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Kamala Bamala

You can thank your Republican buddies in congress for that.
And who actually did the 35$ insulin, before a guy stopped it and then redid the same thing, and then claimed victory?


And what infrastructure? Like sure there are things. That was a 2 trillion dollar price tag.


There should be internet from space lasers and a brand new high speed rail from. NY to LA Via Dallas for that $
 
And who actually did the 35$ insulin, before a guy stopped it and then redid the same thing, and then claimed victory?


And what infrastructure? Like sure there are things. That was a 2 trillion dollar price tag.


There should be internet from space lasers and a brand new high speed rail from. NY to LA Via Dallas for that $

What did the Trump Administration do?

In 2020, the Trump Administration established a voluntary, time-limited model under the Center for Medicare and Medicaid Innovation known as the Part D Senior Savings Model. Under this model, participating Medicare Part D prescription drug plans covered at least one of each dosage form and type of insulin product at no more than $35 per month. The model was in effect from 2021 through 2023, and less than half of all Part D plans chose to participate in each year.

What did the Biden Administration do?

In 2022, President Biden signed into law the Inflation Reduction Act, which included a provision that requires all Part D plans to charge no more than $35 per month for all covered insulin products, and also limits cost sharing for insulin covered under Part B to $35 per month. Deductibles no longer apply to insulins under Part D or Part B. These provisions took effect in 2023 (January 1 for Part D; July 1 for Part B).


Real Progress Is Being Made

The criticism of the IIJA rollout makes many legitimate points, but that shouldn’t take away from what has been accomplished in the 2 years since its passage. The White House tracks projects that have already been funded, and the map of America is dotted with thousands of projects that are underway.

If massive, sexy projects are more your thing than simple-span bridge replacements, such as a local road in rural South Dakota, the IIJA has that too. There is a $5 billion mega grant program to make sure large, complex projects that fall outside the realm of traditional funding methods can be constructed. These are the types of projects, like the Golden Gate Bridge or Hoover Dam, that weren’t getting off the ground in recent years due to the difficult nature of funding them.

In 2023, nine megaprojects received grants:

  • $250 million to improve the Brent Spence Bridge over the Ohio River between Cincinnati and Kentucky
  • $292 million to help complete the final section of concrete casing for the new Hudson River Tunnel outside New York City
  • $78 million for the Roosevelt Boulevard Multimodal Project in Philadelphia
  • $150 million to replace the I-10 Calcasieu River Bridge in Lake Charles, Louisiana
  • $110 million to replace the Alligator River Bridge in North Carolina that will modernize travel to the Outer Banks
  • $60 million to improve the I-10 Freight Corridor in Mississippi

Lastly, for the American people, the IIJA will continue to have an outsized impact on previously underserved communities. This is not an act strictly focused on huge projects in urban areas. It will be replacing small bridges on local roads that get rural populations to work each day and helping to make those roads safer. There will be billions of dollars spent ensuring access to high-speed Internet in parts of the country that were previously held back by lack of broadband. Reconstructing roads and bridges will reduce the financial burden of deteriorating infrastructure to taxpayers. This is what being an engineer is all about—having an impact on our communities. The IIJA will make it easier and more fulfilling to do our jobs. It’s an exciting time to be an engineer, as we have the rare opportunity to reshape our nation’s infrastructure for the better.

 
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