San Antonio Express-News

Drug prices could threaten Dems’ support of new NAFTA

- By Paul Wiseman

WASHINGTON — The clash over free trade in North America has long been fought over familiar issues: low-paid Mexican workers. U.S. factories that move jobs south of the border. Canada’s high taxes on imported milk and cheese.

But as Democrats in Congress consider whether to back a revamped regional trade pact being pushed by President Donald Trump, they’re zeroing in on a new point of conflict: drug prices. They contend that the new pact would force Americans to pay more for prescripti­on drugs, and their argument has dimmed the outlook for one of Trump’s signature causes.

The president’s proposed replacemen­t for the 25-yearold North American Free Trade Agreement is meant to win over Democrats by incentiviz­ing factories to hire and expand in the United States. Yet the pact would also give pharmaceut­ical companies 10 years’ protection from cheaper competitio­n in a category of ultra-expensive drugs called biologics, which are made from living cells.

Shielded from competitio­n, critics warn, the drug companies could charge exorbitant prices for biologics.

“This is an outrageous giveaway to Big Pharma,” Rep. Rosa DeLauro, a Connecticu­t Democrat, said in an interview. “The government guarantees at least 10 years of market exclusivit­y for biologic medicine. It’s a monopoly. It’s bad policy.”

The objections of DeLauro and other Democrats suddenly carry greater potency. The need to curb high drug prices has become a rallying cry for voters of all political stripes. Trump himself has joined the outcry. The revamped North America trade deal must be approved by both chambers of Congress, and Democrats now control the House.

Rep. Earl Blumenauer of Oregon, the new chairman of the House Ways and Means subcommitt­ee on trade, said, “I don’t think candidly that it passes out of my trade subcommitt­ee” with the biologics provision intact.

“The biologics are some of the most expensive drugs on the planet,” he said.

Still, the politics of NAFTA 2.0 are tricky for Democrats and not necessaril­y a surefire winner for them.

The original NAFTA, which took effect in 1994, tore down most trade barriers separating the United States, Canada and Mexico. Like Trump, many Democrats blamed NAFTA for encouragin­g American factories to abandon the United States to capitalize on lowerwage Mexican labor and then to ship goods back into the U.S., duty-free.

Having long vilified NAFTA, Trump demanded a new deal — one far more favorable to the United States and its workers. For more than a year, his top negotiator, Robert Lighthizer, held talks with Canada and Mexico. Lighthizer managed to insert into the new pact provisions designed to appeal to Democrats and their allies in organized labor.

Late last year, the three countries signed their revamped deal, the U.S.-Mexico-Canada Agreement. But it wouldn’t take effect until their three legislatur­es all approved it. In the meantime, the old NAFTA remains in place.

The question now is: Are Democrats prepared to support a deal that addresses some of their key objections to NAFTA and thereby hand Trump a political victory? Some Democrats have praised the new provisions that address auto wages, though many say they must be strengthen­ed before they’d vote for the USMCA.

Protection for drug companies is another matter.

Top biologics include the anti-inflammato­ry drug Humira, the cancer fighter Rituxan and Enbrel, which is used to treat rheumatoid arthritis.

U.S. trade rules are designed to force Congress to give trade agreements an up-or-down vote. Still, there are ways to bypass those restrictio­ns. Congressio­nal Democrats could, for example, push the administra­tion to negotiate so-called side letters with Canada and Mexico to address their concerns. President Bill Clinton did this with the original NAFTA.

 ?? Julio Cortez / Associated Press ?? As Democrats consider whether to support a revamped North American Free Trade Agreement, the issue of drug prices adds a new point of contention.
Julio Cortez / Associated Press As Democrats consider whether to support a revamped North American Free Trade Agreement, the issue of drug prices adds a new point of contention.
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