Former pharma exec could represent a departure from the priorities of his predecessor and the president's campaign, say observers.
The Senate confirmed former Eli Lilly executive Alex Azar as the next Health and Human Services secretary Wednesday with a 55-43 vote, despite opposition from most Democrats.
Azar, who served HHS under President George W. Bush, has enjoyed broad-based support among Republicans who cite his experience in the pharmaceuticals industry as an asset. Democrats largely describe Azar’s work history as a liability that could exacerbate the problems caused by rising drug prices.
Even so, seven members broke from the Democratic caucus Wednesday to vote in favor of the confirmation, giving Azar the majority he needed to succeed former HHS Secretary Tom Price, who resigned last September, amid controversy, after less than eight months on the job.
The six Democrats and one Independent who voted with the GOP offered a variety of reasons for their support:
Sen. Chris Coons, D-Del., said he’s known and been impressed by Azar for several decades.
“I personally met with Mr. Azar last month and pressed him on a number of key issues that he will impact as Secretary, including the Affordable Care Act, drug pricing, and continued progress on health care system delivery reform,” Coons said in a statement. “There is plenty that we disagree on, but I was encouraged by his answers during our conversation and I believe he is committed to representing the interests of Delawareans and Americans everywhere. I disagree with most of the Trump Administration’s health policies, but HHS needs a competent leader. Mr. Azar is prepared to be that.”
Sen. Tom Carper, D-Del., said he continues to have concerns about Azar’s views on the Affordable Care Act and Medicaid but that he is encouraged by Azar’s goal of transforming the healthcare delivery system into one that rewards quality over quantity.
“We should reward doctors, hospitals and pharmaceutical companies for making people well, not for the number of procedures done, hospitalizations required or drugs prescribed,” Carper said in a statement.
Sen. Heidi Heitkamp, D-N.D., praised Azar as intelligent and competent, noting he will be a “solid” leader for HHS.
“We had a good conversation about health priorities for North Dakota like rural health and Native American health,” Heitkamp said in a statement. “He and I don’t agree on everything philosophically, but I believe he’s someone I could work well with and who I’ll be able to have open communication with to help improve health care for North Dakotans.”
Steven Porter is an associate content manager and Strategy editor for HealthLeaders, a Simplify Compliance brand.