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I'm not sure what the catch is here. I'm guessing it has to do with drug patents being owned by different companies in different countries.
I'm sure there will be cutouts for companies that do favors or whatever. Just like everything else he's doing.
How would this actually be enforced? Unlike other countries with socialized healthcare, the US doesn't negotiate prices with these companies directly. Perhaps there's some mechanism I don't know of, but I doubt it, we're kind of all about empowering capitalists to fuck people over.
The bigger catch is that this would almost certainly go to the supreme court and get overturned.
Medicare has to buy drugs
You're right, but if Trump does medicare for all and orders prices be fixed, all through one executive order, I think the bourgeois would actually kill him.
E: Also he just won't do this lol, it's Trump after all.
Monkey's paw it's for drug wholesalers on import prices but just so their profit margins increase one billion percent when prices to end users stay the same.