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 have type 1 diabetes. This is not the fat people diabetes, its the childhood diabetes where doctors say they dont know the cause- Im convinced most cases now are from vaccine injury but thats besides the point.
There was a point in time where I did the math and found it would be cheaper for me to get a US passport and a 2 way plane ticket to Mexico, stock up on insulin there, than to get it off script in the US.
Last time Trump was in office, with the help of Pence, they quite literally saved my life, and my wallet. They made it so Wally World had to be allowed to sell the older formulations of insulin at a reasonable price. Mind you, before this happened I was reading stories of type 1s in their mid twenties dying from organ failure through untreated hyperglycemia because they couldnt afford insulin. These were otherwise healthy people, able bodied, young. I dont know how to describe to you the feeling that you are condemned to death, the kind you can see coming a mile away, and have no recourse.
In 1922, the men who discovered insulin and its life-saving properties- Sir Frederick Banting, Charles Best and James Collip- had sold their patent for insulin to the University of Toronto for $1 each ($19 dollars in today's money) because they felt it would be wrong for doctors to profit off of a discovery that saved people's lives. Less than 100 years later, the cost of insulin had been astronomically artificially inflated by companies such as Novo Nordisk and Eli Lilly- in retrospect, it appears now that these companies had switched gears to working on semaglutide and its equivalents when Trump's admin forced them to stop killing type 1 diabetics in the name of profit. Its incredible, really- as soon as they couldnt profit off of insulin dependent fat fuck type 2s(and killing the type 1s in the process), they release a drug that miraculously 'cures' being a fat fuck. And I saw @Otterly mention once that those companies had been working on their cure for fatties for years, and kept it a secret. Im baffled.
This is incredible news. I hope Eli Lilly and Novo Nordisk specifically feel the pain from this, and I hope they never receive any bailouts, I hope competitors are allowed to rise against them, and I hope these potential competitors destroy Eli Lilly and Novo Nordisk completely.
 
I have type 1 diabetes
It is absolutely disgraceful that such basic off patent drugs are made by private companies and those companies are allowed to charge like that. It boils my piss. It’s not right. Insulin costs pennies to make. It was given to the world free, rather like ivermectin. Once again, great scientific minds do the heavy lifting, bequeath to humanity and fucking GREED fucks it all up.
I know this place is more free market than government interference but ffs if I was in charge the government would be setting up a pharma company - we’d be providing highest quality basics to the NHS at cost. Insulin, antibiotics, paracetamol, even stuff like betadine (which the nhs pays crazy money for.) we’d also be doing research - new classes of antibiotics, we’d be looking at evidence based medicine and we’d be massive on preventative care. As fit, healthy a population as we could get. We’d be giving tax breaks to private pharma only for beneficial work - you want to work on new classes of antifungals? Tax break for that but only if you give us the stuff to manufacture at cost.
We could live in paradise, we could take care of the country, its ecology and our people. But we don’t. We trash it for extra pennies.
 
My tinhat theory is that people, particularly seniors, are getting off of their meds due to pricing issues and realizing that they in fact can live without them with no issues.

This... is a critical problem for big pharma if true. I say this because I have older family members who over the past few years have been doing this, and have been fine. Better, even, without the side-effects and having to constantly manage an array of medications. So, it's anecdotal, but I can't imagine that I'm the only person who has had such an experience.
Once again, great scientific minds do the heavy lifting,
Maybe they should use all that mind-muscle to investigate what's causing these ailments and their increase in occurrence rather than investigating how to make new patentable iterations of the same shit over and over.
 
My tinhat theory is that people, particularly seniors, are getting off of their meds due to pricing issues and realizing that they in fact can live without them with no issues.
Based on what?

