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Thursday, December 16, 2021

POLITICO NIGHTLY: 5 pandemic predictions for 2022

 



 
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BY RENUKA RAYASAM

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A health care worker administers a Pfizer-BioNTech Covid-19 vaccine to a person at a drive-thru site in Tropical Park in Miami.

A health care worker administers a Pfizer-BioNTech Covid-19 vaccine to a person at a drive-thru site in Tropical Park in Miami. | Joe Raedle/Getty Images

WE ARE NOT THERE YET — As we enter the third year of the pandemic, my mind keeps flashing back to a trailer I saw last year for a widely panned Michael Bay movie , which portrays an unlikely dystopian pandemic future, but captures the feeling of helplessness and despair that so many — even those of us lucky enough to have access to vaccines and the privilege to social distance — feel right now with the country on the brink of an Omicron surge.

Last year, when I put together a 2021 pandemic guide , it seemed like this year would bring back a sense of normalcy. And in many ways it did: Kids headed back to classrooms, sports seasons resumed relatively routine schedules, families celebrated the holidays together, people got on planes and many workers went back to the office full time.

Yet more people have died this year than last year as the virus tore its way through largely unvaccinated pockets of the country killing older Americans at alarming rates. One out of every hundred Americans 65 and older have died from Covid.

These days, with hospitals so full they are refusing patients, it’s hard to see how this pandemic will ever end, so I reached out to several Nightly go-to experts to help me figure out what is actually ahead. Here are five predictions for 2022:

The U.S. will hit one million deaths in the spring.

Earlier this week the country hit 800,000 Covid deaths and is still recording about 1,300 deaths a day. Even if the Omicron death rate is lower, the overall infection rate will likely be higher, leading to another surge in deaths, said Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota.

“Omicron is starting to rival our most transmissible infectious agent of all: measles,” said Peter Hotez, a vaccine expert at the Baylor College of Medicine, who predicts the country will see a million deaths by the end of March.

Even folks who have gotten their booster dose are getting breakthrough infections, though they are largely spared from severe outcomes. But nearly 75 percent of the population has yet to receive a booster dose, and 40 percent of the U.S. population has yet to receive a single vaccine dose — leaving a vast number of Americans still deeply vulnerable to the worst of the crisis.

We will run out of room on our vaccination cards.

The mRNA vaccines are proving to be not as long lasting as we had hoped, said Hotez, who is working on a low-cost recombinant protein vaccine.

Even three doses may not be enough. “We haven’t hit the ceiling yet of how high we can get an immune response,” said Kirsten Lyke, a vaccine researcher at the University of Maryland School of Medicine who has been studying Covid shots.

That means we will probably be getting another shot. It’s unclear whether future shots will be the same as the previous ones or reconfigured to better tackle new variants, and whether they will become annual rituals. Researchers are now working on a coronavirus shot that will protect against a broad range of coronaviruses as well as variants.

We will be talking about an Omega variant.

“We will go through the whole Greek alphabet,” said Syra Madad, an infectious disease epidemiologist and senior director of the system-wide special pathogens program at NYC Health + Hospitals. We may not hit the Greek alphabet’s last letter in 2022, but it won’t be a distant possibility.

As long as there are large unvaccinated pockets of the world, new variants will emerge, Hotez said. Less than 50 percent of the world’s population is unvaccinated.

“Mother Nature has told us what she has in store for us,” Hotez said, who argues the U.S. has a responsibility to provide doses and combat global anti-vaccine messages. “If we fail to vaccinate the Southern hemisphere, she will get us.”

Welcome to POLITICO Nightly. We’ll have more on what to expect on Covid medicines and what “normal” might mean coming up. Reach out with news, tips and ideas at nightly@politico.com. Or contact tonight’s author at rrayasam@politico.com, or on Twitter at @RenuRayasam.

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Fans sit with some social distancing during a soccer match between 1. FSV Mainz 05 and VfL Wolfsburg at MEWA Arena in Mainz, Germany.

Fans sit with some social distancing during a soccer match between 1. FSV Mainz 05 and VfL Wolfsburg at MEWA Arena in Mainz, Germany. | Christof Koepsel/Getty Images

We will talk less about social distancing and more about Covid drugs.

Governors have largely abandoned blunt Covid mitigation measures that they relied on early in the pandemic. Those measures, like keeping kids out of school and closing businesses, came with huge social and economic costs.

