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Trump To Sign E.O. Tomorrow To Reduce Drug Prices by 30% to 80%

Canuckster

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"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!" DJT 3hrs ago

Donald J. Trump (@realDonaldTrump)
 

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"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!" DJT 3hrs ago

Donald J. Trump (@realDonaldTrump)
I'm not sure whether this principle by definition is 'good' in moral terms. It's morally defensible and even preferred to price goods according to the purchasing power of a country. Poor people in Africa can't afford the price-levels of the USA or Europe - so it makes perfect sense to sell drugs there at near cost and have higher prices in richer countries.

The same is true for the principle of progressive income tax - I do support that. Replacing progressive income tax with (flat/single rate) sales tax or tariffs in general benefits the wealthy and hits the poor.

The result of this will be either deprivation of drugs in poor countries and/or increased need for assistance to buy the drugs in those places.

When I personally sell stuff I'm willing willing to keep prices low when selling to someone I know is struggling financially relative to someone who is wealthy. I would argue that's a very Biblical principle.
 
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Bradskii

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Yet: https://edition.cnn.com/2025/04/09/health/pharmaceutical-tariffs-trump

“Major” tariffs on pharmaceutical imports are coming soon, President Donald Trump says, pledging that they’d help bring drug manufacturing back to the US while lamenting that other countries pay much lower prices for the same medicines.

Instead, patient advocates and drug supply chain experts warn, tariffs are likely to drive the price of medicines higher and exacerbate already dangerous drug shortages. Whether they influence manufacturers to make more drugs in the US is a source of debate, and any increase in production is at least several years away.
 
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Valletta

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I'm not sure whether this principle by definition is 'good' in moral terms. It's morally defensible and even preferred to price goods according to the purchasing power of a country. Poor people in Africa can't afford the price-levels of the USA or Europe - so it makes perfect sense to sell drugs there at near cost and have higher prices in richer countries.

The same is true for the principle of progressive income tax - I do support that. Replacing progressive income tax with (flat/single rate) sales tax or tariffs in general benefits the wealthy and hits the poor.

The result of this will be either deprivation of drugs in poor countries and/or increased need for assistance to buy the drugs in those places.

When I personally sell stuff I'm willing willing to keep prices low when selling to someone I know is struggling financially relative to someone who is wealthy. I would argue that's a very Biblical principle.
 
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Reluctant Theologian

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Thanks, maybe it would have been better to maximise USA drug prices at 50% of the worldwide average.

And even part from that I'm in favor of universal public healthcare for legal residents paid by contributions based on income. So in that system the situation cannot occur that someone has to spend 40% of their income on Insulin.
 
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Bradskii

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That's over 3 years old. See this: VERIFYING the difference between $35 insulin caps under Biden and Trump

The Inflation Reduction Act’s mandatory $35 monthly cap took effect in Jan. 2023 for Part D and July 2023 for Part B, and CMS phased out Trump’s voluntary program by the end of that year. CMS has acknowledged that the Biden administration’s cap “closely aligns with” the voluntary $35 monthly cap from Trump’s program.

CMS estimates that around 800,000 insulin users had access to $35 insulin copays under the Trump administration’s “Part D Senior Savings Model” in 2022. In contrast, over 3.3 million Medicare patients who take insulin have access to the $35-per-month copay cap under the Biden administration’s policy.
 
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Canuckster

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When I personally sell stuff I'm willing willing to keep prices low when selling to someone I know is struggling financially relative to someone who is wealthy. I would argue that's a very Biblical principle.
America is not "personally" selling drugs ("stuff") they're buying drugs. If you're the biggest customer of an insurance company, providing 33% of their business, and you find out you're paying 80% higher premiums than their other customers who do a fraction of the business, you're gonna want the lowest premiums. If the insurance company wants to provide charity to their other customers then they should do so without fleecing their #1 customer (not a "very Biblical principle"). Why should you, (their #1 customer) be robbed by a company so they can use what they stole from you for charity and take all the credit. You provide charity to who you want, when you want ("very Biblical principal") and you will rightfully get all the credit for it.
 
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Reluctant Theologian

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America is not "personally" selling drugs ("stuff") they're buying drugs. If you're the biggest customer of an insurance company, providing 33% of their business, and you find out you're paying 80% higher premiums than their other customers who do a fraction of the business, you're gonna want the lowest premiums. If the insurance company wants to provide charity to their other customers then they should do so without fleecing their #1 customer (not a "very Biblical principle"). Why should you, (their #1 customer) be robbed by a company so they can use what they stole from you for charity and take all the credit. You provide charity to who you want, when you want ("very Biblical principal") and you will rightfully get all the credit for it.
Biblical charity is charity which does not seek to get any credit for it at all ....

I'm perfectly willing to pay a higher price (bigger profit margin) to a drugs company if that will allow that same company to sell the same drugs at just above cost to a much poorer nation.

