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Remarks: Joe Biden Discusses Lowering Health Care Costs in Culpeper, Virginia - February 10, 2022
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Joe Biden Person
Joe Biden
Leans Positive
00:00:00-00:00:39 (40 sec)
"Thank you, Mr. President. [Laughter] I could have no more have done that when I was 12 years old than fly. I used to be a stutterer. I was scared to death I would stand up and ta-ta -- ta-ta-talk -- talk like that. And I can't tell you how much -- how proud I am of you. And your brother is equally as impressive as you are. He's standing there -- he's sitting there two seats over."
1
Joe Biden
Very Positive
00:00:39-00:00:52 (12 sec)
"Shannon and Joshua -- and, by the way, Happy Birthday, man. He's going to be 13 years old -- a teenager -- in a couple days. [Applause]"
2
Joe Biden
Very Positive
00:00:52-00:01:15 (23 sec)
"I want you to know that lowering the cost of prescription drugs is one of the reasons why I'm here with Abigail, your congresswoman. And that's what I want to talk about with you today. Lowering the cost of healthcare overall, as well. Lowering the cost of prescription drugs is important. And giving families like yours just a little bit more breathing room makes a gigantic difference."
3
Joe Biden
Positive
00:01:15-00:01:39 (24 sec)
"Before I get into that, I want to say: It's good to be here at Germanna school. And, by the way, Abigail, if I wanted to know anything about community colleges in Virginia, I go to my wife. [Laughter] She teaches full-time and has for the last nine years. She's in the classroom now at -- at a community college in Northern Virginia -- Northern Virginia Community College."
4
Joe Biden
Very Positive
00:01:39-00:02:02 (23 sec)
"And she says -- she says, "You know, the single best-kept secret in America is community colleges." And it really is. They are so flexible. They can do so much -- so much. And if I had more time -- which I don't -- for all of you, I'd go into what we're going to try to do to increase the flexibility and the funding of community colleges for people."
5
Joe Biden
Very Positive
00:02:02-00:02:06 (4 sec)
"But it's great to be here with Abigail -- with Congresswoman Spanberger."
6
Joe Biden
Neutral
00:02:06-00:02:14 (8 sec)
"In every chapter of her career -- in every chapter, she's always been about one thing: service. Service."
7
Joe Biden
Very Positive
00:02:14-00:02:30 (16 sec)
"I also want to thank Mark Warner and Tim Kaine, who -- senators here -- are good friends and worked closely with me on so many things when I was a senator and now as President and when I was Vice President. But they needed to be in Washington today because there's votes in the Senate."
8
Joe Biden
Leans Positive
00:02:30-00:02:50 (20 sec)
"I also want to thank Secretary of Health and Human Services Xavier Becerra for two things. One, for answering my call when I asked him to come and be the Secretary. [Laughs] I was worried he wouldn't. And how much he's helped us make so much progress in getting people vaccinated, getting health insurance, and making more affordable healthcare."
9
Joe Biden
Very Positive
00:02:50-00:03:15 (24 sec)
"Look, healthcare is part of Abigail -- congresswoman -- your congresswoman's background. Back in 2017, she saw her representatives in Congress vote to repeal the Affordable Care Act. That was one of more than 100 Republican efforts -- there were 100 Republican efforts since we passed it in our last administration to repeal the Affordable Care Act."
10
Joe Biden
Negative
00:03:15-00:03:27 (12 sec)
"But she knew that that was the exact opposite of what central Virginia badly needed. You needed then and you need now more access to quality healthcare that is more affordable."
11
Joe Biden
Very Positive
00:03:27-00:03:46 (19 sec)
"So, when I became President of the United States, that's what we did. We passed the American Rescue Plan, which made quality coverage through the Affordable Care Act more affordable than ever before, with families saving, on average, who have signed up -- a family, on average -- $2,400 a year in their annual premiums."
12
Joe Biden
Neutral
00:03:46-00:03:55 (9 sec)
"Compared to last year, the average monthly premium for Virginia -- for Virginians has gone down more than 25 percent."
13
Joe Biden
Somewhat Positive
00:03:55-00:04:10 (15 sec)
"Over 5 million people have gained coverage through the ACA since I became President. As was mentioned by Xavier, over 300,000 Virginians have signed up for health insurance during open enrollment period here in Virginia."
