Rx CEO to Dems: Obamacare complicates my life

David Snow, CEO of the pharmaceutical company Medco Health Solutions, appeared Tuesday before a House Judiciary Subcommittee for a little-noticed hearing on the proposed merger between his company and Express Scripts, another large pharmaceutical. As the hearing progressed, Rep. John Conyers, D-Mich., asked Snow how Obamacare “has complicated or made more convenient your life?”

Snow’s answer — that Obamacare makes it “very difficult to manage my company” — reveals why Congress should never “pass the bill so that you can find out what’s in it,” as Rep. Nancy Pelosi, D-Calif., famously said about Obamacare.

“I would tell you that the health care bill has not necessarily complicated my life other than the fact that underneath the policy Congress passed, the rules are not yet written, so it’s very difficult to manage my company and my 23,000 employees and set direction for that company when I dont know what the administrative rules are underneath the policy.”

Snow did allow that he is “a big believer that the things we’re trying to do as part of health care reform are important.” Later in the hearing, Rep. Jerrold Nadler, D-NY, tried to draw Snow into making the argument that greater Medicare involvement in drug price negotiations would drive drug prices down. Snow allowed that “technically, yes,” Medicare could negotiate a lower price because “scale does drive better price.” But then he explained how the government has increased drug prices in the past:

“I will also tell you, though, that it’s not uncommon for [Pharmacy Benefit Managers] in the private sector to bump up against Medicaid Best Price when they could have done better had the government not set that floor, so it’s a double-edged sword . . . [Medicaid] by definition must always have best price . . . Medicaid Best Price legislation has become a floor below which we can’t negotiate.” 

You can watch videos of Snow’s remarks below.

Here is his exchange with Conyers:

Here is Snow’s exchange with Nadler:

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