Instead, 2022 will bring new advancements in Covid therapeutics that won’t stop the spread or bend the curve, but could help cut infection mortality rates. The FDA is considering the approval of two antiviral pills — one from Pfizer and one from Merck/Ridgeback Biotherapeutics — that have the potential to drastically lower the chances of severe illness and death. The catch is that they have to be taken early, which will require widespread, cheap testing.

“I do think relying on pharmaceutical interventions is going to miss the mark,” said Spencer Fox, associate director of the University of Texas Covid-19 Modeling Consortium. “There are things we can do to prevent transmission rather than trying to deal with repercussions of transmission.”

There will (hopefully) be a new normal.

If 2020 caught us by surprise, 2021 plunged us into either ignorance or despair. Some people ignored the virus completely. But others tried to live Covid-safe lives and failed. We planned masked Christmas parties that turned into holiday superspreading events. Broadway reopened and canceled shows. Many major companies scrapped return-to-office plans more than once.

2022 will hopefully be the year where people and policymakers get realistic and figure out how to live with endemic Covid.

“We are not back to square one,” Madad said. “Pandemics do end.”

That means figuring out policies and guidance that are more sustainable, she said. Some of those policies are straightforward — booster shots for long-term care residents should be an urgent priority, and more rapid, frequent testing. The Biden Administration has so far resisted sending tests directly to Americans. Others, like designing office and school policies or planning parties and trips, will be more complicated but vital as Covid waves go and come.

“Covid has really humbled us as society,” Fox said. “My new normal is planning things with a sense of flexibility.”

 

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FROM THE HEALTH DESK

A dose of the Johnson & Johnson coronavirus vaccine in a New York City vaccination site.

A dose of the Johnson & Johnson coronavirus vaccine in a New York City vaccination site. | Michael M. Santiago/Getty Images

ONE AND NOT DONE — Today a CDC panel dealt the Johnson & Johnson vaccine another blow, recommending that it should not be the first choice vaccine because of its link to a rare blood clot disorder, writes Renu.

The vaccine had already proven to be less effective than its mRNA counterparts: the single shot was 71 percent effective against hospitalizations compared with 93 percent for Moderna and 88 percent for Pfizer, according to a CDC report.

All the bad news doesn’t mean that 16 million J&J recipients in the U.S. should panic — the clotting risk is limited to a three-week window after the initial shot. Plus they should just get a follow-up shot. And soon.

J&J was billed as a “one and done” shot, geared toward people who might be hard to reach with a follow-up dose. That was a mistake, said Maryland’s Lyke.

study released Tuesday showed there were no deaths among people in South Africa who got the J&J shot, and then were infected with Omicron. But more data is coming out showing that one shot of the J&J vaccine — like two doses of the mRNA vaccines — doesn’t produce enough neutralizing antibodies to prevent breakthrough Omicron cases.

Still, people who got the J&J shot, which uses a modified version of a virus to make the Covid spike protein, and one booster dose of an mRNA vaccine may be more protected than those who received two doses of Moderna or Pfizer, according to recent research.

Plus, while J&J may produce fewer antibodies than the other two shots, it creates a better T-cell response, which is a different arm of immunity, Lyke said. There’s also data showing that J&J’s shot might have a more durable response — eight months compared to six months with mRNA vaccines — something that Lyke’s lab is currently studying. The shot is still available for people who are allergic to mRNA vaccines or who might not be comfortable with the new technology.

In any case, she points out, one and done was still better than zero. About 85 percent of hospitalized patients are unvaccinated, according to new research from Kaiser Family Foundation and the Peterson Center on Healthcare.

WHAT'D I MISS?

— Biden concedes BBB bill won’t get passed this year: President Joe Biden acknowledged today that negotiations over his Build Back Better bill will drag on into 2022 despite efforts and pledges by Democrats to get it done before Christmas . “It takes time to finalize these agreements, prepare the legislative changes, and finish all the parliamentary and procedural steps needed to enable a Senate vote,” the president said in a statement. “We will advance this work together over the days and weeks ahead; Leader Schumer and I are determined to see the bill successfully on the floor as early as possible.”

— Crackdown on China’s treatment of Muslim minority headed to Biden’s desk: The Senate today unanimously passed a bill to crack down on the Chinese government’s genocide targeting Uyghur Muslims, sending the measure to Biden’s desk for his signature. Despite the bill’s overwhelming support, it faced a long and complicated road to final passage as its co-authors, Sen. Marco Rubio (R-Fla.) and Rep. Jim McGovern (D-Mass.), encountered obstacles from the White House and the private sector. The legislation briefly became intertwined with Democrats’ unrelated domestic agenda items, as well as a GOP-led blockade on foreign-policy nominations.

