US launches investigation into Germany's pharma policies over drug pricing
Quick Look
- The U.S. has launched an investigation into Germany's pharma policies, citing "persistent underpayment" for medicines as Germany seeks to control rising healthcare costs.
- Trade Representative Jamieson Greer expressed concern over proposed legislation to reduce drug spending, calling it a "serious step backwards."
AI-generated summary
Why It Matters
The U.S. has initiated an investigation into Germany's pharmaceutical policies due to concerns over alleged "persistent underpayment" for medicines, as Germany aims to curb rising healthcare expenses.
The U.S. has launched an investigation into Germany's pharma policies over what it referred to as "persistent underpayment" for medicines as the European country looks to limit spiraling healthcare costs, including spending on drugs.
"President Trump has made clear that American patients should not be shouldering a disproportionate share of global pharmaceutical research and development," said U.S. Trade Representative Jamieson Greer in a statement late Thursday.
"I am particularly concerned with news that Germany is fast-tracking legislation that would further reduce its spending on innovative pharmaceuticals," he said, calling it "a serious step backwards."
In April, Germany proposed overhauling its health insurance system to reduce pressure on public finances, as health spending has increased substantially in recent years.
It introduced a range of cost-saving measures, including higher discounts for insurance funds from the pharma industry, prompting numerous drugmaker executives to warn that they might withdraw or delay new medicines in the country.
The draft legislation is currently going through parliamentary processes.
The U.S. investigation was initiated under Section 301 of the Trade Act, which allows unilateral action against countries with unfair practises that burden U.S. commerce.
Greer said that U.S. trading partners must pay their fair share to fund research into new medicines, and that the investigations come after months of discussion with German partners.
The Trump administration last year introduced the so-called Most Favored Nation drug policy, or MFN, that ties the prices of medicines in the U.S. to lower ones abroad.
The German Health Ministry didn't immediately respond to a request for comment.
What to Watch
AI outlook — possibilities, not facts
US may impose trade sanctions on Germany if negotiations fail.
Possible · Medium term
Open Questions
- Will Germany proceed with its proposed legislation?
- What specific actions might the U.S. take?
- How will pharmaceutical companies respond?






