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EO coming on Big Pharma Manana


               
2025 May 11, 7:16pm   964 views  74 comments

by FreeAmericanDOP   follow (9)  

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!

https://truthsocial.com/@realDonaldTrump/114491534347862682

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12   MolotovCocktail   2025 May 12, 9:05am  

Patrick says

stereotomy says


This is an open declaration of war against big pharma.


What if big pharma just raises prices in other countries? Drug demand is rather inflexible with price. Maybe foreign competitors will undercut them though.


They own the IP.
13   Patrick   2025 May 12, 11:05am  

https://www.coffeeandcovid.com/p/mission-possible-monday-may-12-2025


Trump’s reference to the “Most Favored Nation” policy suggests that his order will require the U.S. government to pay the same prices for drugs as other countries. As we all well know, most other countries pay much lower prices for medications. For example, the list price for diabetes medicine Jardiance is $611 for a 30-day in the US, compared with $70 in Switzerland and only $35 in Japan.

I couldn’t find any headline celebrating falling drug prices — corporate media was obsessed with how the executive order (which nobody’s even seen yet) would hurt pharmaceutical stocks. I think the media has lost the plot. Trump essentially promised to cut costs for sick people, and the media’s hair is on fire over hedge fund portfolio losses. ...

Under Biden, a $35 insulin cap was hailed as a historic breakthrough; under Trump, an 80% slash across the board is treated like economic terrorism. Trump could cure cancer, and they’d run with headlines like, “Biotech layoffs surge after oncology disruption.”

So to recap: Trump promises lower drug prices, and the media is as outraged as if he’d just clubbed a baby seal on the trading floor. Their outrage wasn’t over what sick Americans pay— it’s over what Pfizer’s shareholders might lose. If you ever wondered who corporate media really works for, wonder no more. They’re not covering the cost of our meds; they’re covering for the people charging us six hundred bucks for a bottle of tainted sugar pills.
14   FreeAmericanDOP   2025 May 12, 11:58am  

Fuck 350M people! Muh Stock Price and Dividend decline from having Americans and Medicare pay 30-100% more for most drugs than countries WE export to! Ignore the massive sums in basic research, tax credits, etc. that big Pharma gets!

General Welfare means stocks first, nothing else! Grandma Millie must eat dogfood due to paying twice as much for the same drug in Canada or France... rather than muh stock price drop a bit.
16   FreeAmericanDOP   2025 May 12, 12:38pm  

Eric Holder says






Yep! Nothing says free market interference than when a drug is cheaper in another country than it is in the origin country.

Or forcing the government to pay full retail for a drug it buys in massive volume.
17   Eric_Holder   2025 May 12, 12:42pm  

AmericanKulak says


Yep! Nothing says free market interference than when a drug is cheaper in another country than it is in the origin country.


That other country has more socialism, yes. I don't see a contradiction.
18   yawaraf   2025 May 12, 12:42pm  

https://www.whitehouse.gov/presidential-actions/2025/05/delivering-most-favored-nation-prescription-drug-pricing-to-american-patients/

Here is the link to the EO. I don't understand most of it. The good parts seem to be
section 4 - direct sales to consumers
section 5(b)(ii) - facilitating drug imports from low-cost countries
section 5(b)(iii) - anti-trust action

5(b)(i) seems to be about price controls, which might indeed be a sketchy proposition.

However, breaking the pharmaceutical cartel would be great, and importing from the low-cost countries might be the easiest way to do it.
19   stereotomy   2025 May 12, 12:43pm  

Where are the Bernie fluffers? They should be having a commie-cunt love-in at this news.
20   Eric_Holder   2025 May 12, 12:43pm  

AmericanKulak says

Or forcing the government to pay full retail for a drug it buys in massive volume.


Who's forcing the government?
21   Eric_Holder   2025 May 12, 12:43pm  

stereotomy says

Where are the Bernie fluffers? They should be having a commie-cunt love-in at this news.


