Countries with universal healthcare systems have stronger bargaining power, which has allowed them to effectively negotiate lower drug prices.

U.S. President Donald Trump signed a broad executive order on Monday directing drugmakers to lower the prices of their prescription drugs to align with what other countries pay. The order said the Trump administration will give drugmakers price targets within a month and,

President Trump on Monday called on drugmakers to lower their prices within the next month to be closer to those charged in other high-income countries, threatening to subject them to steep caps on how much they can earn from Medicare if they fail to do so.