— Rep. Alan Lowenthal won’t seek reelection in 2022: Rep. Alan Lowenthal will not run for reelection, adding to a generational changing of the guard in California politics . The Long Beach Democrat said in a statement that he would not seek a sixth term in Congress, choosing instead to “pass the baton” and spend time with family. Lowenthal’s current seat is safely Democratic and will likely remain so even under new lines, though the latest iteration from the state’s independent redistricting commission eliminated one Southern California seat to account for slower population growth.

 

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— More than 100 Marines kicked out of the service for refusing Covid vaccine: The Marine Corps has booted 103 of its members for refusing the Covid vaccine, the service announced today, even as all the military branches report that a vast majority of troops have gotten the shots . The news comes the same day the Army announced that it has relieved six leaders — including two commanding officers — over the issue, and that almost 4,000 active-duty soldiers have refused the vaccine.

— AIPAC launches super PAC: The American Israel Public Affairs Committee will launch a super PAC ahead of the 2022 midterms, wading into direct spending for and against candidates for the first time. The group announced the move to launch two bipartisan PACs, a federal PAC and a super PAC, to supporters this morning, “to make us more effective in fulfilling our mission in the current political environment,” according to an email sent to members that was shared with POLITICO.

— Chamber launches ads targeting Manchin, hoping to kill Build Back Better: Washington’s largest business lobby got the bipartisan infrastructure bill it wanted. Now it’s going in for the kill on the piece of Biden’s agenda that it doesn’t want — Democrats’ $1.7 trillion reconciliation bill. The U.S. Chamber of Commerce is readying a multi-pronged ad blitz aimed at keeping the pressure on two of the bill’s key holdouts in the Senate, Democrats Joe Manchin of West Virginia and Kyrsten Sinema of Arizona.

AROUND THE WORLD

SWEDISH GEN.: IF RUSSIA MOVES, U.S. SHOULD SEND MORE TROOPS — If the conflict between Russia and Ukraine deepens, the U.S. should send more troops to reinforce its military presence in Europe , the head of Sweden’s armed forces says.

Gen. Micael BydĂ©n, the Swedish supreme commander, spoke to POLITICO today during a visit to Washington where he met with counterparts including Gen. Mark Milley, the chairman of the U.S. Joint Chiefs of Staff, Nahal Toosi writes.

Russia’s menacing of Ukraine is top of mind for Sweden as well as neighboring countries. President Vladimir Putin has amassed nearly 100,000 troops along the border with Ukraine, which Moscow earlier invaded in 2014.

The U.S. and its European allies have warned Putin that Russia will face severe sanctions and other penalties should he attempt another incursion, and that they will not waver in their military support for Ukraine. Biden has indicated, however, that he won’t send American troops to directly fight in that ongoing war.

 

STEP INSIDE THE WEST WING: What's really happening in West Wing offices? Find out who's up, who's down, and who really has the president’s ear in our West Wing Playbook newsletter, the insider's guide to the Biden White House and Cabinet. For buzzy nuggets and details that you won't find anywhere else, subscribe today.

 
 
NIGHTLY NUMBER

12

The number of remaining members of the U.S. missionary group who were seized in October in Haiti by a street gang who have now been released, according to the Haitian National Police.

PARTING WORDS

Activists participate in a candlelight vigil on abortion rights in front of the U.S. Supreme Court.

Activists participate in a candlelight vigil on abortion rights in front of the U.S. Supreme Court. | Alex Wong/Getty Images

FDA LOOSENS ABORTION PILL RULES — The Food and Drug Administration today said it’s lifting longstanding restrictions on abortion pills, clearing the way for doctors to prescribe the drugs online and have them mailed to patients or sent to local pharmaciesAlice Miranda Ollstein writes.

Enforcement of the agency’s decades-old rules requiring the pills to be physically handed out by a medical provider was suspended earlier this year following a lawsuit from the ACLU arguing that the risks of traveling to a doctor’s office during the Covid-19 pandemic outweighed any potential harms from having the drugs delivered. Now, the agency says it will move to make the looser distribution rules permanent.

Alexis McGill Johnson, the president & CEO of Planned Parenthood, called the decision “long overdue” and a “victory for public health and health equity.”

“This decision will remove a sometimes insurmountable barrier for patients seeking an abortion,” she said in a statement following the hearing.

The agency’s move is set to open a new front in the ongoing battle over abortion rights, with activists and lawmakers on the right pushing national and state restrictions on the pills while their counterparts on the left work to get information out about where people can obtain the drugs no matter where they live or what bans are enacted.

