATORS. WE HAVE TO — WE ALL HAVE TO BE. BECAUSE ONCE YOU GET SOME KNOWLEDGE, IF YOU HOLD ONTO IT YOU’RE NOT HELPING ANYONE. YOU’RE HEUPBD HERRING OTHER PEOPLE FROM LEARNING. AND AS A HEALTHCARE PROVIDER, I EDUCATE MY CLIENT. I EDUCATE THEIR FAMILIES. SHARE THE INFORMATION. IT’S NOT GOING TO DO YOU ANY GOOD. BECAUSE SOMEONE MIGHT HEAR YOU IT MIGHT ACTUALLY SAVE SOMEONE’S LIFE. THAT’S IN MY SOUL.>>I FORGET THE NUMBERS BUT THE NUMBER OF PEOPLE WHO ARE PRE DIABETIC IN THIS COUNTRY IS HUGE. NOBODY DIES FROM DIABETES THEY DIE FROM COMPLICATIONS DUE TO IT. SOME PEOPLE THINK IT’S NOT THAT BIG OF DEAL. THE OTHER THING TALKING TO WHAT YOU WHETHER SAYING, SHELBY, YOU WERE IN THAT GROUP WHERE YOU HAD TO TALK TO A SPOUSE WHO DIDN’T HAVE DIABETES AND THEY WERE PISSED OFF BECAUSE THEY COULDN’T KEEP COOKIES IN THE HOUSE ANYMORE. TELL THEM THAT STORY.>>IT WAS A DIABETES SELF-MANAGEMENT TRAINING CLASS. IT WAS PEOPLE THAT LIVED WITH THEM AND LOVED THEM AND SO IT WAS A WOMAN AND WE HAD TO PAIR UP AND TALK ABOUT THE EMOTIONAL IMPACT AND SHE’S LIKE, I CAN’T GO KEEP COOKIES AND I CAN’T HAVE MY SNICKER BARS. OH YEAH. HE NEEDS TO HEAR. HE WAS LIKE, YOU CAN HAVE? STICKER BARS.>>I THINK THERE IS A COMPONENT AS YOU WERE SAYING, TRAINING AND TELLING THE FAMILY. BUT ALSO THERE’S LOT OF ANGER WITH SOME PEOPLE THAT, OH, SHE’S GOT DIABETES AND NOW I CAN’T DO THIS. IT THERE’S A LOT OF ANGER AROUND THAT. BECAUSE WHEN YOU THINK ABOUT THE POINT IN TIME YOU’RE HEADED TO THE PHARMACY TO PICK UP — I HAVE THREE DAUGHTERS AND ONE HAD AN EAR INFECTION SOMEWHAT RECENTLY AND WE — IT WAS AFTER HOURS AND WE TOOK HER TO A PLACE AND THEY CALLED IN A PRESCRIPTION AND WE GO TO PICK IT UP AND IT WAS CLOSE TO $100 FOR AN ANTI-BIOTIC. I CALLED THEM BACK AND GO THROUGH THIS WHOLE THING. THEY DIDN’T MARK THE BOX AND THE WHOLE PROCESS. AND BECAUSE THERE IS SO MUCH CONFUSION WILL HE RELATED TO THE COST OF PRESCRIPTION DRUGS BECAUSE YOU CAN BE ON ONE MEDICATION BY MULTIPLES GOES UP IN PRICE. THERE’S A LEVEL OF ANXIETY THAT EXISTS HERE I WASN’T — MY INITIAL REACTION WASN’T THIS MUST BE MORE EXPENSIVE, IT WAS, SOMETHING’S WRONG. THERE SEEMS LIKE THERE IS SOMETHING ALWAYS WRONG AND LACK OF KNOWLEDGE OR CONFUSION ABOUT HOW ON EARTH CAN WE CONTINUE IN A PLACE WHERE THESE PRESCRIPTION DRUGS ARE SO EXPENSIVE. SO WHERE WE CAN ACTUALLY — RESTORE A BIT OF TRUST WHERE 350E78 KNOW, MEDICARE CAN NEGOTIATE. THIS DRUG IS EXPENSIVE BUT IT’S A NEGOTIATED RATE AND DISCUSSION WENT INTO WESTERN WHETHER OR NOT WHAT’S THE FAIR PRICE, BUT HOW IS THAT PRICED IN WAY THAT’S COMPETITIVE AND FAIR AND I THINK EVEN TO SOME DEGREE RESTORING FAITH THAT PEOPLE HAVE IS IMPORTANT.>>AND MAKING IT AFFORDABLE.>>THANK YOU EVERYBODY FOR COMING. AND BEING A PART OF THIS CONVERSATION. WE ENJOYED HEARING FROM OUR CONGRESSWOMAN AND THINGS ARE GOING SO WELL. WE HAVE TIME FOR ONE LAST QUESTION. ANYONE?