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'We Are Being Held to Ransom': Trump-Starmer Deal Would Force NHS to Pay More for Medicines
One British lawmaker condemned the agreement as "a Trump shakedown of the NHS."
Dec 01, 2025
The government of British Prime Minister Keir Starmer faced swift backlash on Monday after the Trump administration announced a deal under which the United Kingdom's prized National Health Service would pay higher prices for new medicines in exchange for tariff exemptions.
The agreement in principle, outlined in a statement by the Office of the United States Trade Representative, was seen by UK lawmakers and advocacy groups as a gross capitulation to US President Donald Trump and the pharmaceutical industry that would harm the NHS and British patients for years to come.
"Giving in to Big Pharma’s demands to hike the price of medicines spells disaster for our NHS, and for the lives of ordinary people," said Global Justice Now, a UK-based group. "We are being held to ransom. Our government must stand up to Big Pharma and for our NHS by reversing course."
Under the three-year deal, the NHS would boost the net price it pays for new pharmaceutical drugs, many of which emerge from the US, by 25%—a change that's expected to cost British taxpayers roughly £3 billion. In return, Trump has agreed not to impose tariffs on UK pharmaceuticals.
Helen Morgan, the Liberal Democrat MP for North Shropshire, denounced the new agreement as "a Trump shakedown of the NHS." As evidence, she pointed to US Health and Human Services Secretary Robert F. Kennedy Jr.'s celebration of the bilateral deal.
"It cannot go ahead," said Morgan. "RFK Jr. has put it in black and white: Trump demanded these pay rises to put Americans first, and our government rolled over. Patients stuck on crammed hospital corridors, or unable to get an ambulance, won’t forget it."
"The British people didn’t vote for this," Morgan added. "The government must put this agreement to a vote in parliament.”
Andrew Hill, a visiting health economics researcher at the University of Liverpool, similarly criticized the deal.
“The UK hasn’t benefited from this at all, but we’re having to pay all this extra money," said Hill. "More money spent on drugs means less money spent on ambulances, doctors, nurses, simple health interventions."
In addition to facing the threat of Trump tariffs, the UK government was under pressure from the powerful pharmaceutical industry to jack up NHS drug spending. The Guardian reported in September that "big pharmaceutical companies have ditched or paused nearly £2 billion in planned UK investments so far this year" as the firms "accused the government of not spending enough on new medicines."
Survey data released just ahead of Monday's deal announcement shows that 64% of the British public is opposed to the NHS paying higher prices for medicines.
"This is a betrayal of NHS patients," said Diarmaid McDonald, executive director of the advocacy group Just Treatment. "Big Pharma have got what they want. Donald Trump has got what he wants. In the face of their coordinated threats, the government has folded and thousands of patients will pay for this with their lives, as precious funds get stripped from other parts of the health service to line the pockets of rich pharmaceutical execs."
"MPs need to urgently hold the government to account," McDonald added, "and demand they publish the evidence showing the impact of this catastrophic move.”
"This outrageous giveaway to Big Pharma does nothing to lower prices in the United States. It only hurts UK patients."
Asked at a Monday press briefing if the deal would actually benefit US patients and consumers, as the Trump administration has claimed, or if the alleged revenue generated by the agreement would just be "sucked up" by the drug companies, White House Press Secretary Karoline Leavitt did not have an immediate answer.
"I'm going to be honest with you, Ed," Leavitt told the reporter: "I'll get you an answer to that question after the briefing."
Peter Maybarduk, Public Citizen’s Access to Medicines director, argued in a statement that the agreement wouldn't help Americans or Britons.
" Drug prices are far too high everywhere, including in the UK, backed by patent monopolies and contributing to rationing and preventable suffering," said Maybarduk. "This outrageous giveaway to Big Pharma does nothing to lower prices in the United States. It only hurts UK patients while distracting from the serious action needed at home to hold Pharma accountable and make medicine affordable and available for all.”
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Biden-Era Law That Trump Has Attacked Delivers Price Cuts for 15 More Drugs Under Medicare
"Medicare drug price negotiation is about to deliver tangible lower costs to seniors in Medicare, unlike Trump’s ceremonial events with Big Pharma CEOs in the Oval Office," said one Democratic senator.
Nov 26, 2025
The Trump administration on Tuesday announced newly negotiated prices for more than a dozen prescription drugs covered by Medicare, an achievement made possible by a Biden-era law that has faced relentless attacks from the pharmaceutical industry, GOP lawmakers, and the Republican president.
The announcement marks the end of the second round of Medicare drug price negotiations required under the Inflation Reduction Act (IRA), a measure passed in 2022 without the support of a single Republican in Congress. Last year, House GOP leaders said the law was "disastrous" and decried what they called "the mandate from bureaucrats to artificially set prescription drug prices."
