Affordability. That’s the newest catch word in the political world. Democrats think it’s the key to success in the 2026 mid-term elections. The recent election of a communist mayor in New York City, who made this his campaign theme, has encouraged this strategy.
Republicans think they have the upper hand in this strategy. President Trump is now on the campaign trail again pushing the same agenda. Which side has the stronger argument?
There is no doubt that the Biden era brought us unprecedented inflation. While the peak of that inflation was 9%, the current level is now below three percent under President Trump. But many Americans aren’t celebrating because many things are still too expensive.
One important area where prices are coming down is prescription drugs. Peter Loftus, writing for The Wall Street Journal, says, “Drugmakers are doing something unusual this year: slashing prices for several widely used medicines. The companies made their typical round of price increases to start the year. In addition, they also made big cuts to U.S. list prices for widely used drugs for diabetes, blood clotting and other conditions.”
A big factor: federal government policy changes, including lower prices that Medicare negotiated and took effect for the first time this year. All told, 20 brand-name drugs had list-price cuts this month, ranging from 9.8% to 91.7%, according to 46brooklyn Research, a Dayton, Ohio-based firm that analyzes drug pricing.
Among them were a 43% cut to the list price for blood thinner Eliquis from Pfizer and Bristol-Myers Squibb and a 44.4% drop for diabetes treatment Jardiance from Boehringer Ingelheim and Eli Lilly. “These are heavyweight drugs, and to see them crater in price like this is historic,” said Antonio Ciaccia, chief executive of 46brooklyn.
There is a reason why these prices are coming down and President Trump should get the credit. Americans pay about three times what other wealthy nations do for branded prescription drugs. For years, policymakers have tried to fix this by cutting U.S. drug prices directly. President Trump has pushed a different idea: make foreign countries pay more so Americans can pay less.
David Wainer, writing in The Wall Street Journal, says, “Last year, after threatening the industry with crushing tariffs, Trump secured several commitments. The most important one: Drugmakers agreed to charge the U.S. no more than what other wealthy countries pay for newly launched medicines, as part of a policy known as “most favored nation,” or MFN.”
On paper, it makes sense. If American prices are tethered to what the U.K. or Switzerland pays, drugmakers would need to raise prices abroad and lower them in the U.S. to balance things out. But the reality is messier. How do you persuade cash-strapped governments to write bigger checks to an industry they already resent? And will pharma companies actually lower U.S. prices, or simply pocket the gains from charging Europe more?
What is clear is that pharmaceutical executives are eager to seize the moment. They now have leverage that was lacking in the past, including the full backing of U.S. trade representatives and the Commerce Department. The U.K. has already agreed to increase what it pays for medicines as part of a wider trade deal with the Trump administration. Germany and Switzerland are signaling greater openness on the issue as well.
The recent lowering of drug prices mentioned at the start of this article shows that Trump’s approach is already paying dividends to the American people. Drug prices are coming down and that makes them more affordable.

