Biden proposes to increase the Medicare tax on the rich so as to provide sufficient funds for Medicare until 2050. International pharmaceuticals Big Pharma has convinced the US government to strive to the utmost to prevent Americans from buying prescription medicines abroad to save money. Medicines are more expensive in the US because the US governent has a decades-long tradition of helping Big Pharma gouge. Their pretext is that people would import opioids that way, but few people try that.