Seniors, by and large, end up on drug matricies because their organs no longer work as well or they've had some critical event that requires lifelong treatment (think blood thinners). To some extent, yes, they can expend a lot of effort to manage their blood sugar and pressure, but after 60 or so, it's significantly harder. Yes. SOME can manage it, especially if they were rigorous in their fitness their entire life. But that's not most people. What are these drugs they're getting off of and finding out they don't actually need?
 
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Based on what?
I elaborated two sentences past that section you quoted.

There's other stuff that I could say about the whole 'you need to take aspirin forever or you'll die' shit but, I don't really care either way. People should make their own medical decisions.
I hoped you had more than just "I knew a couple people, so therefore..."
I do. I just really, really don't feel like getting into an article/study fight with some random person on the Internet today.
 
I read that. I hoped you had more than just "I knew a couple people, so therefore..."
Thing is most things on the Farms are anecdotal, but even so at a certain point you're going to wind up in a spiral as you take drugs to counteract the side effects of other drugs, and drugs to counteract those side effects... Before you know it you've wound up in the same boat as Ozzy found himself: completely out of it and yelling at your car for no reason.
 
Thing is most things on the Farms are anecdotal, but even so at a certain point you're going to wind up in a spiral as you take drugs to counteract the side effects of other drugs, and drugs to counteract those side effects... Before you know it you've wound up in the same boat as Ozzy found himself: completely out of it and yelling at your car for no reason.
The other thing is there's not really much point in going outside of anecdotal evidence given that trying to have any sort of evidentiary discussion leads to an inevitable drawn-out exemplification of what people now call a 'Cartesian crisis' but in actuality was always the state of damn near everything whether it be medicine or choice of religion.

It's pissing up a rope against a headwind. Especially, especially with opinions on medicine or medical treatment, to attempt to bring studies and such into it. I've seen people get less angry and irrational about immigration than in talks of medical practice.
 
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.
You people are so retarded. Medications are all on a multi level marketing model. They may have started with high costs low profit yields at first, but that's not how it's been for 50 years. The entire medical industry is all based on Line Go Up and the prices you pay for medicine are fake n gay. An aspirin in the hospital costs $50 to your health insurance despite it costing $10 at any local store. If you think there's ANY kind of merit or justification to the prices of medicine to hospitals and your insurance company, you're fucking retarded. It's all inflamed costs made to look as high as possible to justify all prices raises and because you can't neg on medicine, line always go up.

It's just another fake and gay industry made by our fake and gay economy in this fake and gay world.
 
Here’s the EO

DELIVERING MOST-FAVORED-NATION PRESCRIPTION DRUG​

Executive Orders
May 12, 2025
By the authority vested in me as President by the Constitution and the laws of the United States of America, it is hereby ordered:

Section 1. Purpose. The United States has less than five percent of the world’s population and yet funds around three quarters of global pharmaceutical profits. This egregious imbalance is orchestrated through a purposeful scheme in which drug manufacturers deeply discount their products to access foreign markets, and subsidize that decrease through enormously high prices in the United States.
The United States has for too long turned its back on Americans, who unwittingly sponsor both drug manufacturers and other countries. These entities today rely on price markups on American consumers, generous public subsidies for research and development primarily through the National Institutes of Health, and robust public financing of prescription drug consumption through Federal and State healthcare programs. Drug manufacturers, rather than seeking to equalize evident price discrimination, agree to other countries’ demands for low prices, and simultaneously fight against the ability for public and private payers in the United States to negotiate the best prices for patients. The inflated prices in the United States fuel global innovation while foreign health systems get a free ride.
This abuse of Americans’ generosity, who deserve low-cost pharmaceuticals on the same terms as other developed nations, must end. Americans will no longer be forced to pay almost three times more for the exact same medicines, often made in the exact same factories. As the largest purchaser of pharmaceuticals, Americans should get the best deal.

Sec. 2. Policy. Americans should not be forced to subsidize low-cost prescription drugs and biologics in other developed countries, and face overcharges for the same products in the United States. Americans must therefore have access to the most-favored-nation price for these products.
My Administration will take immediate steps to end global freeloading and, should drug manufacturers fail to offer American consumers the most-favored-nation lowest price, my Administration will take additional aggressive action.

