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this post was submitted on 07 Dec 2023
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The USA can do quite a lot via trade deals, but what you're suggesting actually goes a lot further than what I had in mind to force other countries to pay more for drugs rather than simply reaping the benefits of American spending. Since the majority of drug profits come from the USA, drug companies would drop low-paying foreign markets rather than reduce American prices. This would simply lock out poor countries that can't pay more than they do (maybe you would make an exception for them) but as long as the USA also enforced treaties protecting American patents, wealthy Europeans would have little choice except to pay their fair share.
(I think actually doing all that would be a major international-relations blowup, with a lot of retaliation by countries exporting to the USA. I'm also not sure it would be legal in the context of existing treaties. But it would get the job done...)
Other countries dont need to pay more for drugs. Pharma companies are taking advantage of Americans, having tax dollars fund research and then chsrging exorbitant prices to those same taxpayers.