Prescription drug prices have emerged as a major issue on the national political agenda. Both Republicans and Democrats in Congress have drafted legislation targeting different aspects of the complex pharmacy pricing system. What policy alternatives are out there to reduce these costs?

Healthcare reform is one of the few issues that consistently unites Americans in frustration. Nearly half of Americans report struggling to afford healthcare. Premiums continue to rise faster than wages. Navigating insurance, whether through private employer-based plans, state public plans, or Medicare and Medicaid, can be a time-consuming and confusing process. At the same time, federal, state, and local healthcare spending is increasing rapidly and now accounts for a substantial share of government budgets.

Many Americans believe they pay far more for prescription drugs than people in other developed countries. As the 2026 midterm elections approach, proposals to reduce drug prices are high on Congress’s agenda.