> Trump and his negotiators are not remotely interested in fixing problems globally, they're fixing their own vision of internal problems. Look at their pharma

> Trump and his negotiators are not remotely interested in fixing problems globally, they're fixing their own vision of internal problems. Look at their pharma complaints. Pharma companies (many of which are American, but far from all) develop new drugs. In single payer systems, these behemoths have to go against state managed insurance systems, which generally set specific rules for purchasing (maximum price, etc). As these pharma companies WANT to sell in all the markets they can, they accept these rules. As a result, drugs made by them cost, let's say, $100 in those countries. In the US, where pharma companies are still behemoths, they can divide et impera insurance companies, so pharma companies pretty much impose their prices, leading to absurd stuff like fancier insulin costing $1000. Now, instead of working to reduce costs in the US, too, Trump & co want to INCREASE the cost of these drugs globally.