Exactly.
22   Eric_Holder   2025 May 12, 12:47pm  

yawaraf says

section 5(b)(ii) - facilitating drug imports from low-cost countries


Companies can and do restrict re-export of their goods all the time. Governments restrict re-exports all the time. So even if in some more socialist country some US-made drugs are sold for less it doesn't mean that US government can swoop in and buy these for the same price.
23   yawaraf   2025 May 12, 12:48pm  

Eric Holder says

Who's forcing the government?

Either the legislature did so, or, if not, then the executive failed to negotiate in favor of the American people.

Do you think that the basic premise (Americans get overcharged) is false?
24   Eric_Holder   2025 May 12, 12:52pm  

yawaraf says


Eric Holder says


Who's forcing the government?

Either the legislature did so,



Legislature is government.

yawaraf says


or, if not, then the executive failed to negotiate in favor of the American people.



But who forced them to fail?

yawaraf says


Do you think that the basic premise (Americans get overcharged) is false?


I think they are getting charged what market can bear so yeah, it sounds false. Is the rent too damn high? Sure it is. Does it mean that Americans get overcharged for rent? No it doesn't.
25   Patrick   2025 May 12, 1:00pm  

Eric Holder says

Legislature is government.


But the legislature does not represent the people as a whole, only elite interests:

https://archive.org/details/gilens_and_page_2014_-testing_theories_of_american_politics.doc/page/n1/mode/2up


26   yawaraf   2025 May 12, 1:09pm  

https://www.gao.gov/products/gao-21-282

Retail prices might be different for a variety of reasons, but on page 24 it is asserted that manufacturer prices are much lower in other countries.

If the manufacturers and the foreign country collude to prevent re-export, how is that not a cartel?

Our elected representatives either forced or mis-managed the government into overpaying for drugs.
27   Eric_Holder   2025 May 12, 1:19pm  

Patrick says

Eric Holder says


Legislature is government.


But the legislature does not represent the people as a whole, only elite interests:

https://archive.org/details/gilens_and_page_2014_-testing_theories_of_american_politics.doc/page/n1/mode/2up





Where in the world the economic elites do not dominate the government policy of their countries? The degree of such domination may vary, but it's true everywhere except very special places like NoKo/Venezuela/China/USSR/Iran/Syria/SA where some other, non-economic, non-democratic force trumps the economic elite, but then it becomes the economic elite itself, if you think about it. It's not like Pukin, Xi or even Kim and Maduro are poor by any measure. They are probably de-facto the richest people in their countries.
28   FreeAmericanDOP   2025 May 12, 1:32pm  

Eric Holder says


That other country has more socialism, yes. I don't see a contradiction.

No, the other country pays less - I assure you Pfizer and Merck aren't providing the drugs at a loss - but make up the difference on the US.

Explain to me how the pricing mechanism that lets price in the country of origin be higher than the export target. Especially when one country's volume of population and sales is massive compared to others.
29   Eric_Holder   2025 May 12, 1:35pm  

AmericanKulak says


No, the other country pays less - I assure you Pfizer and Merck aren't providing the drugs at a loss - but make up the difference on the US.


Why would they leave money on the table if the market can bear higher prices and the government doesn't impose some kind of price controls on them? What greedy capitalist pig does that?
30   Eric_Holder   2025 May 12, 1:36pm  

AmericanKulak says

Explain to me how the pricing mechanism that lets price in the country of origin be higher than the export target. Especially when one country's volume of population and sales is massive compared to others.


My only explanation is either the market in the other country can't bear higher prices or the government there imposes some kind of price controls. Can't think of anything else.
31   FreeAmericanDOP   2025 May 12, 1:46pm  

Eric Holder says


Why would they leave money on the table if the market can bear higher prices and the government doesn't impose some kind of price controls on them?

You mean, the Government is forbidden from negotiating price on items it buys millions of annually.

