it does nothing to affect existing contracts with private insurance, or even government medicade. it's business as usual.
The president only has some power to affect pricing for Medicare through the existing Inflation reduction act which was for government paid Medicare only. But even then these changes would only be a short trial, and not perminant.
Trump can't tell the private market what they pay for drugs, he can't even tell government paid medicaid what they pay for drugs, not without congress approval.
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