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The US kicked off the process to cut America’s healthcare costs

The US kicked off the process to cut America’s healthcare costs, but Big Pharma’s not on board

America’s Taking Steps To Lower Its Healthcare Bill

***The bigger picture:*** *Big Pharma’s big protest.*

Big Pharma knows how to formulate a threatening argument. The industry’s protesting that lower prices will squash motivation to make new drugs, especially ones for rare diseases. But even so, it’s estimated the shift might reduce the number of new drugs available by just 1% in 30 years, so don’t start scanning the black market just yet.



**Why should I care?**

***For markets:*** *No financial pain, no gain.*

That list of ten is just the start: more drugs will be added every year, and analysts reckon the reductions could cut 5% off the drugmaking industry’s revenue. But Big Pharma has a reputation for putting profit first, so naturally, it’s not keen on this whole help-the-people idea. In fact, the likes of Johnson & Johnson and Merck have been busy filing lawsuits that argue the move is unconstitutional. That, then, may be why stocks of some of the biggest drugmakers barely moved after the release.



**What’s going on here?**

The US government [took steps](https://www.bnnbloomberg.ca/bristol-lilly-blockbuster-drugs-targeted-by-biden-for-medicare-price-cuts-1.1964623) to slim down the country’s healthcare costs, but Big Pharma’s not ready to swallow that pill.

**What does this mean?**

The US is known for one-dollar hot dogs, historic cowboy towns, and the promise of unlimited opportunity. Oh, and for having the [highest](https://www.healthsystemtracker.org/chart-collection/how-do-prescription-drug-costs-in-the-united-states-compare-to-other-countries/#Per%20capita%20spending%20on%20prescribed%20medicines%20in%20dollars,%20by%20financing%20scheme,%202019%20or%20latest%20year) medicine costs in the developed world by far. Well, the government seems to think that last bit’s souring the tone a little. It signed the Inflation Reduction Act around a year ago, part of which gives Medicare – the taxpayer-funded healthcare system for retirees – the power to directly negotiate drug prices with manufacturers. And on Tuesday, the government named the first ten prescription drugs to be affected: a range of treatments for the likes of diabetes, heart failure, and blood thinning. By 2026, average medicine prices are expected to be sliced in half – and that should save Medicare around $100 billion by 2031.



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encryptedEmail

planSlug

slugOrId

ContentPieceQuery

viewer

authorization

content

SingleContentPiece_viewer

webSubscriptions

contentPiece

mostPopularTags

features

query ContentPieceQuery(
  $slugOrId: String
  $encryptedEmail: String
  $planSlug: String
) {
  viewer {
    authorization {
      roles {
        isAnonymous
      }
      ...SingleContentPiece_authorization
    }
    ...SingleContentPiece_viewer_4uP6yi
    content(encryptedEmail: $encryptedEmail) {
      ...SingleContentPiece_content
      contentPiece(slugOrId: $slugOrId) {
        __typename
        ...SingleContentPiece_contentPiece
        canonicalLink
        id
      }
    }
    id
  }
}

fragment AccessibleImage_accessibleImage on AccessibleURLImage {
  full
  altText
}

fragment AdvertWrapper_activeProductAdvert on ProductAdvert {
  id
  advertHandle
  destinationUrl
  sponsoringCompany {
    name
    id
  }
}

fragment AnonymousPaywall_viewer_2HyoJ4 on Viewer {
  webSubscriptions {
    defaultWebPlan {
      ...PremiumAccountPromotionPanel_webPaymentPlan_2HyoJ4
    }
  }
}

fragment AudioOnlyBanner_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  headerImage {
    ...ServerImage_image
  }
  title
}

fragment AuthorLinkWrapper_author on Author {
  slug
  isActive
}

fragment Avatar_image on URLImage {
  original
}

fragment BannerAdvert_activeProductAdvert on ProductAdvert {
  title
  description
  destinationUrl
  sponsoringCompany {
    name
    id
  }
  wideImage {
    ...AccessibleImage_accessibleImage
  }
  narrowImage {
    ...AccessibleImage_accessibleImage
  }
  ...AdvertWrapper_activeProductAdvert
}

fragment Block_block on ContentPieceBlock {
  __isContentPieceBlock: __typename
  __typename
  ... on TextBlock {
    id
    ...TextBlock_block
  }
  ... on ImageBlock {
    id
    ...ImageBlock_block
  }
  ... on QuoteBlock {
    id
    ...QuoteBlock_block
  }
}