Who supports those rules?
32   Eric_Holder   2025 May 12, 1:53pm  

AmericanKulak says

Eric Holder says



Why would they leave money on the table if the market can bear higher prices and the government doesn't impose some kind of price controls on them?

You mean, the Government is forbidden from negotiating price on items it buys millions of annually.

Who supports those rules?


I'm not sure I mean what you say I mean. I asked a question and this doesn't appear to be an answer. So, back to it: why these other countries have lower prices on US drugs if their markets can bear higher prices and their governments are not imposing some kind of price controls?
33   yawaraf   2025 May 12, 2:00pm  

Eric Holder says

So, back to it: why these other countries have lower prices on US drugs if their markets can bear higher prices and their governments are not imposing some kind of price controls?

Here's how we can find out. We tell the manufacturers "we will buy at the same price as France" Then the companies will either stop selling to France if the French don't agree to American prices or they will agree to sell to the Americans at the French prices.
34   Eric_Holder   2025 May 12, 2:02pm  

yawaraf says


Eric Holder says


So, back to it: why these other countries have lower prices on US drugs if their markets can bear higher prices and their governments are not imposing some kind of price controls?

Here's how we can find out. We tell the manufacturers "we will buy at the same price as France" Then the companies will either stop selling to France if the French don't agree to American prices or they will agree to sell to the Americans at the French prices.



It's a proposal of price controls in the US, not an answer to my question.

BTW, doesn't Fance have lower GDP per capita and median income than the US?

PS. I looked it up:

France GDP per capita: ~$44K
US GDP per capita: ~$83K

France median income: $16,372 ($61,157 PPP)
US median income: $19,306 ($81,695 PPP)
35   FreeAmericanDOP   2025 May 12, 2:11pm  

Medicare is forbidden from negotiating on almost all drugs prices despite being one, if not the, largest volume drug buyer on the planet. Who supports those laws?
36   Eric_Holder   2025 May 12, 2:14pm  

AmericanKulak says


Medicare is forbidden from negotiating on almost all drugs prices despite being one, if not the, largest volume drug buyer on the planet.


This only means that the US government does not impose price controls on drugs.

AmericanKulak says


Who supports those laws?


I don't know. But they are imposed by the government.
37   yawaraf   2025 May 12, 2:18pm  

You believe the premise that the prices are determined in a free market and not by a cartel. You also hold the premise that manufacturers might be content to sell to countries that impose price controls.

We can now test these premises. If the first is true, then manufacturers who are already content to sell at the French price would be content to sell to Americans at the French price.

If the second is true, then all we need to do is dictate the price and companies will happily comply.

If the US is richer as you say, that means the US should be able to buy more and better shit, not pay higher prices for the same shit that poor folks buy.
38   Eric_Holder   2025 May 12, 2:24pm  

yawaraf says


You also hold the premise that manufacturers might be content to sell to countries that impose price controls.


They don't? If this is true this means that the only reason for lower prices in other countries is their markets' inability to bear higher prices. But then there is Switzerland where the prices for the same drugs is lower (allegedly, I didn't verify this claim).
39   yawaraf   2025 May 12, 2:26pm  

Eric Holder says

They don't?

Please clarify your question.
40   Eric_Holder   2025 May 12, 2:27pm  

yawaraf says


You believe the premise that the prices are determined in a free market and not by a cartel.


I do? I don't remember making this claim. OK, supposedly there is a cartel setting prices in all countries all over the world. Why in the name of fuck would it set prices lower in other countries if government price controls is not a thing and the ability of the market to bear certain price doesn't matter? Isn't the purpose of cartel to maximize profits?
41   Eric_Holder   2025 May 12, 2:28pm  

yawaraf says

Eric Holder says


They don't?

Please clarify your question.


Is the claim essentially that price controls in other countries do not exist because if they did exist the farma companies would not be "content" to sell their drugs there and therefore would not sell?
42   Eric_Holder   2025 May 12, 2:30pm  

yawaraf says

If the first is true, then manufacturers who are already content to sell at the French price would be content to sell to Americans at the French price.


