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Sen. Bernie Sanders (I-Vt.) and Reps. Ro Khanna, (D-Calif.), Lloyd Doggett (D-Texas), Peter Welch (D-Vt.), and Cori Bush (D-Mo.), along with more than two dozen colleagues, on Tuesday introduced sweeping legislation to drastically reduce the cost of prescription drugs in the United States.
The package of bills includes: The Prescription Drug Price Relief Act to peg the price of prescription drugs in the United States to the median price in Canada, the United Kingdom, France, Germany and Japan; The Medicare Drug Price Negotiation Act to direct the Secretary of Health and Human Services to negotiate lower prices for prescription drugs under Medicare Part D; and The Affordable and Safe Prescription Drug Importation Act to allow patients, pharmacists and wholesalers to import safe, affordable medicine from Canada and other major countries.
"The United States pays by far the highest prices in the world for prescription drugs. This is an immediate health crisis that must be addressed," said Sanders, who is today chairing a Senate subcommittee hearing on the issue. "That is why I am reintroducing legislation to drastically reduce prescription drug prices in the United States. The time is now to stand up to the pharmaceutical industry and say enough is enough. The greed of drug companies is out of control and the cost is human lives."
"In the wealthiest nation on planet Earth, no one should be choosing between paying for their medications or paying their rent," said Rep. Khanna. "For-profit pharmaceutical companies have been price-gouging us for far too long. Health care is a human right. We must make drugs affordable to every American who needs them. Proud to join Sen. Sanders in reintroducing this critical legislation, essential in our work toward building a healthier, more equal America."
"I am pleased to again join Sen. Sanders in his ongoing crusade against prescription price gouging by sponsoring the House companion to the Medicare Drug Price Negotiation Act, previously led by our friend the late Elijah Cummings," said Rep. Doggett. "Almost two decades ago, in a new law filled with bad policies, Big Pharma inserted a single sentence to prohibit any Medicare negotiation of drug prices. Unlike HR 3, approved in the House last Congress, today's bill unequivocally repeals that prohibition. There are a number of solid ways to combat abusive pharma practices, some additional of which I will soon be introducing myself. But the key is working together to stand up to Big Pharma and not settle for a weak proposal that excludes most drugs from negotiation, ignores high launch prices, and denies meaningful relief to the uninsured. Failure to restrain the monopoly power of Big Pharma has caused so much pain and suffering and led to so many untimely deaths. Joining Sen. Sanders is an important way to push back."
"Skyrocketing drug prices are hammering patients across America," said Rep. Welch. "Lifesaving drugs, like insulin, aren't helpful if Americans can't afford them. Enough is enough. It's time to end the monopoly and sweetheart deals that pharma enjoys at the expense of patients."
"St. Louis sent me to Congress to save lives," said Rep. Bush. "As a nurse, I've seen firsthand the harmful effects of patients not being able to afford their lifesaving medications. Today, with the introduction of this legislative package, we are standing up for the millions of people who are forced to ration their medicine or suffer in silence because of the inhumane, immoral, and inescapable cost of prescription medications. I am grateful to join Sen. Sanders, and Reps. Doggett, Khanna, and Welch in the effort to stop massive drug companies from putting profits over the lives of regular, everyday people."
The measures are overwhelmingly supported by the American people. Seventy-two percent of Americans favor allowing the importation of prescription drugs from Canada, 92% of the American people support allowing Medicare to negotiate drug prices, and 79% percent of Americans say the price of prescription drugs is too high.
The Prescription Drug Price Relief Act, if enacted, would lower most brand name drug prices in the United States by 50%, according to economist Dean Baker. Additionally, the U.S. government could save close to $360 billion over 10 years if Medicare negotiated the same prices for drugs as people in Canada pay, according to the Center for Economic and Policy Research. Last month, a report released by the Congressional Budget Office, commissioned by Sanders, found that on average Medicare Part D pays nearly three times more for brand-name drugs than Medicaid.
In 2020, five of the largest pharmaceutical companies in the U.S. made $44.9 billion in profits. That same year, in the midst of a horrific pandemic and economic crisis, drug makers raised their prices of more than 860 prescription drugs by 5%, on average. Meanwhile, one in four Americans cannot afford their medicine.
In Canada and other major countries, the same medications, manufactured by the same companies in the same factories, are available for a fraction of the price compared to the United States. In 2019, Americans spent $1,128 per person on prescription drugs while Canadians spent $879 and people in the U.K. spent $526.
Sanders' hearing in the Health, Education, Labor and Pensions Committee subcommittee can be seen here at 10 a.m.
Cosponsors in the Senate of The Prescription Drug Price Relief Act include Sens. Richard Blumenthal (D-Conn.), Cory Booker (D-N.J.), Kirsten Gillibrand (D-N.Y.), Amy Klobuchar (D-Minn.), Alex Padilla (D-Calif.), and Elizabeth Warren (D-Mass.).