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Sunday, September 19, 2021

RSN: FOCUS: Will Bunch : A Broken America Should Build a Monument to Joe Manchin's Massive Ego

 

 

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Senator Joe Manchin. (photo: Tom Williams/Getty Images)
FOCUS: Will Bunch : A Broken America Should Build a Monument to Joe Manchin's Massive Ego
Will Bunch, The Philadelphia Inquirer
Bunch writes: "As the summer of 2021 comes to an ignominious end this week, millions of Americans will remember these blazing hot months as a time of dashed hopes on ending our life-altering pandemic and growing alarm about the floods and fires fueled by climate change."

The self-centered, greedy West Virginia senator is a poster child for everything wrong with U.S. politics. So what is the Joe Manchin workaround?

As the summer of 2021 comes to an ignominious end this week, millions of Americans will remember these blazing hot months as a time of dashed hopes on ending our life-altering pandemic and growing alarm about the floods and fires fueled by climate change. But in Washington, D.C. — the place where solving these problems needs to start in the U.S. — both the hellish season and what it might mean for future generations will be recalled as “Almost Heaven,” the well-equipped houseboat owned by West Virginia Sen. Joe Manchin where the nation’s leaders spent a moonshine-soaked summer lazily floating past the crises.

The Washington Post recently revealed the Democratic senator’s pricey vessel as the place where Manchin “has found himself in the captain’s seat for much of what gets done, or doesn’t get done, in Washington” — with the Senate divided 50-50 and an agenda to save America’s middle class hanging by frayed slipknot. Manchin’s large houseboat that is “somewhere between a trawler and a yacht, big and boxy,” the Post reports, has been a hot spot — both for Democratic and Republican senators and President Biden’s cabinet secretaries to forget their bitter partisan differences over free-flowing beer, and also possibly for COVID-19, after South Carolina GOP Sen. Lindsey Graham said he might have infected guests there.

“There’s no ‘parties,’” Manchin — wearing a bandage on his forehead that he swore was caused by bending over to fix a sink on the Almost Heaven (for non-boomers, a reference to the famous John Denver lyric about West Virginia) — told the newspaper. Attendees like Delaware Democratic Sen. Chris Coons insist that gatherings have been great for fostering working relationships, that the $1 trillion infrastructure plan passed by the Senate with 17 GOP votes “probably would have fallen apart” if not for the “cookouts” on, or in, Almost Heaven.

But with autumn closing in, Washington seems hopelessly adrift on Biden’s ambitious plans for working families and fighting climate change, and any forward progress will likely depend on what comes out of Manchin’s bandaged brain in the coming weeks. In a slew of TV appearances, the West Virginian has made it clear he will use his deciding vote in the 50-50 Senate to shrink Biden’s plan from $350 billion a year to only $100 billion to $150 billion — he’s failed to truly articulate why — and he’s also managed to downsize the ambitions of a do-or-die-for-democracy voting-rights bill, even as he insists (for now) he won’t end the filibuster to pass even that. Whatever happened on that houseboat, the brief chance to end American kleptocracy may be sinking.

Indeed, analyzing Manchin and his motives — both politically and psychologically — has become something of a cottage industry in the nation’s capital. I’ve already written about how Manchin’s pro-billionaire austerity politics are wildly out of step with the real-world needs of voters in poverty-plagued West Virginia, suffering from pothole-laced highways, climate-worsened floods, and opioid abuse. Instead, the senator and former governor sees promoting his personal brand as his path to winning elections and wielding power.

No ideological label explains what Manchin has been doing this summer. He’s not even a political centrist. He’s a self-centrist — measuring his worth less on how much bacon he brings back to almost-heaven West Virginia and more on his number of hits on MSNBC’s Morning Joe. In recent days, the take-down in neighboring Virginia of the post-Confederacy statue of Robert E. Lee was a reminder of a nation’s ever-changing iconography. If America ever wants to memorialize the 2020s, we should build a monument to Manchin’s massive ego.