14
Joe Biden
Somewhat Positive
00:04:10-00:04:26 (16 sec)
"And we want to go further: lowering prescription drug prices; get a cap on the amount people pay on Medicare, pay for prescription drugs; and to bring more clarity and fewer surprises when you get your bills if you've been hospitalized."
15
Joe Biden
Neutral
00:04:26-00:04:29 (3 sec)
"So, let me say a few words about each of these things now."
16
Joe Biden
Slightly Negative
00:04:29-00:04:46 (17 sec)
"With regard to prescription drugs: In America, we pay the highest prescription drug prices of any nation -- developed nation in the world -- the highest of any. And it's about two to three times higher than what other countries pay."
17
Joe Biden
Positive
00:04:46-00:05:22 (36 sec)
"Let me give you one example. An anti-cancer drug to treat leukemia and lymphoma costs $14,000 a month in the United States. The same exact drug, made by the same exact pharmaceutical company, is sold in France and it's $6,000 a month. $6,000 for the same exact drug, same exact manufacturer, same exact amounts. Not 14, but 6. That's for a month's supply."
18
Joe Biden
Very Negative
00:05:22-00:05:46 (24 sec)
"Today, one in four Americans who need prescription drugs struggle to afford them -- one in four. Nearly 30 percent have skipped doses of essential drugs they're supposed to take. Others have simply not filled prescriptions that the doctor had given them; tried to use over-the-counter drugs or pills cut in half because they can't afford the cost of their prescription."
19
Joe Biden
Very Negative
00:05:46-00:06:03 (17 sec)
"This is the United States of America, for God's sake. That's just wrong. It's simply wrong, especially since it doesn't cost the drug companies nearly, nearly, nearly, nearly as much to make the drug or the research that went into them."
20
Joe Biden
Very Negative
00:06:03-00:06:23 (19 sec)
"Let me regress for just a moment here. I started when -- in the Obama-Biden administration an effort to deal with the Cancer Moonshot to change the way in which we deal with cancer. And I'm reinstituting that in my administration now."
21
Joe Biden
Very Positive
00:06:23-00:06:43 (21 sec)
"And it was interesting. I met -- we had these hearings all over the United States. And one of the major events we did, we -- at Howard University, where there were 35 other events going on simultaneously with this. I had subsequently met with the heads of -- I think it was 13 drug companies."
22
Joe Biden
Very Negative
00:06:43-00:06:57 (14 sec)
"And I asked them -- I said, "If you found a cure for a particular cancer, how much you think you should be able to charge?" And the response universally was, "What the market will bear.""
23
Joe Biden
Very Positive
00:06:57-00:07:30 (32 sec)
"I said, "Hope I don't get elected President, because that's just not -- what you'll get should be treated more like a utility." You should be able to make a significant progress for -- let's add up how much -- and like they do in Germany -- how much did it cost you all, the research and development -- all the effort. Add it all up. And then, on top of that, add a significant premium for it -- a profit of 20 to 30 percent above that. Maybe, in some cases, more."
24
Joe Biden
Positive
00:07:30-00:07:41 (11 sec)
"But the idea -- the idea you can charge whatever you want is just not going to happen in the United States of America if I have anything to do with it."
25
Joe Biden
Neutral
00:07:41-00:07:54 (13 sec)
"If you think this doesn't affect you, it does, by the way. Everyone has less money in their pockets today because of high drug pric- -- drug costs and health insurance. And it's more expensive for everyone."
26
Joe Biden
Leans Negative
00:07:54-00:08:03 (9 sec)
"And the reason it is, is this is what your insurance companies pay. Every -- all of you who have insurance, you're paying a heck of a lot more even if you're not using the drugs."
27
Joe Biden
Neutral
00:08:03-00:08:11 (8 sec)
"Over the past decade, healthcare costs have gone up 50 percent. Prescription drugs are a big chunk of that."
28
Joe Biden
Very Positive
00:08:11-00:08:32 (21 sec)
"And there's a lot of things that almost every American can agree on. But I think it's safe to say that all of us -- whatever our background, our age, where we live, whether we agree on prescription drugs -- look, we all acknowledge they're outrageously expensive, and in many cases, there is no relationship to cost."
29
Joe Biden
Neutral
00:08:32-00:08:35 (3 sec)
"It doesn't need to be that way."
30
Joe Biden
Neutral
00:08:35-00:08:45 (10 sec)
"Josh and Shannon, it costs drug companies less than $10 to make a vial of that insulin. Less than 10 bucks. That's what it costs."
