The President and Congress are trying to extract trillions of dollars in savings from the U.S. budget. The new Congressional “super committee” has been charged with cutting $1.5 trillion over the next 10 years. On September 19, 2011, President Barack Obama proposed $320 billion in health care savings over the course of a decade (see graph Proportions of Health-Related Savings from Various Sources Proposed by the Joint Select Committee on Deficit Reduction.). Central to that proposal is a plan to require that pharmaceutical manufacturers offer Medicare beneficiaries who qualify for low-income subsidies for prescription-drug coverage under Part D the same prices offered to the Medicaid program. This idea was also championed by the Simpson–Bowles Debt Commission and in legislation introduced by Congressmen Henry Waxman (D-CA) and Pete Stark (D-CA). The savings from this policy proposal is estimated to account for 42% of the total proposed health care savings, or $135 billion.
(November 3, 2011)
New England Journal of Medicine
2011
http://www.nejm.org/doi/full/10.1056/NEJMp1109926