[kenhwang]

The US negotiating as a block would be the logical solution. And the US sorta does, between the megasized insurance companies and Medicare, it's not a single block, but it's far from nothing. But the US isn't going to bankrupt a US company over it. So then it becomes a nation-nation negotiation via trade pacts (which are happening, much to Europe's annoyance).

Pharma is just a zero sum game; for the US to win, someone has to lose.