Trump's Executive Order Aims to Slash US Drug Prices: What's Next?

Tue May 13 2025 10:26:28 GMT+0300 (Eastern European Summer Time)
Trump's Executive Order Aims to Slash US Drug Prices: What's Next?

US President's initiative promises dramatic cuts to pharmaceutical costs, but skepticism abounds.


Experts await clarity on the executive order's implementation amidst industry resistance.

Trump's recent executive order aims to tackle high prescription drug prices in the United States, calling for significant price reductions to align with what patients in other countries pay. In a bold announcement, the President labelled the order as "one of the most consequential" in US history, asserting that drug prices could decrease by "30% to 80%" almost immediately. However, analysts express skepticism about these claims, and investor reactions suggest that market confidence remains low regarding the potential of immediate impacts on drug pricing.

The exorbitant cost of prescription drugs has long been a contentious issue in the US, with the healthcare system’s complex structures contributing significantly to inflated prices. Comparing the US to countries like Australia, Canada, and France reveals a stark difference, with American drug prices averaging two to four times higher. Both major political parties have voiced concerns over prescription costs, with Health Secretary Robert F Kennedy Jr explicitly noting the persistence of high prices as a chief concern over the years.

Trump’s executive order outlines broader strategies than previous attempts at reform, although many aspects remain vague. It directs US officials to ensure that foreign pricing agreements do not lead to "unreasonable or discriminatory" pricing practices for American consumers. Furthermore, it calls for an increase in direct-to-consumer sales approaches for pharmaceutical companies and explores the import of drugs from nations with lower prices.

Another vital component of the order includes a provision for Most Favoured Nation (MFN) status for drug prices, proposing that US consumers pay the same rates as foreign patients. Critics point out that this could simply result in pharmaceutical companies claiming compliance without delivering meaningful price reductions. Alan Sager, a health policy professor, echoed this concern, arguing that significant, lasting reductions in drug costs remain uncertain.

Market reactions to Trump’s announcement were mixed, seeing initial drops in major drug companies’ stocks before a recovery, indicating a lack of investor belief in substantial change. Complications from the executive order could arise if pharmaceutical firms decide to withdraw from foreign markets to preserve domestic profit margins.

As this executive order faces potential hurdles from legal and congressional challenges, the pharmaceutical industry has criticized these measures as counterproductive, endangering drug supply and future research funding. Leaders from industry groups argue that adopting pricing policies used by foreign governments jeopardizes American innovation and healthcare access.

Ultimately, while the Trump administration’s efforts towards lowering drug prices may resonate positively with the public, actual effectiveness remains uncertain. The future of drug pricing in the US may depend heavily on ongoing political focus and the administration's ability to navigate the complex dynamics with the pharmaceutical industry.

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