James Downie recently took down Manchin’s politics of the self in the Washington Post, writing that “he described his concerns about West Virginia’s economy as ‘I can’t lose one job. I don’t have one to spare,’ as though his Senate office is the state’s employment center.” But Manchin isn’t really unique — just an extreme example of the political careerism that’s made far too many in Washington savvier about catering to their own needs than those of the voters. This West Virginian embodies most of the deadly sins of modern politics, including:

Greed. Manchin boasts that he’s put all of his considerable business holdings into a blind trust in order to not affect his politics, but the senator is not too blind to see that zealously pro-business, anti-tax, and — most important — anti-environment policies are boosting his multimillion-dollar portfolio. The Intercept reported earlier this month that since entering the Senate Manchin has personally grossed more than $4.5 million from coal companies that he founded in the 1980s and are run by his son — even as he holds the deciding vote on Biden’s plan to wean America off fossil fuels.

Sloth. Still, Manchin knows he can’t keep millionaire taxes low all by himself, so he works closely with a network of pro-business lobbyists. The senator is trying to deny the tape-recorded comments of an ExxonMobil lobbyist who claimed he speaks regularly with Manchin’s office. But he did lash out at the “far left” in a recent phone call with billionaire donors, and his passionate embrace of austerity is surely pleasing to the right-wing Koch network, which has been currying favor with the senator, or the U.S. Chamber of Commerce, whose political action committee recently gave to both Manchin and his political soullessness-mate, Arizona Democratic Sen. Kyrsten Sinema.

Pride. In what’s probably just a coincidence (right?), Manchin’s kids have also done very well during their dad’s political career. That includes his daughter Heather Bresch — the former CEO of the pharmaceutical firm Mylan, which had to pay the U.S. Justice Department $465 million for overcharging Medicaid for anti-allergy EpiPens, a controversy that Manchin never weighed in on. When Manchin was West Virginia governor, a reporter covering Bresch’s promotion at Mylan learned she didn’t have the M.B.A. degree listed on her resumĂ©, but somehow West Virginia University officials came up with not just an explanation to suddenly hand her a sheepskin but grades for unfinished courses were pulled out of thin air. Ultimately, the university president, provost, and business school dean resigned, but nothing bad happened to Bresch or to Manchin. That kind of outcome happens a lot.

In the present political crisis, it seems clear that Manchin is spouting austerity jargon largely to achieve the Chamber of Commerce’s goal of not substantially changing the federal tax framework that’s grossly tilted toward millionaires, billionaires, and large corporations — a goal that presumably means denying his constituents in West Virginia things like free community college or expanded child care.

On the voting-rights crisis, Manchin is now leading the effort for a compromise — not surprising, since GOP suppression laws could cost Democrats control of Congress, stripping Manchin of his almost magical powers — that would take out the parts that most offend big business like restrictions on dark money. Whether Manchin also agrees to at least modify if not ditch the filibuster — almost surely the only route to passing any reform — is a drama guaranteed to keep the hot camera lights focused on Manchin all fall, which must make him ecstatic.

What can progressives — who see Manchin (and Sinema) as the final roadblocks to radical reforms of our faltering democracy and economic system — do? The Manchin problem means the left will never got everything it wants in this session of Congress, so it’s imperative that forward-looking voters and top Democrats move him as far as they can — to convince him that a $200 billion- to $250 billion-a-year budget hike and the most expansive voting bill possible aren’t just good for the country, but that middle-class progress would be good, personally, for Joe Manchin.

After 2022, the only way for the United States to get where it wants to go is not through Joe Manchin and his tired political hackery, but around him. West Virginia may be a very Trumped-up place right now, but voters here in Pennsylvania, as well as Ohio, Wisconsin, and other key states, will get a shot next fall to build a Senate majority that is actually controlled by Democrats and not the Chamber of Commerce. Metaphorically speaking, we need an infrastructure bill with a 10-lane superhighway of American progress, that bypasses West Virginia altogether.


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Muhammad Ali brings to life one of the most indelible figures of the 20th century, a three-time heavyweight boxing champion who captivated millions of fans across the world with his mesmerizing combination of speed, grace, and power in the ring, and charm and playful boasting outside of it. Ali insisted on being himself unconditionally and became a global icon and inspiration to people everywhere.

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Wednesday, September 1, 2021

'They're Going to Lose,' Says Sanders as Corporations Mobilize Against $3.5T Bill


'They're Going to Lose,' Says Sanders as Corporations Mobilize Against $3.5T Bill

"I've got a message for the healthcare industry: Your days of writing legislation are over."

 


JAKE JOHNSON


Sen. Bernie Sanders has expressed confidence that congressional Democrats will be able to overcome an aggressive corporate lobbying campaign against their popular $3.5 trillion reconciliation proposal, which special interests are aiming to strip of climate investments, Medicare expansion, taxes on big businesses, and other key progressive priorities.

