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Report  |  April 2026

Who Really Pays for Price Setting? America’s Retirees

By Nam D. Pham, Ph.D.

Everyday Americans own over 80% of the biopharma industry – making its long- term growth central to their economic security. Government price-setting policies, like the Most Favored Nations policy, would trigger major losses in the U.S. capital markets and economic growth, including:

  • Wiping out nearly $886 billion in equity market value of U.S. companies.
  • Reducing the supply of U.S. investment-grade corporate bonds by $60 billion.
  • Cutting $46 billion in annual returns on public pension funds – a $1,267 (11%) decrease a year – for 36 million Americans.

The full negative financial impacts would be even larger after taking into account the effects on individually held 401(k) accounts, IRAs, and brokerage accounts.