Dear President Trump:
On behalf of the undersigned federal and state-based organizations, we write to express our grave concerns with the “most favored nation” (MFN) executive order to impose foreign price controls on American medicines.
This proposal will impose an “International Pricing Index” on drugs in Medicare Part B, tying the U.S. prices for these medicines to the prices in foreign countries, most of which have government-set prices established in socialized medicine systems.
Adopting these price controls will slow medical innovation, threaten American jobs, and undermine criticism of single-payer systems. In addition, a United States embrace of price controls will make it immeasurably more difficult to get foreign countries to pay their own way in the development of new medicines.
Your administration has repeatedly stood strong against a government-takeover of healthcare. In fact, in your 2020 State of the Union Address, you promised that “we will never let socialism destroy American health care.”
We applaud your strong stance – socialized healthcare policies proposed by some leading presidential candidates would require trillions of dollars in tax increases, would destroy medical progress, and would end healthcare plans used by 180 million Americans.
Unfortunately, an MFN policy would adopt the same socialist healthcare policies that you have promised to fight against.
Not only does this undermine the broader effort to fight against the government takeover of health care, it will also have disastrous consequences to the economy and healthcare system.
The U.S. is the best in the world when it comes to developing innovative, lifesaving and life preserving medicines. Because of this, the U.S. is leading the way when it comes to developing COVID-19 vaccines, with several promising candidates entering the final stages of testing and clinical trials.
In contrast, foreign countries have been free riding off this American medical innovation for decades through crushing price controls and other market-distorting government rules and regulations.
Adopting foreign price controls will result in the same negative outcomes to our healthcare system as those overseas—less medical innovation leading to fewer cures and healthcare shortages for American patients.
Adopting price controls through an MFN will also harm the U.S. economy because of a decline in American research and development. Medical innovation directly or indirectly supports 4 million jobs and $1.1 trillion in total economic impact, which will be threatened by importing price controls.
An MFN does nothing to fight foreign free riding of American innovation. Although supporters of MFN have claimed the concept will incentivize manufacturers to negotiate better deals, this theory is based on the flawed assumption that American manufacturers were not fighting as hard as they could against foreign price controls in past years. In addition, an American adoption of these same policies renders any future criticism of them incredibly challenging.
Moving forward, we need policies that further encourage American innovation through tax and trade policies, such as renegotiated trade deals, a competitive business tax system and a more competitive environment.
As President, you have championed vital changes in tax and regulatory policies that have allowed free market innovation to flourish. We believe a market-based approach like those that your administration has consistently supported in other policy areas will lead to economic growth and promising new treatments but adopting price controls through the MFN plan would undermine rather than build on those successes. In short, if the MFN executive order is implemented it will have disastrous consequences for both American healthcare and the American economy.
President, Americans for Tax Reform
Saulius “Saul” Anuzis
President, 60 Plus Association
Founder/Chairman, 60 Plus
Leader, Alabama Center-Right
Executive Director, Alaska Policy
President, American Commitment
Executive Director, American
President, Americans for a
President, Americans for Limited
Brent Wm. Gardner
Chief Government Affairs Officer,
Americans for Prosperity
Lisa B. Nelson
President, ALEC Action
Chair, Annapolis Center-Right
Coalition Meeting (Maryland)
President and CEO, The Buckeye Institute
Rabbi Aryeh Spero
President, Caucus for America
President, Center for a Free Economy
Andrew F. Quinlan
President, Center for Freedom and Prosperity
President, Center for Individual Freedom
Executive Director, Center for Innovation and Free Enterprise
President, Center for Medicine in the Public Interest
President, Center of the American Experiment
President, Citizens Against Government Waste
CEO, Citizens Alliance of Pennsylvania
President & CEO, Civitas Institute
President, Colorado Issues Coalition
Senior Fellow, Competitive Enterprise Institute
Executive Director, Conservatives for Property Rights
President, Consumer Action for a Strong Economy
Health Economist/Managing Director, Consumer Choice Center
Deputy Director, Consumer Choice Center
President, Council for Affordable Health Coverage
Executive Director, Digital Liberty
President, Ethan Allen Institute
CEO, Freedom Foundation of Minnesota
President, Frontiers of Freedom
President, Galen Institute
(organization listed for affiliation purposes only)
Chairman, Granite State Taxpayers
Director of Healthcare Policy, Goldwater Institute
Mario H. Lopez
President, Hispanic Leadership Fund
President, Independent Women’s Forum
Heather R. Higgins
CEO, Independent Women’s Voice
President, Institute for Liberty
President, Institute for Policy Innovation
Vice President of Policy, James Madison Institute
Amy Oliver Cooke
CEO, John Locke Foundation
President, Josiah Bartlett Center for Public Policy
President, Less Government
Immediate Past Chairman, Lisle Township Republican Organization
Director, Lone Star Policy Institute
Vice President for Strategic Outreach, Mackinac Center for Public Policy
President, The John K. MacIver Institute for Public Policy
President, Maine Policy Institute
President, Market Institute
President, Maryland Taxpayers Association, Inc
Spokesman, Michigan Tea Party Alliance
Jameson Taylor, Ph.D.
Vice President for Policy, Mississippi Center for Public Policy
Chair, Missouri Center-Right Coalition
Fmr. Speaker, Missouri House
David A. Ridenour
President, National Center for Public Policy Research
Chairman, National Liberty Federation
President, National Taxpayers Union
President, Nevada Policy Research Institute
Founder, Ohio Taxpayers Association
Executive Director, Ohioans for Tax Reform
President and CEO, Pacific Research Institute
President & CEO, Palmetto Promise Institute
Chief Executive Officer, Pelican Institute for Public Policy
President, Phyllis Schlafly Eagles
Executive Director, Property Rights Alliance
Member, Project 21
Paul J. Gessing
President, Rio Grande Foundation
President & CEO, Roughrider Policy Center
James L. Setterlund
Executive Director, Shareholder Advocacy Forum
President & CEO, Small Business & Entrepreneurship Council
Paul E. Vallely, Major General, US Army (ret)
Chairman, Stand Up America US Foundation
Chair, Tallahassee Center-Right Coalition
President, Taxpayers Protection Alliance
Executive Director, Trade Alliance to Promote Prosperity
C. Preston Noell III
President, Tradition, Family, Property, Inc.
President, Virginia Institute for Public Policy