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!
 
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.
People often use R&D to justify steep drug prices but these organisations are extremely profitable even after considering R&D expenses. The high profitability forces them to spend a lot of money pumping up their own stock prices and remunerating top executives to protect themselves. There’s a lot of fat which can be trimmed.
 
There’s a lot of fat which can be trimmed.
Oh yeah there is. Problem is that’s not the fat that’s actually get trimmed. The fat that’s been trimmed to now is where I work - all my development teams have been cut to the bone and people are burning out. There’s not anything left to cut in terms of the people doing the actual work of making new drugs. What’s next to be cut isn’t executive remuneration (god forbid!) but the fact that trials take years. They will push for the faster trials, Covid was used as a proof of concept as were the Ebola vaccine trials. You’ll see catchy names like ‘100 days to…’ and it’s TIME they will cut. It’ll save hundreds of millions. But of course time itself is a vital component of safety.
 
The article assumes the EO will be the same as the one from 2020 but that may not be the case. Hard to say how this works until we see the EO.

That said if this is done through Medicare, the pharmas will really have no choice but to eat it. But I don’t see why they wouldn’t try to charge higher prices through non-Medicare patients rather than increasing prices on foreign countries. The American market is a lot more amenable to rising healthcare costs.
 
That said if this is done through Medicare, the pharmas will really have no choice but to eat it. But I don’t see why they wouldn’t try to charge higher prices through non-Medicare patients rather than increasing prices on foreign countries. The American market is a lot more amenable to rising healthcare costs.
That's exactly what will happen, and the insurers will pass through the costs as well. It's making younger people who are covered by private insurance (or are uninsured) pay more to lower costs for Medicare recipients.

The reference countries have single-payer or nationalized healthcare systems so they can leverage their entire population's demand for these drugs to force down costs. It's the same concept as a company with a single large customer being forced to accept the terms dictated by the buyer.

Now, start expanding Medicare and you might be able to accomplish some lasting reductions.
 
Trump should send in the army and have it march around all of the pharma companies HQs and also send the CEOs pictures of their homes taken from predator drones.
 
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Trump should send in the army and have it march around all of the pharma companies HQs and also send the CEOs pictures of their homes taken from predator drones.
Why would he do that? They’re his biggest constituents. Did you forget Operation Warpspeed? What is it about public-private corruption partnership that you don’t understand?

Don’t you remember Luigi and Stupid Jr. grandstanding about how we need to protect our CEOs?
 
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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.
It’s also not going to work because we have easy tricks to get around this. Here is an easy example of one possible workaround:

Let’s say we’re making a bispecfic antibody against CXCL20 and CCL3 to treat an autoimmune disease. We get to the end of the lead series and have about 7 top contenders that all function well in blocking the signal from these chemokines. But oh no, what are we going to do to maximize profits now that big meanie Trump wants us to price our drugs the same?

Super easy fix - one of these bad boys gets developed for the American market and we pick another for the international market, totally different drugs at this point, so oops! Sorry Americans, the international antibody isn’t approved in America, so you can’t use it as a price comparator.

By the way, this has already been done before when we want to treat two different indications but one you can price a drug a lot higher for than the other. And actually, it’s even a lot easier than the above, because what you can do is just use a different formulation for even the same compound: see Finasteride (Propecia/Proscar)
 
You seem butthurt, little gayfaggot. It causes you to say really stupid shit.

If i was you i'd stay away from the computer, or you might lose another 400$ while everyone else is making bank
You love insurance companies so much you’d never want Orange Nigger to do anything about their thieving health insurance policy. This lesson was learnt during Biden, go after insurance and not producers. Not that I expect you to pay attention to policy outside of “owning duh libs”.
 
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Price controls are always fucking retarded

Costco hotdog been $1.50 for 40 years and it hasn't hurt them.

If that works, there's no reason we can't do the same for every single price on every single basket of good and services that exists everywhere in every transaction across humanity. How much harder could it really be, hmm...?
 
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!’
Sucks to be them, and in your case you specifically since as a Bong you've been benefiting.
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're also a monopsony which means they're able to exert far greater leverage than the US market. If you want to sell drugs in the UK you gotta choke down the shit sandwich the NHS is going to try and feed you.
 
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