TEXT: WASHINGTON, DC - OCTOBER 25: AFP OUT U.S. President Donald Trump (L) shakes hands with Health and Human Services Secretary Alex Azar before announcing a plan to overhaul how Medicare pays for certain drugs during a speech at HHS headquarters October 25, 2018 in Washington, DC. Claiming that 'global freeloading' has driven up drug costs, Trump said his plan could save Medicare more than $17 billion over five years, with the cost of some drugs dropping by as much as 30 percent. (Photo by Chip Somodevilla/Getty Images)