Of course you make your own choices on economic principles - but I guess Trump may struggle with the principle of the year of the Jubilee :)
 
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Canuckster

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Biblical charity is charity which does not seek to get any credit for it at all ....

I'm perfectly willing to pay a higher price (bigger profit margin) to a drugs company if that will allow that same company to sell the same drugs at just above cost to a much poorer nation.

Of course you make your own choices on economic principles - but I guess Trump may struggle with the principle of the year of the Jubilee :)
Where did I say "seek credit"? When you're charitable, you'll "rightfully get all the credit" from the recipients and from God without seeking it ("very biblical principle"). None, except for yourself, are perfectly willing to get ripped off from big pharma just because someone like yourself says big pharma is using the stolen proceeds for charity. And it's not about making your own choices based on economic principles but based upon not getting ripped off and directing your own charity
 
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Where did I say "seek credit"? When you're charitable, you'll "rightfully get all the credit" from the recipients and from God without seeking it ("very biblical principle"). None, except for yourself, are perfectly willing to get ripped off from big pharma just because someone like yourself says big pharma is using the stolen proceeds for charity. And it's not about making your own choices based on economic principles but based upon not getting ripped off and directing your own charity
If the same principle would be applied to other companies in the USA by other countries elsewhere in the world we might get interesting results - reciprocity. So USA companies can only sell e.g. to Japan or Europe at the lowest price these companies sell goods to anywhere in the world. It makes things complicated. But I understand and agree medical costs in the USA are way too high - the highest in the world AFAIK.
 
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I think most experts are saying that the high prices of medicine in the US is because the US does not have a state health insurance company which would have more power in price negotiations with pharmaceutical companies.

Anyway, whatever the reasons are - how is the executive order supposed to work, exactly? Trump signs something and what is supposed to happen next? Why should the prices drop?
 
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I think most experts are saying that the high prices of medicine in the US is because the US does not have a state health insurance company which would have more power in price negotiations with pharmaceutical companies.

Anyway, whatever the reasons are - how is the executive order supposed to work, exactly? Trump signs something and what is supposed to happen next? Why should the prices drop?
Pharma Industry, STOP!
 
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"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!" DJT 3hrs ago

Donald J. Trump (@realDonaldTrump)
So the pharmaceutical companies will raise prices across the world to match what the USA pays now.
 
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Richard T

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I'm not sure whether this principle by definition is 'good' in moral terms. It's morally defensible and even preferred to price goods according to the purchasing power of a country. Poor people in Africa can't afford the price-levels of the USA or Europe - so it makes perfect sense to sell drugs there at near cost and have higher prices in richer countries.

The same is true for the principle of progressive income tax - I do support that. Replacing progressive income tax with (flat/single rate) sales tax or tariffs in general benefits the wealthy and hits the poor.

The result of this will be either deprivation of drugs in poor countries and/or increased need for assistance to buy the drugs in those places.

When I personally sell stuff I'm willing willing to keep prices low when selling to someone I know is struggling financially relative to someone who is wealthy. I would argue that's a very Biblical principle.
While altruism does drive some major drug companies, the reason they sell for lower prices in Africa is that they likely still make money. Demand would be near zero if they used high USA prices. So they shave off the price to induce some demand. The actual pricing still likely is done to maximize profits. So if this exec order is even legal, the result may not be that poor nations will be priced out. I think on some drugs they will simply choose to violate patent protection.
I will warn too that medicines are not often the same quality in poor nations. So if they are looking to price high quality drugs at poor country prices and they choose the lowest quality to base the price on, then watch out. Some nations too have copied drugs. AI suggests "India faces significant challenges regarding drug quality, including substandard drugs, counterfeit medicines and weak enforcement of regulations."
The other big elephant is that USA pricing power does drive research and development. Take that away and the R&D will go down. A better policy would be to price USA drugs equal to the average of other rich nations, Japan, EU nations, Canada etc. This would mean the drug companies could raise prices there and everyone would pay the same share of R&D. The USA would get price reductions but they would not be so dramatic.
 
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Canuckster

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If the same principle would be applied to other companies in the USA by other countries elsewhere in the world we might get interesting results - reciprocity. So USA companies can only sell e.g. to Japan or Europe at the lowest price these companies sell goods to anywhere in the world. It makes things complicated. But I understand and agree medical costs in the USA are way too high - the highest in the world AFAIK.
Working tirelessly to justify multi-billion dollar corporations stealing from their biggest customers doesn’t sound too biblically principled to me.
 
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Goonie

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It won't happen but if forced to comply with an order demanding they lower us prices to the lowest they charge anywhere, logically there is nothing stopping them raising the prices everywhere to comply.

The result of this order I suspect will be a lowering of us prices but at the expense of the poorest nations paying vastly more.
 
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