31
Joe Biden
Positive
00:08:45-00:08:55 (10 sec)
"There's no reason you should be paying over $300 a vial for medicine you need every day to stay healthy and, in many cases, stay alive."
32
Joe Biden
Leans Negative
00:08:55-00:09:05 (10 sec)
"As your mom said, you got to pay $5,600 for prescriptions before your insurance even kicks in. You got to do the deductible."
33
Joe Biden
Very Positive
00:09:05-00:09:22 (17 sec)
"Shannon, you should have peace of mind of knowing that if Joshua grows up and leaves your care -- your healthcare plan, he'll be able to choose a job without ever having to make a choice between which one has the particular healthcare coverage."
34
Joe Biden
Positive
00:09:22-00:09:36 (14 sec)
"You know, we're now in a position where we can cap co-pays for insulin at $35 a month. And it's still a staggering profit: three and half times what it costs to produce the drug."
35
Joe Biden
Neutral
00:09:36-00:09:40 (4 sec)
"You can do that with a stroke of a -- we can do that with a stroke of a pen."
36
Joe Biden
Very Positive
00:09:40-00:09:54 (14 sec)
"In my Build Back Better legislation that with Abigail's leadership passed in the House of Representatives, we can do that. Now we just have to get through the United States Senate, and we're close."
37
Joe Biden
Somewhat Negative
00:09:54-00:09:58 (4 sec)
"We can do even more to lower out-of-pocket prescription costs."
38
Joe Biden
Somewhat Positive
00:09:58-00:10:13 (14 sec)
"Under my proposal, we will hold drug companies accountable for the absurd price increases. Here's how: Drug companies that increase their prices faster than the rate of inflation, once the price is set, will face a steep tax."
39
Joe Biden
Leans Negative
00:10:13-00:10:22 (9 sec)
"This will help us end the days when drug companies could increase their prices with no oversight, no accountability, and no responsibility."
40
Joe Biden
Neutral
00:10:22-00:10:31 (9 sec)
"We're saying to drug companies: You are finally going to become accountable when you raise prices on the American people. Accountability."
41
Joe Biden
Very Positive
00:10:31-00:10:34 (4 sec)
"You're still going to make a significant profit."
42
Joe Biden
Neutral
00:10:34-00:10:41 (7 sec)
"And we can take additional steps to lower drug costs for people with Medicare -- something Abigail has championed."
43
Joe Biden
Neutral
00:10:41-00:10:50 (9 sec)
"Right now, the only thing Medicare is not allowed to negotiate the price of are prescription drugs."
44
Joe Biden
Leans Negative
00:10:50-00:11:12 (22 sec)
"For everything else covered by Medicare -- a doctor's visits -- they negotiate and say, "We'll pay no more than this much for a doctor's visit." So if the doctors don't want to take any Medicare patients, they don't have to. But if they have a Medicare patient, which there are millions of them, they cannot charge more than a certain amount. Crutches -- we limit the amount of money they can pay for crutches."
45
Joe Biden
Neutral
00:11:12-00:11:22 (10 sec)
"But -- but Medicare can negotiate everything except drug prices. The only outfit that can't do -- they -- they can't deal with."
46
Joe Biden
Somewhat Positive
00:11:22-00:11:28 (6 sec)
"My plan is going to allow Medicare to negotiate the prices they're prepared to pay for each individual drug."
47
Joe Biden
Negative
00:11:28-00:11:38 (10 sec)
"If the company says, "I'm not going to -- I'm not going to sell it to you at that price," fine, but they're going to lose millions of customers. Millions of customers."
48
Joe Biden
Positive
00:11:38-00:11:53 (15 sec)
"We're proposing -- what we're proposing is that we negotiate fair prices -- one that reflects the cost of research and development and the need for significant profit, but still is affordable and has some relationship to the cost the drug company had."
49
Joe Biden
Slightly Negative
00:11:53-00:12:14 (22 sec)
"My plan also caps the amount that seniors on Medicare have to spend on prescription drugs each year total, so that if they're on Medicare, they'll not have to spend out of pocket more than $2,000 a year, no matter how many drugs they're taking, with drug companies, insurance companies, and medicine -- and Medicare picking up the rest of the cost."
50
Joe Biden
Very Positive
00:12:14-00:12:24 (10 sec)
"And just last month, to bring greater transparency to healthcare costs, my administration outlawed surprise billing."
