CBS News
Transcript: Dr. Scott Gottlieb on “Face the Nation,” May 21, 2023
The following is the transcript of an interview with Dr. Scott Gottlieb, former FDA commissioner, that aired on “Face the Nation” on May 21, 2023.
MARGARET BRENNAN: More than 130 medications are in shortage in the United States, including key cancer treatments according to the Food and Drug Administration. Joining us now to discuss it is former FDA commissioner, Dr. Scott Gottlieb, who is also a board member at Pfizer. Doctor, iIt’s good to have you back. I wanted to have you explain this because the American Cancer Society warned this week, it’s a serious and life threatening issue for cancer patients. How bad is this shortage and what’s causing it?
DR. SCOTT GOTTLIEB: Look, it’s bad. This is a long standing problem. There’s about 300 drugs in shortage right now, active shortages, and so that’s a high level, it’s the highest it’s been since 2014. But this has been a long standing challenge. I dealt with it when I was at FDA going back to around 2003. That’s how old this problem is and the issue is that this mostly affects sterile injectable drugs. That doesn’t mean that small molecule pill form drugs aren’t in shortage, but the majority of the shortages are around the sterile injectable drugs. The reimbursement for these drugs under government programs has been driven down very low, something above the marginal cost of manufacturing the drugs and that’s fine when it comes to a pill form drug where there’s not a lot that can go wrong, but when it comes to an injectable drug, you need to leave a margin in so people can reinvest in manufacturing facilities, make sure they’re high quality. They haven’t done that and things go wrong, and it results in shortages.
MARGARET BRENNAN: Well, I know the White House is looking at this issue. Something like 80 percent of manufacturing facilities are located outside the U.S., how do you ramp up domestic production?
DR. GOTTLIEB: Yeah, look, we’ve paid a high price for the low costs we enjoy. If you want to get manufacturing back into the U.S., you want companies to have a healthy margin that they can reinvest in the manufacturing facilities to make sure that they’re modern, you need to pay them to do that. And as long as we drive down the reimbursement for these generic drugs, you’re not going to have the money to reinvest in doing that. The White House is talking about more regulation, the generic manufacturers are calling for direct subsidies. I think we really need to create a market for high quality manufacturing, so you can allow generic manufacturers to make certain claims about the reliability and the quality of the manufacturing. And then for generic manufacturers that can make those claims, through maybe some third party certification, you pay them for that. You pay them for the fact that they have reliable manufacturing that might be domestic, that might be more modern, so it’s going to be more reliable and less prone to shortages.
MARGARET BRENNAN: Well, the federal government is capping the cost of certain drugs because of high costs to consumers. Is that going to add to this issue?
DR. GOTTLIEB: Look, the features under the Inflation Reduction Act will exacerbate this problem, because it’ll prevent these generic manufacturers from being able to take price increases. For example, if they enter a market for the first time, or they spend a lot of money upgrading a facility to be compliant with state of the art regulations, they’re not gonna be able to take a price increase to recoup some of those costs. So it’s going to come out of their own pocket. 50 percent of generic drugs right now in a generic portfolio lose money. So a generic manufacturer loses money on half of their drugs that they market. That’s not a sustainable business model. I think the administration under the IRA should carve out these old sterile injectable drugs entirely. They didn’t do that in the legislation. So it is going to exacerbate these problems.
MARGARET BRENNAN: Can they do that? Can the FDA do that? Who can do that?
DR. GOTTLIEB: Well the FDA- it’s going to take Congress. They did create provisions in the IRA to try to carve out some of these drugs, but the way they structured it, a lot of these sterile injectable drugs are still going to get caught in these price caps. And so it will take an act of Congress right now to modify the IRA to do that. I think people are looking at it. I think they recognize that there are structural features in this market that make this a recurring problem. This isn’t a new problem, it’s gotten worse over time. It’s going to take Congress stepping in to do something to change the way these drugs are paid for.
MARGARET BRENNAN: And that brings us back to a problem we talked about weekly in terms of getting things passed right now. I want to ask you about COVID because I’d be remiss if I didn’t acknowledge the end of the federal health emergency on May 11. What do you think the practical impact will be on people at home?
