Because I have been following this for so long
and especially having worked in a HHS agency or 30+ years and with the U.S. having negotiated prices for years for the military (TRICARE), it has been common knowledge that the U.S. has been paying excessive prices for forever.
I.e., as an easy example - "insulin", capped at $35 per the IRA. From here - https://www.visualcapitalist.com/cp/rising-cost-of-insulin-us/
This expands the countries - https://www.visualcapitalist.com/cost-of-insulin-by-country/
This was point. We are still "subsidizing the world" but I'll definitely take what we can get.
What the ultimate goal is from the WH, is to put that cap in place for ALL.
What it basically establishes is "greedflation" but what Biden-Harris have done is to slash it, while exposing and highlighting that greed factor (one of the party planks is tackling "greedflation" ). The next step is for this price cut to happen for everyone needing it who are under 65.