The new list contains 15 drugs, including the diabetes and weight loss medication Ozempic, the breast cancer drug Ibrance, and the prostate cancer drug Xtandi. The Centers for Medicare & Medicaid Services (CMS) estimated that if the new prices—which take effect in 2027—had been in effect last year, Medicare would have saved $12 billion.
President Donald Trump campaigned on rolling back the IRA, which for the first time allowed Medicare to negotiate drug prices directly with pharmaceutical companies. Since taking office, Trump has taken steps to weaken the law, including by signing a measure that will exempt certain high-priced drugs from Medicare negotiations—a multibillion-dollar handout to Big Pharma.
But in statements on Tuesday, Trump-appointed officials hailed the newly negotiated prices. Robert F. Kennedy Jr., secretary of the Health and Human Services Department, said the negotiation results stemmed from a Trump directive to "stop at nothing to lower healthcare costs for the American people."
CMS Administrator Mehmet Oz declared that the second round of negotiations was more successful than the first, which was held under the Biden administration. Experts said that claim is specious at best.
Democratic lawmakers were quick to highlight Republican opposition to the IRA, and continued attacks on the law, in response to the newly negotiated prices.
"Democrats took on Big Pharma by giving Medicare the power to negotiate on behalf of the tens of millions of seniors that want lower drug prices while every Republican voted against it,” said Sen. Ron Wyden (D-Ore.), the top Democrat on the Senate Finance Committee. “Today’s announcement is a result of that effort by Democrats to lower health costs for older Americans."
"Medicare drug price negotiation is about to deliver tangible lower costs to seniors in Medicare, unlike Trump’s ceremonial events with Big Pharma CEOs in the Oval Office," Wyden added. "Republicans neutered future Medicare drug price negotiations by adding delays and exemptions to some of the most expensive drugs, especially cancer drugs like Keytruda."
Tuesday's announcement came less than a week after the pharmaceutical industry suffered its 16th defeat in court as it continues its legal campaign against the Medicare price negotiations. The industry is also lobbying aggressively in support of legislation that would further weaken the IRA price-negotiation provisions.
"Drug corporations already secured a $9 billion giveaway from President Trump and congressional Republicans paid for by taxpayers and cancer patients through the Big Ugly Bill, and they are trying to go even further to delay and exempt price negotiations for more blockbuster drugs," said Steve Knievel, access to medicines advocate at Public Citizen.
"Policymakers must reject these efforts to undermine Medicare drug price negotiations," Knievel added. "Instead they should build on the program’s success by providing everyone access to negotiated prices, negotiating lower prices for more drugs sooner, and ensuring drug corporations can no longer rip us off by charging the highest prices in the world for medications."
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Big Pharma Army of 500 Lobbyists Is Coming for Medicare Prescription Drug Negotiations, Watchdog Warns
Lobbyists working to pass Pharma-backed legislation currently outnumber lobbyists working to oppose it by more than 20-to-1, estimates Public Citizen.
Nov 19, 2025
Government watchdog Public Citizen is warning that the pharmaceutical industry is preparing an all-out blitz aimed at sabotaging government efforts to negotiate lower prices for prescription drugs.
In a report released on Wednesday, Public Citizen said it found that the major pharmaceutical companies this year have hired more than 500 lobbyists to push for the passage of three pieces of legislation that would undermine the provisions allowing the government to negotiate lower drug prices contained in the 2022 Inflation Reduction Act.
The first piece, called the ORPHAN Cures Act, was passed by Congress in July after being stuffed into the One Big Beautiful Bill Act. According to Public Citizen, the law will "delay and exempt some of the most profitable drugs—including cancer treatments—from negotiations, representing tens of billions in annual Medicare spending."
The other two pieces of legislation—the EPIC Act and the MINI Act—have not yet been passed, and Public Citizen says that they "would lengthen the already long delay period before small molecule drugs are eligible for negotiation—effectively excluding many medicines from negotiations entirely or shortening the period patients have access to lower negotiated prices to only one or two years."
Public Citizen estimates that there are currently 501 lobbyists who are pushing to pass these laws, while just 24 lobbyists are working to block their passage. In total, notes Public Citizen, this means opponents of the legislation are outnumbered by a ratio of more than 20-to-1.
Steve Knievel, Public Citizen's access to medicines advocate, called on elected representatives to "reject the demands of pharma lobbyists and instead work to make prescription drugs more affordable" for their constituents.
"Instead of handing drug corporations billions of dollars by helping them evade price negotiations," Knievel said, "Congress should pass legislation to empower Medicare to negotiate lower drug prices on all costly medicines and allow all patients to access lower, negotiated prices, even if they don’t have Medicare."
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