DR. GOTTLIEB: Well, I think the end of the public health emergency the practical impact is not going to be that significant to the average consumer. The administration took steps to extend certain things like telehealth, things that consumers were benefiting from. There is going to be an impact on Medicaid eligibility, you’re going to see some people lose their Medicaid coverage, and some people not get automatically re enrolled and they won’t know how to re enroll into that program. So there is going to be an increase in the uninsured as people get kicked off of the Medicaid rolls. Right now cases are down to very low levels, they’re probably going to pick up going into the fall, but their- hospitalizations, over 9000 hospitalizations last week, that’s a historical low through the pandemic. Excess deaths are back to the historical baseline, so things have improved dramatically. I do think cases are going to pick up as new variants start to emerge, but this will become a more manageable threat, hopefully.
MARGARET BRENNAN: Dr. Gottlieb Thank you always for your time. We’ll be right back.
CBS News
Analysis of the words Trump and Harris relied on in their first debate: “taxes,” “criminals,” “weak”
At the first and only scheduled presidential debate between Vice President Kamala Harris and former President Donald Trump, Harris mentioned Trump by name 38 times. Trump didn’t say Harris’ name a single time.
The former president mentioned inflation nine times; Harris only did so twice. Trump called Harris “weak” five times, and she returned the insult four times.
CBS News analyzed the words both candidates used during Tuesday night’s debate to determine what key themes and rhetoric they used to appeal to American voters as the 2024 election approaches. The analysis also compared the words used in this debate to the June 27 debate between President Biden and Trump. Here’s what we found.
Breaking down the words by topic
The debate kicked off with a question about the economy, but Trump’s response was mostly about immigration, a topic he returned to frequently throughout the night. He said “border” 12 times. Thirty percent of the times that Trump mentioned the word “people,” he was referring to migrants.
Repeatedly citing incorrect numbers, Trump said “million” or “millions” in reference to immigrants entering the U.S. 12 times. Seventeen times he referred to these migrants as “criminals” or referred to “crime” in the context of immigration.
When the candidates did talk about the economy, Trump and Harris said “tax,” “taxes” or “tariff” about the same number of times. Harris referenced “small business” or businesses seven times, a phrase Trump didn’t mention in either debate.
Trump emphasized inflation, using the term nine times — the same number of times he did in the June debate. Harris only mentioned it twice, and once was when she named the Inflation Reduction Act. Harris also made fewer references to “jobs” than Trump did.
On the topic of abortion, Trump spent time on late-term abortion and repeated the false claim that Democrats, including vice presidential nominee and Minnesota Gov. Tim Walz, condone killing newborns. He used the word “baby” six times, while Harris’ remarks about abortion more often focused on women’s bodily autonomy. In the context of abortion, she used the words “woman” or “women” seven times and “body” six times.
Examining how the candidates talked about each other
The candidates’ targeted attacks on Tuesday night included Harris calling Trump a “disgrace” twice and Trump labeling Harris a “Marxist,” echoing his social media nickname for her, “Comrade Kamala.” He also called her the “border czar” three times, a term that overstates her role in managing the country’s immigration policy.
One word that was one of the most frequent jabs the candidates employed was “weak.” Trump described Harris or Harris and Mr. Biden collectively as “weak” five times. He described Mr. Biden as “weak” once in the June debate and once on Tuesday. Harris called Trump or his actions “weak” four times.
Other insults included “incompetent,” used by Trump four times, and “immoral” and “unconscionable” by Harris each once.
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Get up to $3,500 off the bestselling The Terrace outdoor TV during the Discover Samsung event
Samsung
If you’re a Samsung fan planning outdoor movie nights or football game-watching on your patio this year, consider The Terrace outdoor TV. The bestselling smart TV can be a bit pricey, but right now you can score some major savings on the outdoor model during the Discover Samsung fall sale. You’ll need to act fast, though, as the sale is ending on Sunday.
The 4.7-star-rated TV is a mountable, high-end smart TV with a QLED 4K display and a built-in speaker. Right now you can save up to $3,500 on partial-sun and full-sun models of the customer-loved TV. The must-have outdoor model is marked down, along with a wide range of other popular Samsung OLED and QLED TVs this week during the Discover Samsung sale. Keep reading to learn more about The Terrace TV and explore more deals on the best Samsung televisions.
