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Drug Prices: Trump's Promises vs. Reality

USASunday, October 26, 2025
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A Wide Gap Between Rhetoric and Reality

President Donald Trump has been vocal about lowering drug prices. He has signed orders, sent letters, and even started a trade war. Yet, Americans still pay a lot for medicines.

Ideas and Doubts

Trump's team has talked about many ideas:

  • Linking U.S. drug prices to those in other countries
  • Importing cheaper drugs from Canada

But these ideas are not working. Experts doubt if these plans will lower costs.

The "Most Favored Nation" Policy

One of Trump's main ideas is the "most favored nation" policy. It ties U.S. drug prices to the lowest price in other countries.

Critics say:

  • Drug companies can manipulate this by raising prices in other countries
  • The policy is like "socialist price controls"

Deals with Drug Companies

Trump's team made deals with big drug companies like Pfizer and AstraZeneca. These deals offer some drugs to Medicaid at lower prices.

But:

  • The details are unclear
  • Experts say Medicaid already pays the lowest prices by law
  • These deals may not save much money

Importing Drugs from Canada

Trump also wants to import drugs from Canada.

But:

  • This has been happening for years
  • The savings for Americans would be very small
  • Tariffs on drugs from Europe could raise prices

The Need for Real Action

Trump's actions on drug prices are not working. He needs a better plan:

  • Offer incentives to drug companies to make medicines in the U.S.
  • Reform the middlemen who manage drug benefits
  • Expand a program that lets Medicare negotiate lower drug prices

The Bottom Line

For now, Americans should be careful. Trump's promises on drug prices are not matching reality. Real change is possible. But it needs real action, not just talk.

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