WASHINGTON (AP) — Former President Donald Trump persisted in saying during the presidential debate that he won the 2020 election and took no responsibility for any of the mayhem that unfolded at the Capitol on Jan. 6, 2021, when his supporters stormed the building to block the peaceful transfer of power.
The comments Tuesday night underscored the Republican's refusal, even four years later, to accept the reality of his defeat and his unwillingness to admit the extent to which his falsehoods about his election loss emboldened the mob that rushed the Capitol, resulting in violent clashes with law enforcement. Trump's grievances about that election are central to his 2024 campaign against Democrat Kamala Harris, as he professes allegiance to the rioters.
In 2020, Democrat Joe Biden won 306 electoral votes to Trump's 232, and there was no widespread fraud, as election officials across the country, including Trump’s then-attorney general, William Barr, have confirmed. Republican governors in Arizona and Georgia, crucial to Biden’s victory, vouched for the integrity of the elections in their states. Nearly all the legal challenges from Trump and his allies were dismissed by judges, including two tossed by the Supreme Court, which includes three Trump-nominated justices.
An Associated Press review of every potential case of voter fraud in the six battleground states disputed by Trump found fewer than 475. Biden took Arizona, Georgia, Michigan, Nevada, Pennsylvania and Wisconsin and their 79 electoral votes by a combined 311,257 votes out of 25.5 million ballots cast for president. The disputed ballots represent just 0.15% of his victory margin in those states.
In the ABC debate, Trump was asked twice if he regretted anything he did on Jan. 6, when he told his supporters to march to the Capitol and exhorted them to “fight like hell.” On the Philadelphia stage, Trump first responded by complaining that the questioner had failed to note that he had encouraged the crowd to behave “peacefully and patriotically.” Trump also noted that one of his backers, Ashli Babbitt, was fatally shot inside the building by a Capitol Police officer.
Trump suggested that protesters who committed crimes during the 2020 racial injustice protests were not prosecuted. But an AP review in 2021 of documents in more than 300 federal cases stemming from the protests sparked by George Floyd’s death found that more than 120 defendants across U.S. pleaded guilty or were convicted at trial of federal crimes including rioting, arson and conspiracy.
When the question about his actions on Jan. 6 arose again, Trump replied: “I had nothing to do with that other than they asked me to make a speech. I showed up for a speech.”
But he ignored other incendiary language he used throughout the speech, during which he urged the crowd to march to the Capitol, where Congress was meeting to certify Biden’s victory. Trump told the crowd: “If you don’t fight like hell, you’re not going to have a country anymore.” That’s after his lawyer, Rudy Giuliani, declared: “Let’s have trial by combat.”
Trump didn’t appeal for the rioters to leave the Capitol until more than three hours after the assault began. He then released a video telling the rioters it was time to “go home,” but added: “We love you. You’re very special people.”
He also repeated an oft-stated false claim that then-House Speaker Nancy Pelosi, D-Calif., “rejected” his offer to send “10,000 National Guard or soldiers” to the Capitol. Pelosi does not direct the National Guard. As the Capitol came under attack, she and then-Senate Majority leader Mitch McConnell, R-Ky. called for military assistance, including from the National Guard.
Harris pledged to “turn the page” from Jan. 6, when she was in the Capitol as democracy came under attack.
“So for everyone watching, who remembers what January 6th was, I say, 'We don’t have to go back. Let’s not go back. We’re not going back. It’s time to turn the page.”
Though Trump had seemed to acknowledge in a recent podcast interview that he had indeed “lost by a whisker," he insisted Tuesday night that that was a sarcastic remark and resumed his boasts about the election.
“I’ll show you Georgia, and I’ll show you Wisconsin, and I’ll show you Pennsylvania,” he said in rattling off states where he claimed, falsely, that he had won. “We have so many facts and statistics.”
Associated Press writers Alanna Durkin Richer and Melissa Goldin contributed to this report.
Republican presidential nominee former President Donald Trump waits at the podium during a break in the presidential debate with Democratic presidential nominee Vice President Kamala Harris at the National Constitution Center, Tuesday, Sept.10, 2024, in Philadelphia. (AP Photo/Alex Brandon)
Republican presidential nominee former President Donald Trump speaks during a presidential debate with Democratic presidential nominee Vice President Kamala Harris at the National Constitution Center, Tuesday, Sept.10, 2024, in Philadelphia. (AP Photo/Alex Brandon)
NEW YORK (AP) — Popular — and expensive — GLP-1 weight loss drugs just got a lot cheaper for many older Americans.
