Subject: Re: REVISED: Iowa health speech
From: Amanda Renteria <[email-masked]>
To: Mandy Grunwald <[email-masked]>
Cc: Megan Rooney <[email-masked]>, Speech Drafts <[email-masked]>, Michael Shapiro <[email-masked]>, Chris Jennings <[email-masked]>, Sara Solow <[email-masked]>
Date: Tue, 22 Sep 2015 13:04:39 -0400
List-Id: <speechdrafts.hillaryclinton.com>

just from political perspective...

the negotiation piece is viewed as declaring war on Pharma.  This is a
litmus test for the industry and has been for sometime.  I'm guessing
industry folks mentioned this to policy, etc.  But, this has been their
main fight on the Hill and elsewhere.  Also, over the course of the last 6
years or so.. they've done a good job of playing both sides Dems and Reps
so they've built some good relationships on the D side because of their
help on getting ACA passed, and some behind the scenes work that was
valuable.  FYI - Reid is close to Pharma and he has brought some folks in
Leadership along as well.  Also, the other angle, pharma has taken is that
this is about manufacturing as well. So, there's that angle with some of
the midwest members.

Polling - you are right - it's big.  But, what you will see is a lot of
folks have since backed off their positions on this who had used it during
their elections.  In part, bc Pharma has made an effort to expand their
support base and has moved on a few other things legislatively.

Industry split and innovation  - where you can potentially split pharma's
power is with biotech vs big pharma.   So, that's why innovation is a place
to land because they have differences of opinion on how R&D should be
calculated.   There's a pretty big split on this and some other
innovation-like policies.  generics, etc.  where biotech moves from big
pharma.

I'm sure the policy team knows all this, but laying out the dynamics that
play out on the Hill related to industry.

On Tue, Sep 22, 2015 at 12:47 PM, 'Mandy Grunwald' via Speech Drafts <
[email-masked]> wrote:

> On Medicare, it's not clear that it is actually against the law for
> Medicare to use its purchasing power to negotiate for lower prices -- the
> way the VA does.  That's what's completely crazy.
>
> On Advertising, you're missing the outrage that taxpayers are helping to
> pay for those ads we all hate.
>
> On innovation -- boy I think you've gone too far in sucking up to these
> companies.  Remember Joel and Anzo's polling shows that people think these
> guys are bigger villains than Wall Street bankers.
>
> We should take it as a point of pride that they are going to attack her --
> but her belief is that all companies should be held accountable if they're
> ripping off the American people -- whether its drug companies or oil
> companies or for profit colleges or wall street….
>
> thx
>
> *Mandy Grunwald*
> *Grunwald Communications*
> *202 973-9400 <202%20973-9400>*
>
>
> -----Original Message-----
> From: Megan Rooney <[email-masked]>
> To: Speech Drafts <[email-masked]>; Michael Shapiro <
> [email-masked]>; Chris Jennings <[email-masked]>; Sara
> Solow <[email-masked]>
> Sent: Tue, Sep 22, 2015 12:37 pm
> Subject: REVISED: Iowa health speech
>
> Hey guys.  H had some concerns about how hard the draft went after
> industry.  So we’ve softened a bit.  She’s reviewing this now… hopefully
> this is final or close to it.  Changes tracked.  Thanks.
>

-- 
Amanda Renteria
National Political Director
Hillary for America #Hillary2016
650-868-1188 (c)
Facebook <https://www.facebook.com/renteriaforcongress> or Twitter
<https://twitter.com/AmandaRenteria>