Cosponsors in the Senate of The Medicare Drug Price Negotiation Act include Sens. Richard Blumenthal (D-Conn.), Cory Booker (D-N.J.), Kirsten Gillibrand (D-N.Y.), Patrick Leahy (D-Vt.), Alex Padilla (D-Calif.), Jack Reed (D-R.I.), Tina Smith (D-Minn.), and Elizabeth Warren (D-Mass.)
Cosponsors in the Senate of The Affordable and Safe Prescription Drug Importation Act include Sens. Cory Booker (D-N.J.), Bob Casey (D-Penn.), Tammy Baldwin (D-Wis.), Richard Blumenthal (D-Conn.), Sherrod Brown (D-Ohio), Kirsten Gillibrand (D-N.Y.), Martin Heinrich (D-N.M.), Angus King (I-Maine), Amy Klobuchar (D-Minn.), Patrick Leahy (D-Vt.), Joe Manchin (D-W.Va.), Jeff Merkley (D-Ore.), Alex Padilla (D-Calif.), Jack Reed (D-R.I.), Jeanne Shaheen (D-N.H.), Tina Smith (D-Minn.), Debbie Stabenow (D-Mich.), Chris Van Hollen (D-Md.), Elizabeth Warren (D-Mass.), Sheldon Whitehouse (D-R.I.), and Ron Wyden (D-Ore).
For a summary of The Prescription Drug Price Relief Act, click here. For full text, click here.
For a summary of The Medicare Drug Price Negotiation Act, click here. For full text, click here.
For a summary of The Affordable and Safe Prescription Drug Importation Act, click here. For full text, click here.
Trump—who'd threatened to take out Iran's "whole civilization"—described the country's 10-point proposal as a "workable basis on which to negotiate."
This is a developing story… Please check back for updates…
Just hours after President Donald Trump issued a genocidal threat against the Iranian people, declaring that "a whole civilization will die tonight," the US leader announced that he's agreed to suspend his unconstitutional war for two weeks if Iran ends its blockade of the Strait of Hormuz.
Citing an unnamed senior White House official, CNN reported that Israel—which has joined the United States in bombing Iran, including civilian infrastructure, since February 28—"is part of the two-week ceasefire" and "has agreed to also suspend its bombing campaign while negotiations continue."
According to The Associated Press, Iran's Supreme National Security Council said in a statement that it accepted the ceasefire, which New York Times correspondent Farnaz Fassihi reported followed "frantic diplomatic efforts by Pakistan and last-minute intervention by China," a key Iranian ally.
"It is emphasized that this does not signify the termination of the war," the Iranian council said. "Our hands remain upon the trigger, and should the slightest error be committed by the enemy, it shall be met with full force."
Trump made the announcement on his Truth Social platform as he faced mounting global outrage over his "apocalyptic" morning comments—including calls for his removal from office—and as his 8:00 pm Eastern time deadline for Iran to reopen the crucial waterway to all ship traffic approached.
Specifically, Trump said:
Based on conversations with Prime Minister Shehbaz Sharif and Field Marshal Asim Munir, of Pakistan, and wherein they requested that I hold off the destructive force being sent tonight to Iran, and subject to the Islamic Republic of Iran agreeing to the COMPLETE, IMMEDIATE, and SAFE OPENING of the Strait of Hormuz, I agree to suspend the bombing and attack of Iran for a period of two weeks. This will be a double sided CEASEFIRE! The reason for doing so is that we have already met and exceeded all Military objectives, and are very far along with a definitive Agreement concerning Longterm PEACE with Iran, and PEACE in the Middle East. We received a 10 point proposal from Iran, and believe it is a workable basis on which to negotiate. Almost all of the various points of past contention have been agreed to between the United States and Iran, but a two week period will allow the Agreement to be finalized and consummated. On behalf of the United States of America, as President, and also representing the Countries of the Middle East, it is an Honor to have this Longterm problem close to resolution.
According to reports, Iran's 10-point peace plan could face stiff resistance from Israel and the Gulf monarchies that Iran has been attacking in retaliation for the US-Israeli onslaught.
The ten-point plan that is the basis of the ceasefire is literally just “Iran gets everything it could ever want, total US surrender, Iran now dominates the Middle East unopposed and controls Hormuz for its own enrichment” so uhh
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— Will Stancil (@whstancil.bsky.social) April 7, 2026 at 4:08 PM
"It’s hard to see how anyone else in the region could possibly agree to this," US lawyer and political commentator Will Stancil said on Bluesky.
Stancil added that it would be "extremely funny if the gulf states that have funneled billions of dollars to Trump meet their ruin at his hand when he switches sides literally at the culmination of a war so he can pretend to have won, though. Maybe they’ll bonesaw him in retaliation."
