Trump promises to order that the US pay only the price other nations do for some drugs - Executive order tomorrow to reduce prescription prices 30-80% according to Trump's Truth Social post

https://apnews.com/article/trump-pr...vored-nation-35c281b542f0f3938489ee7e9360322b

Trump promises to order that the US pay only the price other nations do for some drugs​

President Donald Trump speaks with reporters as he signs an executive order in the Oval Office of the White House, Friday, May 9, 2025, in Washington. (AP Photo/Alex Brandon)

President Donald Trump speaks with reporters as he signs an executive order in the Oval Office of the White House, Friday, May 9, 2025, in Washington. (AP Photo/Alex Brandon)
By WILL WEISSERT and AMANDA SEITZ
Updated 7:53 PM EDT, May 11, 2025
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WASHINGTON (AP) — President Donald Trump says he’ll sign an executive order on Monday that, if implemented, could bring down the costs of some medications — reviving a failed effort from his first term on an issue he’s talked up since even before becoming president.

The order Trump is promising will direct the Department of Health and Human Services to tie what Medicare pays for medications administrated in a doctor’s office to the lowest price paid by other countries.

“I will be instituting a MOST FAVORED NATION’S POLICY whereby the United States will pay the same price as the Nation that pays the lowest price anywhere in the World,” the president posted Sunday on his social media site, pledging to sign the order on Monday morning at the White House.

“Our Country will finally be treated fairly, and our citizens Healthcare Costs will be reduced by numbers never even thought of before,” Trump added.


His proposal would likely only impact certain drugs covered by Medicare and given in an office — think infusions that treat cancer, and other injectables. But it could potentially bring significant savings to the government, although the “TRILLIONS OF DOLLARS” Trump boasted about in his post may be an exaggeration.


Medicare provides health insurance for roughly 70 million older Americans. Complaints about U.S. drug prices being notoriously high, even when compared with other large and wealthy countries, have long drawn the ire of both parties, but a lasting fix has never cleared Congress.



Under the planned order, the federal government would tie what it pays pharmaceutical companies for those drugs to the price paid by a group of other, economically advanced countries — the so-called “most favored nation” approach.

The proposal will face fierce opposition from the pharmaceutical industry.

It was a rule that Trump tried to adopt during his first term, but could never get through. He signed a similar executive order in the final weeks of his presidency, but a court order later blocked the rule from going into effect under the Biden administration.


The pharmaceutical industry argued that Trump’s 2020 attempt would give foreign governments the “upper hand” in deciding the value of medicines in the U.S.. The industry has long argued that forcing lower prices will hurt profits, and ultimately affect innovation and its efforts to develop new medicines.

Only drugs on Medicare Part B — the insurance for doctor’s office visits — are likely to be covered under the plan. Medicare beneficiaries are responsible for picking up some of the costs to get those medications during doctor’s visits, and for traditional Medicare enrollees there is no annual out-of-pocket cap on what they pay.

A report by the Trump administration during its first term found that the U.S. spends twice as much as some other countries in covering those drugs. Medicare Part B drug spending topped $33 billion in 2021.

More common prescription drugs filled at a pharmacy would probably not be covered by the new order.


Trump’s post formally previewing the action came after he teased a “very big announcement” last week. He gave no details, except to note that it wasn’t related to trade or the tariffs he has announced imposing on much of the world.

“We’re going to have a very, very big announcement to make — like as big as it gets,” Trump said last week.

He came into his first term accusing pharmaceutical companies of “getting away with murder” and complaining that other countries whose governments set drug prices were taking advantage of Americans.

On Sunday, Trump took aim at the industry again, writing that the “Pharmaceutical/Drug Companies would say, for years, that it was Research and Development Costs, and that all of these costs were, and would be, for no reason whatsoever, borne by the ‘suckers’ of America, ALONE.”


Referring to drug companies’ powerful lobbying efforts, he said that campaign contributions “can do wonders, but not with me, and not with the Republican Party.”

“We are going to do the right thing,” he wrote.



