BTW, I should have mentioned this earlier, but lest "Trumpeteers" get on their "high horses" about the last provision of Mr. Trump's healthcare ideas about how great the idea is in principle, and it is a good idea in principle that I'd like to see come to fruition, it's just that Mr. Trump has not well enough "fleshed out" how he envisions its implementation, please note that
the basic idea is precisely what Mr. Obama sought to include among the ACA provisions, but could not get it through.
Nevermind that Medicare cannot negotiate lower prices due to
the "noninterference" clause in Medicare Part D. That clause essentially prohibits the government from using its buying power to negotiate lower drug prices. The Obama Administration tried to
dispense with that clause, but could not due to the lobbying efforts of "Big Pharma."
There are alternatives under consideration.
Buying some medications outside the U.S:
Another thing that I suspect many Americans don't realize is just how inexpensive drugs can be. I think they don't realize this because most Americans never leave the country long enough to have occasion to buy them or an alternative drug or homeopathic alternative while in a foreign country. I work in the PRC a lot, so much that I'm there more than I'm in the U.S. There are all manners of palliative treatments they have there that one can buy over the counter and that work.
For example, I can say that I surely think they've found what amounts to a cure for the common cold. I got a cold there last year and went to the corner drugstore. They gave me something -- I have no idea what it was -- and by the end of the day, I was fine. I realize that whatever it was truly only addressed the symptoms of the cold, but it beat the pants off of everything we have at the local CVS. I didn't see anything like Nyquil or Robitussin over there....then again, I can't read Mandarin, so maybe they do have that too. They have "social" drugs -- Viagra, and stuff like it -- and routine pain killers and so on, just like we do too. All of it is ten times cheaper than what we pay in the U.S.
Also, you can be sure that the Chinese government and pharmaceutical producers and merchants are just as concerned about drug safety as is the FDA, especially re: over the counter medicine....they have to be...the government can put down a rebellion in Tiananmen Square, but it can't have literally hundreds of millions of people pissed off and in public revolt over unsafe drugs.
Producers technically can "half step" on safety if they want to, I suppose, but their sales will plummet if they do. Remember, at the heart of nearly every Chinese consumer goods marketing strategy is the dependence not on high price, but on high volume. (~110M people in China are middle class.) Chinese people are culturally skeptical, risk averse and superstitious; word spreads quickly, and once it does, "that's it" for the merchant/maker. The Chinese people and government are many things, but stupid isn't among them.
FWIW, I haven't purchased over the counter meds anywhere other than the U.S., China (Shenzhen, Shanghai, Beijing, Dalian), Western Europe (London and Paris) and Canada (Montreal, Vancouver, and Toronto). OTC stuff in Western Europe I think is pricier than in the U.S....it's been a while since I needed any. Prescription meds may be cheaper; I don't know for I've not ever needed any. I've never gone to a doctor or hospital overseas.