51
Joe Biden
Very Positive
00:12:24-00:12:55 (31 sec)
"I've had significant experience with hospital care. My son Beau, who was Attorney General of Delaware and a -- won the Bronze Star in Iraq -- and, I mean, excuse me, in -- in dealing with being deployed overseas for a long time, for a year. You know, he -- he came back with glioblastoma, and he died."
52
Joe Biden
Neutral
00:12:55-00:13:06 (11 sec)
"But you know what? You know, the fact is that -- and I -- I was hospitalized a long time. I had, a couple years ago, a cranial aneurism, was hospitalized for a long time."
53
Joe Biden
Negative
00:13:06-00:13:23 (17 sec)
"And you can no longer get that surprise billings we got. If your healthcare plan did not cover a particular doctor but you didn't even know he was being consulted and you get an extra bill for two to five thousand dollars -- they can't do that anymore. No more surprise billing. No more."
54
Joe Biden
Negative
00:13:23-00:13:35 (11 sec)
"Millions of hardworking Americans will no longer have to worry about unexpected medical bills. And Abigail has been making sure that we bring the same transparency to drug prices."
55
Joe Biden
Somewhat Positive
00:13:35-00:13:47 (12 sec)
"A couple of years ago, Abigail worked to pass bipartisan legislation to make drug prices more transparent so you knew what you're paying for. And my administration is working with Abigail to make sure we enforce that."
56
Joe Biden
Very Positive
00:13:47-00:14:06 (20 sec)
"She also has been relentless in making sure the law that's been on the books that says pharmaceutical companies need to provide rural clinics and community health centers with discounts on prescription drugs is actually enforced. And we're working together on that as well."
57
Joe Biden
Very Negative
00:14:06-00:14:18 (11 sec)
"I've long said healthcare should be a right, not a privilege, in this country. This isn't a parti- -- diabetes, Alzheimer's, cancer -- they're not partisan issues. They're not Democrat or Republican."
58
Joe Biden
Very Positive
00:14:18-00:14:33 (15 sec)
"This is about -- this is about whether or not you and your loved ones can afford the healthcare you need and the medi- - and the medicines you need to stay healthy, because we need to ease the burden on working families by making everything more affordable and accessible."
59
Joe Biden
Somewhat Positive
00:14:33-00:14:46 (13 sec)
"Look, again, slight digression: Inflation is up. It's up. And coming from a family when the price of gas went up, you felt it in the household, you knew what it was like, it matters."
60
Joe Biden
Neutral
00:14:46-00:15:02 (16 sec)
"But the fact is that, if we're able to do the things I'm talking about here, it'll bring down the costs for average families. It'll bring down the costs for average families. I don't know why they keep moving all that, but the fact is: They keep down the costs for average families."
61
Joe Biden
Very Positive
00:15:02-00:15:14 (12 sec)
"And, look, the fact is that we're in a situation now where, you know, you should have peace of mind. I know food prices are up, and we're working to bring them down."
62
Joe Biden
Leans Negative
00:15:14-00:15:29 (15 sec)
"As I said, I grew up in a family where the price at the pump went up, you felt it. And I understand. But these things are necessities. We're working to bring down prices where there are not totally what families, in fact, have to pay now."
63
Joe Biden
Slightly Negative
00:15:29-00:15:41 (11 sec)
"You still have pay to for childcare. Childcare is a cost for millions of families. You still have to pay your prescription drug prices. You still have to pay for healthcare."
64
Joe Biden
Slightly Positive
00:15:41-00:15:44 (4 sec)
"You want to lower the cost of living for people? Help them in those areas."
65
Joe Biden
Neutral
00:15:44-00:15:53 (9 sec)
"So, there's more than one way for a family, when it comes to raising their standard of living."
66
Joe Biden
Very Positive
00:15:53-00:16:12 (19 sec)
"I'm going to work like the devil to bring gas prices down, which I'm going to -- I'm working to make sure that we keep strengthening the supply chains to bring the cost of energy and everything else and the goods that come to America down by helping the ports 24/7, by changing a whole range of things that --"
67
Joe Biden
Very Positive
00:16:12-00:16:30 (18 sec)
"You know, what's happened with COVID -- COVID has caused significant increase in prices in the supply chain, because when a factory shuts down in another part of the world and you need that particular product in order to finish and build whatever you're working on, the price goes up exponentially, like for cars."
