4. If Trump is reelected, but Democrats control Congress
In this scenario, Trump may refuse to collaborate with Democrats. Despite prior calls for bipartisanship, Trump has frequently demonized his enemies.
But it is also possible that Trump and Democrats could forge an unlikely healthcare alliance. “Trump is pretty far left when it comes to drug pricing,” Caliendo concluded. Trump’s drug-pricing executive orders are rooted more in populism than prior Republican presidents. And there could be a political penalty for vetoing legislation that promises to help improve drug access to millions of Americans. After all, nearly 30% of Americans are not taking medicines as prescribed owing to high costs, according to the Kaiser Family Foundation.