It was an action -packed week in America that ended with a government closure when Democrats and Republicans did not come to a compromise on the benefits for health care.
But despite what you heard of the regular media, that was not the big story of the health care of the week. It was this: on Tuesday the Trump government reached a deal with Pfizer to reduce the costs of drugs for Americans, in which decades were reversed unfair prices in which American patients paid up to four times more than Europeans for drugs developed in our own country.
Trump says ‘real chance of quantity’ when Netanyahu White House -meeting looms up for Gaza interviews
Pfizer agreed not to launch new drugs at a higher price in the US than in other rich countries. It also agreed to sell medication to Medicaid at lower prices and to sell medicines with a discount to Americans without insurance.
The deal means a huge exemption for Americans who live salary as a paycheck, who can expect to pay hundreds of dollars less per month for life -saving drugs.
As head of health and human services Robert F. Kennedy, Jr. said: “No family may ever be forced to choose between filling a recipe and putting food on the table.”
Health and Human Services Secretary Robert F. Kennedy Jr. speaks with Dr. Mehmet Oz (r) Before he waves him during a ceremony in the Oval Office in the White House in the White House in the White House on April 18, 2025 in Washington. ((Photo by Tiziana Fabi/AFP via Getty images))
Lowering the costs of drugs is something that every Democrat has promised for years – and nobody did it. It was President Trump, a Republican who did it. That is last week’s real story, not whether the Democrats or Republicans are to blame for the closure, but the fact that Trump has stolen another characteristic issue from under the noses of the Democrats to deliver for Americans in the working class.
So how did he manage?
Trump ignored the experts who insisted that health care is the bag of the Democrats.
He used rates to create an incentive for Pfizer to start healing the production of medicines again and to demand that other countries have more of the burden. And Trump changed the rules of the market to tailor the interests of a private company to those of his consumers.
And he called both RFK Jr. as Dr. Mehmet Oz, the federal manager of the Centers for Medicare & Medicaid Services, ruthless, at all hours of the day and night, demanded that they make progress.
These are the three characteristic movements that define the deal approach of Trump:
- Ignore conventional wisdom
- Identify and identify of– the interests of the two warring sides
- Be tenacious but agile, not afraid to turn if a better offer occurs
To ignore. Align. Play the long game.
Trump not only uses this characteristic deal playbook for domestic policy. It is how he also navigated through conflicts all over the world, as he did this week.
On Monday, Trump welcomed the Israeli Prime Minister Benjamin Netanyahu in the White House with a single goal in mind: Netanyahu and the Gulf Arab States that endorse Hamas to sign a 21-point peace plan to end the war in Gaza. This was no easy task. Netanyahu has consistently opposed calls to end the war before Hamas is completely eliminated, and the Arab states were united in their anger after Israel bombed Qatar last month.
And yet Trump managed to have both the plan signed that, if Hamas agrees, the immediate release of all remaining hostages would see an end to the hostilities and a plan for the radicalization of the Gaza Strip.
Again, he used the three -fold approach: ignore the experts, identify with the interests of both parties and play the long game, runs when needed.
Trump ignored the conventional wisdom of the center east that the fight is about conflicting values. Instead of choosing a side, Trump has been proud, openly pro-Israel, while he also made a tour early in his second term by the Gulf Arab States, which trillions of dollars in the US investments protected from the VAE, Saudi Arabia and Qatar. In addition, he did the basis that was needed to prove to those countries that he had their best interests in heart and soul – because they were now interwoven with our interests with our interests.
This was step two: he convinced both The Israelis And The Arabs that he understood their interests, identified with them and would not betray them because it would mean that they betray the US and protect the trust of the Israelis for ten years, forced Trump Netanyahu to call Qatar and apologize for the bombing. Trump also signed an executive order that the American dedication to Qatar with security guarantees upgrade, indicating that he was serious about the rule of the Israelis.
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What is amazing is that this would not have been possible without Israel’s bombing of Qatar. Seen on a large scale by the conventional wisdom as a “precious failure” of Israel’s side, the Trump -Negotding Team saw it as the opposite – an opportunity. Steve Witkoff and Jared Kushner saw the crisis as a lever to end the war, Sources told Axios.
They noted: “The Arabs spoke with one voice” to shout at Israel, a Trump adviser who is familiar with the discussions told Axios. “It became clear, especially for [Witkoff]That this rally crying that seemed negative in the beginning could be converted something positive. “
Ignore the experts. Turn off the interests. Play the long game and turn when needed.
If Hamas accepts the deal, history will be closed thanks to a president who understands the art of the deal if no one else, in the Interior Front and the International Front.
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