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Demanding pricing concessions from 17 leading manufacturers in July 2025, President Trump outlined a strategy whereby pharmaceutical companies would have to provide MFN prices for every Medicaid patient, and stipulate that they would not offer other developed countries lower prices for new drugs than those charged in the US

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However, given the patients rapidly deteriorating general condition, altered consciousness, tachypnea, and respiratory muscle fatigue, a decision was made to transfer him to the intensive care unit, where continuous veno-venous hemodiafiltration (CVVHDF) therapy was immediately initiated and continued for 48 hours with gradual resolution of acidosis symptoms and normalization of blood gas parameters