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

The New York Times's profile
The New York Times
10h ago
Trump Plan Would Tie Some Drug Prices to What Peer Nations Pay

Context:

President Trump announced an executive order to reduce U.S. drug prices by adopting a 'most favored nation' pricing model, aligning prices with those paid by other wealthy nations. This plan, although unable to directly change federal policy, aims to ensure the United States pays the lowest drug prices among peer countries. Previous attempts to implement a similar strategy for Medicare were blocked by a federal court, and the new proposal is likely to face legal challenges and opposition from the pharmaceutical industry. The industry argues that government-imposed pricing could hinder research and development, contrasting with the belief that U.S. prices, though higher, allow faster access to medicines. Trump's proposal, which deviates from typical Republican stances on government price setting, shares elements with some Democratic ideas and taps into a populist appeal due to U.S. drug prices being significantly higher than in other countries.

Dive Deeper:

  • President Trump's executive order aims to lower drug prices in the U.S. by matching them with prices in other wealthy countries, using a 'most favored nation' pricing model. This move is intended to make healthcare costs more equitable for American citizens.

  • The proposal does not specify which insurance plans or drugs it would target, nor does it have the power to alter federal policy without Congressional action, making its future implementation uncertain.

  • In a previous attempt during his first term, Trump proposed a similar plan for Medicare, which would have affected 50 drugs and was ultimately blocked by a federal court for bypassing necessary policymaking steps.

  • The pharmaceutical industry opposes the proposed pricing model, arguing that it would cut into profits and reduce investment in research, potentially limiting the development of new medicines in the future.

  • Trump's approach marks a departure from the typical Republican stance against government price setting, aligning more closely with some Democratic proposals and appealing to public sentiment due to the high cost of drugs in the U.S. compared to other countries.

  • Drug manufacturers claim that the higher prices in the U.S. afford patients quicker access to new medicines with fewer insurance restrictions, forming a central argument against the proposed policy.

  • Experts acknowledge the disparity in drug prices between the U.S. and other nations, noting that this is despite significant drug research and development occurring within American institutions, which largely benefit from U.S. market strategies.

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