You can also click the button below to shop the entire Samsung sale.
Samsung’s The Terrace outdoor TV: $3,500 and up
Samsung
The Terrace TV was introduced to Samsung’s line of lifestyle TVs in 2020 as a sibling of the bestselling Frame TV. While the Frame TV, with its customizable wall art, can spruce up your interior space, The Terrace classes up your outdoor space. Plus, it’s legitimately intended for outdoor use, come rain or shine.
The Terrace outdoor TV boasts an anti-reflective coating and is rated IP55 for protection against dust and water. That said, it’s recommended you keep your TV covered and protected when not in use.
The TV offers Wi-Fi and Bluetooth connectivity, works with A.I. assistants like Alexa, and features built-in apps for streamers like Netflix, Amazon Prime and Hulu. Download Samsung’s SmartThings app to control the TV via your phone or device no matter where you are, and to connect the TV to your other compatible smart-home appliances.
For outdoor areas with partial sun:
For outdoor areas in the full sun:
More Discover Samsung smart TV deals to shop now
In conjunction with the Discover Samsung sale, the company has gone all out by offering really impressive deals on virtually all of its popular smart TVs. Right now you can save big on everything from 32-inch models (perfect for a small space or child’s bedroom), to 55- or 65-inch TVs (a great size for an average size living room or bedroom). However, if you want to go bigger, and we mean much bigger, Samsung has slashed the prices of its popular 75-inch and even 85-inch TVs too.
And for extra peace of mind when it comes to your TV investment, consider adding some protection for your purchase through the Samsung Care+ plan, which is available with two or four years of coverage.
Save on Samsung’s 2024 The Frame QLED 4K TV: $900 and up
Samsung
Samsung’s The Frame smart TV is not only one of the most unique TVs you can buy, it’s also the most popular TV amongst our readers. So, if you’ve been wanting to hang one of these ultra-thin TVs on your wall at home, you can grab one as low as $900 during the Discover Samsung fall sale.
Each also offers a unique, anti-glare matte finish with a wide viewing angle. These TVs are able to generate billions of accurate colors that bring whatever you’re watching to life with incredible detail.
Meanwhile, regardless of what size The Frame TV you purchase, it’s only one inch thick and designed to be hung on a wall, just like a picture frame. The TV screen is actually surrounded by your choice of bezels that resemble a traditional picture frame. When you order the TV, you get to choose from a selection of frame colors and styles, so it blends in perfectly with your home’s decor.
Whenever you’re not watching a TV show, movie or sporting event, for example, instead of being turned off and having a large black rectangle hanging on your wall, The Frame TV is able to display your choice of famous works of art. Each piece of art is shown in high resolution, so the images look like real paintings. Even the artist’s paintbrush strokes are typically clearly visible.
The Frame QLED 4K smart TV comes in six sizes — 43 inches ($900), 50 inches ($1,100), 55 inches ($1,300), 65 inches ($1,700), 75 inches ($2,500) and 85 inches ($4,000). When ordering, make sure you select model LS03D, which is the 2024 version.
The 2023 versions (LS03C) are also available (and currently being discounted on Samsung’s website), but these models lack the newest features.
Samsung S90C 55-inch OLED Series 9 (2023): $600 off
Samsung
Typically priced at $1,900, this smart TV can be purchased for $1,300 at Samsung during the Discover Samsung fall sale. TVs with an OLED display are extremely popular because they can offer a contrast-rich and really sharp picture that features vivid and lifelike color, combined with a fast refresh rate and wide viewing angle support. This means you don’t need to be sitting directly in front of the screen to clearly see it. Plus, the artificial intelligence built into many OLED TVs (including this one) analyzes each scene in real time and determines which areas need to be brighter or darkened to ensure consistent and accurate colors.
The Samsung S900C OLED Series 9 is the perfect addition to a living room. For a smaller size space, it is the ideal centerpiece for a home theater setup. Along with seeing accurate and dramatic colors, whatever you’re watching will be enhanced and look more life-like thanks to AI upscaling. And with a maximum brightness of 726 nits, you’ll be able to see a clear picture even if the room is brightly lit. You will also enjoy high-end sound thanks to Dolby Atmos support and Samsung’s object tracking sound feature.
