WASHINGTON 鈥� Health secretary nominee Xavier Becerra told senators Tuesday that confronting the coronavirus pandemic will be his first priority if confirmed, but he also pledged to expand health insurance, rein in prescription drug costs and reduce racial and ethnic disparities in medical care.
鈥淭o meet this moment, we need strong federal leadership," Becerra said at the first of two hearings on his nomination. 鈥淚 understand the enormous challenges before us and our solemn responsibility to faithfully steward this agency that touches almost every aspect of our lives.鈥�
Becerra now serves as California's attorney general and previously represented the Los Angeles area for more than 20 years in the U.S. House. A liberal politician-lawyer, he faces opposition from many GOP senators, who question his support for abortion rights and government-run health insurance, along with his lack of a clinical background. However, in the past 25 years, only one medical doctor has led the Department of Health and Human Services in a permanent capacity.
Appearing before the Senate health committee, Becerra seconded President Joe Biden鈥檚 goals of 100 million vaccine shots in his first 100 days, increased coronavirus testing, ramped-up DNA mapping of the virus to track worrisome mutations and reopening schools and businesses.
On health insurance, he pledged to work to expand the Obama-era Affordable Care Act, though in the past he's supported a government-run system like Sen. Bernie Sanders' 鈥淢edicare for All鈥� idea. He said he would act to lower drug prices, particularly the cost of insulin. It's a goal that has bipartisan backing. Republican Sen. Mike Braun of Indiana noted that Becerra seems to have no drug industry support, adding, 鈥淚 think I know why.鈥�
Although leading Republicans are portraying Becerra as unfit, Democrats seem unfazed about his prospects, accusing the GOP of playing politics despite the urgency of dealing with the coronavirus pandemic.
Becerra 鈥渉as fought against pharmaceutical companies, opioid manufacturers, tobacco companies and polluters, and for more affordable quality health care for every patient,鈥� said health committee chair Sen. Patty Murray, D-Wash. 鈥淚 have no doubt that, as secretary, he will put special interests on notice, patients and public health first, and put science, data and experts back in the driver鈥檚 seat.鈥�
Following Tuesday's appearance before the Health, Education, Labor and Pensions Committee, Becerra will be questioned Wednesday by the Finance Committee, which will vote on sending his nomination to the Senate floor. If confirmed, he'd be the first Latino to head HHS, a $1.4 trillion agency with a broad portfolio that includes health insurance programs, drug safety and approvals, advanced medical research and the welfare of children.
Sen. Richard Burr of North Carolina, the ranking Republican on the health committee, left no doubt that Becerra faces tough scrutiny.
鈥淚鈥檓 not sold yet,鈥� Burr said at Tuesday's hearing, looking straight at the nominee. 鈥淚'm not sure that you have the necessary experience or skills to do this job at this moment.鈥� Burr questioned whether Becerra respects the role of private companies in the health care system, particularly innovative pharmaceutical firms.
But other Republican senators sidestepped ideological confrontation and asked questions that
Becerra sought to soften his image as an enemy of drug companies. 鈥淲e need the pharmaceutical industry in America to always feel like we鈥檝e got their back to innovate,鈥� he told Sen. Chris Murphy, D-Conn. 鈥淐OVID is a perfect example of how we can come up with a vaccine, but we have to make sure that we鈥檙e getting our dollar's worth.鈥�
And he also credited the Trump administration for its shepherding of two highly effective coronavirus vaccines. 鈥淭here are a lot of people to thank, but without the work that the previous administration did, we would certainly not be here,鈥� he told Braun.
Although Becerra, 63, is politically liberal, his style is low-key and oriented toward problem solving.
Still, Republican opposition has grown louder ahead of his nomination hearings. On Monday, Sens. John Kennedy of Louisiana and Tom Cotton of Arkansas released a letter in which they asked Biden to withdraw the nomination, calling Becerra 鈥渦nfit for any position of public trust.鈥� Senate Minority Leader Mitch McConnell, R-Ky., has called him 鈥渇amously partisan.鈥�
Opponents of abortion rights had
Democrats are shrugging it off.
Republicans are 鈥渏ust flailing around,鈥� Finance Committee Chair Ron Wyden of Oregon said Monday.
In many ways, Becerra was California鈥檚 early face of opposition to the Trump administration. He was appointed by Gov. Jerry Brown to replace Kamala Harris as state attorney general in early 2017.
Over four years, he filed 124 lawsuits, challenging the Trump administration on immigration, environmental and health care policies. His litigiousness and vocal resistance to Trump鈥檚 policies could allow Republicans to paint him as an overly partisan figure. California took pride in viewing itself as the resistance to Trump, and Becerra embodied that ethos.
Lack of medical experience doesn't disqualify a nominee for HHS secretary, though it can be a plus. Recent Senate-confirmed secretaries have included one doctor but also a pharmaceutical executive, a White House budget director and three governors.
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Associated Press writer Kathleen Ronayne contributed to this report from Sacramento, Calif.
Ricardo Alonso-Zaldivar, The Associated Press
