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Americans are concerned about the high price of drugs. The pharmaceutical industry has become a system rife with gaming. Profits are regularly prioritized over patients. Laws meant to encourage innovation, recoup private investment, and ensure patient access are too often manipulated to suppress competition and increase prices. These unscrupulous industry practices can take many forms, but the result is always the same: Drug prices increase in a captive market. Gimmicks and price increases are costly to patients and taxpayers. No conservative should defend the status quo.