fragment ContentAuthorAndMetadata_author on Author {
  id
  byline
  profilePicture {
    ...Avatar_image
  }
  ...AuthorLinkWrapper_author
}

fragment ContentDownloadBlock_authorization on Authorization {
  roles {
    isB2bUser
  }
}

fragment ContentDownloadBlock_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  ...DownloadContentDropdown_contentPiece
  ...LicenseContentButton_contentPiece
  isAvailableToProducts
}

fragment ContentFooter_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  id
  title
  deepLink
  canonicalLink
  slug
  hasChapters
  chapters {
    __typename
    id
    slug
  }
  mostRelevantTags(first: 30) {
    edges {
      node {
        __typename
        ...Tag_tag
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          id
        }
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    }
  }
}

fragment ContentHeaderDetails_authorization on Authorization {
  roles {
    isB2bUser
  }
}

fragment ContentHeaderDetails_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  ...ListenButton_contentPiece
  ...ContentPieceBookmarkIcon_contentPiece
  ...ContentDownloadBlock_contentPiece
  id
  title
  deepLink
  canonicalLink
  slug
  hasChapters
  chapters {
    __typename
    id
    slug
  }
}

fragment ContentHeader_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  ...DefaultContentHeader_contentPiece
  ...EvergreenContentHeader_contentPiece
  contentPieceType {
    name
  }
}

fragment ContentMetadata_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  consumptionTime
  dateUpdatedDisplay
  contentPieceType {
    isEvergreen
  }
  author {
    byline
    ...AuthorLinkWrapper_author
    id
  }
}

fragment ContentPieceBookmarkIcon_contentPiece on ContentPiece {
  id
  isBookmarked
  title
}

fragment ContentPieceSEO_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  title
  imageForSeo: headerImage {
    url: full
  }
  subtitle
  firstPublishedAt
  id
  ... on PublicContentPiece {
    globalContentPieceId
  }
  byline
  seoTitle
  searchDescription
  canonicalLink
}

fragment ContentPieceSponsor_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  sponsoringCompany {
    id
    name
    link
    logo {
      ...ServerImage_image
    }
  }
}

fragment DefaultContentHeader_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  ...ContentHeaderDetails_contentPiece
  ...AudioOnlyBanner_contentPiece
  ...ContentMetadata_contentPiece
  id
  title
  headerImage {
    ...ServerImage_image
  }
  author {
    ...AuthorLinkWrapper_author
    ...ContentAuthorAndMetadata_author
    id
  }
}

fragment DownloadContentDropdownContentPieceRefetch_viewer_1QxYRk on Viewer {
  contentPieceTranslation: contentPiece(slugOrId: $slugOrId) {
    __typename
    id
    title
    isAvailableToProducts
    blocks {
      __typename
      ...DownloadContentDropdown_blocks
      ... on Node {
        __isNode: __typename
        id
      }
    }
    keyInsightsBlocks {
      id
      ...DownloadContentDropdown_blocks
    }
  }
}

fragment DownloadContentDropdown_blocks on ContentPieceBlock {
  __isContentPieceBlock: __typename
  ... on TextBlock {
    textMarkdown
  }
}

fragment DownloadContentDropdown_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  localeMapping {
    languageCode
    contentPieceId
  }
}

fragment EvergreenContentHeader_authorization on Authorization {
  roles {
    isB2bUser
  }
}

fragment EvergreenContentHeader_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  ...ContentMetadata_contentPiece
  ...ListenButton_contentPiece
  ...ContentPieceSponsor_contentPiece
  ...ContentPieceBookmarkIcon_contentPiece
  ...ContentDownloadBlock_contentPiece
  canonicalLink
  id
  deepLink
  title
  slug
  hasChapters
  chapters {
    __typename
    id
    slug
  }
  headerImage {
    ...ServerImage_image
  }
}

fragment ImageBlock_block on ImageBlock {
  image {
    ...ServerImage_image
  }
  alt
  caption
  link
}

fragment KeyInsightsBlock_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  keyInsightsBlocks {
    id
    textMarkdown
  }
}

fragment KeyInsightsCarousel_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  keyInsightsBlocks {
    id
    textMarkdown
  }
}

fragment KeyInsights_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  ...KeyInsightsCarousel_contentPiece
  ...KeyInsightsBlock_contentPiece
  keyInsightsBlocks {
    id
    textMarkdown
  }
}

fragment LicenseContentButton_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  id
  title
  isAvailableToProducts
}

fragment ListenButton_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  id
  title
  trackingTitle
  subtitle
  readingTime
  isPremium
  hasBlocks
  hasChapters
  hasAudio
  contentPieceType {
    name
    trackingName
  }
  ...AudioOnlyBanner_contentPiece
}