Why would be they content to leave money on the table? They can be forced into it, but this is called price controls.
43   Eric_Holder   2025 May 12, 2:33pm  

yawaraf says

If the second is true, then all we need to do is dictate the price and companies will happily comply.


Comply? Yes. Happily? No. But this is the nature of government action - like it or not they have the means to make you comply.
44   yawaraf   2025 May 12, 2:33pm  

Eric Holder says

yawaraf says

You believe the premise that the prices are determined in a free market

Eric Holder says

I do? I don't remember making this claim

Eric Holder says

I think they are getting charged what market can bea

Eric Holder says

My only explanation is either the market in the other country can't bear higher prices or the government there imposes some kind of price controls.
45   Eric_Holder   2025 May 12, 2:34pm  

yawaraf says


If the US is richer as you say, that means the US should be able to buy more and better shit, not pay higher prices for the same shit that poor folks buy.


This is not how market works absent price contols. If I hold the IP on some product I'll be setting price to maximize my profit, not improve your feelings. Until my patent expires, that is.
46   yawaraf   2025 May 12, 2:35pm  

Eric Holder says

They can be forced into it, but this is called price controls.

If the France imposes prices controls, how is the company forced to sell in that country? Why doesn't it restrict its business to countries without price controls?
47   Eric_Holder   2025 May 12, 2:40pm  

yawaraf says

Eric Holder says


They can be forced into it, but this is called price controls.

If the France imposes prices controls, how is the company forced to sell in that country? Why doesn't it restrict its business to countries without price controls?


Because it decides that it is still worth it. If selling a doze of drug X for $1000 in the US and a doze of the same drug for price-controlled $400 in FR beats just selling one doze of drug X for $1000 in the US, because $1400 > $1000, duh. Provided, of course, that $400 is still profitable enough. They are in the business of maximizing profits, not making political stands.
48   yawaraf   2025 May 12, 2:43pm  

Eric Holder says

yawaraf says



If the US is richer as you say, that means the US should be able to buy more and better shit, not pay higher prices for the same shit that poor folks buy.


This is not how market works absent price contols. If I hold the IP on some product I'll be setting price to maximize my profit, not improve your feelings. Until my patent expires, that is.

If it were a free market, then an American pharmacy, should be able to purchase the drugs at list prices in the low-price region and move them to the high-price region and sell at retail at a reasonable mark-up.

Where am I wrong in my analysis?
49   yawaraf   2025 May 12, 2:48pm  

Eric Holder says

yawaraf says
Eric Holder says

They can be forced into it, but this is called price controls.
If the France imposes prices controls, how is the company forced to sell in that country? Why doesn't it restrict its business to countries without price controls?

Because it decides that it is still worth it.

Do you still maintain that the company is forced into selling at a the lower price? It seems that you're now making the argument that the company decided it's a good business decision to sell at the French price.
50   RWSGFY   2025 May 12, 2:50pm  

yawaraf says

Eric Holder says


yawaraf says




If the US is richer as you say, that means the US should be able to buy more and better shit, not pay higher prices for the same shit that poor folks buy.


This is not how market works absent price contols. If I hold the IP on some product I'll be setting price to maximize my profit, not improve your feelings. Until my patent expires, that is.


If it were a free market, then an American pharmacy, should be able to purchase the drugs at list prices in the low-price region and move them to the high-price region and sell at retail at a reasonable mark-up.

Where am I wrong in my analysis?


In the part where the company prohibits re-export of its product. It does not go against free market. Products re-exported despite such prohibitions are called grey market exports and they do exist. I once bought a grey market camera.
51   yawaraf   2025 May 12, 2:54pm  

RWSGFY says

the company prohibits re-export of its product. It does not go against free market.

We will agree to disagree. I do not believe that such agreements are compatible with a free market.

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