周日，参议院几乎一致的共和党反对意见剥夺了一项针对私人保险中胰岛素价格的上限提案民主党的党派路线气候，健康和税收法案。

民主党人试图推翻参议院规则官员议员的决定，即私人保险下每月35美元的胰岛素费用限制不符合预算调节程序，这使得民主党人以微弱多数通过了他们的法案。

这一政策是由佐治亚州参议员拉斐尔·沃诺克提出的。需要60票才能通过并留在通货膨胀削减法案(IRA)中。它最终以57票对43票失败。

共和党人路易斯安那州的比尔·卡西迪、缅因州的苏珊·科林斯、密苏里州的乔希·霍利、密西西比州的辛迪·海德-史密斯、路易斯安那州的约翰·肯尼迪和阿拉斯加州的莉萨·穆尔科斯基和丹·沙利文与民主党人一起投票支持这项措施。所有43张反对票都来自共和党。

取消上限很快被民主党人抓住，并引发了他们以外的争议，共和党的批评者引用有时惊人的成本糖尿病患者所需的胰岛素。

共和党人反过来指责民主党人误导投票，他们说这是一个技术问题，而不是政策差异。

Sen. Raphael Warnock speaks with reporters on Capitol Hill in Washington, Aug. 6, 2022.

帕特里克·斯曼斯基/美联社

“撒谎的民主党人和他们在企业媒体的朋友又来了，扭曲了民主党的‘抓住’投票。事实上，民主党人想要打破参议院的规则，通过胰岛素定价上限，而不是通过常规订单，”威斯康星州共和党人罗恩·约翰逊说发微博随后，他指出自己之前“投票支持了一项被民主党阻止的修正案，以成本价向低收入美国人提供胰岛素。”

虽然拟议的上限预计不会获得作为民主党庞大的和解协议的一部分保留该措施所需的10名共和党人---- 60票的门槛将克服议员对使用51票和解的反对意见----这一过程允许该党将共和党参议员的一项受欢迎的政策记录在案。

共和党人在对拜登的移民政策进行投票时使用了类似的策略，作为对爱尔兰共和军的可能修正案的一部分。

该议员表示，胰岛素上限将违反伯德规则，该规则要求一项措施对联邦预算产生的影响“不仅仅是附带的”，以便有资格通过和解。

与此同时，这位议员确实允许沃诺克35美元的胰岛素上限适用于那些享受医疗保险的人。

Republicans strip $35 insulin price cap from Democrats' bill -- but insist Senate rules are to blame

Nearly uniform Republican opposition in the Senate on Sunday stripped a proposed cap on insulin prices in private insurance fromDemocrats' party-line climate, health and tax bill.

Democrats had sought to overrule a decision from the Senate rules official, the parliamentarian, that a $35-per-month limit on insulin costs under private insurances did not comply with the budget reconciliation process, which allowed Democrats to pass their bill with a bare majority.

The cap, which was proposed by Sen. Raphael Warnock, D-Ga., needed 60 votes to pass and remain in the Inflation Reduction Act (IRA). It ultimately failed by a 57-43 vote.

Republicans Bill Cassidy of Louisiana, Susan Collins of Maine, Josh Hawley of Missouri, Cindy Hyde-Smith of Mississippi, John Kennedy of Louisiana and Alaska's Lisa Murkowski and Dan Sullivan voted for the measure with Democrats. All 43 "no" votes came from Republicans.

The cap's scrapping was quickly seized on by Democrats and stirred controversy beyond them, with critics of the GOP citingthe sometimes startling costof needed insulin for diabetics.

Republicans, in turn, accused Democrats of being misleading about a vote that they said amounted to a technicality rather than a policy difference.

"Lying Dems and their friends in corporate media are at it again, distorting a Democrat 'gotcha' vote. In reality, the Dems wanted to break Senate rules to pass insulin pricing cap instead of going through regular order," Wisconsin Republican Ron Johnsontweetedafterward, noting that he previously "voted for an amendment, that Dems blocked, to provide insulin at cost to low-income Americans."

While the proposed cap was not expected to get the 10 Republicans needed to have the measure preserved as part of the Democrats' sprawling reconciliation deal -- the 60-vote threshold would have overcome the parliamentarian's objections about using the 51-vote reconciliation -- the process allowed the party to put GOP senators on the record on a popular policy.

Republicans used a similar tactic in voting on Biden's immigration policy as part of possible amendments to the IRA.

The parliamentarian had said the insulin cap would violate the Byrd Rule, which requires that a measure have an effect on the federal budget that is not "merely incidental" in order to qualify to pass through reconciliation.

The parliamentarian, meanwhile, did allow Warnock’s $35 insulin cap to apply to those covered under Medicare.