Drug war: Trump takes on big pharma

毒品战争:特朗普挑战大型制药企业

The Intelligence from The Economist

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2025-05-15

25 分钟
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Drugs in America often cost more than three times as much as those elsewhere. But Donald Trump's plan to cut prescription costs and impose tariffs may have unintended consequences for consumers. Inside North Korea's crypto-heist: from hermit kingdom to hacking kingdom (10:45). And remembering Alvaro Mangino, who survived the 1972 Andes air crash (18:39). Listen to what matters most, from global politics and business to science and technology—Subscribe to Economist Podcasts+
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  • The Economist Hello and welcome to The Intelligence from The Economist.

  • I'm your host, Rosie Bloor.

  • Every weekday we provide a fresh perspective on the events shaping your world.

  • Earlier this year, North Koreans stole $1.5 billion worth of cryptocurrency.

  • in one of the most extraordinary heists in history.

  • Our correspondent explains how the Hermit Kingdom became the Hacking Kingdom.

  • And Alvaro Mangino was one of 16 people who survived a plane crash in the Andes in 1972.

  • We recount that incredible story and remember his life.

  • But first,

  • you may have noticed that Donald Trump has been quite disruptive in the past few months.

  • Sector after sector has faced upheaval and uncertainty.

  • Now under scrutiny is Big Pharma.

  • Mass layoffs at the FDA are causing major delays in drug development.

  • Layoffs demanded by the so-called Department of Government Efficiency have hit the agencies that approve new medicines.

  • The Secretary of Health and Human Services is a vaccine skeptic.

  • Vaccines are exempt from pre-licensing placebo-controlled trials so that there's no way that anybody can tell the risk profile of those products or even the relative benefits.

  • And on Monday, Donald Trump issued an executive order.

  • Drug companies must cut the price of medications in America to the lowest level they charge in other rich countries.

  • Sounds great for consumers, but things aren't quite that simple.

  • On average,