In response to Trump's threats to take out Iran's bridges and power plants—clear war crimes—and more recent threat to wipe out the Middle Eastern country's "whole civilization," human rights advocates and political leaders across the globe had called on governments and world bodies, including the United Nations, to "urgently intervene."
Some Democratic US lawmakers expressed skepticism over the deal, with Sen. Chris Murphy of Connecticut telling CNN that he doubts there is even any actual ceasefire in place amid reports of continued Iranian missile attacks on Israel and the United Arab Emirates.
“Who knows what’s going on," said Murphy. "Donald Trump lies every single day.”
Murphy pointed to Iran's claim “that Trump has also agreed to Iran’s right to enrichment, to suspend all sanctions against Iran, and to allow Iran to keep their missile program, their drone program and their nuclear program," saying "if, at the very least, this agreement gives Iran the right to control the strait that is cataclysmic for the world, and it is just stunning that that’s where we have gotten to that Donald Trump took a military action that has apparently, at least for the time being, given Iran control over a critical waterway that they did not have control over, before the war began.”
Trump critics, including members of Congress, also urged the president's Cabinet to invoke the 25th Amendment to the Constitution and remove him from office, and reminded American service members of their duty to disobey any ordered war crimes.
The group's leader urged action to stop "attacks that would plunge an entire country into darkness and deprive millions of their fundamental human rights to life, water, food, healthcare, and an adequate standard of living."
Amnesty International on Tuesday joined advocacy groups and political leaders around the world in calling for swift action to stop President Donald Trump from carrying out his genocidal threats against Iran, with the human rights group specifically putting pressure on all governments and the United Nations.
Trump gave Iran until 8:00 pm Eastern to reopen the Strait of Hormuz, which the country closed to most ship traffic after the United States and Israel abandoned diplomatic talks for war in February. The US president said on his Truth Social platform Tuesday that if the Iranian government doesn't comply, "a whole civilization will die tonight, never to be brought back again."
The backlash was swift, with some US lawmakers calling on Trump's Cabinet to invoke the 25th Amendment and remove him from office, as well as reminding American forces of their duty to disobey any ordered war crimes. As critics worldwide also condemned the president's comments, Iranian Ambassador to the United Nations Amir-Saeid Iravani pledged that Iran "will exercise, without hesitation, its inherent right of self-defense and will take immediate and proportionate reciprocal measures."
Agnès Callamard, Amnesty's secretary general, said in a statement that "Trump's very act of making such apocalyptic threats, including his warning of ending 'a whole civilization,' reveals a staggering level of cruelty and disregard for human life. It becomes all the more terrifying when coupled with his explicit threats to directly attack civilian infrastructure by bringing about the 'complete demolition' of Iran's power plants and bridges."
As Iranians put their bodies at risk on Tuesday by gathering at energy facilities and bridges in hopes of preventing their destruction, the watchdog group Beyond Nuclear warned that Trump could create a "fatal nuclear disaster" by attacking Iran's nuclear power plant in the port city of Bushehr.
Physicians for Social Responsibility, Physicians for Human Rights, and International Physicians for the Prevention of Nuclear War similarly stressed in a joint statement that "the bombings of nuclear power plants are illegal under international law and risk harmful radioactive contamination of the environment, posing long-term danger to the health of surrounding communities and ecosystems."
More broadly, Callamard noted that "international humanitarian law strictly prohibits direct attacks on civilians and civilian objects. The US president's threat of extermination and irreparable destruction brazenly shreds core rules of international humanitarian law, with potentially catastrophic consequences for over 90 million people. It may constitute a threat to commit genocide, a crime defined by the Genocide Convention and by the Rome Statute of the International Criminal Court as committing one or more defined acts 'with intent to destroy, in whole or in part, a national, ethnical, racial or religious group, as such.'"
Emphasizing that "the stakes could not be higher," the former United Nations special rapporteur argued that "the international community, including the UN Security Council, regional bodies, and all states must urgently intervene to avert an impending catastrophe and unequivocally affirm that inciting, ordering, or committing war crimes, crimes against humanity, and genocide entail individual criminal responsibility under international law."
UN leaders, including Secretary-General António Guterres, High Commissioner for Human Rights Volker Türk, and special rapporteurs, have demanded an end to the regional war and a return to diplomatic talks. However, the United States has veto power at the Security Council. That has impeded the body's ability to respond to the US-Israeli threats and attacks, which, as Callamard highlighted, are already destroying civilian infrastructure and "terrorizing millions of people in Iran and their distressed relatives abroad as tens of millions of lives hang in the balance."
