U.S. Secretary of Commerce Explains How the Administration Brought Down GLP-1 Prices in the U.S.

Tell me Lutnick and Trump don’t understand how the Most Favored Nation rule works without telling me they don’t know how it works.

It functions to lower drug prices for Medicare and Medicaid patients where the drug is a covered benefit. Many Medicaid plans have discontinued coverage of Wegovy and Zepbound in 2026, so it won’t help those patients.

And MFN doesn’t decrease private/commercial insurance and cash pay patients. To the contrary, MFN often results in cost shifting, where the manufacturers make up the loss from Medicare and Medicaid by INCREASING cost to private/commercial and cash pay patients.

We need legislation that caps what PBMs can charge at the MFN price. But that will never happen.
 
Tell me Lutnick and Trump don’t understand how the Most Favored Nation rule works without telling me they don’t know how it works.

It functions to lower drug prices for Medicare and Medicaid patients where the drug is a covered benefit. Many Medicaid plans have discontinued coverage of Wegovy and Zepbound in 2026, so it won’t help those patients.

And MFN doesn’t decrease private/commercial insurance and cash pay patients. To the contrary, MFN often results in cost shifting, where the manufacturers make up the loss from Medicare and Medicaid by INCREASING cost to private/commercial and cash pay patients.

We need legislation that caps what PBMs can charge at the MFN price. But that will never happen.
I don’t understand the MFN, and don’t care to. My first point is that the US taxpayer contributes to the research of these drugs more than anyone, so we deserve to get it cheaper than any other country. My next point is that Medicaid shouldn’t be paying for anything as optional as GLPs. It’s not an earned benefit. It’s a handout. When you give things to one group of people, it makes them more expensive to people who actually contribute through simple supply and demand.

A few months ago, when SNAP was cut off, I saw the best deals of my life in grocery stores because the only people spending money were the ones who were paying with their own money.

The entire healthcare industry in the US is overpriced and underperformed. The problem is there are powerful people that want you to be fat, and weak. This is why you can fill an opioid prescription for 43 cents, but a weight loss drug cost several hundred dollars. Or why you can get estrogen for basically free, but you need to be ridiculously low to even be considered for testosterone. Why states will tell the feds to pound sand and decriminalize marijuana, but won’t do anything to decriminalize certain firearms.

They want a passive and weak citizenry.
 
I don’t understand the MFN, and don’t care to. My first point is that the US taxpayer contributes to the research of these drugs more than anyone, so we deserve to get it cheaper than any other country. My next point is that Medicaid shouldn’t be paying for anything as optional as GLPs. It’s not an earned benefit. It’s a handout. When you give things to one group of people, it makes them more expensive to people who actually contribute through simple supply and demand.

A few months ago, when SNAP was cut off, I saw the best deals of my life in grocery stores because the only people spending money were the ones who were paying with their own money.

The entire healthcare industry in the US is overpriced and underperformed. The problem is there are powerful people that want you to be fat, and weak. This is why you can fill an opioid prescription for 43 cents, but a weight loss drug cost several hundred dollars. Or why you can get estrogen for basically free, but you need to be ridiculously low to even be considered for testosterone. Why states will tell the feds to pound sand and decriminalize marijuana, but won’t do anything to decriminalize certain firearms.

They want a passive and weak citizenry.
"My next point is that Medicaid shouldn’t be paying for anything as optional as GLPs."


Very silly take. You'd rather person gets diabetic, has their kidneys go out, and then medicaid must pay for dialysis vs paying for easy prevention up front for a small fraction of the cost of the diabetes and dialysis care that is not optional?
 
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