One of the perks of OLED technology is its ability to display bright colors, deep blacks and bright whites. However, this is one of the few TVs that has been Pantone Validated to ensure the colors being displayed are authentic and appear exactly as they were meant to look. Another feature people appreciate that is integrated into this TV is its thin design, so it looks great hanging on a wall, but it also maintains its sleek profile when mounted on its supplied stand.
Samsung 65-Inch S95C OLED: $1,300 off
Samsung
Originally priced at $3,300, Samsung has slashed the price of this TV down to $2,000 during the Discover Samsung fall sale. While QLED and Mini-LED TVs offer an impressively detailed and lifelike picture, someone looking for cutting-edge technology built into their TV should consider an OLED display. One of the features that set this Samsung 65-Inch S95C OLED apart is that this TV is incredibly thin and offers a modern design. If hung on a wall, for example, you’ll barely notice its 0.4-inch thickness. Yet, the 65-inch display size is large enough to provide an average size room with a decently immersive picture.
Thanks to Samsung’s Quantum Dot technology, you’ll see whatever you choose to watch in incredible detail with excellent contrast, brightness and accurate colors. In fact, what’s displayed on the screen is created using 8.3 million self-illuminating pixels. This includes non-native 4K content that the TV upscales to near 4K using its Neural Quantum Processor. To ensure color accuracy, the TV is one of the few to offer Pantone Validation.
Using internal speakers and a subwoofer, this TV capitalizes on Dolby Atmos, Object Tracking Sound+ and when possible, 3D audio that nicely complements the action happening on the screen. And for gaming, you get Samsung’s Game Motion Plus feature that can boost the refresh rate up to 144Hz when playing compatible PC-connected content. The S95C TV falls into the higher end of the mid-price range. The picture and sound quality take full advantage of the higher-end technology integrated into the TV, which makes it well worth the investment.
Samsung 65-Inch Neo 8K QN900C Series 9 (2023): $1,200 off
Samsung
Right now, you can snag this 2023 version of the 65-inch, 8K resolution TV for $3,800 (reduced from $5,000). You’re probably thinking, what could you possibly do with an 8K resolution TV when there’s basically zero native 8K programming you can watch on it. Yes, this QLED television from Samsung is somewhat ahead of its time. But, thanks to integrated AI-upscaling, this TV will take 4K resolution content and do a really nice job upscaling it to near 8K quality. Thus, you’ll be able to see more detail than ever before when watching your favorite shows, movies or sporting events, for example.
Like many other Samsung TV models, the QN900C offers decent quality built in speakers and a subwoofer, so even without an optional soundbar or surround sound system, the audio this TV generates sounds really good. However, since you’re investing in such a high-end TV, we strongly recommend connecting a good quality speaker system to it, so you can really experience the Dolby Atmos sound when watching your favorite content. Oh and you’re in luck. Many of Samsung’s best soundbars and surround sound systems are also on sale. (Keep reading for more details on those sales.)
What sets this 8K resolution TV apart from 4K models is that it offers 7,680 x 4,320 pixel resolution featuring 100% color volume thanks to Samsung’s Quantum Dot and Neo Quantum HDR 8K+ technology. And no matter where someone is sitting within the room, they’ll see a clear picture, even from an angle. If you consider yourself an early adopter when it comes to the latest technology and you have the budget to invest in an 8K TV, the 2023 version of the Samsung 65 inch Neo 8K QN900C Series 9 offers a viewing experience that very few competitors can rival.
Analysis of the words Trump and Harris relied on in their first debate: “taxes,” “criminals,” “weak”
Alaska Airlines pilot recalls “hundreds of eyes staring” at her after mid-air blowout
Get up to $3,500 off the bestselling The Terrace outdoor TV during the Discover Samsung event
Analysis of the words Trump and Harris relied on in their first debate: “taxes,” “criminals,” “weak”
Alaska Airlines pilot recalls “hundreds of eyes staring” at her after mid-air blowout
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