Starting Wednesday, the federal government is offering a selection of the brand name medications to certain Medicare and Medicare Advantage beneficiaries for $50 a month through a new trial called Medicare GLP-1 Bridge.
The temporary program, which runs until the end of 2027, is the first opportunity for most older adults to get GLP-1s, short for glucagon-like peptide-1 receptor agonists, covered by insurance when used strictly for weight loss. But there are weight and health requirements, and those who already get GLP-1s covered for diseases like diabetes and sleep apnea won’t qualify.
Dr. Mehmet Oz, the administrator of the Centers for Medicare & Medicaid Services, said he hopes the program can help his agency collect data to potentially work toward longer-term coverage, while providing immediate relief to cash-strapped older Americans.
“The sheer cost of these medications is a huge barrier to access,” he said in a call with reporters. “That ends today.”
Of the more than 70 million Americans enrolled in Medicare, at least 10 million are overweight or obese, said Juliette Cubanski, vice president and director of the program on Medicare policy at the healthcare research nonprofit KFF. But, she said, a narrower slice of that group will have access to this program.
There's no good data on how many people it can benefit — and Oz declined to speculate on the number with reporters. He said data from the program will reveal how many eligible beneficiaries choose to take the drugs, a number his team is keen to learn.
To qualify, besides having Medicare drug coverage, you must have a body mass index of 35 or higher, or a BMI of 27 or higher alongside another health condition, such as a past heart attack or stroke, prediabetes or another from a list on the CMS website. BMI measurements are counted at the start of GLP-1 therapy — so even people who fall below the threshold now can qualify if they can show they had a high enough BMI when they began taking the drugs.
Medicare beneficiaries who have sleep apnea, diabetes or fatty liver disease can’t access the program, but their Medicare Part D insurance might cover their GLP-1s separately based on those diagnoses.
If you think you might qualify, the first step is to contact your health care provider, CMS says on its website. The provider must send a prescription for one of the covered GLP-1 drugs to a pharmacy and fill out a prior authorization form.
The covered medications include drugmaker Eli Lilly’s Foundayo tablets and Zepbound KwikPens and Novo Nordisk’s Wegovy injections and tablets. Those GLP-1s have been approved by the Food and Drug Administration for weight loss, Cubanski said.
For those in the program, the cost is $50 per month, regardless of dosage. But those payments won’t contribute to their insurance deductibles or out-of-pocket maximums. That’s because Medicare, rather than the Part D insurer, is subsidizing the prescription.
The program is scheduled to sunset after Dec. 31, 2027. And since Congress hasn’t authorized Medicare to cover weight loss drugs permanently, the federal government is limited in its options to keep the access flowing.
Congress could pass a law to allow the drugs to be covered. CMS also could move forward with a different, voluntary pilot program for covering the drugs called BALANCE, which the agency indefinitely delayed earlier this year when many Part D insurers were reluctant to sign up.
Oz told reporters that CMS plans to “carefully track participation and outcomes” to see whether an extension of the Bridge program or another solution is the best way to move forward. He told The Associated Press a federal law permanently allowing the coverage is “not essential right now” but something “for Congress to debate amongst themselves.”
“We can’t decide what’s going to happen long term with Bridge until we see some of the data,” he said, noting that other negotiations with drug companies to lower costs are ongoing.
GLP-1s have soared in popularity in recent years, and they've spurred dramatic weight loss in many patients. But their cost — sometimes hundreds of dollars a month for higher doses — has been a barrier.
For 78-year-old California resident Gloria Dralla, who told the AP she’s lost some 40 pounds after buying lower-cost Wegovy in Europe, the Bridge program means being able to continue a treatment that has improved her life.
“This drug should be made available at a reasonable price for everybody who’s got weight loss problems,” she said.
But not everyone will have access to the drugs at an affordable price. Katie Smith, 71, in Virginia isn’t so sure she will be eligible for the program. She has a BMI of 33 but isn’t sure if she has another health condition that would allow her to meet the requirements.
Smith, whose mobility and ability to exercise were severely limited by a spinal cord injury in her 20s, said she has looked into getting the medications but was quoted $700 a month, a price she can't afford.
“I cannot tell you how frustrated I am,” she said. “I have the drive and I have the willingness and I have the motivation, but I have not been able to lose weight in all the conventional ways.”
FILE - A dose of Wegovy, a drug used for weight loss, is displayed on March 1, 2024, in Front Royal, Va. (AP Photo/Amanda Andrade-Rhoades, File)
