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Trump Plan Would Tie Some Drug Prices to What Peer Nations Pay

by Rebecca Robbins and Margot Sanger-Katz
May 12, 2025
in Health
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President Trump will signal an govt order on Monday geared toward decreasing some drug costs in america by aligning them with what different rich international locations pay, he stated on Reality Social on Sunday night.

The proposal he described, which alone can’t shift federal coverage, is what he calls a “most favored nation” pricing mannequin. Mr. Trump didn’t present particulars about which sort of insurance coverage the plan would apply to or what number of medicine it will goal, however he indicated that america ought to pay the bottom value amongst its peer international locations.

“Our Nation will lastly be handled pretty, and our residents Healthcare Prices will probably be decreased by numbers by no means even considered earlier than,” he wrote in his social media put up.

Any such plan will more than likely be topic to challenges in court docket, and it’s not clear whether or not it’ll cross authorized muster, particularly with out motion by Congress.

In his first time period, Mr. Trump tried unsuccessfully to enact a model of this concept for Medicare, the medical health insurance program that covers 68 million People who’re over 65 or have disabilities. That plan would have utilized solely to 50 medicine, administered at clinics and hospitals, which can be paid for by Medicare. A federal court docket blocked it, ruling that the administration had skipped steps within the policymaking course of.

The pharmaceutical trade bitterly opposes the thought, which might virtually actually minimize into its income, and has been lobbying in opposition to it as discussions of the coverage have regained steam in Washington in current weeks. Corporations have warned that such a coverage would cause them to spend much less on analysis, depriving sufferers of recent medicines.

“Authorities value setting in any type is dangerous for American sufferers,” Alex Schriver, an official on the drug trade’s principal lobbying group, PhRMA, stated in an announcement. He added, “Policymakers ought to concentrate on fixing the issues within the U.S. system, not importing failed insurance policies from overseas.”

Mr. Trump’s embrace of the thought units him aside from most Republicans, who’ve tended to be skeptical of presidency value setting. Democratic lawmakers have proposed variations of the thought.

Ameet Sarpatwari, an professional in pharmaceutical coverage at Harvard Medical College, stated that Mr. Trump was tapping into an concept that had “populist attraction.”

Mr. Trump has lengthy complained that america pays way more than different rich international locations do for a similar medicine. And he’s proper. In america, costs for brand-name medicine are thrice as excessive, on common, as these in peer nations.

That’s regardless of the truth that a lot of the analysis that results in new medicine takes place in American laboratories and hospitals.

Drugmakers generate a considerable majority of their worldwide income from gross sales in america and sometimes design their enterprise technique across the U.S. market.

Pharmaceutical corporations argue that the upper costs in america include an additional advantage: Business-funded analyses have discovered that sufferers in america get medicines sooner, and with fewer insurance coverage restrictions, than these in different international locations.



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