> Negotiation with the government is also done in Australia. The drug is not banned here though if there's no agreement. It's just not publicly funded.

A tariff isn't a ban either. Imposing a tariff and eliminating a subsidy are both just ways of reducing a foreign drug maker's sales in a local market by making the product more expensive.

Fundamentally, neither Australia nor the U.S. can force companies located in Switzerland or Denmark to sell them drugs at a particular rate. The only leverage they have is hurting drug maker's sales by reducing the demand in the local market.

> You understand the US is the most expensive place in the world for medicine right... If you don't change your strategy this won't change.

The executive negotiating with drug manufacturers is a dramatic change in strategy from what the U.S. has done before.