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Illustration: Aïda Amer/Axios

The Trump administration is plowing ahead on drug prices, hoping to break through the cycle of legal and political setbacks that have stymied the rest of its health care agenda.

The big picture: The administration has several proposed rules that take on some aspect of the drug-pricing system, and is quietly talking with congressional Democrats on the issue, too.

  • New rules should be finalized soon requiring drugmakers to include prices in their TV ads. The industry will likely sue.
  • Conservatives are uneasy about Trump’s plan to import some European price controls, but Democrats may be willing to help.

The administration needs a win.

  • Trump’s legal assault on the Affordable Care Act faces long odds and a backlash from congressional Republicans.
  • Medicaid work requirements — the most substantive rightward shift the administration has imposed so far on health policy — have been struck down in court.

The bottom line: There will be headwinds on drug prices, too, but the general political climate and some alliance-building on Capitol Hill could easily make it a bright spot for the White House. 

Go deeper

The startup that wants to disrupt big internet providers

Maura Losch/Axios

A new startup backed by funding from AOL founder Steve Case and Laurene Powell Jobs wants to break up broadband monopolies across the country.

Why it matters: Internet access has been crucial during the pandemic, but it's not ubiquitous, and it can be both slow and unaffordable in swaths of the country.

1 hour ago - World

Top general: China's hypersonic missile test "very close" to a "Sputnik moment"

Gen. Mark Milley. Photo: Rod Lamkey-Pool/Getty Images

Gen. Mark Milley, the chairman of the Joint Chiefs of Staff, warned Wednesday that China's test of a hypersonic missile is "very concerning" and "very close" to the kind of "Sputnik moment" that triggered the Space Race during the Cold War.

Why it matters: The comments by America's top uniformed general underscore the depths of U.S. concerns about China's rapid military expansion and development of advanced weaponry.

Climate reckoning for oil and gas CEOs

Illustration: Aïda Amer/Axios

Top executives from ExxonMobil, BP, Chevron and Shell will face a reckoning on Capitol Hill Thursday, as they're grilled on evidence that their companies knew for years that their products were driving climate change but chose to downplay or deny it.

Why it matters: The hearing before the House Oversight Committee will be the first time these executives have been brought together to provide sworn testimony regarding what they knew about the ties between their company's products and climate change, and when they knew it.