"These guys don't lose," Sanders (I-Vt.), the chair of the Senate Budget Committee, told the Washington Post earlier this summer when asked about the lobbying effort. "They're going to lose this round."

The Post, which published Sanders' remarks on Tuesday, offered a detailed look at the "massive lobbying blitz" that corporate America has launched in recent days in a bid to water down—or kill entirely—the reconciliation package, a centerpiece of President Joe Biden's economic and climate agenda.

The range of big-name corporations involved in the campaign—from the pharmaceutical giant Pfizer to the fossil fuel behemoth ExxonMobil—reflects the potentially far-reaching scope of the nascent reconciliation bill, which could allow Medicare to negotiate drug prices, reverse former President Donald Trump's corporate tax cut, institute paid family and medical leave, strengthen workers' rights, and establish a pathway to citizenship for millions of undocumented immigrants.

"The emerging opposition appears to be vast, spanning drug manufacturers, big banks, tech titans, major retailers, and oil-and-gas giants," the Post's Tony Romm reported. "In recent weeks, top Washington organizations representing these and other industries have started strategizing behind the scenes, seeking to battle back key elements in Democrats proposed overhaul to federal healthcare, education, and safety net programs."

One of the organizations that has been "most active" in the effort to prevent passage of the reconciliation bill, according to the Post, is the U.S. Chamber of Commerce, the largest business lobbying organization in the country. Romm reported that the Chamber is "in the early stages of putting together an economywide coalition to coordinate the fight against the still-forming economic package, including its significant price tag, policy scope, and potential for tax increases."

"The Chamber-organized effort could encompass traditional lobbying on Capitol Hill as well as advertising campaigns targeting Democratic lawmakers," Romm noted. "The group has been in talks with potential allies such as the National Association of Manufacturers, whose board includes executives from firms such as Dow Inc., Exxon, Caterpillar, and Johnson & Johnson... Other opponents include the Business Roundtable, whose board counts the chief executives from Apple and Walmart."

As Democrats move further along in the process of translating their newly approved $3.5 trillion budget blueprint into legislative text—a process lawmakers hope to complete by next month—the lobbying push is likely to intensify. The Hill reported Monday that corporate influence-peddlers are growing "increasingly optimistic" that they will succeed in keeping major tax hikes, Medicare expansion, and other critical measures out of the final package.

"The business community has made progress with certain Democrats on legitimate policy concerns with some of these proposals and their implications on the economy and international competitiveness," an unnamed lobbyist with ties to Senate Democrats told The Hill. "A lot of those arguments are landing."

While The Hill does not name the "certain Democrats" who have been receptive to lobbyists' arguments, the outlet noted that "business interests have Democratic allies in Sens. Joe Manchin (W.Va.) and Kyrsten Sinema (Ariz.) and the group of House moderates led by Rep. Josh Gottheimer (N.J.)"—all of whom have voiced opposition to the $3.5 trillion price tag.

But Sanders—who has characterized the reconciliation bill as potentially the most consequential legislation since the New Deal—said in an interview last week that $3.5 trillion is "the minimum of what we should be spending."

"I already negotiated," said Sanders, who previously pushed for a reconciliation package as large as $6 trillion. "The truth is we need more."

The Senate Democratic caucus can't afford to lose a single vote if it hopes to pass the reconciliation bill, which is exempt from the chamber's 60-vote filibuster rule. House Democrats have just three votes to spare.

Sanders was the chief architect of the $3.5 trillion spending blueprint that the Senate Democratic leadership ultimately agreed to last month, and he was instrumental in winning the inclusion of proposals to lower the Medicare eligibility age and expand the program to cover hearing, dental, and vision—ideas that prompted intense backlash from the powerful for-profit healthcare industry.

"The reforms threaten the bottom line of insurers who administer private Medicare plans and sell supplemental coverage for dental, vision, and hearing services," Politico reported last week. "Groups like the American Dental Association, worried their members will be paid less in traditional Medicare than in private Medicare plans, are also pushing to limit the new benefits to the poorest Americans."

Meanwhile, the Partnership for America's Health Care Future—an insurance industry front group formed to combat Medicare for All—has been sending near-daily email blasts attacking Democrats' push to lower the Medicare eligibility age.

In a tweet last week, Sanders made clear that he is unfazed by the industry's protests.

"I've got a message for the healthcare industry: Your days of writing legislation are over," the Vermont senator wrote. "We will expand Medicare to provide dental, vision, and hearing coverage to benefit seniors, not to pad the profits of healthcare industry CEOs. And we will do it by taking on your greed."


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