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The Hidden Tax Buried in Your Health Insurance Bill

U.S. Chamber Action
Stand Up for Free Enterprise
Obesity Medicines Change Lives. Bad Policy Could Harm That.
GLP-1 medicines are a medical breakthrough. Price controls would be a step backward.
 
Anti-obesity medicines are cutting cardiovascular events by 20% and reducing diabetes, heart disease, and early death for the 42% of Americans living with obesity. This is American innovation at its best.


But: Some in Washington are pushing Most-Favored Nation pricing—tying U.S. drug prices to foreign government rates. Doing so would cut R&D spending by 18.5% and slash clinical trials by 75%. Fewer trials mean fewer cures.


Why it matters: University of Chicago research projects that innovative obesity treatments will generate $94.4 trillion in health value over 30 years. This means healthier workers, fewer hospitalizations, and stronger communities.


Bottom line: Affordability matters for families. Market competition, not government price controls, is what keeps America the best place in the world to develop and receive the next generation of treatments.
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Lawsuit Investors Lose in North Carolina
When outside investors bankroll lawsuits for profit, families foot the bill.
North Carolina became the first state to ban third party litigation funding (TPLF)—where outside investors bankroll lawsuits in exchange for a cut of the payout.


Why it matters: Litigation costs American families $4,200 a year. This means higher insurance premiums, medical bills, and grocery receipts. TPLF lets outside investors prolong cases and steer outcomes toward funders' returns rather than plaintiffs' relief.


What we’re saying: "For too long, these outside groups have walked away with massive profits while families and local businesses paid the price." — Stephen Waguespack, President, U.S. Chamber Institute for Legal Reform


Big picture: North Carolina joins a growing national movement. Eighteen states have now passed TPLF reform. Six did in 2025. Four more have in 2026. At the federal level, Congress is weighing both disclosure mandates and a ban on foreign litigation funding.
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