Sec. 3. Addressing Foreign Nations Freeloading on American-Financed Innovation. The Secretary of Commerce and the United States Trade Representative shall take all necessary and appropriate action to ensure foreign countries are not engaged in any act, policy, or practice that may be unreasonable or discriminatory or that may impair United States national security and that has the effect of forcing American patients to pay for a disproportionate amount of global pharmaceutical research and development, including by suppressing the price of pharmaceutical products below fair market value in foreign countries.

Sec. 4. Enabling Direct-to-Consumer Sales to American Patients at the Most-Favored-Nation Price. To the extent consistent with law, the Secretary of Health and Human Services (Secretary) shall facilitate direct-to-consumer purchasing programs for pharmaceutical manufacturers that sell their products to American patients at the most-favored-nation price.

Sec. 5. Establishing Most-Favored-Nation Pricing. (a) Within 30 days of the date of this order, the Secretary shall, in coordination with the Assistant to the President for Domestic Policy, the Administrator for the Centers for Medicare and Medicaid Services, and other relevant executive department and agency (agency) officials, communicate most-favored-nation price targets to pharmaceutical manufacturers to bring prices for American patients in line with comparably developed nations.
(b) If, following the action described in subsection (a) of this section, significant progress towards most-favored-nation pricing for American patients is not delivered, to the extent consistent with law:
(i) the Secretary shall propose a rulemaking plan to impose most-favored-nation pricing;
(ii) the Secretary shall consider certification to the Congress that importation under section 804(j) of the Federal Food, Drug, and Cosmetic Act (FDCA) will pose no additional risk to the public’s health and safety and result in a significant reduction in the cost of prescription drugs to the American consumer; and if the Secretary so certifies, then the Commissioner of Food and Drugs shall take action under section 804(j)(2)(B) of the FDCA to describe circumstances under which waivers will be consistently granted to import prescription drugs on a case-by-case basis from developed nations with low-cost prescription drugs;
(iii) following the report issued under section 13 of Executive Order 14273 of April 15, 2025 (Lowering Drug Prices by Once Again Putting Americans First), the Attorney General and the Chairman of the Federal Trade Commission shall, to the extent consistent with law, undertake enforcement action against any anti-competitive practices identified within such report, including through use of sections 1 and 2 of the Sherman Antitrust Act and section 5 of the Federal Trade Commission Act, as appropriate;
(iv) the Secretary of Commerce, and the heads of other relevant agencies as necessary, shall review and consider all necessary action regarding the export of pharmaceutical drugs or precursor material that may be fueling the global price discrimination;
(v) the Commissioner of Food and Drugs shall review and potentially modify or revoke approvals granted for drugs, for those drugs that maybe be unsafe, ineffective, or improperly marketed; and
(vi) the heads of agencies shall take all action available, in coordination with the Assistant to the President for Domestic Policy, to address global freeloading and price discrimination against American patients.

Sec. 6. General Provisions. (a) Nothing in this order shall be construed to impair or otherwise affect:
(i) the authority granted by law to an executive department or agency, or the head thereof; or
(ii.) the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

(b) This order shall be implemented consistent with applicable law and subject to the availability of appropriations.
(c) This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.
(d) The Department of Health and Human Services shall provide funding for publication of this order in the Federal Register.


DONALD J. TRUMP

THE WHITE HOUSE,
May 12, 2025.
 
Watching Democrats sputter and try to think of reasons this is bad is the most entertaining thing that's happened this entire administration so far. I've never seen the NPCs all try so hard to get an update, but so far the usual sources of such updates haven't been able to come up with a cogent, unified story.