68
Joe Biden
Neutral
00:16:30-00:16:44 (15 sec)
"But in the meantime, there is a lot we can do to give families extra breathing room. We can do this when we cut the cost of childcare, making sure that you don't pay more than 7 percent of a family's income for childcare. That saves thousands of dollars in families -- for families."
69
Joe Biden
Neutral
00:16:44-00:16:49 (4 sec)
"Shannon, think about what these plans would mean for you and your family."
70
Joe Biden
Very Positive
00:16:49-00:16:58 (10 sec)
"We're -- already made a lot of progress on the economy. Last year, more jobs were created in America than in any year in American history."
71
Joe Biden
Negative
00:16:58-00:17:02 (4 sec)
"Unemployment has dropped more than any year in American history."
72
Joe Biden
Very Negative
00:17:02-00:17:09 (7 sec)
"We reduced the deficit -- the federal deficit, while doing those -- both those things, by $300 billion."
73
Joe Biden
Slightly Negative
00:17:09-00:17:21 (11 sec)
"We lowered child poverty by nearly 40 percent in America, more than any year in American history, as a consequence of the Child Tax Credit."
74
Joe Biden
Very Positive
00:17:21-00:17:44 (24 sec)
"And we're coming out at these challenges from a position of strength unmatched by any nation in the world. And I might add, and I note here just to all of you, that this does not raise anyone's -- if you're making less $400,000, you're not paying a single penny more in taxes -- not a single penny more in taxes. And it does not increase the deficit because it's paid for. It's fully paid for."
75
Joe Biden
Somewhat Positive
00:17:44-00:18:04 (20 sec)
"I've had a group of major companies, from Intel to General Motors to Ford to -- down across the board -- come to me and say they want to keep these programs going, increase corporate taxes to 24 percent, which they were supposed to be. It gets paid for. They understand the net effect on the economy is to grow it."
76
Joe Biden
Very Positive
00:18:04-00:18:14 (10 sec)
"We know that when we invest in ourselves, there's no limit to what we can achieve with leaders like Abigail and the brave folks like Shannon and Joshua."
77
Joe Biden
Slightly Positive
00:18:14-00:18:33 (19 sec)
"All of you know here today that all this progress we've made is going to be just the beginning -- just the beginning. I promise you we're going to do so much more, and it will not -- I emphasize, it will not increase the debt. It will not increase taxes on anyone making less than $400,000 a year."
78
Joe Biden
Positive
00:18:33-00:18:45 (12 sec)
"And, by the way, I'm a capitalist. I'm a capitalist. You should be able to make a million or a billion dollars. Just pay a little bit of your fair share. That's all."
79
Joe Biden
Neutral
00:18:45-00:19:00 (15 sec)
"We have over 53 companies in America that made $40 billion last year -- didn't pay a single penny in taxes. Not a single penny. That's not right."
80
Joe Biden
Very Positive
00:19:00-00:19:11 (11 sec)
"And so, you find that a lot of these corporations realize: To grow and be competitive, it makes sense just to pay a little more in taxes at the top end in order to afford this economic growth we're creating."
81
Joe Biden
Very Positive
00:19:11-00:19:26 (15 sec)
"But bringing down the cost of healthcare, bringing down the cost of prescription drugs is an easy thing for us to do. It can be done legally with a stroke of a pen."
82
Joe Biden
Very Positive
00:19:26-00:19:36 (10 sec)
"We just got to get Abigail's enthusiasm that she gotten it through in the House of Representatives to the United States Senate. So, we may be dragging you over to the Senate to spend some time. [Laughter]"
83
Joe Biden
Leans Positive
00:19:36-00:19:40 (4 sec)
"But all kidding aside, there's so much we can do."
84
Joe Biden
Very Positive
00:19:40-00:19:58 (18 sec)
"And I want to thank the family for being willing to stand up here and share their story. And, Dad, stand up so everybody knows who you are. I want them to see you. That good-looking guy back there, that's Dad. [Applause]"
85
Joe Biden
Very Positive
00:19:58-00:20:20 (23 sec)
"Every time I'd walk out of my grandpop's house up in Scranton, Pennsylvania -- his name was Ambrose Finnegan; he was an All-American football player out in Santa Clara when he was a kid -- and he used to always yell, "Joey, keep the faith." And my grandmother would yell -- she'd yell back, "No, Joey, spread it." Let's spread the faith and get this done."
86
Joe Biden
Very Positive
00:20:20-00:20:25 (4 sec)
"Thank you very, very much. Appreciate it. [Applause]"
87