As Callamard detailed:
In recent days, US and Israeli forces have attacked civilian infrastructure, including power plants, bridges, universities, steel factories, and petrochemical facilities, killing and injuring civilians, condemning the population to years, if not decades, of deepened economic hardship, inflicting serious harm on civilian health and the environment, and leaving long‑lasting damage to civilians' lives and livelihoods...
Power plants, water systems, and energy infrastructure are indispensable to civilian life, underpinning access to clean water, medical care, hospital electricity, food supply chains, and basic livelihoods. Attacking them would be disproportionate and thus unlawful under international humanitarian law and could amount to a war crime.
"We call for immediate action to stop unlawful attacks that would plunge an entire country into darkness and deprive millions of their fundamental human rights to life, water, food, healthcare, and an adequate standard of living," Amnesty's leader said.
Other advocacy groups issued similar calls. US military veterans at the Council on American-Islamic Relations—CAIR-Michigan director Dawud Walid and CAIR-Florida communications director Wilfredo Ruiz—said that "declaring the Iranian people 'animals' and threatening to destroy their whole civilization is the sort of unhinged rhetoric we would expect from a racist, genocidal tyrant, not the president of the United States."
"Nothing in US law, military law, or international law would authorize the president to attempt to destroy another civilization by rendering their nation uninhabitable through indiscriminate attacks on civilian infrastructure," they continued. "President Trump must be prevented from committing a genocidal crime that would live in infamy, whether by Congress reconvening and voting to stop the war, the Cabinet invoking the 25th Amendment, or military leaders refusing unlawful orders to exterminate civilians. Refusing to take any action in the face of this open threat to commit genocide is complicity."
DAWN's advocacy director, Raed Jarrar, agreed that "every service member ordered to act on Trump's unlawful dictates should refuse those illegal orders," and warned that anyone "who carries out illegal strikes could face personal criminal liability for them."
The group's senior Iran analyst, Omid Memarian, added that "concerned US and international actors shouldn't fall for the Trump trap and let the focus on an arbitrary deadline or threat of cataclysmic action distract them when there is already systematic unlawful death and destruction taking place."
According to Memarian, "They should demand an immediate, unconditional, and permanent end to this unlawful war."
"The real legal and moral question is why civilian infrastructure is being targeted at all," said one expert.
After US President Donald Trump made his genocidal declaration on Tuesday that the "whole civilization" of Iran "will die tonight," reports began to roll in of people across the country standing outside the power plants, bridges, and other civilian infrastructure the president promised to bomb.
Photos shared to social media by the government-affiliated Mehr news agency showed scene after scene of Iranians forming human chains outside power plants in Tabriz and Kermanshah.
A video showed dozens of students assembled on the Dezful bridge in southwestern Iran, which is more than 1,700 years old and is believed to be one of the oldest functioning bridges in the world.
Over the weekend, Trump said that unless Iran opened the Strait of Hormuz, a critical shipping lane that it has used as a chokepoint against the Western economy, by Tuesday, he would bomb infrastructure relied upon by tens of millions of Iranians, which Amnesty International said could amount to a "war crime."
"We’re giving them till tomorrow, eight o’clock eastern time, and after that, they’re going to have no bridges. They’re going to have no power plants," Trump said on Monday, reiterating his plans to bomb Iran "back to the Stone Ages."
According to Iranian President Masoud Pezeshkian, more than 14 million people in the country responded to the threat by volunteering to put their bodies on the line and defend the infrastructure at risk. He said they'd "declared their readiness to sacrifice their lives in defense of Iran.”
The government has encouraged Iranians, including children and young students, to take to the streets to form human chains around infrastructure that may come under threat, leading some Western media outlets to raise the fear that people were being used as "human shields."
Sina Toossi, a fellow at the Center for International Policy, however, said this "is a deeply misleading framing."
"Iranians are not being placed in front of targets," he said, referencing several videos of the demonstrations. "Many are voluntarily showing up to defend the infrastructure that keeps their society alive."
He noted the participation of Iranian celebrities in the human chains, including the composer and Tar player Ali Ghamsari, who stationed himself outside a power plant, and the pop singer Benyamin Bahadori, who filmed a video of himself walking along a bridge that had come under threat.
"This is about people trying to safeguard electricity, water, and basic civilization under open threat," Toossi said. "The real legal and moral question is why civilian infrastructure is being targeted at all."
Agnès Callamard, secretary general of Amnesty International, said on Tuesday that Trump's threats could prove "apocalyptic" to millions of Iranians, plunging the "entire country into darkness and depriv[ing] millions of their fundamental human rights to life, water, food, healthcare, and an adequate standard of living."
"Power plants, water systems, and energy infrastructure are indispensable to civilian life, underpinning access to clean water, medical care, hospital electricity, food supply chains, and basic livelihoods," she added. "Attacking them would be disproportionate and thus unlawful under international humanitarian law and could amount to a war crime.”