I've seen:

"This is only for stuff like chemo drugs for Medicare Part B, your normal pharma drugs from Part D aren't included" (not true, the EO text makes no such distinction)

"This will destroy drug research in the US" (from people who used to complain that all the drug research was going into boner pills and hair loss drugs)

"He's probably only doing this to profit some of his friends" (which ones? No one says!)

I have zero doubt that all the biggest pharma companies in the world are getting together right now in Zoom chats to discuss exactly what the big NPC update will be. Within 48 hours you will see crisis PR firm talking points developed by Merck and Moderna and Eli Lilly showing up in the mouths of your friends and family members, both liberal and conservative. It's likely to be a different set of talking points for each. Watch how everyone goes from not knowing what to say to all saying exactly the same things, in just a couple of days' time.
 
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...?

that's a loss leader not a price control

costco is not a sovereign government. costco does not control the price of hotdogs.
 
Watching Democrats sputter and try to think of reasons this is bad is the most entertaining thing that's happened this entire administration so far. I've never seen the NPCs all try so hard to get an update, but so far the usual sources of such updates haven't been able to come up with a cogent, unified story.

I've seen:

"This is only for stuff like chemo drugs for Medicare Part B, your normal pharma drugs from Part D aren't included" (not true, the EO text makes no such distinction)

"This will destroy drug research in the US" (from people who used to complain that all the drug research was going into boner pills and hair loss drugs)

"He's probably only doing this to profit some of his friends" (which ones? No one says!)

I have zero doubt that all the biggest pharma companies in the world are getting together right now in Zoom chats to discuss exactly what the big NPC update will be. Within 48 hours you will see crisis PR firm talking points developed by Merck and Moderna and Eli Lilly showing up in the mouths of your friends and family members, both liberal and conservative. It's likely to be a different set of talking points for each. Watch how everyone goes from not knowing what to say to all saying exactly the same things, in just a couple of days' time.
Also “Biden already did this but Trump repealed it, solving a problem HE MADE.”
 
We could live in paradise, we could take care of the country, its ecology and our people. But we don’t. We trash it for extra pennies.

the problem is people are more interested in seeing people punished and everything being fair than they are in living in the paradise God meant for us. Matthew 20:1-16.
 
that's a loss leader not a price control

costco is not a sovereign government. costco does not control the price of hotdogs.
Actually, Costco has enough power to be the top dog vendor. Costco is a reflection of a economic environment that reflects perfectly on dick pills and shit, nigga!
 
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.
I can't wait for that rush to cut time costs resulting in more thalidomide babies. The FDA of the current day isn't the FDA of the 60s either and even back then the one woman that stopped that old disaster did so under massive pressure.
 
Actually, Costco has enough power to be the top dog vendor. Costco is a reflection of a economic environment that reflects perfectly on dick pills and shit, nigga!
I buy boxes of Costco wieners to throw into the deep freezer.
 
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.
While there are a lot of young people who get drugs I was thinking this would mainly target older people on a Medicare Advantage plan or who just haven’t retired yet and still have private insurance. Those people use way more prescriptions than younger and healthier people.

ETA: After reading the EO it looks like this will be substantially different from the first term order. It looks like the intention is for all pricing to go down, public or private. Medicare will be used as one mode of attack to lower prices, but it looks like there will also be an attempt to create an enforcement power that can coerce pharmaceuticals in private insurance transactions. We will see how this plays out in practice.
 
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anecdata on the subject of whether old people drugs are a scam: I know a fuckton of people who never even start old people drugs, they use herbs and stuff. they seem more or less fine. they skew heavier party drug users than the population as a whole but also not fat and they eat less processed food.

I also know a sizeable number of people who were diagnosed with adult onset asthma in 2020 and 2021, which makes it a tossup whether the cause was the coof, the coof shot, or the blanket of toxic smoke that hung over the entire region for weeks and weeks in both years. Some of these people are going the pharmaceutical route but some of them have done TCM and hippie stuff and the latter group is doing better. this is just anecdata but it's noticeable.
 
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