Conservatives buck Trump over worries of 'socialist' drug pricing

Conservatives are growing increasingly uneasy with the Trump administration's new drug pricing policy.

President TrumpDonald John TrumpSenate gears up for battle over witnesses in impeachment trial Vulnerable Democrats tout legislative wins, not impeachment Trump appears to set personal record for tweets in a day MORE is desperately seeking an elusive political win in his efforts to lower prescription drug costs, but he faces a hard sell to conservative groups and GOP lawmakers as he touts ideas traditionally favored by Democrats and presidential candidate Sen. Bernie SandersBernie SandersSaagar Enjeti says Buttigieg's release of McKinsey client list shows he 'caved to public pressure' Sanders endorses Young Turks founder Cenk Uygur for Katie Hill's former House seat Biden hires Clinton, O'Rourke alum as campaign's digital director MORE (I-Vt.).

ADVERTISEMENT

In a rare break with Trump, conservatives are now pushing back against key administration policies and accusing the president of supporting what they call Sanders-style socialism.

The president has embraced importing drugs from Canada, as well as an international pricing policy that would bar Medicare from paying more than other countries for prescription drugs.

The moves are designed to co-opt Democratic talking points and position Trump as a populist champion of the free market.

Trump has made lowering drug prices a top priority of his presidency, but he has suffered some high-profile setbacks in recent weeks.

Drug importation and the international pricing caps proposal are the only remaining policies remaining that the White House can use to make a splash heading into 2020.

Trump has frequently railed against “global freeloading” and said he doesn’t think it’s fair that the U.S. subsidizes research and development in other countries.

Last year he went to the Department of Health and Human Services (HHS) and announced the plan to cap U.S. payments for expensive drugs, over the objections of some White House advisers.

Those objections later spread to include conservative groups.

Facebook ads this year from FreedomWorks, a conservative advocacy group, urged people to tell HHS Secretary Alex Azar to oppose “socialist-style price controls.”

Another ad warned the administration against “importing socialist European drug prices in America.”

ADVERTISEMENT

Separately, a website sponsored by the American Conservative Union rails against the administration’s pricing index, calling it an experiment “directly out of the Bernie Sanders and Hillary ClintonHillary Diane Rodham ClintonBiden hires Clinton, O'Rourke alum as campaign's digital director Trump neck and neck with top 2020 Democrats in Wisconsin: poll Clinton tweets impeachment website, encourages voters to 'see the evidence for themselves' MORE government health care takeover playbook.”

In the GOP-controlled Senate, a bill backed by the administration is facing Republican opposition over a provision that would impose a limit on drug price increases in Medicare’s Part D prescription drug program.

The legislation would force drug companies to pay money back to the government if their prices rise faster than inflation.

The Senate Finance Committee approved the measure late last month in a 19-9 vote — all Democrats voted for it, and all nine “no” votes came from Republicans. Some GOP senators said they were concerned because they think the Medicare Part D provision violates traditional free-market principles.

The bill faces long odds of making it to the Senate floor without substantial changes.

“I'm not comfortable with putting price controls on drugs,” Sen. Pat ToomeyPatrick (Pat) Joseph ToomeyNSA improperly collected US phone records in October, new documents show Overnight Defense: Pick for South Korean envoy splits with Trump on nuclear threat | McCain blasts move to suspend Korean military exercises | White House defends Trump salute of North Korean general WH backpedals on Trump's 'due process' remark on guns MORE (R-Pa.), a member of the Finance Committee, told The Hill.

Toomey offered an amendment to strip out the provision, which failed on a tie vote of 14-14. All but two Republicans voted for his amendment.

Aside from capping drug payments, Trump has also softened his stance on importing drugs from Canada. The administration last week announced a proposal that would set the groundwork for states or wholesalers to launch pilot programs to safely import drugs.

Shipping in drugs from abroad has long been a goal of progressives like Sanders, but has also won the support of libertarian-leaning conservatives like GOP Sens. Rand PaulRandal (Rand) Howard PaulPentagon to take bigger role in vetting foreign students after Pensacola shooting Overnight Defense: House passes compromise defense bill | Turkey sanctions advance in Senate over Trump objections | Top general says military won't be 'raping, burning and pillaging' after Trump pardons Rand Paul: 'We need to re-examine' US-Saudi relationship after Florida shooting MORE (Ky.), Ted CruzRafael (Ted) Edward CruzSenate Republicans air complaints to Trump administration on trade deal Senate passes Armenian genocide resolution Houston police chief stands by criticism of McConnell, Cruz, Cornyn: 'This is not political' MORE (Texas) and Mike LeeMichael (Mike) Shumway LeeSenators zero in on shadowy court at center of IG report The Hill's Morning Report - Sponsored by AdvaMed - House panel expected to approve impeachment articles Thursday Five takeaways on Horowitz's testimony on Capitol Hill MORE (Utah).

But with Trump looking for a win on drug pricing, political analysts and health experts argue he doesn’t necessarily care about gaining the support of conservatives.

“This is ... the administration throwing down a wild card,” said health care consultant Alex Shekhdar, founder of Sycamore Creek Healthcare Advisors. “In order to win in 2020, they need to take into consideration independents and anyone else who thinks drug prices are an issue.”

Joe Antos, a health care expert at the conservative American Enterprise Institute, said it doesn’t matter if the policies Trump is embracing are traditionally Democratic ones.

“Just because Democrats endorsed it in the past, doesn’t mean Trump can’t take ownership and call it his idea. He might not call them Republican ideas, but he’ll call them Donald Trump ideas,” Antos said.

But some GOP senators cautioned against letting Democrats play too much of a role.

After the Finance Committee advanced the drug-pricing bill, Chairman Chuck GrassleyCharles (Chuck) Ernest GrassleyThe Hill's Morning Report - Sponsored by AdvaMed - House panel expected to approve impeachment articles Thursday Horowitz did not find evidence Obama asked for probe of Trump Live coverage: DOJ inspector general testifies on Capitol Hill MORE (R-Iowa) told reporters that Republicans don’t want Trump negotiating with Speaker Nancy PelosiNancy PelosiVulnerable Democrats tout legislative wins, not impeachment Photographer leaves Judiciary hearing after being accused of taking photos of member notes Overnight Health Care — Presented by That's Medicaid — House passes sweeping Pelosi bill to lower drug prices | Senate confirms Trump FDA pick | Trump officials approve Medicaid work requirements in South Carolina MORE (D-Calif.).

A competing bill from House Democrats is far more sweeping than the Senate’s, and includes direct Medicare negotiation on drug prices. 

“It seems to me that the Grassley-Wyden approach is a very moderate approach to what could come out,” Grassley said, referring to the bill backed by him and Sen. Ron WydenRonald (Ron) Lee WydenSenators zero in on shadowy court at center of IG report Trump administration approves Medicaid work requirements in South Carolina Senate Republicans air complaints to Trump administration on trade deal MORE (Ore.), the ranking Democrat on the Finance Committee.

But a stalled bill could still work to Trump’s advantage, according to Antos, who said the president doesn’t necessarily need to lower drug prices, he just needs to convince the public he is trying. 

In that sense, Antos argued, Republicans haven’t offered anything better, and they will eventually support whatever the administration does.

“Republicans don’t have any alternative ideas,” Antos said. “Trump has full control of Republicans in Congress, so there’s just not going to be any response other than going along with what comes along.”