Ledger · Second term · № 251
Americans will pay the lowest drug prices in the world
Partial“[paraphrase] We will pay the same price as the nation that pays the lowest price anywhere in the world.”
- Promised
- , White House 'most favored nation' drug pricing executive order signing
- Re-promised
- 12 times with a fresh deadline
- Topic
- Health care
- Era
- Second term
What happened
Real progress fell short of the pledge. By September 2026 the administration had signed 26 manufacturers covering about 90% of the branded market and extended MFN pricing to all 50 state Medicaid programs. But NPR reported on Sept. 17, 2026 that the TrumpRx consumer website lists a limited set of drugs, that most consumers still do better paying an insurance copay, and that U.S. prices on TrumpRx remain well above what consumers abroad pay — so the 'lowest price in the world' promise is not met for ordinary patients.