Medicare isnt immune to the trend: Medications provided under Part D made up 14% of Medicare spending in 2014, up from 11% in 2006. For beneficiaries, that means rising coinsurance, co-payments, and deductibles for prescriptions . According to a recent Kaiser Family Foundation poll, 77% of Americans consider prescription drug costs unreasonable. How Washington can help: Most developed countries have a national health system, with governments using their purchasing power to negotiate with pharmaceutical companies. The upshot: lower drug prices. Yet federal law prohibits the U.S. government from dealing directly with drugmakers on behalf of Medicare recipients. Opening that door would give pharma an incentive to price products more competitively, experts say. On the campaign trail, candidate Donald Trump backed this longtime Democratic proposal.
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