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The Next Industry to Bow to Trump

The Atlantic's profile
Original Story by The Atlantic
October 2, 2025
The Next Industry to Bow to Trump

Context:

A significant deal between the Trump administration and Pfizer has emerged, with the pharmaceutical company agreeing to lower drug prices in the U.S. to match those in other developed nations, a long-standing goal of Donald Trump. This agreement, announced during a press briefing where Trump expressed surprise at Pfizer's compliance, aims to alleviate the financial burden of prescription drugs for Americans, particularly through the upcoming TrumpRx platform. Although the deal may initially provide limited relief, as it primarily applies to Medicaid patients and lacks clarity on pricing for other consumers, it marks a notable shift in Trump's negotiating power with the pharmaceutical industry. The administration's recent threats of tariffs on companies manufacturing outside the U.S. have seemingly pressured Pfizer to comply, indicating a more aggressive approach from Trump in his second term. As Trump anticipates similar agreements with other drug manufacturers, the landscape of U.S. drug pricing may be on the verge of transformative changes, despite potential implications for international pricing structures.

Dive Deeper:

  • Pfizer's agreement to lower U.S. drug prices aligns with Trump's long-held belief that Americans are being overcharged compared to residents of other developed countries, a sentiment he has expressed since his presidential campaign in 2016.

  • During the announcement, Trump emphasized the significance of the deal, calling it one of the biggest medical announcements from his administration, while Pfizer's CEO, Albert Bourla, acknowledged the company's motivation to ensure 'certainty and stability' in negotiations.

  • The deal includes provisions for new drugs to be launched at competitive prices with other key markets, but existing drug prices adjustments are limited to Medicaid patients, raising questions about the extent of relief for the broader American public.

  • The TrumpRx website is set to provide steep discounts on certain medications, yet the necessity for out-of-pocket payments raises concerns about affordability for many patients, as highlighted by experts who question whether patients have the financial means to utilize this resource.

  • Trump's administration has shifted tactics, utilizing threats of tariffs against pharmaceutical companies that do not comply with pricing demands, which has resulted in Pfizer's unexpected concessions and suggests a new era of negotiation dynamics between the government and the pharmaceutical industry.

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