Trumps TS Post:


For many years the World has wondered why Prescription Drugs and Pharmaceuticals in the United States States of America were SO MUCH HIGHER IN PRICE THAN THEY WERE IN ANY OTHER NATION, SOMETIMES BEING FIVE TO TEN TIMES MORE EXPENSIVE THAN THE SAME DRUG, MANUFACTURED IN THE EXACT SAME LABORATORY OR PLANT, BY THE SAME COMPANY??? It was always difficult to explain and very embarrassing because, in fact, there was no correct or rightful answer. The Pharmaceutical/Drug Companies would say, for years, that it was Research and Development Costs, and that all of these costs were, and would be, for no reason whatsoever, borne by the “suckers” of America, ALONE. Campaign Contributions can do wonders, but not with me, and not with the Republican Party. We are going to do the right thing, something that the Democrats have fought for many years. Therefore, I am pleased to announce that Tomorrow morning, in the White House, at 9:00 A.M., I will be signing one of the most consequential Executive Orders in our Country’s history. Prescription Drug and Pharmaceutical prices will be REDUCED, almost immediately, by 30% to 80%. They will rise throughout the World in order to equalize and, for the first time in many years, bring FAIRNESS TO AMERICA! I will be instituting a MOST FAVORED NATION’S POLICY whereby the United States will pay the same price as the Nation that pays the lowest price anywhere in the World. Our Country will finally be treated fairly, and our citizens Healthcare Costs will be reduced by numbers never even thought of before. Additionally, on top of everything else, the United States will save TRILLIONS OF DOLLARS. Thank you for your attention to this matter. MAKE AMERICA GREAT AGAIN!
 
Since when has "name your own price" ever worked for anything. Trump the communist is at it again, simple solutions from a simple mind.
So it might seem that way on the surface but the way he explains it makes a little more sense. He doesn't want to fix pricing so much as he wants other countries to bare some of the costs of RnD. Big pharma tells him that Americans pay more for medication because they're charging for rnd, right? Well why does America have to pay for all the RnD? The hope is that instead of dropping prices to match other countries they'll instead raise prices in other countries and lower prices in America so that everyone pays their fair share.

That's the hope, anyway. It remains to be seen how it pans out.
 
Drugs are a good that have high fixed costs (to develop) but low variable costs (to manufacture). This is why we have patents at all (the company can only make a profit inventing a drug if it gets to charge monopoly prices for at least a while). What many small shithole countries, like Europeans, have figured out is that, since they're so small relative to the US, they can price control drugs or at least not protect them with a monopoly and the pharma company still finds it worthwhile to sell in their country (something is better than nothing) even though they'd never be able to even afford to develop the drug without America's patent protections.

So these countries fuck us over. They leech off of us. Some, Switzerland and Japan namely, even had pharma companies themselves that would be unprofitable if they had to play under Swiss/Japanese rules in an exclusively Swiss/Japanese market.

Making it as cheap as other countries isn't going to work. These other countries should be paying more if we're to be paying less.
 
Hey Otterly was right, this will piss off the pharma industry!
i'm sure a ton of people will complain about that and at the end of the day it will be proven it's only a minority of people just like the tariff thing with boomers doomerposting left right and center while millenials and zoomers gave zero fucks about it.
 
Hey @Otterly was right, this will piss off the pharma industry!
Oh interesting. I heard a rumour.
So I heard a rumour that the upcoming ‘earth shattering’ thing trump is going to announce May piss off the pharma industry and I’m intrigued.
I still hope it’s aliens
So do you guys get to pay less or do they just bump the price up massively overseas to make it work?
 
Why do I feel like this will only benefit millionaires? It seems like a good idea, but plenty of things that seem like good ideas often have horrible implementation, and I'm not knowledgeable enough not to be a little worried. Politicians are great at lining their friends pockets while making it seem like they care. They've been doing it for centuries.
 
i'm sure a ton of people will complain about that and at the end of the day it will be proven it's only a minority of people just like the tariff thing with boomers doomerposting left right and center while millenials and zoomers gave zero fucks about it.
Millennials and zoomers knew Trump would cave in, boomers still live in an era where they expect authority figures not to be pussies.
 
Don't those countries with cheap pills have universal healthcare which is why its cheaper?

Or just don't care about our patents in which case how are you gonna charge them more then?
They negotiate in bulk, as it’s the national health service buying it. I assume the USA doesn’t negotiate massive bulk deals but smaller ones due to any providers, but I don’t know how all that works. I just doubt pharma will play nice, they’ll just say ‘well, no more cheaper drugs for rest of world!’
The costs of drug development are huge. The sort of phase three trials that are the big pivotal ones cost in the low to high tens of millions, but I’ve seen trials cost a billion.
That’s just the phase three work - there’s a decade of lab development and work before and after that. It costs a lot of money to get a drug to market, and the profits at the end are huge for the time you have a patent.
Under this model of drug development, things are expensive
They want to cut the development timelines hard - you saw that during Covid, this speed of science bullshit. If they can get the paperwork and timelines cut it’s big profits, and this is the kind of thing that can be used to ‘justify’ this. Safety? Who cares, money is king, not patient safety for these people.
 
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