fragment LoggedInPaywall_viewer_2HyoJ4 on Viewer {
  webSubscriptions {
    defaultWebPlan {
      ...PremiumAccountPromotionPanel_webPaymentPlan_2HyoJ4
    }
  }
}

fragment MainContentSection_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  ...ContentPieceSEO_contentPiece
  ...KeyInsights_contentPiece
  ...ContentHeader_contentPiece
  ...ContentFooter_contentPiece
  title
  headerImage {
    ...ServerImage_image
  }
  globalContentPieceId
  trackingTitle
  subtitle
  firstPublishedAt
  readingTime
  isPremium
  deepLink
  hasBlocks
  hasChapters
  hasAudio
  id
  canonicalLink
  byline
  contentPieceType {
    name
    trackingName
  }
  blocks {
    __typename
    ...Block_block
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      id
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  }
}

fragment MostPopularTags_tags on GenericTagConnection {
  edges {
    node {
      __typename
      ... on AssetClassTag {
        slug
      }
      ... on ContentTag {
        slug
      }
      ... on GeographyTag {
        slug
      }
      ...Tag_tag
      ... on Node {
        __isNode: __typename
        id
      }
    }
  }
}

fragment Navigation_authorization on Authorization {
  roles {
    isB2bUser
  }
}

fragment Navigation_tags on GenericTagConnection {
  ...MostPopularTags_tags
}

fragment PaywallBanner_contentPieceType on ContentPieceType {
  isAvailableForFreemium
}

fragment PaywallBanner_viewer_2HyoJ4 on Viewer {
  ...AnonymousPaywall_viewer_2HyoJ4
  ...LoggedInPaywall_viewer_2HyoJ4
}

fragment PremiumAccountPromotionPanel_webPaymentPlan_2HyoJ4 on WebPaymentPlan {
  amount
  currency
  currencySymbol
  interval
  promotionApplied(slug: $planSlug) {
    stripeDiscount {
      discountPct
      discountAmount
      id
    }
    id
  }
}

fragment QuoteBlock_block on QuoteBlock {
  quote
  caption
}

fragment ServerImage_image on URLImage {
  full
}

fragment SingleContentPiece_authorization on Authorization {
  ...authorization_authorization
  ...ContentHeaderDetails_authorization
  ...ContentDownloadBlock_authorization
  ...EvergreenContentHeader_authorization
  roles {
    isPreviewingContentAllowance
    isPreviewing
    isAnonymous
    hasPremiumSubscription
    isFreemium
  }
}

fragment SingleContentPiece_content on Content {
  ...authorization_content
  anonymousUserHasPremium
}

fragment SingleContentPiece_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  ...AudioOnlyBanner_contentPiece
  ...authorization_contentPiece
  ...MainContentSection_contentPiece
  globalContentPieceId
  trackingTitle
  isPremium
  hasBlocks
  hasChapters
  hasAudio
  contentPieceType {
    name
    trackingName
    isAvailableForFreemium
    ...PaywallBanner_contentPieceType
  }
  chapters {
    __typename
    id
    slug
  }
  sponsoringCompany {
    name
    id
  }
  activeProductAdvert {
    ...BannerAdvert_activeProductAdvert
    id
  }
}

fragment SingleContentPiece_viewer_4uP6yi on Viewer {
  ...PaywallBanner_viewer_2HyoJ4
  ...DownloadContentDropdownContentPieceRefetch_viewer_1QxYRk
  mostPopularTags(first: 10) {
    ...Navigation_tags
  }
  authorization {
    ...Navigation_authorization
  }
  features
}

fragment Tag_tag on GenericTag {
  __isGenericTag: __typename
  __typename
  ... on AssetClassTag {
    name
    slug
  }
  ... on GeographyTag {
    name
    slug
  }
  ... on ContentTag {
    name
    slug
  }
}

fragment TextBlock_block on TextBlock {
  textMarkdown
}

fragment authorization_authorization on Authorization {
  roles {
    isPreviewingContentAllowance
    isPreviewing
    isAnonymous
    hasPremiumSubscription
    isFreemium
  }
}

fragment authorization_content on Content {
  anonymousUserHasPremium
}

fragment authorization_contentPiece on ContentPieceInterface {
  __isContentPieceInterface: __typename
  isPremium
  contentPieceType {
    isAvailableForFreemium
  }
}


America’s Taking Steps To Lower Its Healthcare Bill

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