>>I’LL BRING UP ONE TOPIC THAT YOU HAD A PERSON THAT HELPED YOU GET SOME HEALTH CARE. WE GOT TALKING ABOUT THE REGULATIONS AND SOME PEOPLE ARE SAYING, YOU OUGHT TO ALLOW PEOPLE TO GO ACROSS STATE LINES AND I DIDN’T KNOW IF THAT WAS A GOOD IDEA. WHAT THIS FELLA SAYS, EVERY STATE HAS SLIGHTLY DIFFERENT REGULATIONS SO THEY HAVE TO KEEP TRACK OF ALL THIS. IF THERE WAS A BILL AT THE FEDERAL LEVEL THAT SAID, OKAY, THE PLAN IS THIS AND SILVER PLAN IS THIS AND EVERY STATE HAD THE SAME ONE, IT WOULD DO A LOT TO DECREASE PAPERWORK AND THOSE PROBLEMS.>>THANK YOU. ONE OF THE PRIMARY GOALS OF OUR CURRENT HEALTHCARE SYSTEM IS TO ENSURE AT LEAST YOU HAVE THE STANDARDS OF CARE AND ESSENTIAL BENEFITS REGARDLESS OF THE HEALTH CARE PLAN YOU HAVE AND WHETHER YOU HAVE A PREEXISTING CONDITION. I THINK WE’VE TALKED ABOUT SO MANY GREAT ASPECTS OR CHALLENGING ASPECTS RELATED TO HEALTHCARE AND OUR HEALTH CARE SYSTEM AND CHALLENGES PEOPLE FACE AND WHETHER THEY HAVE A CHRONIC ILLNESS AND RELATED TO AGE. OVER GENTLEMAN YOU WILL CHALLENGE WHEN PEOPLE GO TO THE PHARMACY THEY SHOULDN’T BE WRACKED WITH THE PAIN OF ANXIETY AND THEY SHOULDN’T HAVE TO GO TO ANOTHER COUNTRY OR ACROSS STATE LINES IT TO BE ABLE TO GET THE LIFE SAVING MEDICATION THEY NEED. AND I THINK THIS FOCUSSED ON PEOPLE AND REAL STORIES IS EXACTLY WHAT IT SHOULD BE DRIVING THIS COINSATION AND THE NOTION THAT PEOPLE AND AMERICAN PEOPLE ARE FAR MORE IMPORTANT THAN ANY LOBBY ORGANIZATION AND SPECIAL INTEREST AND SORT OF PROFIT BECAUSE AT THE END OF THE DAY IT’S ABOUT STRENGTHENING OUR COMMUNITIES AND STRENGTHENING OUR ECONOMY AND FOR THE INDIVIDUAL IT’S ABOUT STAYING HEALTHY AND ENSURING THEY HAVE THE ABILITY TO PURSUE THE AMERICAN DREAM SUCH AS THE PERSON RIGHT NEXT TO THEM WHO MAY NOT HAVE THE CHRONIC ILLNESS DOES. THANK YOU FOR ALL YOU DO AND THANK YOU EVERYBODY FOR BEING HERE. >>THANK YOU. THANKS FOR EVERY ONE COMING. IT’S BEEN A GREAT TIME.>>THANK YOU!




Comments
  1. If we make cancer care for males illegal we can have healthcare for all (women).. also.a.90% patriarchy tax on all INCELS ( men who don't meet my income standard)

  2. Bernie Sander’s Medicare For All program would allow Medicare to negotiate drug prices with pharma companies and it would cap the amount a person pays for prescription drugs at $200 a year. Vote Bernie 2020.

  3. Specifically how would the new legislation on transparency change the phenomenon of the same drug being sold by the same pharmacy to different patients at different prices based on hidden discounts? Without easily accessible pricing information, how can people shop around and what exactly does "competition" mean?

  4. This heartbreaking to hear. I live in Sweden and have a yearly cap on my medication of around $220. The government are negotiating the costs of medicine and a lot of my drugs are generics, so my yearly cost doesn’t reach the roof.

  5. Yes, it would be great to get Big Pharma to bring down prices, maybe after the initial year on the market, as they did spend several billions creating the drugs. BUT NOTHING IS FREE, THE BILL ALWAYS COMES DUE!

  6. <3 bankrupt all4profit medicalFake insurancePlans2replace with nonProfit MediCare4all or dieBankrupt 4 mafiaDon's multiMillionaires racketeering (Y)

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